Taxa De Incidência E O Uso Do Flushing Na Prevenção Das Obstruções De Cateter Venoso Periférico

Braga, Luciene Muniz; Parreira, Pedro; Arreguy-Sena, Cristina; Carlos, Diene Monique; Mónico, Lisete; Henriques, Maria Adriana

doi:10.1590/0104-07072018002810017

Cited by 20 publications

(60 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this study, flushing was performed in 78.8% of the observed moments, although nurses' compliance with current recommendations decreased between and after multiple administrations. Furthermore, flushing technique and volume varied greatly between professionals, mirroring contemporary studies such as that by Braga et al (2018), where flush volume ranged between 3 and 10 mL.…”

Section: Discussionmentioning

confidence: 85%

“…The non-standardization of flushing practices may result from the absence of sustained evidence pointing to the correct volume (Braga et al, 2018). Indeed, SoC recommendations may be vague in this respect, noting that the volume of the flush solution may vary due to factors such as PIVC type and size, patient's age, and type of infusion therapy (INS, 2016;RCN, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Recent major studies have focused on PIVC-related outcomes such as first-attempt success, incidence of complications, and costs (Alexandrou et al, 2015(Alexandrou et al, , 2018Marsh et al, 2018). Nonetheless, a significant number of authors highlighted that the professional practices observed do not always comply with the recommended standards of care (SoC) in this thematic area (Bernatchez, 2014;Braga et al, 2018;Fiorini et al, 2018;Kampf et al, 2013), such as the guidelines from the Centers for Disease Control and Prevention (CDC;O'Grady et al, 2011), the Royal College of Nursing (RCN, 2016), and the Infusion Nurses Society (INS, 2016). This scenario is disturbing, since SoC establish the expected levels of performance for clinicians and provide criteria for accountability, supported by graded research evidence and updated by clinical experts regularly, striving for a more efficient, safer, and more patient-centered care (Ray-Barruel & Rickard, 2018).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Práticas dos enfermeiros na cateterização intravenosa: um estudo descritivo

Salgueiro-Oliveira¹,

Santos-Costa²,

Graveto³

et al. 2019

Rev. Enf. Ref.

View full text Add to dashboard Cite

Background: Peripheral intravenous catheter (PIVC) insertion and maintenance are the procedures most commonly performed by nurses in clinical settings. However, current catheter failure rates are high, thus compromising the patient's therapeutic plan and well-being. Objective: To understand nurses' practices during PIVC insertion and maintenance. Methodology: A transversal and descriptive study was conducted in a cardiology ward in central Portugal. Nurses' (n = 26) practices during PIVC management were observed and recorded by a research nurse during the morning shift, using a checklist based on transnational standard of care (SoC) recommendations. Results: During PIVC insertion (n = 38) the main digressive areas included glove usage (55.2%), use of the aseptic non-touch technique (44.7%), hand hygiene (18.4%-84.2%), and patient education (28.9%). Regarding PIVC maintenance (n = 66), catheter hub disinfection (78.8%), catheter flushing (53.3%-78.8%), and patient education (24.2%) were the main deviating areas found. Significant PIVC failure rates were found (25.8%). Conclusion: Overall, a substantial number of PIVC-related practices does not comply with current SoC recommendations, which may pose a risk to patient safety and care quality.

show abstract

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Práticas dos enfermeiros na cateterização intravenosa: um estudo descritivo

Salgueiro-Oliveira¹,

Santos-Costa²,

Graveto³

et al. 2019

Rev. Enf. Ref.

View full text Add to dashboard Cite

show abstract

“…The PVC-related nursing practices represent a large part of the nurses' work and focus on the prevention or identification of complications, 18 with phlebitis being the most common. 2,4-7 However, a misalignment was identified between some actions and scientific evidence.…”

Section: Discussionmentioning

confidence: 99%

Nursing Practices in Peripheral Venous Catheter: Phlebitis and Patient Safety

Salgueiro-Oliveira

Basto

Braga

et al. 2019

Texto contexto - enferm.

