Nursing Knowledge Tools and Strategies to Improve Patient Outcomes and the Work Environment

Juvé‐Udina, Maria‐Eulàlia; Adamuz, Jordi

doi:10.1007/978-3-031-25204-4_29

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…Therefore, the impact of care complexity individual factors and nurse staffing levels on PIVC failure in hospitalised patients remains to be studied. In the context of this study, care complexity individual factors and nurse staffing coverage (acute to intensive care [ATIC] patient classification system) were implemented in nursing e-charts of Catalan public health hospitals as structured data based on the Architeture, Terminology, Interface, Knowledge terminology since 2013 [ 17 ]. Juvé-Udina et al also identified care complexity individual factors (CCIF) in hospitalized patients, classifying them into five domains: developmental, mental-cognitive, psycho-emotional, sociocultural and comorbidity/complications ; four coincided with the Vector Model of Complexity that defines the determinants of complexity, along axes representing major health determinants.…”

Section: Introductionmentioning

confidence: 99%

Peripheral intravenous catheter failure, nurse staffing levels and care complexity individual factors: A retrospective multicentre cohort study

Jiménez-Martínez,

Adamuz,

González-Samartino

et al. 2024

PLoS ONE

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Introduction Short peripheral intravenous catheter (PIVC) failure is a common complication that is generally underdiagnosed. Some studies have evaluated the factors associated with these complications, but the impact of care complexity individual factors and nurse staffing levels on PIVC failure is still to be assessed. The aim of this study was to determine the incidence and risk factors of PIVC failure in the public hospital system of the Southern Barcelona Metropolitan Area. Methods A retrospective multicentre observational cohort study of hospitalised adult patients was conducted in two public hospitals in Barcelona from 1st January 2016 to 31st December 2017. All adult patients admitted to the hospitalisation ward were included until the day of discharge. Patients were classified according to presence or absence of PIVC failure. The main outcomes were nurse staffing coverage (ATIC patient classification system) and 27-care complexity individual factors. Data were obtained from electronic health records in 2022. Results Of the 44,661 patients with a PIVC, catheter failure was recorded in 2,624 (5.9%) patients (2,577 [5.8%] phlebitis and 55 [0.1%] extravasation). PIVC failure was more frequent in female patients (42%), admitted to medical wards, unscheduled admissions, longer catheter dwell time (median 7.3 vs 2.2 days) and those with lower levels of nurse staffing coverage (mean 60.2 vs 71.5). Multivariate logistic regression analysis revealed that the female gender, medical ward admission, catheter dwell time, haemodynamic instability, uncontrolled pain, communication disorders, a high risk of haemorrhage, mental impairments, and a lack of caregiver support were independent factors associated with PIVC failure. Moreover, higher nurse staffing were a protective factor against PIVC failure (AUC, 0.73; 95% confidence interval [CI]: 0.72–0.74). Conclusion About 6% of patients presented PIVC failure during hospitalisation. Several complexity factors were associated with PIVC failure and lower nurse staffing levels were identified in patients with PIVC failure. Institutions should consider that prior identification of care complexity individual factors and nurse staffing coverage could be associated with a reduced risk of PIVC failure.

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Section: Introductionmentioning

confidence: 99%

Peripheral intravenous catheter failure, nurse staffing levels and care complexity individual factors: A retrospective multicentre cohort study

Jiménez-Martínez,

Adamuz,

González-Samartino

et al. 2024

PLoS ONE

Self Cite

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Association between peripheral venous catheter failure and care complexity factors in emergency department: a cross-sectional study

Urbina,

Juvé-Udina,

Adamuz

et al. 2024

BMJ Open

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ObjectiveThe objective was to determine the prevalence of peripheral venous catheter (PVC) failure and its association with care complexity individual factors (CCIFs) in emergency department (ED) patients.DesignA cross-sectional, descriptive-correlational study was performed.MethodsAll patients with a PVC inserted in the ED of a tertiary hospital were included. The period of study was from June 2021 to June 2022. The main outcomes were PVC failure (phlebitis, extravasation/infiltration, dysfunction/occlusion and dislodgement/involuntary withdrawal) and 26 CCIFs categorised into 5 domains (psycho-emotional, mental-cognitive, sociocultural, developmental and comorbidity/complications). Other secondary variables were also collected, such as level of triage or nursing care plan. All data were collected retrospectively from the electronic health records. A descriptive and inferential analysis was performed.ResultsA total of 35 968 patients with one or more PVC inserted during their ED visit were included in the study. The prevalence of PVC failure was 0.9% (n=316). The statistically significant CCIFs associated with PVC failure were: incontinence, haemodynamic instability, transmissible infection, vascular fragility, anxiety and fear, impaired adaptation, consciousness disorders, lack of caregiver support and agitation. In addition, we identified that patients with a higher number of CCIFs were more frequently experienced PVC failure.ConclusionThis study identified a prevalence of PVC failure in the ED of around 1%. The most prevalent complication was dysfunction, followed by extravasation and dislodgement. In addition, PVC failure was associated with comorbidity/complications, psycho-emotional and mental-cognitive CCIFs domains.

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Nursing Knowledge Tools and Strategies to Improve Patient Outcomes and the Work Environment

Cited by 2 publications

References 14 publications

Peripheral intravenous catheter failure, nurse staffing levels and care complexity individual factors: A retrospective multicentre cohort study

Peripheral intravenous catheter failure, nurse staffing levels and care complexity individual factors: A retrospective multicentre cohort study

Association between peripheral venous catheter failure and care complexity factors in emergency department: a cross-sectional study

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