The Application and Effect of the Nursing Protocol of Pediatric Peripheral Intravenous Infusion

Heekang Choi; Mijung Kang; Hyunju Kang; Eunhye Kim

doi:10.16952/pns.2017.14.2.45

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Choi, Kang, Kang, and Kim: The Application and Effect of the Nursing Protocol of Pediatric Peripheral Intravenous Infusion

Original Article

Perspectives in Nursing Science 2017; 14(2): 45-54.

Published online: 31 October 2017

DOI: https://doi.org/10.16952/pns.2017.14.2.45

The Application and Effect of the Nursing Protocol of Pediatric Peripheral Intravenous Infusion

Heekang Choi¹, Mijung Kang², Hyunju Kang², Eunhye Kim²

¹Ex-Director, Department of Nursing, Seoul National University Hospital, Seoul, Korea.

²Unit Manager, Department of Nursing, Seoul National University Hospital, Seoul, Korea.

Corresponding author: Kang, Mijung. Department of Nursing, Seoul National University Hospital, 101 Daehak-ro Jongno-gu, Seoul 03080, Korea. Tel: +82-2-2072-0081, Fax: +82-2-3676-4108, kmj3554@naver.com

Received 7 September 2017 Revised 17 September 2017 Accepted 21 September 2017

The Research Institute of Nursing Science Seoul National University

Abstract

Purpose

The aim of this study was to compare the effect of training and implementation of a pediatric peripheral intravenous infusion protocol on the nurses' performance and infusion complication rate.

Methods

A quasiexperimental study using a posttest comparison of a one group pretest-time series design was utilized. This method was developed to measure nursing knowledge and performance based on a pediatric peripheral intravenous infusion protocol. To calculate the occurrence rate of complications, the number of complications were divided into the number of intravenous insertions.

Results

It was shown that the training developed by the study team in 2015 contributed to nurses' increased knowledge, as well as improved job performance. Furthermore, the implementation of the protocol revealed that the number of peripheral intravenous insertions, an invasive procedure, decreased. Additionally, the nursing workload related to pediatric intravenous infusions was reduced.

Conclusion

This protocol may contribute to the improved scientific quality and efficiency of nursing management of peripheral intravenous infusions.

Keywords: Intravenous infusions, Nursing, Clinical protocols, Pediatrics

Figures and Tables

Table 1

Flow of Data Collection

Table 2

General Characteristics of the Nurses (N=60)

^*Only a children hospital.

Table 3

Knowledge Difference for Management of Peripheral Intravenous Catheter (N=60)

Table 4

Performance Comparison about Nursing Protocol (N=60)

Table 5

Incidence Rate of Side Effect

^*Side effect cases/peripheral intravenous catheter insertion cases×100.

Notes

This study was supported by the Department of Nursing, Seoul National University Hospital fund.

References

1. Kim EJ, Kim HJ, Kim HJ, Kim KH, Kim SH, Lee SC, et al. Retrospective analysis for complications of the central venous catheter in patients with cancer at a single center in Korea. Korean J Hosp Palliat Care. 2010; 13(1):24–31.

2. Lee GS. Factors related to the duration of PIV in hospitalized children [dissertation]. Seoul: Yonsei University;2005.

3. Oh HS, Jeong IS, Ahn SH, Choe KW. A study on the characteristics of the intravenous therapy for children in the hospital. Korean J Nosocomial Infect Control. 1997; 2(1):29–39.

4. Kim HJ. Factors related to the restart of PIV in hospitalized children - data from patients cared by the IV team nurses [dissertation]. Seoul: Yonsei University;2006.

5. Rosenthal K. Infiltration: an ounce of prevention. Nurs Made Incred Easy. 2003; 1(2):60–62.

6. Garland JS, Dunne WM, Havens P, Hintermeyer M, Bozzette MA, Wincek J, et al. Peripheral intravenous catheter complication in critically ill children: a prospective study. Pediatrics. 1992; 89(6):1145–1150.

7. Amjad I, Murphy T, Nylander-Housholder L, Ranft A. A new approach to management of intravenous infiltration in pediatric patients: pathophysiology, classification, and treatment. J Infus Nurs. 2011; 34(4):242–249. –143. DOI: 10.1097/NAN.0b013e31821da1b3.

8. Sung SH, Kim HS. Risk factors of intravenous infiltration in children. Clin Nurs Res. 2007; 13(2):61–72.

9. Gu MO, Cho YA, Cho MS, Eun Y, Jeong JS, Jung IS, et al. Adaptation of intravenous infusion nursing practice guideline. J Korean Clin Nurs Res. 2013; 19(1):128–142. –143. DOI: 10.22650/JKCNR.2013.19.1.128.

10. Han SS, Park SK. The evaluation of medical quality improvement activities through standardised intravenous injection control instruction. J East West Nurs Res. 2005; 11(2):137–145.

11. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Earlbaum Associates;1988.

12. Jeong MR. Perception and performance on the prevention management of peripheral intravenous therapy complications [dissertation]. Suwon: Ajou University;2010.

13. Choi HG, Kang MJ, Kang HJ, Kim EH, Bang KS. Development of an evidence-based nursing protocol for management of peripheral catheters in children. J Korean Clin Nurs Res. 2016; 22(1):56–67. –143. DOI: 10.22650/JKCNR.2016.22.1.56.

14. Gorski LA, Hallock D, Kuehn SC, Morris P, Russell JM, Skala LC. Recommendations for frequency of assessment of the short peripheral catheter site. J Infus Nurs. 2012; 35(5):290–292. –143. DOI: 10.1097/NAN.0b013e318267f636.

15. McCullen KL, Pieper B. A retrospective chart review of risk factors for extravasation among neonates receiving peripheral intravascular fluids. J Wound Ostomy Continence Nurs. 2006; 33(2):133–139.

16. Peterson KA, Phillips AL, Truemper E, Agrawal S. Does the use of an assistive device by nurses impact peripheral intravenous catheter insertion success in Children. J Pediatr Nurs. 2012; 27(2):134–143. DOI: 10.1016/j.pedn.2010.10.009.

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