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Implementation of Evidence-Based Practice in Peripheral Intravenous Catheter Care
Rocío Hontoria-Alcoceba1, Candelas López-López, Virginia Hontoria-Alcoceba
1Internal Medicine Service (Mss R. Hontoria-Alcoceba and Sánchez-Morgado) and Emergency and Trauma Intensive Care Unit (Dr López-López), Hospital Universitario 12 de Octubre, Madrid, Spain; Researcher of Care Research Group (InveCuid), Instituto de Investigación Sanitaria Hospital 12 de Octubre (imas12), Madrid, Spain (Dr López-López); Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid, Madrid, Spain (Dr López-López); and Emergency Medical Service of Madrid SUMMA 112, Madrid, Spain (Ms V. Hontoria-Alcoceba).
Implementing evidence-based practices (EBPs) for peripheral intravenous (PIV) catheters reduced dwell time and phlebitis rates. Adherence to PIV care bundles and algorithms improved patient outcomes.
Area of Science:
- Medical Interventions
- Patient Safety
- Nursing Practice
Background:
- Peripheral intravenous (PIV) catheter insertion is common but carries risks like phlebitis and dislodgement.
- Evidence-based practices (EBPs) are crucial for mitigating PIV-related complications.
Purpose of the Study:
- To implement an evidence-based care bundle for PIV catheters.
- To introduce a decision-making algorithm to guide PIV care.
Main Methods:
- A quasi-experimental study design was employed.
- An evidence-based PIV care bundle and algorithm were implemented on a medical unit.
- Outcomes measured included PIV dwell time, complication rates, and adherence.
Main Results:
- PIV catheter dwell time decreased from 3.6 to 2.9 days (P < .001).
- Phlebitis rates significantly reduced from 14.8% to 4.9% (P < .05).
- Healthcare professionals' adherence to interventions improved from 84.3% to 91.8%.
Conclusions:
- Implementing EBPs effectively enhances patient care for those with PIV catheters.
- The study demonstrates the value of care bundles and algorithms in improving PIV outcomes.
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