scholarly journals Nursing Practices In Intravenous Therapy In Newborns: An Integrative Review

10.3823/2497 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Cíntia Lira Borges ◽  
Saul Filipe Pedrosa Leite ◽  
Renata Kelly Lopes de Alcântara ◽  
Maria Lígia Silva Nunes Cavalcante ◽  
Vanelly De Almeida Rocha ◽  
...  
Keyword(s):  
Saline Solution ◽  
Venous Catheter ◽  
Integrative Review ◽  
Evidence Based ◽  
Central Catheter ◽  
Intravenous Therapy ◽  
Cross Sectional ◽  
Vascular Access Devices ◽  
Peripheral Venous Catheter ◽  
Brazilian Studies

Objective: to identify the evidence on nursing practices in intravenous therapy in newborns. Method: integrative review in the PubMed, Scopus and SciELO databases. A total of 150 articles were selected, and after thorough reading, eight studies remained. Results: Most of the studies were descriptive and cross-sectional (50%), using peripheral venous catheter (62.5%). The years varied between 2006 and 2014. Brazilian studies corresponded to 37.5%. Conclusion: The main nursing practices were: use of saline solution for catheter clearing; use of larger caliber catheters; use of splints to support the limbs; adequate positioning of the upper limb during radiography for correct confirmation of the positioning of the tip of the peripherally inserted central catheter; management of pain with pharmacological and non-pharmacological actions. Descriptors: Nursing care; Newborn; Peripheral catheterization; Vascular access devices; Evidence-Based Clinical Practice.

scholarly journals INTERVENTIONS TO DECREASE CATHETER-ASSOCIATED BLOODSTREAM INFECTIONS IN NEWBORNS: AN INTEGRATIVE REVIEW

2017 ◽  
Vol 26 (1) ◽  
Author(s):  
Gabriela Ramos Ferreira Curan ◽  
Edilaine Giovanini Rossetto
Keyword(s):  
Bloodstream Infection ◽  
Scientific Evidence ◽  
Bloodstream Infections ◽  
Venous Catheter ◽  
Integrative Review ◽  
Cochrane Library ◽  
Evidence Based ◽  
Central Catheter ◽  
Care Bundles ◽  
The Cochrane Library

ABSTRACT Objective: to perform an integrative review of strategies presented in care bundles to decrease central catheter-associated bloodstream infection among newborns. . Method a search was conducted of the Cochrane Library, IBECS, PubMed, Lilacs, Medline and Scielo catalogues, using the terms "bundle", "catheter-related infection", "infection control", "prevention", "evidence-based nursing"," evidence-based medicine" and" central venous catheter". Inclusion criteria were: papers published from 2009 to April 2014; written in Portuguese, English or Spanish; addressing both neonatal and pediatric populations or just neonatal populations; describing the use and/or assessing care bundles or protocols to control central catheter-associated infection. Results fifteen studies published between 2009 and 2013 were selected. The main information extracted from the studies was systematized as: 1) measures adopted to prevent central catheter-associated bloodstream infection according to level of scientific evidence, and 2) strategies used to implement evidence into health practice. Conclusion there was a variety of practices adopted, some of which are consistent with scientific evidence and some of which are not. Systematization conducted in this study is expected to contribute to practice, facilitating the use of the best evidence in each context, and research indicating gaps in knowledge to be explored in future studies

scholarly journals Prevention and Treatment of Phlebitis Secondary to the Insertion of a Peripheral Venous Catheter: A Scoping Review from a Nursing Perspective

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 611
Author(s):  
Aitana Guanche-Sicilia ◽  
María Sánchez-Gómez ◽  
María Castro-Peraza ◽  
José Rodríguez-Gómez ◽  
Juan Gómez-Salgado ◽  
...  
Keyword(s):  
Venous Catheter ◽  
Venous Access ◽  
Medication Administration ◽  
Volume Control ◽  
Nursing Interventions ◽  
Intravenous Therapy ◽  
Treatment Protocols ◽  
Peripheral Venous Catheter ◽  
Treatment And Prevention ◽  
Prevention And Treatment

