Peripheral Intravenous Catheter Insertion: Professionals' Performance and Implications for Patient Safety: A Cross-Sectional Study.

Autor: Souza LC; Hospital Samaritano Botafogo, Rio de Janeiro, Brazil (Souza); Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Campos, Machado, Silva, Silva, Lemos); Clinical Simulation Center, Pró Cardíaco Hospital, Rio de Janeiro, Brazil (Machado); Intensive Care Nursing, State University of Rio de Janeiro, Rio de Janeiro, Brazil (Ribeiro); Nursing School of Coimbra, Coimbra, Portugal (Coutinho).; Lucimar Casimiro de Souza, MSN, received a master's degree in nursing from the Anna Nery School of Nursing at the Federal University of Rio de Janeiro and is a senior quality analyst at Hospital Samaritano Botafogo in Rio de Janeiro.; Juliana Faria Campos, PhD, Sabrina da Costa Machado, PhD, Marcelle Miranda da Silva, PhD, and Rafael Celestino da Silva, PhD, have their PhDs in nursing and are associate professors at the Anna Nery School of Nursing, Federal University of Rio de Janeiro.; Debora Mazioli Machado, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and head of the education department of the Clinical Simulation Center at the Pró Cardíaco Hospital.; Gabriella da Silva Rangel Ribeiro, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and a specialist in intensive care nursing from the State University of Rio de Janeiro.; Romanda da Costa Pereira Barboza Lemos, PhD(c), is a PhD candidate in nursing at the Anna Nery Nursing School, Universidade Federal do Rio de Janeiro.; Veronica Rita Dias Coutinho, PhD, has a PhD in nursing science and is an assistant professor and coordinator of the office for quality and assessment of the Nursing School of Coimbra, Portugal., Campos JF; Hospital Samaritano Botafogo, Rio de Janeiro, Brazil (Souza); Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Campos, Machado, Silva, Silva, Lemos); Clinical Simulation Center, Pró Cardíaco Hospital, Rio de Janeiro, Brazil (Machado); Intensive Care Nursing, State University of Rio de Janeiro, Rio de Janeiro, Brazil (Ribeiro); Nursing School of Coimbra, Coimbra, Portugal (Coutinho).; Lucimar Casimiro de Souza, MSN, received a master's degree in nursing from the Anna Nery School of Nursing at the Federal University of Rio de Janeiro and is a senior quality analyst at Hospital Samaritano Botafogo in Rio de Janeiro.; Juliana Faria Campos, PhD, Sabrina da Costa Machado, PhD, Marcelle Miranda da Silva, PhD, and Rafael Celestino da Silva, PhD, have their PhDs in nursing and are associate professors at the Anna Nery School of Nursing, Federal University of Rio de Janeiro.; Debora Mazioli Machado, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and head of the education department of the Clinical Simulation Center at the Pró Cardíaco Hospital.; Gabriella da Silva Rangel Ribeiro, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and a specialist in intensive care nursing from the State University of Rio de Janeiro.; Romanda da Costa Pereira Barboza Lemos, PhD(c), is a PhD candidate in nursing at the Anna Nery Nursing School, Universidade Federal do Rio de Janeiro.; Veronica Rita Dias Coutinho, PhD, has a PhD in nursing science and is an assistant professor and coordinator of the office for quality and assessment of the Nursing School of Coimbra, Portugal., Machado DM; Hospital Samaritano Botafogo, Rio de Janeiro, Brazil (Souza); Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Campos, Machado, Silva, Silva, Lemos); Clinical Simulation Center, Pró Cardíaco Hospital, Rio de Janeiro, Brazil (Machado); Intensive Care Nursing, State University of Rio de Janeiro, Rio de Janeiro, Brazil (Ribeiro); Nursing School of Coimbra, Coimbra, Portugal (Coutinho).; Lucimar Casimiro de Souza, MSN, received a master's degree in nursing from the Anna Nery School of Nursing at the Federal University of Rio de Janeiro and is a senior quality analyst at Hospital Samaritano Botafogo in Rio de Janeiro.; Juliana Faria Campos, PhD, Sabrina da Costa Machado, PhD, Marcelle Miranda da Silva, PhD, and