Using Electronic Data and a Mixed-Methods Approach to Evaluate Short Peripheral Catheter Outcomes in Acute Care

被引:1
作者
Woda, Aimee [1 ,2 ]
Ford, Cailin [1 ,3 ]
Meise, Kelsey [4 ]
Singh, Maharaj [1 ,2 ,5 ]
Hook, Mary [6 ]
机构
[1] Marquette Univ, Coll Nursing, Milwaukee, WI 53233 USA
[2] Aurora St Lukes Med Ctr, Milwaukee, WI USA
[3] Aurora St Lukes Med Ctr, Cardiovasc Intens Care Unit, Milwaukee, WI USA
[4] Pueblo Community Hlth Ctr, Pueblo, CO USA
[5] Advocate Aurora Hlth, Advocate Aurora Res Inst, Milwaukee, WI USA
[6] Advocate Aurora Hlth, Ctr Nursing Res & Practice, Milwaukee, WI USA
关键词
catheter-related infection; clinically indicated removal; evidence-based practice; infection rates; mixed-methods research; peripheral catheterization/adverse effects; phlebitis; short peripheral catheter; ultrasound vein visualization; INTRAVENOUS CATHETERS; VENOUS CATHETERS; ROUTINE; NURSES;
D O I
10.1097/NAN.0000000000000422
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Short peripheral catheters (SPCs) are commonly used in hospitals, guided by evidence-based standards to optimize dwell time and limit adverse outcomes. Although SPC insertions are common, real-world evaluation is rare. A theory-based framework and mixed-methods design were used to analyze findings from a unit-level survey and electronic data to evaluate SPC care delivered on units at a large quaternary medical center over a 6-month period (quarters 1 and 2, 2017). Dissemination without adoption and maintenance may limit effectiveness. The convergent results confirmed the feasibility of extracting electronic data to be used by leaders to clinically evaluate staff knowledge and use behaviors to take action to improve outcomes.
引用
收藏
页码:147 / 156
页数:10
相关论文
共 22 条
  • [11] To Replace or Not to Replace? Replacing Short Peripheral Catheters Based on Clinical Indication
    Maier, Deborah
    [J]. JOURNAL OF INFUSION NURSING, 2019, 42 (03) : 143 - 148
  • [12] Observational Study of Peripheral Intravenous Catheter Outcomes in Adult Hospitalized Patients: A Multivariable Analysis of Peripheral Intravenous Catheter Failure
    Marsh, Nicole
    Webster, Joan
    Larsen, Emily
    Cooke, Marie
    Mihala, Gabor
    Rickard, Claire M.
    [J]. JOURNAL OF HOSPITAL MEDICINE, 2018, 13 (02) : 83 - 89
  • [13] Devices and dressings to secure peripheral venous catheters to prevent complications
    Marsh, Nicole
    Webster, Joan
    Mihala, Gabor
    Rickard, Claire M.
    [J]. COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2015, (06):
  • [14] Short-term Peripheral Venous Catheter-Related Bloodstream Infections: A Systematic Review
    Mermel, Leonard A.
    [J]. CLINICAL INFECTIOUS DISEASES, 2017, 65 (10) : 1757 - 1762
  • [15] Phlebitis Signs and Symptoms With Peripheral Intravenous Catheters Incidence and Correlation Study
    Mihala, Gabor
    Ray-Barruel, Gillian
    Chopra, Vineet
    Webster, Joan
    Wallis, Marianne
    Marsh, Nicole
    McGrail, Matthew
    Rickard, Claire M.
    [J]. JOURNAL OF INFUSION NURSING, 2018, 41 (04) : 260 - 263
  • [16] O'Grady NP, 2011, GUIDELINES PREVENTIO, P51
  • [17] Rabin BA., 2018, DISSEMINATION IMPLEM, V2, P20
  • [18] Dressings and securements for the prevention of peripheral intravenous catheter failure in adults (SAVE): a pragmatic, randomised controlled, superiority trial
    Rickard, Claire M.
    Marsh, Nicole
    Webster, Joan
    Runnegar, Naomi
    Larsen, Emily
    McGrail, Matthew R.
    Fullerton, Fiona
    Bettington, Emilie
    Whitty, Jennifer A.
    Abu Choudhury, Md
    Tuffaha, Haitham
    Corley, Amanda
    McMillan, David J.
    Fraser, John F.
    Marshall, Andrea P.
    Playford, E. Geoffrey
    [J]. LANCET, 2018, 392 (10145) : 419 - 430
  • [19] Routine Versus Clinically Indicated Short Peripheral Catheter Replacement
    Stevens, Catherine
    Milner, Kerry A.
    Trudeau, Jennifer
    [J]. JOURNAL OF INFUSION NURSING, 2018, 41 (03) : 198 - 204
  • [20] TABAK R.G., 2018, DISSEMINATION IMPLEM, P73