The objective of this work was to identify available evidence on nursing interventions for the prevention and treatment of phlebitis secondary to the insertion of a peripheral venous catheter. For this, a scoping systematic review was carried out following the guidelines in the PRISMA declaration of documents published between January 2015 and December 2020. The search took place between December 2020 and January 2021. Scielo, Pubmed, Medline, Scopus, WOS, CINHAL, LILACS, and Dialnet databases were consulted, and CASPe, AGREE, and HICPAC tools were used for the critical reading. A total of 52 studies were included to analyze nursing interventions for treatment and prevention. Nursing interventions to prevent phlebitis and ensure a proper catheter use included those related to the maintenance of intravenous therapy, asepsis, and choosing the dressing. With regard to the nursing interventions to treat phlebitis, these were focused on vigilance and caring and also on the use of medical treatment protocols. For the prevention of phlebitis, the highest rated evidence regarding asepsis include the topical use of >0.5% chlorhexidine preparation with 70% alcohol or 2% aqueous chlorhexidine, a proper hygienic hand washing, and the use clean gloves to handle connections and devices. Actions that promote the efficacy and safety of intravenous therapy include maintenance of venous access, infusion volume control, verification of signs of phlebitis during saline solution and medication administration, and constant monitoring. It is recommended to remove any catheter that is not essential. Once discharged from hospital, it will be necessary to warn the patient about signs of phlebitis after PVC removal.

Nurses’ knowledge and experience related to short peripheral venous catheter extravasation

2021 ◽  
pp. 112972982110455
Author(s):  
Selma Atay ◽  
Şengül Üzen Cura ◽  
Sevda Efil
Keyword(s):  
Venous Catheter ◽  
Cytotoxic Agents ◽  
University Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Peripheral Venous Catheter ◽  
Intravenous Treatment ◽  
Cold Application ◽  
Service Training ◽  
Nurses Knowledge

Background: The majority of hospitalized patients receive a Peripheral Venous Catheter (PVC) in the course of their treatment. Extravasation injury is a serious complication of intravenous treatment. Objective: This cross-sectional survey designed study aims to investigate nurses’ knowledge and experience related to short peripheral venous catheter extravasation. Method: The study sample included 145 nurses working in a university hospital in the west of Turkey. A questionnaire developed in accordance with the literature was used for data collection. The data were assessed by frequency and proportions. Results: Of the nurses included in this study, 26.2% reported they had experienced extravasation injury in a patient; 74.5% said they had received no instruction in the management of extravasation during their in-service training program; and 85.5% stated they did not keep a record of extravasation. 89.7% of the nurses reported infused medications as a cause of extravasation, and 81.4% reported catheter sites as a cause. Among the medications reported by the nurses as causing extravasation: 89.7% reported contrast agents; 84.8% TPN solutions; 71.0% cytotoxic agents; and 65.1% mannitol. The symptoms of extravasation reported by nurses included: swelling (97.9%), redness (97.2%), pain (92.4%), rise in temperature (65.5%), and ulceration (60.0%). In responding to the occurrence of extravasation, interventions reported by the nurses included: stopping the flow of fluid (98.6%), elevation (89.7%), cold application (76.6%), and aspiration of drug (40.7%). Conclusion: Based on these results, it is recommended that guidelines are developed for the management of extravasation, that periodic in-service training programs are provided and that observational studies are carried out into the administration of vesicant drugs.

Nurses' knowledge of evidence-based guidelines on the prevention of peripheral venous catheter-related infections: a multicentre survey

2013 ◽  
Vol 23 (17-18) ◽  
pp. 2578-2588 ◽  
Author(s):  
Giancarlo Cicolini ◽  
Valentina Simonetti ◽  
Dania Comparcini ◽  
Sonia Labeau ◽  
Stijn Blot ◽  
...  
Keyword(s):  
Venous Catheter ◽  
Evidence Based ◽  
Peripheral Venous Catheter ◽  
Evidence Based Guidelines ◽  
Nurses Knowledge

scholarly journals FLEBITIS EN NEONATOS EN UN HOSPITAL DE LA PROVINCIA DE EL ORO. MACHALA-ECUADOR

