Implementation of Evidence-Based Practice in Peripheral Intravenous Catheter Care : Journal of Nursing Care Quality

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Implementation of Evidence-Based Practice in Peripheral Intravenous Catheter Care

Hontoria-Alcoceba, Rocío RN; López-López, Candelas PhD; Hontoria-Alcoceba, Virginia MSc; Sánchez-Morgado, Ana Irene MSc

Author Information

Internal Medicine Service (Mss R. Hontoria-Alcoceba and Sánchez-Morgado) and Emergency and Trauma Intensive Care Unit (Dr López-López), Hospital Universitario 12 de Octubre, Madrid, Spain; Researcher of Care Research Group (InveCuid), Instituto de Investigación Sanitaria Hospital 12 de Octubre (imas12), Madrid, Spain (Dr López-López); Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid, Madrid, Spain (Dr López-López); and Emergency Medical Service of Madrid SUMMA 112, Madrid, Spain (Ms V. Hontoria-Alcoceba).

Correspondence: Rocío Hontoria-Alcoceba, RN, Hospital Universitario 12 de Octubre, Avenida de Andalucía s/n, 28026 Madrid, Spain ([email protected]).

This project has been funded by a research activity intensification grant by the Instituto de Investigación Hospital 12 de Octubre (imas12), Madrid, Spain (Ref. i12-AY200224-1).

The authors declare no conflicts of interest.

Accepted for publication: December 12, 2022

Early Access: January 23, 2023

Journal of Nursing Care Quality 38(3):p 226-233, July/September 2023. | DOI: 10.1097/NCQ.0000000000000688

Abstract

Background: 

Inserting a peripheral intravenous (PIV) catheter is a common health care procedure; however, risks include phlebitis, extravasation, and accidental dislodgement. Using evidence-based practices (EBPs) can reduce these risks.

Purpose: 

The purpose of this study was to implement an evidence-based PIV catheter care bundle and a decision-making algorithm.

Methods: 

A quasi-experimental study design was used. A care bundle and an evidence-based decision-making algorithm were implemented on a medical unit. Outcomes included length of PIV catheter dwell time, phlebitis and other complications, and health professionals' adherence to the interventions.

Results: 

A total of 364 PIV catheters were assessed. PIV catheter dwell time decreased from 3.6 to 2.9 days (P < .001), and phlebitis rates decreased from 14.8% to 4.9% (P < .05). Health professionals' adherence increased from 84.3% to 91.8%.

Conclusions: 

Implementing EBPs can improve care provided to patients with PIV catheters.

© 2023 Wolters Kluwer Health, Inc. All rights reserved.

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