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Bir Hastanede Periferal İntravenöz Kateter Yerleştirme Sıklığı Ve İlişkili Faktörlerin Belirlenmesi

Year 2023, Volume: 10 Issue: 1, 82 - 89, 01.03.2023
https://doi.org/10.52880/sagakaderg.1193256

Abstract

Giriş ve Amaç: Bu araştırma, bir hastanede periferal intravenöz kateter yerleştirme sıklığı ve ilişkili faktörlerin belirlenmesi amacıyla yürütüldü. Gereç ve Yöntem: Tanımlayıcı ve kesitsel türde olan araştırmanın verileri, 27 Haziran- 27 Temmuz tarihleri arasında bir hastanenin periferal intravenöz kateter girişiminin gerçekleştirildiği birimlerde yürütüldü. Veriler periferal intravenöz kateter (pivk) yerleştirme formu ile toplandı. Bulgular: Araştırmanın sonucunda, 212 hemşirenin 578 girişim gerçekleştirdiği ve 930 adet branül kullanıldığı saptandı. Tek seferde başarı oranının %62.1 olduğu, tek seferden fazla girişim gerektiğinde klinik tecrübesi daha fazla olan hemşirelerin işlemi gerçekleştirdiği ve kronik hastalık, kan sulandırıcı ve antihipertansig ilaç kullanımı, beden kitle endeksi, önceki girişim sayısı, ven durumu, branül numarası, girişimin gerçekleştirildiği bölge, hemşirenin girişim hakkındaki görüşün kullanılan branül sayısında etkisinin olduğu görüldü. Sonuç: Araştırma sonucunda, klinikte yeni çalışmaya başlayan hemşirelere uygulamalı eğitim programlarının düzenlenmesi, konuya ilişkin daha geniş zamanlı ve kapsamlı araştırmaların yürütülmesi önerilmektedir.

Supporting Institution

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Project Number

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Thanks

Araştırma kapsamında yer alan tüm hemşirelere teşekkür ederiz.

