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

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



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.


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


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.


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%.


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

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