2021 ◽  
Vol 6 (4) ◽  
pp. 30
Author(s):  
Elida Yesica Reyes Rueda ◽  
Melvis Arteaga de Vizcaino ◽  
Jorge Armando García Maldonado ◽  
Tania Diciana Arévalo-Córdova ◽  
Diego Orlando Lanchi Zúñiga
Keyword(s):  
General Hospital ◽  
Venous Catheter ◽  
Chi Square ◽  
Cross Sectional ◽  
Peripheral Venous Catheter ◽  
Prolonged Hospitalization ◽  
Hospitalization Time ◽  
Co Morbidity ◽  
Significant Difference ◽  
Hospital General

Introducción: La flebitis es la inflamación del sistema venoso, con frecuencia ocurre por el uso de catéteres vasculares. Objetivo: Establecer la relación entre la flebitis por catéter venoso periférico y la hospitalización prolongada en los recién nacidos ingresados en el Servicio de Neonatología del Hospital General Teófilo Dávila. Métodos: Estudio observacional, descriptivo, transversal y prospectivo, realizado en el Hospital General Teófilo, Cantón Machala, Ecuador señalado, durante el 2018–2019. La muestra fue de 87 neonatos y la información recogida permitió la caracterización de neonatos y sus madres, frecuencia de flebitis y factores de riesgo para su aparición. Los datos se analizaron con estadística descriptiva e inferencial chi-cuadrado (chi2).  Resultados: de los 87 neonatos, el 60,92% eran varones, 56,32% pretérmino, 85,05% con peso adecuado para edad gestacional, 73,56% ingresados 6 días o más y 56,32% (49 neonatos) presentó flebitis, de estos últimos, los varones con diferencia significativa con respecto a las hembras (p<0,05) y el peso adecuado (37,93%) fue significativamente mayor (p<0,01). La co-morbilidad neonatal que predominó en los neonatos con flebitis fue la prematuridad con 42,86%( CI 95%, p<0,005) y el síndrome de dificultad respiratoria 18.37%. El 79,30% recibió solo una punción para la cateterización, 100% recibieron antibióticos, 75,55% presentaron flebitis grado 1 con una asociación significativa (p<0,001) entre el tiempo de hospitalización y la flebitis. Conclusiones: Existe un predominio de niños prematuros que desarrollan flebitis y una relación significativamente estadística, entre el tiempo de hospitalización de los niños recién nacidos y aparición de flebitis. Palabras clave: Flebitis, catéter, neonato, recién nacido, hospitalización prolongada  ABSTRACT Introduction: Phlebitis is the inflammation of the venous system, frequently occurs due to the use of vascular catheters. Objective: To establish the relationship between peripheral venous catheter phlebitis and prolonged hospitalization in newborns admitted to the Neonatology Service of the Teófilo Dávila General Hospital. Methods: Observational, descriptive, cross-sectional and prospective study, carried out at the Teófilo General Hospital, Cantón Machala, Ecuador indicated, during 2018-2019. The sample consisted of 87 neonates and the information collected allowed the characterization of neonates and their mothers, frequency of phlebitis and risk factors for its appearance. The data were analyzed with descriptive and inferential chi-square (chi2) statistics. Results: of the 87 neonates, 60.92% were male, 56.32% preterm, 85.05% with adequate weight for gestational age, 73.56% admitted for 6 days or more, and 56.32% (49 neonates) presented phlebitis, of the latter, males with a significant difference compared to females (p<0.05) and adequate weight (37.93%) was significantly higher (p <0.01). The neonatal co-morbidity that predominated in neonates with phlebitis was prematurity with 42.86% (CI 95%, p<0.005) and respiratory distress syndrome 18.37%. 79.30% received only one puncture for catheterization, 100% received antibiotics, 75.55% presented grade 1 phlebitis with a significant association (p <0.001) between hospitalization time and phlebitis. Conclusions: There is a predominance of premature children who develop phlebitis and a statistically significant relationship between the hospitalization time of newborn children and the appearance of phlebitis. Keywords:  Phlebitis, catheter, neonate, newborn, prolonged hospitalization

scholarly journals Competences and Barriers for the Evidence-Based Practice in Nursing: an integrative review

