The Effects of Patient Surveillance on Nurses' Adherence to Peripheral Catheter Management Guidelines

환자감시가 간호사의 말초혈관 카테터 관리지침 이행에 미치는 영향

  • Jung, Bok-Sun (College of Nursing, Pusan National University, Head Nurse, Pusan National University Hospital) ;
  • Lee, Hae-Jung (College of Nursing, Pusan National University)
  • 정복선 (부산대학교 병원 간호팀, 부산대학교 간호대학 대학원) ;
  • 이해정 (부산대학교 간호대학)
  • Published : 2009.06.30

Abstract

Purpose: The purpose of this study was to examine the effect of patient surveillance on nurses' adherence to the guidelines on peripheral vascular catheter management. Method: A one group time series design was used. Seventy six nurses participated in the study. The data were collected from October 1 to November 4, 2008. Result: The effects of patient surveillance were significant on nurses' average adherence rates to the guidelines estimated by observers and by themselves, and the levels of nurses self recognition on the importance of the guidelines. In addition, overall occurrence rates of phlebitis tend to decrease after patients surveillance. Even though 33 nurses didn't follow the guidelines perfectly, most patients did not provide feedbacks to the nurses' non-adherence. Among the nurse participants, 36.8% answered that patient surveillance was acceptable. Conclusion: This study found that patients with peripheral catheters could positively influence nurses' adherence to the catheter management guidelines. Therefore, inviting patients in nursing activities could benefit to the quality of patients care. However, it seems essential to create an environment fostering nurses' acceptance of the patients' surveillance. Further research warrants the potential benefits of the patient's participations in nursing activities.

Keywords

References

  1. Bae, H. J., Choi, D. W., Ha, M. H., & You, S. M. (2001). Effectiveness of surveillance of central catheter-related bloodstream infection in an ICU in Korea. Infect Control Hosp Epidemiol, 22(7), 433-436. https://doi.org/10.1086/501930
  2. CDC. (2002). Recommendations for the prevention of intravascular catheter-related infections. Retrieved February 12, 2008, from http://www.cdc.gov/ncidod/dhqp/gl_intravascular.html
  3. Cheong, H. J., & Cho, C. M. (2004). The study of knowledge and performance about preventive action of the nosocomial infection in nurses. J Korean Clin Nurs Res, 9(2), 18-31.
  4. Choi, M. A. (2002). A study on the level of recognition and performance of the clinical nurses about the management of nosocomial infection. Unpublished master’s thesis, Chung-Ang University, Seoul.
  5. Dinc, L., & Erdil, P. (2000). The effectiveness of an educational intervention in changing nursing practice and preventing catheter-related infection for patients receiving total parenteral nutrition. Int J Nurs Stud, 37(5), 371-379. https://doi.org/10.1016/S0020-7489(00)00016-X
  6. Horvath, R., & Collignon, P. (2003). Controlling intravascular catheter infections. Australian Prescriber, 26, 41-43. https://doi.org/10.18773/austprescr.2003.029
  7. Jung, I. S., & Lee, Y. H. (1995). A study on characteristics related to hand washing practice by an university hospital NICU nurses. J Korean Clin Nurs Res, 1, 113-152.
  8. Kim, M. H., & Kim, Y. H. (1998). Study on the nurse's recognition and performance in intravenous therapy management. J Korean Acad Fundam Nurs, 5(2), 207-224.
  9. Labeau, S., Vereecke, A., Vandijck, D. M., Claes, B., & Blot, S. I. (2008). Critical care nurses' knowledge of evidencebased guidelines for preventing infections associated with central venous catheters: an evaluation questionnaire. Am J Crit Care, 17(1), 65-70.
  10. Lee, M. H. (2004). The effect of ventilator associated respiratory infection control education on perception, performance and nosocomial infection for critical care nurse, Unpublished master’s thesis, Daejeon University, Daejeon.
  11. Lee, S. Y. (2004). The level of recognition and performance of the medical technologist in Kyonggi-do & Incheon city on the management of nosocomial infection. Unpublished master’s thesis, The Catholic University of Korea, Seoul.
  12. Lim, O. B. (2004). Effect of Education and Feedback on the Frequency and Quality of Hand Hygiene. Unpublished master’s thesis, Ulsan University, Ulsan.
  13. Lobo, R. D., Levin, A. S., Gomes, L. M., Cursino, R., Park, M., Figueiredo, V. B., Taniguchi, L., Polido, C. G., & Costa, S. F. (2005). Impact of an educational program and policy change on decreasing catheter-associated bloodstream infections in a medical intensive care unit in Brazil. Am J Infect Control, 33(2), 83-87. https://doi.org/10.1016/j.ajic.2004.05.003
  14. Lopez, V., Molassiotis, A., Chan, W. K., Ng, F., & Wong, E. (2004). An intervention study to evaluate nursing management of peripheral intravascular devices. J Infus Nurs, 27(5), 322-331. https://doi.org/10.1097/00129804-200409000-00006
  15. McGuckin, M., Taylor, A., Martin, V., Porten, L., & Salcido, R. (2004). Evaluation of a patient education model for increasing hand hygiene compliance in an inpatient rehabilitation unit. Am J Infect Control, 32(4), 235-238. https://doi.org/10.1016/j.ajic.2003.10.005
  16. Mo, M. H. (2007). Level of performance of nurses and inhibiting factors regarding the prevention of peripheral intravenous therapy complications. Unpublished master’s thesis, Kyungpook National University, Daegu.
  17. Park, S. H., & Song, M. (1997). A study on the occurrence of intravenous-related phlebitis-data from patients cared by the IV nurses. J Korean Acad Adult Nurs, 9(1), 33-43.
  18. Pittet, D. (2000). Improving compliance with hand hygiene in hospitals. Infect Control Hosp Epidemiol, 21(6), 381-386. https://doi.org/10.1086/501777
  19. Pujol, M., Hornero, A., Saballs, M., Argerich, M. J., Verdaguer, R., Cisnal, M., Pena, C., Ariza, J., & Gudiol, F. (2007). Clinical epidemiology and outcomes of peripheral venous catheter-related bloodstream infections at a universityaffiliated hospital. J Hosp Infect, 67(1), 22-29. https://doi.org/10.1016/j.jhin.2007.06.017
  20. Sherertz, R. J., Ely, E. W., Westbrook, D. M., Gledhill, K. S., Streed, S. A., Kiger, B., Flynn, L., Hayes, S., Strong, S., Cruz, J., Bowton, D. L., Hulgan, T., & Haponik, E. F. (2000). Education of physicians-in-training can decrease the risk for vascular catheter infection. Ann Intern Med, 132, 641-648. https://doi.org/10.7326/0003-4819-132-8-200004180-00007
  21. Warren, D. K., Yokoe, D. S., Climo, M. W., Herwaldt, L. A., Noskin, G. A., Zuccotti, G., Tokars, J. I., Perl, T. M., & Fraser, V. J. (2006). Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the prevention epicenter program. Infect Control Hosp Epidemiol, 27(1), 8-13. https://doi.org/10.1086/499151
  22. Warren, D. K., Zack, J. E., Mayfield, J. L., Chen, A., Prentice, D., Franser, V. J., & Klooef, M. H. (2004). The effect of an education program on the incidence of central venous catheter-associated bloodstream infection in a medical ICU. Clin Investig Criti Care, 126(5), 1612-1618.