Assessment of Peripheral Intravenous Catheter (PIVC) Knowledge and Perceptions of Phlebitis Risk Factors among Nurses in a University Hospital in Selangor
DOI:
https://doi.org/10.31674/mjn.2023.v15isupp1.009Abstract
Background: Phlebitis is a frequently occurring complication in the peripheral venous catheterization of hospitalized patients. Knowledge and perception in regard to compliance with the guidelines are required for all nurses involved in the insertion and care of peripheral intravascular catheters (PIVC). Objective: The aim of this study is to assess the knowledge of PIVC care among nurses and their perceptions of risk factors for phlebitis in a university hospital located in Selangor, Malaysia. Methods: The design used for this research is quantitative and non-experimental. It was conducted using a cross-sectional study design involving knowledge and perceptions. In conjunction with that, a convenience sampling approach and unrestricted self-selected surveys of 170 hospital nurses were conducted at a university hospital in Selangor. Results: Over 58.8% of the nurses demonstrated a very high level of knowledge, while approximately 47.1% exhibited a good perception of phlebitis risk. Notably, a statistically significant correlation was observed between knowledge level and factors such as years of clinical experience, PIVC training, and the frequency of PIVC handling (p<0.05). In terms of perception regarding phlebitis risk factors, a noteworthy relationship was found with years of clinical experience, the workplace, PIVC training, and the frequency of PIVC handling, all of which achieved statistical significance (p<0.05). Conclusion: Specific measures should be taken to improve nurses' understanding of PIVC and their awareness of phlebitis risk factors. Nurses are entrusted with various responsibilities in the course of intravenous treatment, which encompass initiating, monitoring, maintaining, and discontinuing intravenous infusions. Therefore, nursing staff must be proficient in all facets of intravenous care, including identifying and preventing phlebitis.
Keywords:
Knowledge, Perceptions, Peripheral Intravenous Catheter (PIIV) Cannulation, PhlebitisDownloads
References
Abolfotouh, M. A., Salam, M., Bani Mustafa, A., White, D., & Balkhy, H. (2014). Prospective study of incidence and predictors of peripheral intravenous catheter-induced complications. Therapeutics and Clinical Risk Management, 993. https://doi.org/10.2147/tcrm.s74685
Al-Naeli, K. F., & Hassan, H. (2021). Effectiveness of an Interventional Program on Nursing Staffs' Practices toward Prevention of Peripheral Intravenous Cannula Complications in Al-Diwaniyah Teaching Hospital. Kufa Journal for Nursing Sciences, 11(1), 182-192. https://doi.org/10.36321/kjns.vi20211.458
Arbaee, I, & Mohd Ghazali, A. (2016). Nurses Knowledge and Practice Towards Care and Maintenance of Peripheral Intravenous Cannulation in Pantai Hospital, Batu Pahat, Johor, Malaysia. Qualitative Research, 1(3), 385-405.
Bibi, A. ., Ali, M. ., Pervaiz, S. ., Mary, S. ., Mary, M. ., Bagga, S. ., Khalid, S. ., Ahmad khan, R. ., Sami, A. ., & Khan, R. . (2023). Knowledge Regarding Risk Factors of Phlebitis and its Association with Education Among Nurses at Tertiary Care Hospital, Karachi: Knowledge Regarding Risk Factors of Phlebitis. Pakistan Journal of Health Sciences, 4(04), 75–78. https://doi.org/10.54393/pjhs.v4i04.704
Chanu, N., Sagar, D., & Gandhi, R. A. (2010). Study to Assess the Effectiveness of Structured Teaching Program regarding Knowledge on Intravenous Cannulation for Under Five Children among Staff Nurses in Selected Hospitals. Published Thesis, Dayananda Sagar College of Nursing, Rajiv Gandhi University of Health Sciences, 4-9
Daud, A. (2018). Incidence of Phlebitis Among Adult Patients with Peripheral Intravenous Catheter in an East Coast Hospital Malaysia. International Journal of Care Scholars, 1(2), 5–8. https://doi.org/10.31436/ijcs.v1i2.62
Gorski, L. A., Hadaway, L., Hagle, M. E., Broadhurst, D., Clare, S., Kleidon, T., ... & Alexander, M. (2021). Infusion therapy standards of practice. Journal of Infusion Nursing, 44(1S), S1-S224. https://doi.org/10.1097/NAN.0000000000000396
