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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).
Background:
Inserting a peripheral intravenous (PIV) catheter is a common health care procedure; however, risks include phlebitis, extravasation, and accidental dislodgement. Using evidence-based practices (EBPs) can reduce these risks.
Purpose:
The purpose of this study was to implement an evidence-based PIV catheter care bundle and a decision-making algorithm.
Methods:
A quasi-experimental study design was used. A care bundle and an evidence-based decision-making algorithm were implemented on a medical unit. Outcomes included length of PIV catheter dwell time, phlebitis and other complications, and health professionals' adherence to the interventions.
Results:
A total of 364 PIV catheters were assessed. PIV catheter dwell time decreased from 3.6 to 2.9 days ( P < .001), and phlebitis rates decreased from 14.8% to 4.9% ( P < .05). Health professionals' adherence increased from 84.3% to 91.8%.
Conclusions:
Implementing EBPs can improve care provided to patients with PIV catheters.
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