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Nursing interventions to improve peripheral intravenous catheter outcomes in pediatric patients: A systematic review

Gözde Türkmenoğlu Küçükakça1, Aylin Akça Sümengen2, Tuğçe Aksan3

  • 1Istanbul Bilgi University, Faculty of Health Sciences, Istanbul, Turkey.

Journal of Pediatric Nursing
|August 14, 2026
PubMed

Insights

Nursing interventions improve pediatric peripheral intravenous catheter outcomes by reducing infiltration and failure rates. Standardized protocols are needed for better results in pediatric and neonatal care.

Area of Science:

  • Nursing Science
  • Pediatric Care
  • Medical Device Management

Background:

  • Peripheral intravenous catheters (PIVCs) are crucial in pediatric care.
  • Catheter-related complications can negatively impact patient outcomes.
  • Effective nursing interventions are vital for minimizing PIVC risks.

Purpose of the Study:

  • To evaluate the effectiveness of nursing interventions for improving PIVC outcomes in pediatric patients.
  • To synthesize evidence on nursing strategies for PIVC management in children.

Main Methods:

  • Comprehensive literature search across multiple databases (2000-2025).
  • Qualitative review of 13 studies and meta-analysis of 7 RCTs.
  • Analysis focused on interventions for infiltration, extravasation, catheter failure, and dwell time in pediatric patients (0-18 years).

Main Results:

  • Nursing interventions generally reduced infiltration and catheter failure rates.
  • Catheter dwell time showed a small, non-significant pooled effect size.
  • Subgroup analysis indicated significantly prolonged catheter duration in pediatric studies, but not neonatal.

Conclusions:

  • Nursing interventions, especially improved fixation and evidence-based care packages, enhance PIVC outcomes in pediatrics.
  • Heterogeneity and methodological limitations necessitate separate, standardized protocols for pediatric and neonatal IV management.
  • Further large-scale, multicenter RCTs are required for robust evidence.
Abstract

Keywords:
Catheterization, peripheralPediatric nursingQuality of care

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