References

  • 1. Büyükyılmaz, F. ve Kuş, B. (2017). Periferik İntravenöz Kateter Uygulamalarında Komplikasyonların Önlenmesinde Güncel Kanıtlar: Sistematik İnceleme. FNJN, 25(3), 209-217.
  • 2. Eren, H. (2022). Difficult Intravenous Access and Its Management. Zaman, G. S. (Ed.). in Ultimate Guide to Outpatient Care (ss.25-36). IntechOpen.
  • 3. Bayram, ŞB. Eren, H. ve Çalışkan, N. (2021). Kemoterapi Alan Hastalarda Ven Görünürlüğü ve Venöz Dolgunluğu Sağlayıcı Teknikler. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 11(2), 273-278.
  • 4. Tee, FY. Low, CSL. ve Matizha, P. (2015). Patient perceptions and experience of pain, anxiety and comfort during peripheral intravenous cannulation in medical wards: topical anaesthesia, effective communication, and empowerment. International Journal of Nursing Science, 5(2), 41–46.
  • 5. Eren, H. ve Caliskan, N. (2022). Effect of a vein imaging device and of fist clenching on determination of an appropriate vein and on catheter placement time in patients receiving chemotherapy: a randomized controlled trial. Cancer Nursing, 45(2), 105-112.
  • 6. Helm, RE. Klausner, JD. Klemperer, JD. Flint, LM. ve Huang, E. (2015). Accepted but unacceptable: peripheral IV catheter failure. Journal of Infusion Nursing, 38, 189-203.
  • 7. Aydın, S. ve Arslan, GG. (2018). Hemşirelerin periferal intravenöz kateter girişimlerine ilişkin bilgi düzeylerinin incelenmesi. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 11(4), 290-299.
  • 8. Dayan, A. Owusu Ansah, N. ve İnce, S. (2021). Hemşirelerin kanıt temelli uygulamalardan haberdarlık düzeyi: periferik intravenöz kateter uygulamaları. Samsun Sağlık Bilimleri Dergisi, 6(2), 235-254.
  • 9. Şengül, Ü. Selma, A. ve Sevda, E. (2019). Hemşirelerin Periferik Venöz Kateter Uygulamasına İlişkin Beceri Durumlarının İncelenmesi; Gözlemsel Bir Çalışma. Ankara Sağlık Bilimleri Dergisi, 8(2), 30-38.
  • 10. Düztepeliler, S. Ilıman, A.Y. Babadag, K. Tuncer, M. ve Ahmet, E. (2020). Ultrason Yardımıyla Periferal İntravenöz Kateter Uygulamasının Girişim Süresi, Kateter Ömrü Ve Olası Komplikasyonları: Literatür Taraması. Anadolu Hemşirelik Ve Sağlık Bilimleri Dergisi, 23(1), 135-146.
  • 11. Bıyık Bayram, Ş. (2013). İntravenöz kateter girişimi öncesi lokal sıcak uygulamanın hastanın ağrı, anksiyete ve memnuniyeti üzerine etkisi. (Yüksek lisans tezi). Gazi Üniversitesi, Ankara.
  • 12. Keleekai, N. L., Schuster, C. A., Murray, C. L., King, M. A., Stahl, B. R., Labrozzi, L. J., ... & Glover, K. R. (2016). Improving nurses' peripheral intravenous catheter insertion knowledge, confidence, and skills using a simulation-based blended learning program: a randomized trial. Simulation in Healthcare, 11(6), 376.
  • 13. Vizcarra, C. Cassutt, C. Corbitt, N. Richardson, D. Runde, D. ve Stafford, K. (2014). Recommendations for improving safety practices with short peripheral catheters. Journal of Infusion Nursing, 37(2), 121-124.
  • 14. Alexandrou, E., Mifflin, N., McManus, C., Sou, V., & Frost, S. A. (2018). Extended dwell peripheral catheters in patients with diffcult venous access: Comparison of a peripheral intravenous catheter and midline catheter. Vascular Access, 4(1), 1-15.
  • 15. Sarani Ali Abadi, P., Etemadi, S., & Abed Saeedi, Z. H. (2013). Investigating role of mechanical and chemical factors in the creation of peripheral vein in flammarion in hospitalization patients in hospital in Zahedan, Iran. Life Science Journal, 10(1s), 379-83.
