What Registered Nurses Do and Do Not in the Management of Pediatric Peripheral Venous Catheters and Guidelines: Unpacking the Outcomes of Computer Reminders

Worldviews on Evidence-based Nursing
Ann Catrine EldhLars Wallin

Abstract

Clinical practical guidelines (CPGs) may enhance evidence-based practice, but require implementation. Computer reminders have previously shown various effects in supporting implementation; in a concomitant study, we found no effect on complications in peripheral venous catheters (PVCs) or registered nurses' (RNs) adherence to a CPG in pediatric care. Yet, there is a need to determine how reminders operate in particular contexts. To depict if, in what context, and how computer reminders regarding evidence-based management of PVC in pediatric care are applied according to RNs' actions and experience. Qualitative data from nonparticipant observations and interviews with 18 RNs in four intervention units at a pediatric hospital were analyzed with content analysis. Attention given to the computer reminders varied; the RNs noticed them in units where there was an agreement about the management and recording of PVCs, but not elsewhere. Rather, computer reminders did not facilitate adherence to the PVC-CPG where the CPG was not acknowledged from the start. RNs who knew how to manage PVCs had peer support and received additional reminders, which suggested that the computer reminders added to the significance of PVCs in pediatric care. W...Continue Reading

References

Oct 27, 1999·JAMA : the Journal of the American Medical Association·M D CabanaH R Rubin
Feb 13, 2004·Health Technology Assessment : HTA·J M GrimshawC Donaldson
Mar 12, 2004·The Medical Journal of Australia·Martin P Eccles, Jeremy M Grimshaw
Sep 27, 2007·Archives of Disease in Childhood. Education and Practice Edition·Elizabeth Anne Livesey, J Mitchell Noon
Mar 21, 2008·Journal of Advanced Nursing·Satu Elo, Helvi Kyngäs
Dec 17, 2009·BMC Health Services Research·Carole A EstabrooksPeter G Norton
Mar 10, 2010·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Kaveh G ShojaniaJeremy Grimshaw
Jun 5, 2013·Journal of Public Health·Kirsty JonesElizabeth Waters
Dec 26, 2013·Quality Management in Health Care·Pavani RangachariPeter Rissing
Sep 6, 2014·Implementation Science : IS·Katherine L Salter, Anita Kothari
Mar 3, 2015·Journal of the American Medical Informatics Association : JAMIA·Niraj MistryUNKNOWN Patient Adherence Review Team
Mar 11, 2015·Journal of the American Medical Informatics Association : JAMIA·Rebecca RandellDawn Dowding
Oct 16, 2015·The American Journal of Emergency Medicine·Gerardo ChiricoloSamuel Ayala

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Citations

Jun 20, 2020·Worldviews on Evidence-based Nursing·Ann Catrine EldhClaire Hawkes
May 4, 2021·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·Aimee WodaMary Hook

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