Implementation of Evidence-Based Practice in Peripheral Intravenous Catheter Care

J Nurs Care Qual. 2023 Jul-Sep;38(3):226-233. doi: 10.1097/NCQ.0000000000000688. Epub 2023 Jan 23.

Abstract

Background: Inserting a peripheral intravenous (PIV) catheter is a common health care procedure; however, risks include phlebitis, extravasation, and accidental dislodgement. Using evidence-based practices (EBPs) can reduce these risks.

Purpose: The purpose of this study was to implement an evidence-based PIV catheter care bundle and a decision-making algorithm.

Methods: A quasi-experimental study design was used. A care bundle and an evidence-based decision-making algorithm were implemented on a medical unit. Outcomes included length of PIV catheter dwell time, phlebitis and other complications, and health professionals' adherence to the interventions.

Results: A total of 364 PIV catheters were assessed. PIV catheter dwell time decreased from 3.6 to 2.9 days ( P < .001), and phlebitis rates decreased from 14.8% to 4.9% ( P < .05). Health professionals' adherence increased from 84.3% to 91.8%.

Conclusions: Implementing EBPs can improve care provided to patients with PIV catheters.

MeSH terms

  • Catheterization, Peripheral* / methods
  • Catheters / adverse effects
  • Humans
  • Phlebitis* / etiology
  • Research Design