Integrated versus non-integrated peripheral intravenous catheters: a cross-sectional survey of nurse experiences

Author:

Paterson Rebecca S1,Larsen Emily N2,Cooke Marie3,Rickard Claire M4,Walker Rachel M5,Marsh Nicole6

Affiliation:

1. Senior Research Assistant, School of Nursing, Midwifery and Social Work, The University of Queensland, Brisbane, Australia

2. Research Fellow, Vascular Access, Griffith University and Royal Brisbane and Women's Hospital, Brisbane, Australia

3. Professor Emeritus, School of Nursing and Midwifery, Griffith University, Brisbane, Australia

4. Professor, Infection Prevention and Vascular Access, School of Nursing, Midwifery and Social Work, The University of Queensland, Brisbane, Australia

5. Associate Professor, School of Nursing and Midwifery, Menzies Health Institute Queensland, Griffith University and Division of Surgery, Princess Alexandra Hospital, Brisbane, Australia

6. Professor and Nursing and Midwifery Director (Research), Griffith University and Royal Brisbane and Women's Hospital, Brisbane, Australia

Abstract

Background: Integrated peripheral intravenous catheters (PIVCs) demonstrate clinical efficacy, however, device complexity and design differences may be a potential barrier to implementation. Aims: To assess nurse acceptability of integrated PIVC systems. Methods: A cross-sectional survey was nested within a multicentre randomised controlled trial. One hundred nurses caring for patients with integrated and non-integrated PIVCs completed a 17-item survey about key differences between devices (eg function and appearance, perceived patient comfort and skin injuries). Findings: Most nurses reported the integrated PIVC wings prevented device movement (80%), achieved patient comfort in areas of flexion (78%), and no patients developed skin injuries (100%). Nurses rated the ease of accessing and overall confidence using the integrated PIVC as significantly higher than the non-integrated design (P<0.001).Conclusion: The integrated PIVC received positive feedback from nurses and had few barriers to implementation.

Publisher

Mark Allen Group

Subject

General Nursing

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