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Published on: July 13, 2019
Care related to peripheral intravenous catheterism in pediatrics performed by nursing technicians
Luciano Marques Dos Santos1,2, Taynara Bispo Conceição1, Cleonara Sousa Gomes E Silva1
1Universidade Estadual de Feira de Santana. Feira de Santana, Bahia, Brazil.
Insights
Nursing technicians showed significant gaps in peripheral intravenous catheterization care practices for hospitalized children. Many observed procedures did not align with recommended standards, highlighting a need for improved training and adherence to best practices in pediatric care.
Area of Science:
- Pediatric Nursing
- Infection Control
- Patient Safety
Background:
- Peripheral intravenous catheterization is a common procedure in pediatric care.
- Adherence to standardized care practices is crucial for preventing complications.
- Previous studies indicate variability in nursing practice during catheterization.
Purpose of the Study:
- To evaluate nursing technicians' care practices during peripheral intravenous catheterization in hospitalized children.
- To identify deviations from recommended protocols before, during, and after catheter insertion.
- To assess the quality of care provided in a pediatric setting.
Main Methods:
- Cross-sectional, descriptive study utilizing non-participatory observation.
- Data collected via an instrument assessing care practices at three procedural stages.
- Analysis included frequency calculations and measures of central tendency and dispersion.
Main Results:
- Thirty-one nursing technicians participated in the observation.
- Care practices were predominantly focused on the pre-insertion phase.
- Identified nonconformities included issues with hand hygiene, mask use, site selection, antisepsis, stabilization, and catheter coverage.
Conclusions:
- Observed peripheral intravenous catheterization practices frequently deviated from national and international standards.
- Significant gaps exist in the adherence to recommended precautions.
- There is a critical need to reinforce evidence-based practices in pediatric catheterization care.
Objectives:
to evaluate the care practice adopted by nursing technicians before, during and after peripheral intravenous catheterization performed in hospitalized children.
Methods:
cross-sectional and descriptive research, carried out in a pediatric hospital in Bahia through non-participatory observation of peripheral intravenous catheterizations performed in children by nursing technicians. Data was collected through an instrument containing care related to the moments before, during and after insertion of the catheter, calculating absolute and relative frequencies, measures of central tendency and dispersion.
Results:
there were 31 nursing technicians, who performed care mainly before intravenous catheterization. Nonconformities were identified regarding hand hygiene, use of a disposable mask, selection of the catheter insertion site, antisepsis, stabilization and catheter coverage.
Conclusions:
most of the precautions observed regarding peripheral intravenous catheterization are not in accordance with the standards of practice recommended by the national and international literature.
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