Rafael Celestino da Silva, PhD, have their PhDs in nursing and are associate professors at the Anna Nery School of Nursing, Federal University of Rio de Janeiro.; Debora Mazioli Machado, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and head of the education department of the Clinical Simulation Center at the Pró Cardíaco Hospital.; Gabriella da Silva Rangel Ribeiro, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and a specialist in intensive care nursing from the State University of Rio de Janeiro.; Romanda da Costa Pereira Barboza Lemos, PhD(c), is a PhD candidate in nursing at the Anna Nery Nursing School, Universidade Federal do Rio de Janeiro.; Veronica Rita Dias Coutinho, PhD, has a PhD in nursing science and is an assistant professor and coordinator of the office for quality and assessment of the Nursing School of Coimbra, Portugal., Ribeiro GDSR; Hospital Samaritano Botafogo, Rio de Janeiro, Brazil (Souza); Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Campos, Machado, Silva, Silva, Lemos); Clinical Simulation Center, Pró Cardíaco Hospital, Rio de Janeiro, Brazil (Machado); Intensive Care Nursing, State University of Rio de Janeiro, Rio de Janeiro, Brazil (Ribeiro); Nursing School of Coimbra, Coimbra, Portugal (Coutinho).; Lucimar Casimiro de Souza, MSN, received a master's degree in nursing from the Anna Nery School of Nursing at the Federal University of Rio de Janeiro and is a senior quality analyst at Hospital Samaritano Botafogo in Rio de Janeiro.; Juliana Faria Campos, PhD, Sabrina da Costa Machado, PhD, Marcelle Miranda da Silva, PhD, and Rafael Celestino da Silva, PhD, have their PhDs in nursing and are associate professors at the Anna Nery School of Nursing, Federal University of Rio de Janeiro.; Debora Mazioli Machado, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and head of the education department of the Clinical Simulation Center at the Pró Cardíaco Hospital.; Gabriella da Silva Rangel Ribeiro, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and a specialist in intensive care nursing from the State University of Rio de Janeiro.; Romanda da Costa Pereira Barboza Lemos, PhD(c), is a PhD candidate in nursing at the Anna Nery Nursing School, Universidade Federal do Rio de Janeiro.; Veronica Rita Dias Coutinho, PhD, has a PhD in nursing science and is an assistant professor and coordinator of the office for quality and assessment of the Nursing School of Coimbra, Portugal., Barboza Lemos RDCP; Hospital Samaritano Botafogo, Rio de Janeiro, Brazil (Souza); Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Campos, Machado, Silva, Silva, Lemos); Clinical Simulation Center, Pró Cardíaco Hospital, Rio de Janeiro, Brazil (Machado); Intensive Care Nursing, State University of Rio de Janeiro, Rio de Janeiro, Brazil (Ribeiro); Nursing School of Coimbra, Coimbra, Portugal (Coutinho).; Lucimar Casimiro de Souza, MSN, received a master's degree in nursing from the Anna Nery School of Nursing at the Federal University of Rio de Janeiro and is a senior quality analyst at Hospital Samaritano Botafogo in Rio de Janeiro.; Juliana Faria Campos, PhD, Sabrina da Costa Machado, PhD, Marcelle Miranda da Silva, PhD, and Rafael Celestino da Silva, PhD, have their PhDs in nursing and are associate professors at the Anna Nery School of Nursing, Federal University of Rio de Janeiro.; Debora Mazioli Machado, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and head of the education department of the Clinical Simulation Center at the Pró Cardíaco Hospital.; Gabriella da Silva Rangel Ribeiro, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and a specialist in intensive care nursing from the State University of Rio de Janeiro.; Romanda da Costa Pereira Barboza Lemos, PhD(c), is a PhD candidate in nursing at the Anna Nery Nursing School, Universidade Federal do Rio de Janeiro.; Veronica Rita Dias Coutinho, PhD, has a PhD in nursing science and is an assistant professor and coordinator of the office for quality and assessment of the Nursing School of