Effectiveness of an Educational Intervention for the Prevention of Peripheral Venous Catheter Complications

Almeida, Ana Carolina Nunes de; Pires, Mirele Herculina; Santana, Isabela de Souza; Salgado, Patrícia de Oliveira; Toledo, Luana Vieira; Parreira, Pedro; Braga, Luciene Muniz

doi:10.5380/ce.v27i0.87276

Cited by 1 publication

(2 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Generally, higher degrees of phlebitis are the least frequent as actions will already have been implemented in the initial levels. However, no treatment application results in an unfavourable evolution and greater tissue damage (Miliani et al., 2017 ; Nunes De Almeida et al., 2022 ).…”

Section: Discussionmentioning

confidence: 99%

“…It can result in more serious complications such as blood stream infections like bacteraemia (Drugeon et al., 2023 ; Marsh et al., 2021 ) and increase the risk of death (Lim et al., 2019 ). Phlebitis is classified as an adverse event or unnecessary harm caused by medical care, and its reporting and relevant actions are intended to strengthen the culture of patient safety (Nunes De Almeida et al., 2022 ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Management from a multidisciplinary perspective of phlebitis related to peripheral venous catheter insertion: An international Delphi study

Torné‐Ruiz,

Sanromà‐Ortiz,

Corral‐Nuñez

et al. 2024

Nursing Open

View full text Add to dashboard Cite

AimTo determine the consensus and importance of care practices related to the management of peripheral venous catheter (PVC)‐related phlebitis in hospitalized patients through the views of experts from different disciplines.BackgroundPVCs are commonly used in hospitals but are associated with complications such as phlebitis. Their management differs widely, and studies are heterogeneous.DesignDelphi method.MethodsFour stages: problem area (with Web of Science bibliometric review in July 2022), panel members, two Delphi rounds and closing criteria. In the Delphi survey, experts answered an online questionnaire based on assessment, treatment and follow‐up dimensions (September 2022–February 2023). Statistical analyses were conducted of frequencies, percentages, measures of central tendency and levels of dispersion (QD). A space for comments was created, and a thematic analysis conducted of them.ResultsEighteen experts (nurses, doctors and pharmacists) participated in the Delphi rounds. Forty‐five activities were identified: 19 in assessment, 15 in treatment and 11 in follow‐up. A high consensus level (QD ≤ 0.6) was found in five activities (11.12%), moderate level (0.6 < QD < 1.0) in 19 (42.22%) and low level (QD > 1.0) in 21 (46.66%). Seven themes were determined (patient perspective, lack of consensus, low evidence‐based practices, stage‐based treatments, prevention activities, high variability in practice and specialist teams and interdisciplinary work).ConclusionThe importance of systematic assessment scales is highlighted together with consensus on signs and symptoms (pain, redness, inflammation, palpable cord and induration). Treatment according to severity and daily visual recording and monitoring are emphasized along with the need for patient participation and healthcare literacy. A high level of consensus was obtained in 11% of the activities, showing the large variability of criteria and interventions for phlebitis management. Highlighted needs include working in a team, the use of specialist teams and promoting evidence‐ and prevention‐based activities.Relevance to Clinical PracticeClinical variability is noted and, therefore, the importance of consensus on standardized care for PVC phlebitis and evidence‐based practice.Reporting MethodDelphi studies (CREDES).Patient or Public ContributionExperts contribution.

show abstract

Section: Discussionmentioning

confidence: 99%