Nursing care as a predictor of phlebitis related to insertion of a peripheral venous cannula in emergency departments: findings from a prospective study

The Journal of Hospital Infection
A PaleseESAMED Group

Abstract

To date, few studies have investigated the occurrence of phlebitis related to insertion of a peripheral venous cannula (PVC) in an emergency department (ED). To describe the natural history of ED-inserted PVC site use; the occurrence and severity of PVC-related phlebitis; and associations with patient, PVC and nursing care factors. A prospective study was undertaken of 1262 patients treated as urgent cases in EDs who remained in a medical unit for at least 24h. The first PVC inserted was observed daily until its removal; phlebitis was measured using the Visual Infusion Phlebitis Scale. Data on patient, PVC, nursing care and organizational variables were collected, and a time-to-event analysis was performed. The prevalence of PVC-related phlebitis was 31%. The cumulative incidence (78/391) was almost 20% three days after insertion, and reached >50% (231/391) five days after insertion. Being in a specialized hospital [hazard ratio (HR) 0.583, 95% confidence interval (CI) 0.366-0.928] and receiving more nursing care (HR 0.988, 95% CI 0.983-0.993) were protective against PVC-related phlebitis at all time points. Missed nursing care increased the incidence of PVC-related phlebitis by approximately 4% (HR 1.038, 95% CI 1.001-1.077). ...Continue Reading

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Citations

Feb 24, 2018·Western Journal of Nursing Research·Jessica G Smith
Jul 13, 2018·The Journal of Nursing Administration·Joanne R DuffyTom Padrutt
Jun 5, 2019·Journal of Clinical Nursing·Michela PireddaMaria Grazia De Marinis
Jul 29, 2020·The Journal of Vascular Access·Monteiro DatToffano Sem
Feb 23, 2020·Japan Journal of Nursing Science : JJNS·Betül Kuş, Funda Büyükyılmaz
May 15, 2021·The Journal of Vascular Access·Ya-Mei ChenYu-Fang Su

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