Coimbra, Portugal., Machado SDC; Hospital Samaritano Botafogo, Rio de Janeiro, Brazil (Souza); Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Campos, Machado, Silva, Silva, Lemos); Clinical Simulation Center, Pró Cardíaco Hospital, Rio de Janeiro, Brazil (Machado); Intensive Care Nursing, State University of Rio de Janeiro, Rio de Janeiro, Brazil (Ribeiro); Nursing School of Coimbra, Coimbra, Portugal (Coutinho).; Lucimar Casimiro de Souza, MSN, received a master's degree in nursing from the Anna Nery School of Nursing at the Federal University of Rio de Janeiro and is a senior quality analyst at Hospital Samaritano Botafogo in Rio de Janeiro.; Juliana Faria Campos, PhD, Sabrina da Costa Machado, PhD, Marcelle Miranda da Silva, PhD, and Rafael Celestino da Silva, PhD, have their PhDs in nursing and are associate professors at the Anna Nery School of Nursing, Federal University of Rio de Janeiro.; Debora Mazioli Machado, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and head of the education department of the Clinical Simulation Center at the Pró Cardíaco Hospital.; Gabriella da Silva Rangel Ribeiro, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and a specialist in intensive care nursing from the State University of Rio de Janeiro.; Romanda da Costa Pereira Barboza Lemos, PhD(c), is a PhD candidate in nursing at the Anna Nery Nursing School, Universidade Federal do Rio de Janeiro.; Veronica Rita Dias Coutinho, PhD, has a PhD in nursing science and is an assistant professor and coordinator of the office for quality and assessment of the Nursing School of Coimbra, Portugal., Silva MMD; Hospital Samaritano Botafogo, Rio de Janeiro, Brazil (Souza); Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Campos, Machado, Silva, Silva, Lemos); Clinical Simulation Center, Pró Cardíaco Hospital, Rio de Janeiro, Brazil (Machado); Intensive Care Nursing, State University of Rio de Janeiro, Rio de Janeiro, Brazil (Ribeiro); Nursing School of Coimbra, Coimbra, Portugal (Coutinho).; Lucimar Casimiro de Souza, MSN, received a master's degree in nursing from the Anna Nery School of Nursing at the Federal University of Rio de Janeiro and is a senior quality analyst at Hospital Samaritano Botafogo in Rio de Janeiro.; Juliana Faria Campos, PhD, Sabrina da Costa Machado, PhD, Marcelle Miranda da Silva, PhD, and Rafael Celestino da Silva, PhD, have their PhDs in nursing and are associate professors at the Anna Nery School of Nursing, Federal University of Rio de Janeiro.; Debora Mazioli Machado, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and head of the education department of the Clinical Simulation Center at the Pró Cardíaco Hospital.; Gabriella da Silva Rangel Ribeiro, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and a specialist in intensive care nursing from the State University of Rio de Janeiro.; Romanda da Costa Pereira Barboza Lemos, PhD(c), is a PhD candidate in nursing at the Anna Nery Nursing School, Universidade Federal do Rio de Janeiro.; Veronica Rita Dias Coutinho, PhD, has a PhD in nursing science and is an assistant professor and coordinator of the office for quality and assessment of the Nursing School of Coimbra, Portugal., Coutinho VRD; Hospital Samaritano Botafogo, Rio de Janeiro, Brazil (Souza); Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Campos, Machado, Silva, Silva, Lemos); Clinical Simulation Center, Pró Cardíaco Hospital, Rio de Janeiro, Brazil (Machado); Intensive Care Nursing, State University of Rio de Janeiro, Rio de Janeiro, Brazil (Ribeiro); Nursing School of Coimbra, Coimbra, Portugal (Coutinho).; Lucimar Casimiro de Souza, MSN, received a master's degree in nursing from the Anna Nery School of Nursing at the Federal University of Rio de Janeiro and is a senior quality analyst at Hospital Samaritano Botafogo in Rio de Janeiro.; Juliana Faria Campos, PhD, Sabrina da Costa Machado, PhD, Marcelle Miranda da Silva, PhD, and Rafael Celestino da Silva, PhD, have their PhDs in nursing and are associate professors at the Anna Nery