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Titre : | Pediatric Vascular Access Peripheral IV Algorithm Success Rate (2018) |
Auteurs : | Jane H. Hartman ; John Baker ; James F. Bena ; et al. |
Type de document : | Article |
Dans : | Journal of Pediatric Nursing (Vol. 39, March/April 2018) |
Article en page(s) : | p. 1-6 |
Note générale : | DOI: https://doi.org/10.1016/j.pedn.2017.12.002 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Enfant (6-12 ans) ; Hospitalisation ; Injection intraveineuse ; Soins de l'enfant |
Mots-clés: | Accès vasculaire pédiatrique |
Résumé : |
Purpose
Determine if the pediatric peripheral vascular access algorithm (PPVAA) led to differences in first-attempt and overall peripheral intravenous (PIV) success, staff attempting PIV access per episode and overall attempts and first PIV attempt success by provider. Design/Methods A two-cohort pre-/post-implementation comparative design involved pediatric nurses and patients. The PPVAA included four components: a patient comfort plan, PIV grading score, nurses' self-assessed IV access capability and nurse decision to stop-the-line. Two sample t-test or Wilcoxon rank sum test and Pearson's chi-square test were used to evaluate differences between groups and measures. Results Healthcare providers (N = 96) attempted 721 PIV insertions (pre-PPVAA, n = 419 and post-PPVAA, n = 302). Of 78 nurse providers, mean (SD) age was 37.4 (11.0) years and 20.0% self-assessed PIV capability as expert. Of children, mean age was 8.3 (7.0) years. Post-PPVAA, first-attempt (p = 0.86) and overall (p = 0.21) success did not change, though fewer staff were needed per episode to initiate PIV; p = 0.017. Overall rate of success after one attempt in the post-PPVAA period compared to pre-PPVAA was reduced (p = 0.002), reflecting greater awareness to stop-the-line. Compared to pre-PPVAA, advanced practice nurses and non-clinician providers were more likely to achieve success on first attempt. Conclusions The PPVAA did not increase first-attempt or overall PIV success; however, it decreased overall IV attempts and the number of staff attempting access per episode. Practice Implications The multi-component PPVAA provided a guide for nurses during PIV and assisted decision making to stop attempts in difficult cases. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
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REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |