Peripheral Intravenous Catheter Insertion Competence and Confidence in Medical/Surgical Nurses. Issue 6 (November 2022)

• Record Type: Journal Article
• Authors: Jacobs, Lisa
• Is Part Of: Journal of infusion nursing. Volume 45:Issue 6(2022)
• Page Start: 306
• Page End: 319
• Publication Date: 2022-11
• Subjects: competence -- competency -- confidence -- education -- nursing education -- peripheral IV -- short peripheral intravenous catheters -- simulation; Infusion therapy -- Periodicals; Parenteral therapy -- Periodicals; Intubation -- Periodicals; Intravenous therapy -- Periodicals; Nursing -- Periodicals; 615.6
• DOI: 10.1097/NAN.0000000000000487
• Languages: English
• ISSNs: 1533-1458

Abstract

Abstract : The objective of this study was to implement an evidence-based practice project to improve peripheral intravenous catheter (PIVC) insertion confidence and competence and to improve first-attempt success. The researcher used a blended online learning module and live simulation to increase PIVC insertion confidence and competence. Internal application of a blended curriculum model improved the first-attempt PIVC insertion success of nurses. A validated confidence assessment was completed by participants (n = 38) preintervention, immediately postintervention, and 30 days postintervention. A Mann-Whitney U test determined that nurses' confidence was significantly higher immediately following the intervention compared with preintervention ( P = .003), and the increase was sustained 30 days after the intervention ( P < .001). While placing a PIVC in simulation, the observer measured competence using a validated tool verifying 28 steps required, with a 76% success rate for all 28 steps. Nurses' self-reported first-attempt PIVC success increased significantly from the preintervention survey to the 30-day postintervention survey ( P = .00004).