School of Nursing, Federal University of Rio de Janeiro.; Debora Mazioli Machado, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and head of the education department of the Clinical Simulation Center at the Pró Cardíaco Hospital.; Gabriella da Silva Rangel Ribeiro, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and a specialist in intensive care nursing from the State University of Rio de Janeiro.; Romanda da Costa Pereira Barboza Lemos, PhD(c), is a PhD candidate in nursing at the Anna Nery Nursing School, Universidade Federal do Rio de Janeiro.; Veronica Rita Dias Coutinho, PhD, has a PhD in nursing science and is an assistant professor and coordinator of the office for quality and assessment of the Nursing School of Coimbra, Portugal., Silva RCD; Hospital Samaritano Botafogo, Rio de Janeiro, Brazil (Souza); Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Campos, Machado, Silva, Silva, Lemos); Clinical Simulation Center, Pró Cardíaco Hospital, Rio de Janeiro, Brazil (Machado); Intensive Care Nursing, State University of Rio de Janeiro, Rio de Janeiro, Brazil (Ribeiro); Nursing School of Coimbra, Coimbra, Portugal (Coutinho).; Lucimar Casimiro de Souza, MSN, received a master's degree in nursing from the Anna Nery School of Nursing at the Federal University of Rio de Janeiro and is a senior quality analyst at Hospital Samaritano Botafogo in Rio de Janeiro.; Juliana Faria Campos, PhD, Sabrina da Costa Machado, PhD, Marcelle Miranda da Silva, PhD, and Rafael Celestino da Silva, PhD, have their PhDs in nursing and are associate professors at the Anna Nery School of Nursing, Federal University of Rio de Janeiro.; Debora Mazioli Machado, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and head of the education department of the Clinical Simulation Center at the Pró Cardíaco Hospital.; Gabriella da Silva Rangel Ribeiro, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and a specialist in intensive care nursing from the State University of Rio de Janeiro.; Romanda da Costa Pereira Barboza Lemos, PhD(c), is a PhD candidate in nursing at the Anna Nery Nursing School, Universidade Federal do Rio de Janeiro.; Veronica Rita Dias Coutinho, PhD, has a PhD in nursing science and is an assistant professor and coordinator of the office for quality and assessment of the Nursing School of Coimbra, Portugal.
Jazyk: angličtina
Zdroj: Journal of infusion nursing : the official publication of the Infusion Nurses Society [J Infus Nurs] 2024 Jan-Feb 01; Vol. 47 (1), pp. 42-48.
DOI: 10.1097/NAN.0000000000000531
Abstrakt: This study evaluated peripheral intravenous catheter insertion by licensed practical nurses in a simulated scenario. This cross-sectional and descriptive study was performed in a general hospital's simulation center located in Brazil, from January to October 2020. The authors developed a tool from the leading guidelines to measure peripheral intravenous catheter insertion performance in 60 licensed practical nurses. Data were analyzed using descriptive statistics, with proportions for categorical variables and analytical statistics to denote significance, using SPSS version 22.0. Ethical aspects were respected. Despite the sample comprising professionals who declared an average experience with peripheral intravenous catheter insertion of 6.4 years, at least 50% failed in some tool element. This low score on peripheral intravenous catheter insertion performance is because automation is possible without efforts to improve it. Adding years of practice does not generate better performance. The licensed practical nurses' performance was lower than expected, considering their reported experience, which poses a risk to patient safety. The training of these professionals needs to be discussed in countries where the practice is legal. Skills training should include simulation to approximate clinical practice; nurses must exercise their role in supervising the team.
Competing Interests: Conflict of interest: None.
(Copyright © 2024 Infusion Nurses Society.)
Databáze: MEDLINE