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外周静脉导管护理:最佳实践实施项目方案

Nursing Care in Peripheral Intravenous Catheter (PIVC): Protocol of a Best Practice Implementation Project.

作者信息

Catarino Fernando, Lourenço Cristina, Correia Célia, Dória João, Dixe Maria, Santos Cátia, Sousa Joana, Mendonça Susana, Cardoso Daniela, Costeira Cristina R

机构信息

Cova da Beira University Hospital Center, Alameda Pêro da Covilhã, 6200-251 Covilhã, Portugal.

Centre for Innovative Care and Health Technology (ciTechCare), Rua de Santo André-66-68, Campus 5, Polytechnic of Leiria, 2410-541 Leiria, Portugal.

出版信息

Nurs Rep. 2022 Jul 13;12(3):515-519. doi: 10.3390/nursrep12030049.

DOI:10.3390/nursrep12030049
PMID:35894039
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9326554/
Abstract

BACKGROUND

The use of a peripheral intravenous catheters (PIVC) is a common invasive practice in healthcare settings. It is estimated that about 70% of people with PIVCs will develop associated complications, such as infections. It is the consensus that best practices could reduce the appearance of such complications and reduce the length of stay in hospital.

METHODS

A project will be applied to implement the best approach in peripheral venous catheterization, provided by clinical nurses from an inland hospital in Portugal. The Joanna Briggs Institute methodology will be used on evidence implementation projects, which will be developed in three phases. First, a baseline audit will be performed. The second phase implements corrective measures, and the third phase is a follow-up audit.

CONCLUSIONS

This project will improve the practice of the nursing team on peripheral venous catheterization nursing cares, positively influencing the quality of nursing care and patient safety. The implementation and dissemination of this project could boost its replication in other centres.

摘要

背景

在医疗机构中,使用外周静脉导管(PIVC)是一种常见的侵入性操作。据估计,约70%使用外周静脉导管的人会出现相关并发症,如感染。人们普遍认为,最佳实践可以减少此类并发症的出现,并缩短住院时间。

方法

将实施一个项目,采用葡萄牙一家内陆医院临床护士提供的外周静脉穿刺最佳方法。乔安娜·布里格斯研究所的方法将用于证据实施项目,该项目将分三个阶段开展。首先,进行基线审核。第二阶段实施纠正措施,第三阶段是跟进审核。

结论

该项目将改善护理团队在外周静脉穿刺护理方面的实践,对护理质量和患者安全产生积极影响。该项目的实施和推广可能会促使其在其他中心得到复制。

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本文引用的文献

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Peripheral intravenous catheter failure: A secondary analysis of risks from 11,830 catheters.外周静脉导管失败:11830 个导管风险的二次分析。
Int J Nurs Stud. 2021 Dec;124:104095. doi: 10.1016/j.ijnurstu.2021.104095. Epub 2021 Sep 26.
2
Proceedings of the CIMAGO Meeting - Challenges in Oncobiology Coimbra, 31st january 2020.CIMAGO会议论文集——肿瘤生物学的挑战,科英布拉,2020年1月31日
Medicine (Baltimore). 2020 Jun 5;99(23):e19821. doi: 10.1097/MD.0000000000019821.
3
Peripheral intravenous catheter non-infectious complications in adults: A systematic review and meta-analysis.成人外周静脉导管非感染性并发症:系统评价和荟萃分析。
J Adv Nurs. 2020 Dec;76(12):3346-3362. doi: 10.1111/jan.14565. Epub 2020 Oct 5.
4
Effectiveness of transparent film dressing for peripheral intravenous catheter.透明薄膜敷料用于外周静脉导管的有效性
J Vasc Access. 2021 Jan;22(1):135-140. doi: 10.1177/1129729820927238. Epub 2020 Jun 12.
5
Better With Ultrasound: Peripheral Intravenous Catheter Insertion.超声引导下:外周静脉置管术。
Chest. 2020 Feb;157(2):369-375. doi: 10.1016/j.chest.2019.04.139. Epub 2019 Oct 22.
6
Assessing data quality and the variability of source data verification auditing methods in clinical research settings.评估临床研究环境中数据质量和源数据核查审核方法的可变性。
J Biomed Inform. 2018 Jul;83:25-32. doi: 10.1016/j.jbi.2018.05.010. Epub 2018 May 19.