Self Cite

View full text Add to dashboard Cite

Objective: to understand the nursing practices related to peripheral venous catheter and to identify deviations related to the scientific evidence regarding the prevention of phlebitis. Method: qualitative study with data collection by means of participant observation techniques and semistructured interviews, with 26 and 15 nurses, respectively, from a Portuguese hospital. Data content analysis was performed. Results: In the category "nursing actions", nursing practices related to: selection of catheter insertion site and its caliber size, evaluation of insertion site for signs of inflammation, insertion site dressing, disinfection of accessories, hand hygiene and patient participation in care emerged. There were situations of deviations in these practices in relation to scientific evidence. Conclusion: Nursing practices presented deviations in relation to scientific evidence, and were influenced by the size of the institution, patient characteristics, and lack of knowledge of nurses regarding certain actions that pose a risk to patient safety. The creation of protocols and the implementation of continuous education are fundamental for the acquisition of competencies by nurses, for correcting deviations and providing a safe quality nursing care to the patient. RESUMOObjetivo: conhecer as práticas de enfermagem relacionadas com o cateterismo venoso periférico e identificar desvios relativos às evidências científicas no que diz respeito à prevenção de flebite. Método: estudo qualitativo com coleta de dados através das técnicas de observação participante e entrevista semiestruturada, com 26 e 15 enfermeiros, respectivamente, de um hospital Português. Foi realizada análise de conteúdo dos dados. Resultados: na categoria Ações de enfermagem, emergiram práticas de enfermagem relacionadas com: seleção do local de inserção do cateter e seu calibre, avaliação do local de inserção quanto aos sinais inflamatórios, curativo na inserção, desinfecção de acessórios, higienização das mãos e participação do doente nos cuidados. Verificaram-se situações de desvios nessas práticas em relação às evidências científicas. Conclusão: as práticas de enfermagem apresentavam desvios em relação às evidências científicas, sendo influenciadas por dimensões institucionais, características dos doentes, e desconhecimento dos enfermeiros acerca de determinadas ações que colocam em risco a segurança do doente. A elaboração de protocolos e a implementação da Educação Continuada são fundamentais para a aquisição de competências pelos enfermeiros, para correção dos desvios e prestação de uma assistência de enfermagem segura e com qualidade para o doente.DESCRITORES: Cateterismo periférico. Dispositivos de acesso vascular. Cuidados de enfermagem. Enfermagem. Flebite. Segurança do paciente. PRÁTICAS DE ENFERMERÍA EN EL CATETERISMO VENOSO PERIFÉRICO: LA FLEBITE Y LA SEGURIDAD DEL PACIENTE RESUMENObjetivo: conocer las prácticas de enfermería relacionadas con el cateterismo venoso periférico e identificar desvíos relativos a las evidencias científicas en ...

show abstract

“…The use of flushing is also a component present in the bundle, whose purpose is based on reducing drug interaction, on ensuring the accuracy of the prescribed dosage, on preventing obstructions resulting from deposition and crystallization of drugs inside the catheter and the formation of clot inside the catheter extensor/ needle, with recommendation supported by the literature (22) .…”

Section: Discussionmentioning

confidence: 99%

Nursing protocol in vascular trauma prevention: peripheral catheterization bundle in urgency

et al. 2019

Self Cite

View full text Add to dashboard Cite

Objective: to create, apply and analyze in clinical practice the effectiveness of a bundle to prevent peripheral vascular trauma to approach the peripheral venous puncture process. Method: action research with 435 adult participants in an emergency service from 2011 to 2013. Creation of the bundle for prevention of vascular trauma based on scientific evidence, ease of operation, observation and measurement with implantation through an educational intervention of the team of nursing. Effectiveness analyzed by descriptive and inferential statistics using chi-square. Consecutive sample with 95% confidence interval. Results: Five stages of the bundle were related to the catheter fixation, permanence and removal process. The incidence of vascular traumas due to vein punctures reduced by 46.41% after implantation of the bundle to prevent vascular trauma associated with emergency peripheral catheterization. Conclusion: The bundle in clinical practice reduced vascular traumas by venipuncture.

show abstract

Taxa De Incidência E O Uso Do Flushing Na Prevenção Das Obstruções De Cateter Venoso Periférico

Cited by 20 publications

References 23 publications

Práticas dos enfermeiros na cateterização intravenosa: um estudo descritivo

Práticas dos enfermeiros na cateterização intravenosa: um estudo descritivo

Nursing Practices in Peripheral Venous Catheter: Phlebitis and Patient Safety

Nursing protocol in vascular trauma prevention: peripheral catheterization bundle in urgency

Contact Info

Product

Resources

About