Features: PDF OnlyMultidimensional Outcomes in Intravenous Access Device Maintenance: A Pilot StudyReineck, Carol Ph.D., C.C.R.N1; Reineck, Theodore C. Jr M.H.A.,M.B.A., M.Ed., F.A.C.H.E.2Author Information 1Colonel, U.S. Army, Army Nurse Corps Branch Proponent Officer, Army Medical Department Center and School, Fort Sam Houston, Texas 2Colonel, U.S. Army, Chief Executive Officer, Reynolds Army Community Hospital,Fort Sill, Oklahoma Journal of Nursing Care Quality: July 1996 - Volume 10 - Issue 4 - p 10-17 Buy Abstract The nursing and pharmacology literature of 1988 to 1992 generally encouraged a change in nursing practice with regard to maintenance of peripheral intravenous access devices in adults. Although recommendations were based on data, methodological limitations in many studies prevented enthusiastic change from heparinized saline to saline alone. The article describes the quality journey of one community hospital toward practice change in this frequently performed patient care procedure. The success of the change is attributed to pilot outcomes work in the regional tertiary medical center, which demonstrated the credibility of the proposed change. Four organizational processes supported the scientifically based quality change: interdisciplinary efforts of the community hospital instituting the change, a test on one nursing unit, positive recognition of staff undergoing practice change, and publication and dissemination of the clinical procedure change. © 1996 Aspen Publishers, Inc.