  • 16. Wallis, M. C., McGrail, M., Webster, J., Marsh, N., Gowardman, J., Playford, E. G., & Rickard, C. M. (2014). Risk factors for peripheral intravenous catheter failure: a multivariate analysis of data from a randomized controlled trial. Infection Control & Hospital Epidemiology, 35(1), 63-68.
  • 17. Plohal, A. (2021). A qualitative study of adult hospitalized patients with difficult venous access experiencing short peripheral catheter insertion in a hospital setting. Journal of Infusion Nursing, 44(1), 26-33.
  • 18. Sebbane, M., Claret, P. G., Lefebvre, S., Mercier, G., Rubenovitch, J., Jreige, R., ... & de La Coussaye, J. E. (2013). Predicting peripheral venous access difficulty in the emergency department using body mass index and a clinical evaluation of venous accessibility. The Journal of Emergency Medicine, 44(2), 299-305.
  • 19. Rodríguez-Calero, MA. Blanco-Mavillard, I. Morales-Asencio, JM. Fernández-Fernández, I. Castro-Sánchez, E. ve de Pedro-Gómez JE. (2020). Defining risk factors associated with difficult peripheral venous cannulation: A systematic review and meta-analysis. Heart & Lung, 49(3), 273-286.
  • 20. Bahl, A. Hijazi, M. Chen, N. W. Lachapelle-Clavette, L. ve Price, J. (2020). Ultralong versus standard long peripheral intravenous catheters: a randomized controlled trial of ultrasonographically guided catheter survival. Annals of Emergency Medicine, 76(2), 134-142.
  • 21. Khan, M. S. Sabnis, V. B. Phansalkar, D. S. Prasad, S. P. ve Karnam, A. H. F. (2019). Use of ultrasound in peripheral venous catheterization in adult emergency and critical care units. Anaesthesia, Pain & Intensive Care, 303-310.
  • 22. Marsh, N. Webster, J. Larsen, E. Cooke, M. Mihala, G. ve Rickard, C. M. (2018). Observational study of peripheral intravenous catheter outcomes in adult hospitalized patients: a multivariable analysis of peripheral intravenous catheter failure. Journal of Hospital Medicine, 13(2), 83-89.
  • 23. Tosun, B. Arslan, B. K. ve Özen, N. (2020). Periferik Venöz Kateter Kaynaklı Flebit Gelişme Durumu ve Hemşirelerin Kanıta Dayalı Uygulamalara İlişkin Bilgi Düzeyleri: Nokta Prevalans Çalışması. Turkiye Klinikleri Journal of Nursing Sciences, 12(1), 72-82.
  • 24. Benner, P. (2005). Using the Dreyfus Model of Skill Acquisition to Describe and Interpret Skill Acquisition and Clinical Judgment in Nursing Practice and Education. The Bulletin of Science, Technology and Society Special Issue: Human Expertise in the Age of the Computer, 24,188–99.
  • 25. Forsberg, A. ve Engström, Å. (2018). Critical care nurses' experiences of performing successful peripheral intravenous catheterization in difficult situations. Journal of Vascular Nursing, 36(2), 64-70.
  • 26. Gorski, L. Hadaway, L. Hagle, ME. McGoldrick, M. Orr M. ve Doellman, D. (2016). Infusion Therapy Standards of Practice. Journal of Infusion Nursing, 39(1S), 1-169.
  • 27. Abdelaziz, RB. Hafsi, H. Hajji, H. Boudabous, H. Chehida AB. Mrabet, A., … Tebib, N. (2017). Full title: Peripheral venous catheter complications in children: Predisposing factors in a multicenter prospective cohort study. BMC Pediatrics, 17(1), 208-208.
  • 28. Park, SM. Jeong, I.S. ve Jun, SS. (2016). Identification of risk factors for intravenous infiltration among hospitalized children: A retrospective study. PlosOne, 11(6), 1-8.
  • 29. Uzun M. (2016). Cardiovascular system and exercise. Journal of Cardiovascular Nursing, 7(suppl 2),48–53.