2018 ◽  
Vol 71 (4) ◽  
pp. 2030-2038 ◽  
Author(s):  
Fernanda Carolina Camargo ◽  
Helena Hemiko Iwamoto ◽  
Cristina Maria Galvão ◽  
Gilberto de Araújo Pereira ◽  
Raymann Benzi Andrade ◽  
...  
Keyword(s):  
Personal Experience ◽  
Observational Studies ◽  
Evidence Based Practice ◽  
Resistance To Change ◽  
Nursing Assistants ◽  
Integrative Review ◽  
Evidence Based ◽  
Cross Sectional ◽  
Evidence Evaluation ◽  
Evaluation Work

ABSTRACT Objective: To analyze knowledge, attitudes, practices, and frequent barriers to the implementation of the Evidence-Based Practice among nursing assistants in the hospital. Method: This is an integrative review, whose search for primary studies occurred in the PubMed, CINAHL and LILACS databases. For the analysis, cross-sectional observational studies were included in English, Portuguese and Spanish, published in nursing journals, from January 2007 to July 2016. Results: The search resulted in 363 articles, including nine primary studies. The sources of recurrent evidence among care nurses were: personal experience and local care protocols. These professionals presented weaknesses in the implementation of the Evidence-Based Practice related to the lack of knowledge for evidence evaluation, work overload and resistance to change of practice. Final considerations Nurses presented favorable attitudes, however, with little knowledge to perform the Evidence-Based Practice. Results can support interventions for its implementation in the hospital.

Intravenous Therapy Team and Peripheral Venous Catheter-Associated Complications

1985 ◽  
Vol 29 (2) ◽  
pp. 122
Author(s):  
J. W. TOMFORD ◽  
C. O. HERSHEY ◽  
C. E. MCLAREN ◽  
D. K. PORTER ◽  
D. I. COHEN ◽  
...  
Keyword(s):  
Venous Catheter ◽  
Intravenous Therapy ◽  
Peripheral Venous Catheter ◽  
Therapy Team

scholarly journals The Biochemical parameters in venous blood sampling by direct venipuncture and peripheral intravenous catheter

2020 ◽  
Vol 6 (5) ◽  
Author(s):  
Fatemeh Jaafaraghaei ◽  
Monireh Aghajany-Nasab ◽  
Mahsa Aghaei ◽  
Nazila Javadi pashaki ◽  
Ehsan Kazemnejhad Leili
Keyword(s):  
Venous Blood ◽  
Venous Catheter ◽  
Cross Sectional Study ◽  
Blood Sampling ◽  
Cross Sectional ◽  
Sodium Potassium ◽  
Blood Samples ◽  
Peripheral Venous Catheter ◽  
Peripheral Intravenous Catheter ◽  
Sodium And Potassium

Objective: The aim of this study was to compare the results of some biochemical values in venous blood samples obtained by direct venipuncture (DV) and peripheral venous catheter (PVC). Methods: In this cross-sectional study, 78 hospitalized patients in different wards of Poor-Sina Medical and Educational Center of Rasht in 2017 were divided into three equal groups, including patients who were treated with normal saline and dextrose saline and those who did not receive this solution. Two separate blood samples were obtained from each patient, one from PVC and the other from DV. The levels of sodium, potassium, creatinine and blood urea nitrogen (BUN) were measured and compared. Results: Difference of PVC with DV in BUN was generally 0.32±3.18 mg/dl; creatinine, sodium and potassium were 0.02±0.12 mg/dl, 1.00±2.49 mEq/L and 0.15±0.48 mEq/L respectively. There were no statistically significant differences between the two methods in relation to BUN and creatinine (P = 0.377 and P = 0.149, respectively), but significant differences in levels of sodium and potassium were observed between the two blood sampling methods (P = 0.001 and P = 0.008, respectively). Conclusion: According to the results of this study and other studies, PVC can be used to measure BUN and creatinine, not so for sodium and potassium. For other parameters, further investigation is needed.

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