Peripheral Intravenous Catheter Care at Australian Emergency Departments: A Cross-Sectional Observational Study

IF 3.4 3区医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2025-02-10 DOI:10.1111/jan.16810

Hui (Grace) Xu, Anna Doubrovsky, Claire M. Rickard, Lauryn Rockliff, Christopher Tang, Amanda J. Ullman

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引用次数: 0

Abstract

Background

Peripheral intravenous catheters (PIVCs) serve as crucial devices for essential care administration in emergency departments (ED). In Australia, to standardise clinical practice, the national PIVC Clinical Care Standard was introduced in 2021, however adherence to the Standard has not been adequately explored. Therefore, this study aims to investigate ED clinicians' adherence to the Standard via prospective audit.

Method

This cross-sectional observational study of PIVCs was conducted in three Australian EDs between 2022 and 2023. Data were collected in alignment with the quality indicators in the PIVC Clinical Care Standard. Research nurses collected the data from bedside observation and chart audit, with data analysed descriptively.

Findings

Out of 1568 episodes of PIVC care recorded, there were notable shortcomings. ED nurses and doctors provided minimal patient partnership during insertion episodes: PIVC self-care education (n = 4, 1.4%), discussion of potential risks/benefits (n = 8, 2.9%), and reporting of concerns (n = 16, 5.8%). Insertions primarily occurred at the antecubital fossa (n = 225, 81.2%), with a common issue being inadequate time for antiseptic solution to air dry (n = 156, 56.3%). Ongoing needs assessment was unable to be assessed due to documentation limitations, which were generally incomplete. Idle catheters (inserted but not used) were prevalent (n = 115, 41.8%), and only a quarter of inpatient ward admissions (n = 75, 27.3%) had clear indications for PIVC use.

Conclusion

These findings highlight the suboptimal ED PIVC practices that require attention and improvement. Innovative interventions and technology are necessary to address some of these suboptimal practices due to their complexity and persistent challenges, despite previous efforts by clinicians and researchers.

Implications for the Profession and Patient Care

The findings underscore the need for well-resourced efforts to ensure adherence to evidence-based practices in dynamic clinical settings.

Reporting Method

The study is reported following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement.

Patient or Public Contribution

None.

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澳大利亚急诊科外周静脉导管护理：一项横断面观察研究

外周静脉导管（pivc）是急诊科（ED）基本护理管理的重要设备。在澳大利亚，为了规范临床实践，2021年引入了国家PIVC临床护理标准，但对该标准的遵守程度尚未进行充分探讨。因此，本研究旨在通过前瞻性审核调查急诊科临床医生对该标准的遵守情况。

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.