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Measuring the Validity and Reliability of the Vascular Access Complication Staging and Treatment Instrument in a

Genieveve J Cline1,2,3,4,5, Virginia Pohlod1,2,3,4,5, Kristina J Burger1,2,3,4,5

  • 1Department of Clinical Education and Research, Johns Hopkins All Children's Hospital, St. Petersburg, Florida (Dr Cline); Johns Hopkins All Children's Hospital, St. Petersburg, Florida (Ms Pohlod); Nursing Administration, Johns Hopkins All Children's Hospital, St. Petersburg, Florida (Dr Burger); Cancer and Blood Institute, Johns Hopkins All Children's Hospital and All Children's Research Institute, St. Petersburg, Florida (Dr Amankwah).

Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society
|July 1, 2021
PubMed

Insights

A new instrument for staging vascular access complications in children shows preliminary validity and reliability. Nurses found the tool effective for assessing swelling and tissue injury, aiding treatment decisions.

Area of Science:

  • Pediatric Nursing
  • Vascular Access Management
  • Clinical Instrument Validation

Background:

  • Vascular access complications are common in pediatric and neonatal patients.
  • Objective tools are needed to standardize assessment and treatment of these complications.
  • Existing instruments may lack specific validation for pediatric populations.

Purpose of the Study:

  • To establish the preliminary validity and reliability of the 2018 Vascular Access Complication Staging and Treatment Instrument.
  • To assess the instrument's utility in pediatric and neonatal populations.
  • To evaluate healthcare providers' perception of the instrument's usability.

Main Methods:

  • A multiphase study incorporating Delphi and observational components.
  • Data collection from a single, academic children's hospital.
  • Utilized objective measurement criteria for swelling and tissue damage assessment.

Main Results:

  • Provided preliminary empirical evidence supporting the instrument's validity and reliability for pediatric and neonatal use.
  • Demonstrated the instrument's ability to assess the degree of swelling and severity of tissue injury.
  • Nurses perceived the instrument as efficient and easy to use.

Conclusions:

  • The Vascular Access Complication Staging and Treatment Instrument shows promise for pediatric and neonatal care.
  • The instrument offers a standardized approach to assessing and managing intravenous complications.
  • Further validation studies are warranted to confirm its clinical utility.

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