Determination of peripheral intravenous catheter placement frequency and associated factors in a hospital

Year 2023, Volume: 10 Issue: 1, 82 - 89, 01.03.2023
https://doi.org/10.52880/sagakaderg.1193256

Abstract

Introduction and purpose: This study was conducted in a hospital to determine the frequency of peripheral intravenous catheterization and related factors. Materials and methods: In this descriptive and cross-sectional study, data were conducted in units of a hospital where peripheral intravenous catheterization was performed between 27 June and 27 July. Data were collected with a peripheral intravenous catheter (pivc) insertion form. Result: As a result of the research, it was determined that 212 nurses performed 578 interventions and 930 branules were used. The success rate at one time is 62.1%, when more than one intervention is required, nurses with more clinical experience perform the procedure and chronic disease, use of anticoagulants, and antihypertensive drugs, body mass index, number of previous attempts, vein status, branule number, region of the intervention, It was seen that the nurse's opinion about the intervention had an effect on the number of branules used. Conclusion: As a result of the research, it is recommended to organize practical training programs for nurses who have just started working in the clinic, and to conduct more extensive and timely research on the subject.

Project Number

-

References

  • 1. Büyükyılmaz, F. ve Kuş, B. (2017). Periferik İntravenöz Kateter Uygulamalarında Komplikasyonların Önlenmesinde Güncel Kanıtlar: Sistematik İnceleme. FNJN, 25(3), 209-217.
  • 2. Eren, H. (2022). Difficult Intravenous Access and Its Management. Zaman, G. S. (Ed.). in Ultimate Guide to Outpatient Care (ss.25-36). IntechOpen.
  • 3. Bayram, ŞB. Eren, H. ve Çalışkan, N. (2021). Kemoterapi Alan Hastalarda Ven Görünürlüğü ve Venöz Dolgunluğu Sağlayıcı Teknikler. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 11(2), 273-278.
  • 4. Tee, FY. Low, CSL. ve Matizha, P. (2015). Patient perceptions and experience of pain, anxiety and comfort during peripheral intravenous cannulation in medical wards: topical anaesthesia, effective communication, and empowerment. International Journal of Nursing Science, 5(2), 41–46.
  • 5. Eren, H. ve Caliskan, N. (2022). Effect of a vein imaging device and of fist clenching on determination of an appropriate vein and on catheter placement time in patients receiving chemotherapy: a randomized controlled trial. Cancer Nursing, 45(2), 105-112.
  • 6. Helm, RE. Klausner, JD. Klemperer, JD. Flint, LM. ve Huang, E. (2015). Accepted but unacceptable: peripheral IV catheter failure. Journal of Infusion Nursing, 38, 189-203.
  • 7. Aydın, S. ve Arslan, GG. (2018). Hemşirelerin periferal intravenöz kateter girişimlerine ilişkin bilgi düzeylerinin incelenmesi. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 11(4), 290-299.
  • 8. Dayan, A. Owusu Ansah, N. ve İnce, S. (2021). Hemşirelerin kanıt temelli uygulamalardan haberdarlık düzeyi: periferik intravenöz kateter uygulamaları. Samsun Sağlık Bilimleri Dergisi, 6(2), 235-254.
  • 9. Şengül, Ü. Selma, A. ve Sevda, E. (2019). Hemşirelerin Periferik Venöz Kateter Uygulamasına İlişkin Beceri Durumlarının İncelenmesi; Gözlemsel Bir Çalışma. Ankara Sağlık Bilimleri Dergisi, 8(2), 30-38.
  • 10. Düztepeliler, S. Ilıman, A.Y. Babadag, K. Tuncer, M. ve Ahmet, E. (2020). Ultrason Yardımıyla Periferal İntravenöz Kateter Uygulamasının Girişim Süresi, Kateter Ömrü Ve Olası Komplikasyonları: Literatür Taraması. Anadolu Hemşirelik Ve Sağlık Bilimleri Dergisi, 23(1), 135-146.
  • 11. Bıyık Bayram, Ş. (2013). İntravenöz kateter girişimi öncesi lokal sıcak uygulamanın hastanın ağrı, anksiyete ve memnuniyeti üzerine etkisi. (Yüksek lisans tezi). Gazi Üniversitesi, Ankara.
  • 12. Keleekai, N. L., Schuster, C. A., Murray, C. L., King, M. A., Stahl, B. R., Labrozzi, L. J., ... & Glover, K. R. (2016). Improving nurses' peripheral intravenous catheter insertion knowledge, confidence, and skills using a simulation-based blended learning program: a randomized trial. Simulation in Healthcare, 11(6), 376.
  • 13. Vizcarra, C. Cassutt, C. Corbitt, N. Richardson, D. Runde, D. ve Stafford, K. (2014). Recommendations for improving safety practices with short peripheral catheters. Journal of Infusion Nursing, 37(2), 121-124.
