Effect of education on evidence‐based care and handling of peripheral intravenous lines

Abstract

Deficient routines in use, care, handling and documentation of peripheral intravenous vein cannulae (PIV) have previously been reported, and complications have been noted in 50-75% of the patients. The aim of the study was to examine whether specially trained nurses change their actions to decrease complications when using cannulae. The study included 36 nurses assigned to experimental and control groups. The experimental group followed an education programme explaining how to use and take care of a PIV. To evaluate the intervention document analysis, observations and patient interviews were performed in 99 patients with 172 PIVs in situ for less than 24 h. After the education programme, fewer complications, more carefully performed care and handling, and better documentation and information were found in the experimental group. Nurses in the control group followed current routines, which resulted in a greater degree of complications. Education in evidence-based care and handling gives nurses the opportunity to improve their ability to use theoretical knowledge in clinical problems.

Short peripheral venous catheters: effect of evidence-based guidelines on insertion, maintenance and outcomes in a university hospital

“…Previous studies on interventions to reduce catheter-related complications have included educational programmes, [12][13][14]16,17 the use of surveillance with feedback, 18 and the development and implementation of guidelines in an intensive care unit. 15 To our knowledge, this is the first study to specifically evaluate the effect of guidelines addressing SPVC practice within a hospital.…”

“…[1][2][3][4][5][6][7][8][9][10][11] Previous uni-or multi-dimensional intervention strategies to improve catheter practice [12][13][14][15][16][17][18] have successfully decreased the frequency of complications associated with intravenous devices. Nevertheless, to the best of our knowledge, this study is the first published evaluation of implementing guidelines to improve the use of SPVCs.…”

Efficacy and safety of a two-step method of skin preparation for peripheral intravenous catheter insertion: a prospective multi-centre randomised trial

“…A lack of training, underestimation of the risk of complications associated with the use of PVCs and a too-heavy workload often result in poor adherence with procedures for PVC insertion in routine practice [10,11,22,23]. In 2002, an audit of skin preparation before the insertion of PVCs carried out in six healthcare institutions in the Centre region of France showed a large gulf between theory and practice, with compliance with the recommended skin preparation techniques observed in only 30% of the 105 observations.…”

“…Thrombophlebitis is a precursor sign of PVC infection and has been reported to occur after 24 hours in 12 to 34% of cases and after 48 hours in 36 to 65% of cases [6,11,16,17]. The observation of precursor signs of infection associated with PVCs, and the comparison of their frequency as a function of certain criteria has been used to evaluate risk factors for PVC-linked infections in several previous studies.…”

Efficacy and safety of a two-step method of skin preparation for peripheral intravenous catheter insertion - a prospective multicentre randomised trial

“…Most of the complications associated with the use of PVCs are avoidable [9]. Their prevention is based on good hand hygiene before insertion and during maintenance, choice of insertion site, the use of aseptic techniques for insertion and manipulation of the catheter, catheter attachment and limitation of the use of hypo-and hypertonic solutions [1,[10][11][12][13][14][15].…”