Related Experiment Video
Updated: Aug 5, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
Nurse-Led Implementation of Evidence-Based Peripheral Intravenous Catheter Care in Pediatrics: A Qualitative Study
Maaidah M Algamdi1, Modi Al-Moteri
1Author Affiliations: Community and Psychiatric Health Nursing Department, Faculty of Nursing, University of Tabuk, Tabuk, Saudi Arabia (Dr. Algamdi); and Medical Surgical Nursing Department, College of Nursing, Taif University, Taif, Saudi Arabia (Dr. Al-Moteri).
Background:
Peripheral intravenous catheter (PIVC) complications persist in pediatric settings, creating an urgent need for systematic nurse-led practice change.
Objective:
This study explored how nurses facilitated the implementation of an updated evidence-based PIVC insertion protocol through the lens of the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework.
Methods:
A qualitative descriptive design was used. Written reflective narratives from 9 nurses were analyzed using hybrid thematic analysis, deductively mapped to i-PARIHS constructs.
Results:
Four themes were constructed: (1) activating facilitation: relational strategies for enabling change; (2) building recipient readiness: from resistance to engagement; (3) navigating context: organizational enablers and barriers; and (4) embedding the innovation: tools and processes for sustained adoption.
Conclusion:
Consistent with i-PARIHS, nurse-led facilitation functions as the active driver of implementation. Suggestions for application in practice include using relational strategies to enable change, building recipient readiness through individualized engagement, contextual navigation to address organizational barriers, and embedding the innovation through practical tools and sustained follow-up.
Related Concept Videos
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Endocarditis IV: Nursing Management
Cardiac Catheterization IV: Nursing Management
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.