Guanche-Sicilia, A., Sanchez-Gomez, M. B., Castro-Peraza, M. E., Rodríguez-Gómez, J. Á., Gomez-Salgado, J., & Duarte-Climents, G. (2021, May). Prevention and treatment of phlebitis secondary to the insertion of a peripheral venous catheter: a scoping review from a nursing perspective. MDPI. Healthcare, 9(5), 611. https://doi.org/10.3390/healthcare9050611
Ho, S., E., Liew, L. S., & Tang, W. M. (2016). Nurses’ Knowledge and Practice in Relation to Peripheral Intravenous Catheter Care. Medicine & Health, 11(2), 181–188. https://doi.org/10.17576/mh.2016.1102.07
Hossain, M. A., Hasan, M. I. A., & Haque, M. M. (2016). Assessment of the Level of Knowledge and Practice on Intravenous Cannulization among Staff Nurses of Selected Tertiary Care Hospital in Dhaka City. MOJ Public Health, 4(5). https://doi.org/10.15406/mojph.2016.04.00095
Kashiura, M., Yasuda, H., Oishi, T., Kishihara, Y., Moriya, T., Kotani, Y., ... & Morikane, K. (2022). Risk factors for peripheral venous catheter-related phlebitis stratified by body mass index in critically ill patients: A post-hoc analysis of the AMOR-VENUS study. Frontiers in Medicine, 9, 1037274. https://doi.org/10.3389/fmed.2022.1037274
Khairunniza, G., Leela, C., & Thiruselvi, S. (2019). Students’ Perception of Their Knowledge About Peripheral Intravenous Cannulation at A Private Medical University in Seremban, Negeri Sembilan, Malaysia. Proceedings of ADVED 2019- 5th International Conference on Advances in Education and Social Sciences 21-23 October 2019- Istanbul, Turkey. https://www.ocerints.org/adved19e-publication/papers/105.pdf
Milutinović, D., Simin, D., & Zec, D. (2015). Risk factor for phlebitis: a questionnaire study of nurses’ perception. Revista Latino-Americana de Enfermagem, 23(4), 677–684. https://doi.org/10.1590/0104-1169.0192.2603
O’Grady, N. P., Alexander, M., Burns, L., Patchen Dellinger, E., Garland, J., Heard, S., Lipsett, P., Masur, H., Mermel, L., Pearson, M., Raad, I., Randolph, A., Rupp, M. E., Saint, S., & Healthcare Infection Control Practices Advisory Committee. (2011). Guidelines for the Prevention of Intravascular Catheter-Related Infections, 2011. https://doi.org/10.1093/cid/cir257
Osti, C., Wosti, D., Pandey, B., & Zhao, Q. (2017). Ventilator-Associated Pneumonia and Role of Nurses in Its Prevention. JNMA; Journal of the Nepal Medical Association, 56(208), 461–468. https://dx.doi.org/10.31729/jnma.3270
Raosoft. (2009). Sample Size Calculator by Raosoft, Inc. Raosoft.com. https://www.raosoft.com/samplesize.html. Accessed on 12th July, 2022.
Ray-Barruel, G., Xu, H., Marsh, N., Cooke, M., & Rickard, C. M. (2019). Effectiveness of insertion and maintenance bundles in preventing peripheral intravenous catheter-related complications and bloodstream infection in hospital patients: A systematic review. Infection, Disease & Health, 24(3), 152-168. https://doi.org/10.1016/j.idh.2019.03.001
Shaikh, M. H., Ali, R., Ahmad, T., Manan, A., Khan, I., Khan, M. J.. ., & Bibi, A. (2023). Level of Knowledge of Bedside Nursing Staff Regarding Phlebitis of a Tertiary Care Hospital, Karachi: Knowledge of Nursing Staff Regarding Phlebitis. Pakistan Journal of Health Sciences, 4(08), 53–56. https://doi.org/10.54393/pjhs.v4i08.969
Thabet Ahmed, M., Mohammad, Z., Ez El-Deen, M., & Sayed, S. (2013). Effect of a designed nursing protocol on nurse’s knowledge and practice regarding Intravenous Therapy. Assiut Scientific Nursing Journal, 1(1), 130–138. https://doi.org/10.21608/asnj.2013.57392
Timby, B. K., & Smith, N. E. (2014). Introductory Medical-Surgical Nursing. In Google Books. Lippincott Williams & Wilkins.
Westbrook, J. I., Rob, M. I., Woods, A., & Parry, D. (2011). Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience. BMJ Quality & Safety, 20(12), 1027–1034. https://doi.org/10.1136/bmjqs-2011-000089
Yasuda, H., Rickard, C. M., Marsh, N., Yamamoto, R., Kotani, Y., Kishihara, Y., ... & Abe, T. (2022). Risk factors for peripheral intravascular catheter-related phlebitis in critically ill patients: analysis of 3429 catheters from 23 Japanese intensive care units. Annals of Intensive Care, 12(1), 1-13. https://doi.org/10.1186/s13613-022-01009-5
Ying, C. X., Yusuf, A., & Keng, S. L. (2020). Perceptions of risk factors for phlebitis among Malaysian nurses. British Journal of Nursing, 29(2), S18–S23. https://doi.org/10.12968/bjon.2020.29.2.s18
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 The Malaysian Journal of Nursing (MJN)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.