DOI QR코드

DOI QR Code

Development of an Evidence-Based Nursing Protocol for Management of Peripheral Catheters in Children

아동의 말초정맥주사 관리를 위한 근거기반 간호 프로토콜 개발

  • Choi, Hee Kang (Department of Nursing, Seoul National University Hospital) ;
  • Kang, Mi Jung (Department of Nursing, Seoul National University Hospital) ;
  • Kang, Hyun Ju (Department of Nursing, Seoul National University Hospital) ;
  • Kim, Eun Hye (Department of Nursing, Seoul National University Hospital) ;
  • Bang, Kyung Sook (College of Nursing, The Research Institute of Nursing Science, Seoul National University)
  • Received : 2016.01.27
  • Accepted : 2016.02.29
  • Published : 2016.04.29

Abstract

Purpose: The purpose of this study was to develop an evidence-based nursing protocol for peripheral intravenous catheter management in hospitalized children. Methods: The preliminary protocol of this study was developed based on domestic and foreign guidelines, research, a survey and an analysis of medical records in a university hospital. It is a methodological research to develop evidence-based nursing protocol of peripheral intravenous catheter management verified by content validity by a group of specialists and users. Results: The specialists' verification of validity in the preparatory protocol had a CVI level of 0.94 and the propriety and conveniency of users had an average of $3.0{\pm}0.52$. The final evidence-based nursing protocol was composed of 5 areas (education, dressing and fixation, maintenance and replacement, observation and record, and coping to complication) with 46 specific recommendations. Conclusion: Based on domestic and foreign research and guidelines verified by specialists and users, the findings in this study provide a simple, applicable and evidence-based nursing protocol for peripheral intravenous catheter management in hospitalized children. By the clinical application of this protocol, nurse tasks in managing peripheral intravenous catheter can be performed with more scientific evidence and be standardized.

Keywords

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. The Korean Journal of Hospice and Palliative Care. 2010;13(1):24-31. https://doi.org/10.14475/kjhpc.2010.13.1.24
  2. Oh HS, Jeong IS, Ahn SH, Choe KW. A study on the characteristics of the intravenous therapy for children in the hospital. Korean Journal of Nosocomial infection Control. 1997;2(1):29-39.
  3. Rosenthal K. Infiltration: An ounce of prevention. Nursing Made Incredibly Easy!. 2003;1(2):60-62. https://doi.org/10.1097/00152258-200311000-00010
  4. Kim HJ. Factors related to the restart of PIV in hospitalized children-data from patients cared by the IV team nurses-[master's thesis]. Seoul: Yonsei University; 2006. p. 1-49.
  5. 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.
  6. Amjad I, Murphy T, Nylander-Housholder L, Ranft A. A new approach to management of intravenous infiltration in pediatric patients. Journal of Infusion Nursing. 2011;34(4):242-249. http://dx.doi.org/10.1097/NAN.0b013e31821da1b3
  7. Sung SH, Kim HS. Risk factors of intravenous infiltration in children. Clinical Nursing Research. 2007;13(2):61-72.
  8. Centers for Disease Control and Prevention. Guidelines for the prevention of intravascular catheter-related infections [Internet]. Atlanta: Centers for Disease Control and Prevention; 2011[cited 2015 march 5]. Available from http://www.cdc.gov/hicpac/pdf/guidelines/bsi-guidelines-2011.pdf.
  9. Gu MO, Cho YA, Cho MS, Eun Y, Jeong JS, Jung IS, et al. Adaptation of intravenous infusion nursing practice guideline. Journal of Korean Clinical Nursing Research. 2013;19(1):128-142. https://doi.org/10.22650/JKCNR.2013.19.1.128
  10. Lynn MR. Determination and quantification of content validity. Nursing Research. 1986;35(6):382-385.
  11. Paul S. Developing practice protocols for advanced practice nursing. AACN Clinical Issues. 1999;10(3):343-355. https://doi.org/10.1097/00044067-199908000-00004
  12. Simona R. A pediatric peripheral intravenous infiltration assessment tool. Journal of Infusion Nursing. 2012;35(4):243-248. http://dx.doi.org/10.1097/NAN.0b013e31825af323
  13. Montgomery LA, Harahan K, Kottman K, Otto A. Guideline for IV infiltrations in pediatric patients. Pediatric Nursing. 1999;25(2):167-180.
  14. Han SS, Park SK. The evaluation of medical quality improvement activities through standardised intravenous injection control instruction. Journal of East-West Nursing Research. 2005;11(2):137-145.
  15. Gorski LA, Hallock D, Kuehn SC, Morris P, Russell JM, Skala LC. Recommendations for frequency of assessment of the short peripheral catheter site. Journal of Infusion Nursing. 2012;35(5):290-292. http://dx.doi.org/10.1097/NAN.0b013e318267f636
  16. Tofani BF, Rineair SA, Gosdin CH, Pilcher PM, McGee S, Varadarajan KR, et al. Quality improvement project to reduce infiltration and extravasation events in a pediatric hospital. Journal of Pediatric Nursing. 2012;27(6):682-689. https://doi.org/10.1016/j.pedn.2012.01.005
  17. Clark E, Giambra BK, Hingl J, Doellman D, Tofani B, Johnson N. Reducing risk of harm from extravasation, A 3-tiered evidence-based list of pediatric peripheral intravenous infusates. Journal of Infusion Nursing. 2013;36(1):37-45. http://dx.doi.org/10.1097/NAN.0b013e3182798844
  18. Bang HL, Park YH. Development of evidence-based dysphagia nursing care protocol for nursing home residents. Journal of Muscle and Joint Health. 2013;20(1):31-42. http://dx.doi.org/10.5953/JMJH.2013.20.1.31