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Do nurses change a child´s peripheral intravenous catheter when clinically indicated?
Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
2015 (English)In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 35, no 1-2, p. 54-56Article in journal (Refereed) Published
Abstract [sv]

Syfte. Syftet med studien var att undersöka om sjuksköterskor byter barns perifera venkateter vid klinisk indikation. Bakgrund. Att sätta en perifer venkateter är en vanligt förekommande procedur på sjukhus idag men detta kan vara smärtsamt och traumatiskt för barn. Det finns gudielines för när dessa ska bytas när det gäller vuxna men inga sådana riktlinjer för barn kunde identifieras. En Cochrane review från 2010 konkluderade att den perifera venkatetern ska bytas när det finns en klinisk indikation. Detta innebär vid tromboflebit men även vid smärta, rodnad, infiltration, svullnad läckage och ocklusion. Metod. Designen var prospektiv och observerande. Dagliga observationer gjordes på sjukhuset av en av forskarna och noteringar gjordes i ett protokoll. Resultat. Trettiotre barn med sammalagt 47 perifera venkatetrar deltog och 104 observationer gjordes. Sammanlagt utvecklade 42% (14/33) av barnen komplikationer. Bland de barn som fick grad 2 och 3 bytade sjuksköterskan inte den perifera venkatetern när det fanns klinisk indikation. Konklusion. Denna studie visar att tromboflebit kan utvecklas bland barn med en perifer venkateter och att den inte bytades när det fanns klinisk indikation. Det är de professionellas ansvar att reducera smärtsamma upplevelser för barn i samband med sjukhusvistelse och ytterligare forskning kring sjuksköterskors kliniska beslut behöver göras.

Abstract [en]

Aim. The aim of this study was to investigate if nurses change a child´s peripheral intravenous catheter when clinically indicated. Background. Today, inserting a peripheral intravenous catheter is a common procedure in hospital care, but this can be a painful and traumatic for children. There are guidelines when to change the peripheral catheter in adults, but no similar guidelines was found concerning children. A Cochrane review from 2010 concludes that the policy should be to change the peripheral intravenous catheter when clinically indicated. This includes phlebitis, but also pain, redness, infiltration swelling, leakage and blockage. Method. The design was prospective and observational. Daily observations were made at the hospital by one of the researchers and notes were made in a protocol. Findings. Thirty-three children with a total of 47 peripheral intravenous catheters participated, and 104 observations were made. Of the children, 42 % (14/33)developed complications. Among the children with phlebitis grad 2 and 3 the nurses did not change the peripheral intravenous catheter when clinically indicated. Conclusion. This study shows that phlebitis occurs in children with a peripheral intravenous catheter and the PIC were not changed when clinically indicated. It is the professional´s responsibility to reduce the painful experiences for children during hospital care, and more research concerning nurses´ clinical decisions needs to be conducted

Place, publisher, year, edition, pages
Sage Publications, 2015. Vol. 35, no 1-2, p. 54-56
Keywords [en]
children, guidelines, nurses, phlebitis
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mau:diva-3964DOI: 10.1177/0107408314564513Local ID: 18918OAI: oai:DiVA.org:mau-3964DiVA, id: diva2:1400788
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2020-06-02Bibliographically approved

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