Managing peripheral intravenous devices in the adults' general surgical setting: a best practice implementation report

Cabilan, Cara J., Hines, Sonia Jane, & Chang, Anne M. (2014) Managing peripheral intravenous devices in the adults' general surgical setting: a best practice implementation report. International Journal of Evidence-Based Healthcare, 12(1), pp. 25-30.

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Abstract

AIM

The aim of this evidence-based practice (EBP) project was to promote adherence to the current best practice in monitoring and optimal replacement of peripheral intravenous device (PIVD).

METHODS

This EBP project took place in a 30-bed acute general surgical ward. Twenty in-patients with PIVD in situ for 4 days or more were recruited. There were five stages in the project: identification of EBP topic, criteria, sample and setting; baseline; dissemination of baseline audit results and identification of best practice barriers; identification of barriers to EBP and implementation of strategies promoting EBP; and postimplementation audit.

RESULTS

There were eight criteria in this project. The first audit showed moderate compliance in PIVD monitoring and optimal replacement. The project identified three barriers: lack of awareness of the current evidence-based guidelines, hospital policy not being aligned with current guidelines and no standard form of documentation. In order to overcome these barriers the following strategies were used: audit and feedback, interactive educational meetings, reminders and hospital policy change. The second audit showed minor improvements in each criterion. Compliance with documentation remained a challenge, possibly because of the lack of standardised documentation.

DISCUSSION

Although the project did not render us the results we aimed for, it was successful because it highlighted the current EBP in PIVD management. The major challenges of the project were time and the lack of opinion leaders in our project team. We felt that more time was needed to adapt to the practice change and standardised documentation could not be developed in such a short time period. Further, the role of the opinion leader proved to be vital in this project. We felt that had we recruited more than one opinion leader, the results would have been different.

Impact and interest:

1 citations in Scopus
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ID Code: 81268
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: documentation, evidence-based practice, infusion nursing, intravenous
DOI: 10.1097/01.XEB.0000444615.17658.0f
ISSN: 1744-1609
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Deposited On: 28 Jan 2015 23:47
Last Modified: 24 Feb 2015 00:20

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