  • 14. Alexandrou, E., Mifflin, N., McManus, C., Sou, V., & Frost, S. A. (2018). Extended dwell peripheral catheters in patients with diffcult venous access: Comparison of a peripheral intravenous catheter and midline catheter. Vascular Access, 4(1), 1-15.
  • 15. Sarani Ali Abadi, P., Etemadi, S., & Abed Saeedi, Z. H. (2013). Investigating role of mechanical and chemical factors in the creation of peripheral vein in flammarion in hospitalization patients in hospital in Zahedan, Iran. Life Science Journal, 10(1s), 379-83.
  • 16. Wallis, M. C., McGrail, M., Webster, J., Marsh, N., Gowardman, J., Playford, E. G., & Rickard, C. M. (2014). Risk factors for peripheral intravenous catheter failure: a multivariate analysis of data from a randomized controlled trial. Infection Control & Hospital Epidemiology, 35(1), 63-68.
  • 17. Plohal, A. (2021). A qualitative study of adult hospitalized patients with difficult venous access experiencing short peripheral catheter insertion in a hospital setting. Journal of Infusion Nursing, 44(1), 26-33.
  • 18. Sebbane, M., Claret, P. G., Lefebvre, S., Mercier, G., Rubenovitch, J., Jreige, R., ... & de La Coussaye, J. E. (2013). Predicting peripheral venous access difficulty in the emergency department using body mass index and a clinical evaluation of venous accessibility. The Journal of Emergency Medicine, 44(2), 299-305.
  • 19. Rodríguez-Calero, MA. Blanco-Mavillard, I. Morales-Asencio, JM. Fernández-Fernández, I. Castro-Sánchez, E. ve de Pedro-Gómez JE. (2020). Defining risk factors associated with difficult peripheral venous cannulation: A systematic review and meta-analysis. Heart & Lung, 49(3), 273-286.
  • 20. Bahl, A. Hijazi, M. Chen, N. W. Lachapelle-Clavette, L. ve Price, J. (2020). Ultralong versus standard long peripheral intravenous catheters: a randomized controlled trial of ultrasonographically guided catheter survival. Annals of Emergency Medicine, 76(2), 134-142.
  • 21. Khan, M. S. Sabnis, V. B. Phansalkar, D. S. Prasad, S. P. ve Karnam, A. H. F. (2019). Use of ultrasound in peripheral venous catheterization in adult emergency and critical care units. Anaesthesia, Pain & Intensive Care, 303-310.
  • 22. Marsh, N. Webster, J. Larsen, E. Cooke, M. Mihala, G. ve Rickard, C. M. (2018). Observational study of peripheral intravenous catheter outcomes in adult hospitalized patients: a multivariable analysis of peripheral intravenous catheter failure. Journal of Hospital Medicine, 13(2), 83-89.
  • 23. Tosun, B. Arslan, B. K. ve Özen, N. (2020). Periferik Venöz Kateter Kaynaklı Flebit Gelişme Durumu ve Hemşirelerin Kanıta Dayalı Uygulamalara İlişkin Bilgi Düzeyleri: Nokta Prevalans Çalışması. Turkiye Klinikleri Journal of Nursing Sciences, 12(1), 72-82.
  • 24. Benner, P. (2005). Using the Dreyfus Model of Skill Acquisition to Describe and Interpret Skill Acquisition and Clinical Judgment in Nursing Practice and Education. The Bulletin of Science, Technology and Society Special Issue: Human Expertise in the Age of the Computer, 24,188–99.
  • 25. Forsberg, A. ve Engström, Å. (2018). Critical care nurses' experiences of performing successful peripheral intravenous catheterization in difficult situations. Journal of Vascular Nursing, 36(2), 64-70.
  • 26. Gorski, L. Hadaway, L. Hagle, ME. McGoldrick, M. Orr M. ve Doellman, D. (2016). Infusion Therapy Standards of Practice. Journal of Infusion Nursing, 39(1S), 1-169.
  • 27. Abdelaziz, RB. Hafsi, H. Hajji, H. Boudabous, H. Chehida AB. Mrabet, A., … Tebib, N. (2017). Full title: Peripheral venous catheter complications in children: Predisposing factors in a multicenter prospective cohort study. BMC Pediatrics, 17(1), 208-208.
  • 28. Park, SM. Jeong, I.S. ve Jun, SS. (2016). Identification of risk factors for intravenous infiltration among hospitalized children: A retrospective study. PlosOne, 11(6), 1-8.
  • 29. Uzun M. (2016). Cardiovascular system and exercise. Journal of Cardiovascular Nursing, 7(suppl 2),48–53.
There are 29 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Article
Authors

Handan Eren 0000-0002-6507-5690

Ayşe Erdem 0000-0002-6568-0997

Project Number -
Publication Date March 1, 2023
Acceptance Date December 5, 2022
Published in Issue Year 2023 Volume: 10 Issue: 1

Cite

APA Eren, H., & Erdem, A. (2023). Bir Hastanede Periferal İntravenöz Kateter Yerleştirme Sıklığı Ve İlişkili Faktörlerin Belirlenmesi. Sağlık Akademisyenleri Dergisi, 10(1), 82-89. https://doi.org/10.52880/sagakaderg.1193256

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