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Published on: July 13, 2019
Nursing Practices Related to Peripherally Inserted Central Catheters in the Neonatal Intensive Care Unit: Scoping
Eny Dorea1, Rebecca Leeson, Leslie Zimpelman
1Author Affiliations: Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth, Texas (Dr Dorea); Nursing Student, Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth, Texas (Leeson); Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth, Texas (Dr Zimpelman); Mary Couts Burnett Library, Texas Christian University, Fort Worth, Texas (Humphrey).
This review explores nursing practices for peripherally inserted central catheters (PICCs) in neonatal intensive care units (NICUs). Key findings include ultrasound-guided placement, infection control, and pain management strategies to improve infant outcomes.
Area of Science:
- Neonatal Intensive Care Nursing
- Vascular Access Devices
- Evidence-Based Practice
Background:
- Peripherally inserted central catheters (PICCs) are crucial for neonatal intensive care unit (NICU) patients.
- Optimizing PICC nursing practices is essential for improving infant safety and outcomes.
Purpose of the Study:
- To conduct a scoping review of nursing practices related to PICCs in the NICU.
- To identify current practices, challenges, and knowledge gaps in neonatal PICC care.
Main Methods:
- Scoping review guided by a Population-Concept-Context (PCC) framework.
- Comprehensive database search across Embase, CENTRAL, PubMed, Scopus, Web of Science, CINAHL, and MEDLINE.
- Utilized the Covidence platform for systematic review management.
Main Results:
- Twenty-seven studies published between 2008 and 2024 were included.
- Ultrasound guidance significantly improves PICC placement accuracy and reduces complications.
- Identified practices focus on infection prevention, pain management, and hypothermia prevention.
- Novel catheter measurement and insertion techniques were also explored.
Conclusions:
- Current PICC practices in NICUs emphasize safety and improved patient outcomes.
- This review informs clinical guidelines and promotes evidence-based neonatal nursing care.
- Highlights the need for future research to address identified knowledge gaps in neonatal PICC management.
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