Peripheral vein cannulation is commonly performed for rapid and accurate administration of medications. Phlebitis is the most common complication of intravenous catheter insertion. This study aims to investigate the implementation of intravenous catheter care to prevent phlebitis that was implied on a patient's cannulation conditions. This study was a cross sectional observational study conducted on patients at a hospital in Bali. Study conducted on 35 patients who were admitted to inpatient ward of the hospital in April 2022. The factors studied were age, gender, site of insertion, precision of dressing, dressing integrity, date on dressing, administration set integrity, date on administration set, and VIP score documentation. The results show that the mean age of the patient was 45.31 years old and 60% of the patients were men. 48,6% cannula was inserted in the movement area (wrist and ankle) while only 51,4% dressing was used properly so cannulation sites can be observed. All dressing were intact, dry and clean, but only 48.6% cannulation date documented on the dressing. Majority the administration sets were in good performance (94.3%) but there were only 31,4% with the installation date. The monitoring of peripheral vein cannulation using VIP score has not been widely applied (11,4%). Further intervention is needed to improve adherence to peripheral vein cannulation care so that phlebitis can be prevented optimally.
The nurses who working in Emergency Room (ER) are require to be able to provide fast and appropriate treatment according to the priority of the patient's condition. Triage is the process of sorting out patients according to their level of emergency. Australasian Triage Scale (ATS) is one of the triage systems implemented in ER. In practice, sometimes the triage carried out by nurses is not appropriate based on the guidelines, resulting over triage or under triage in patients. The aims of this study is to determine the effectiveness of poster media on increasing nurses knowledge about ATS in Emergency Room Bali Mandara Hospital. This research is a quasi-experimental research design with One Group Pretest-Posttest Design Without Group Control. The number of samples in this study were 26 nurses obtained by total sampling. The instrument in this study used a questionnaire and ATS poster. Data analysis used Paired Sample T-Test. This research obtained the average score of nurses knowledge about ATS on pretest 6,08 and posttest increased to 7,58. Bivariate analysis obtained p-value of <0.001 which means that there is a significant effect of poster media on increasing nurses knowledge about ATS. Nurses should have a good understanding of triage so that they can perform optimal management of the patient in emergency situation.
Hospitals can be a source of transmission of microorganisms to patients during treatment. Infections acquired by patients while being hospitalized are called Healthcare Associated Infections (HAIs), so HAIs are an indicator of the quality of care provided by the hospital. The purpose of this study is to know the effectiveness of training on the knowledge, skills, and behavior of prevention of HAIs in nurses in the hospital. A quasi-experimental research design with a pre-test and post-test design with a control group design on 140 nurses through purposive sampling was used. Data collection used questionnaires (r value 0.412-0.716> r table 0.294; Cronbach Alpha 0.753) and observation sheets. The Wilcoxon test was used to analyze the mean difference between groups because the data were not normally distributed. The mean difference between the control and intervention groups was analyzed using the Mann-Whitney test. The results of the study obtained shows the effect of training on knowledge (p value <0.001), skills (p value <0.001), and behavior (p value = 0.041) on HAI prevention in the intervention group. In fact, in the control group, it was found that there was no effect of training on knowledge, skills and behavior of prevention of HAIs (p value> 0.005). There were differences in knowledge, skills, and behavior of HAI prevention between the intervention group and the control group (p value <0.001).
The aim of this study was to investigate the feasibility of using online surveillance form in reporting healthcare associated infections. This research is a quantitative research with a pre-experimental one group pre-test – post-test design method. The intervention given is giving the form manually and giving the form online. Respondents in this study were Infection Prevention and Control Link Nurses in the inpatient, intensive, and operating rooms at the Bali Mandara General Hospital with a total of 37 nurses. Data collection was carried out from January 2020 to December 2021 using the healthcare associated infections reporting form developed by the hospital infection control team. Data were analysed using paired T-test with 95% confidence level. Phlebitis reported significantly increase after the application of online surveillance form. The nurses’ compliance on filling the form both device-related and surgical site infection surveillance as the enactment of online form is 100%, with on time reporting increasing from 73,2% to 98,8%. Nurses assume that the accessible and simplicity of the online forms encourage them to fill the forms completely. Delays in reporting surveillance still occur and need encouragement from supervisor to improve compliance.
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