Pediatr. praxi. 2023;24(2):132-134 | DOI: 10.36290/ped.2023.038
Monitoring of nursing care for peripheral intravenous access in hospitalized children
- Ústav ošetřovatelství a porodní asistence Lékařské fakulty Ostravské univerzity
Objective: The objective of the study was to determine how nursing care for peripheral intravenous access is performed in hospitalized children.
Methodology: As part of an observational study, nursing care for inserted peripheral venous catheters (PVC) was monitored using the PIVC-mini Q evaluation tool in 209 children aged 6 to 11 years. The research was carried out in seven hospitals of the Moravian-Silesian Region from July 2021 to March 2022. The evaluation was performed by trained nurses in the respective departments.
Results: It was found that nursing care for children's intravenous access is performed by nurses based on their personal experience. Intravenous access in children was often kept despite pain at the insertion site, catheters were often covered with dirt and peeling, hardening of the vein behind the insertion site and increased temperature at the insertion site were also observed. On the other hand, the nurses properly recorded the performed nursing care for PVC in the medical documentation and appropriately chose the size of the introduced catheters. Almost half of the nurses chose the correct place to insert the PVC (back of the hand). The other nurses chose an unsuitable place for the application of PVC, specifically the elbow pit and the wrist.
Conclusion: The study monitored the nursing care of PVC in hospitalized children using the PIVC-mini Q. Some findings are a good indicator of the areas in which it is appropriate to carry out training of medical personnel, which should lead to the achievement of a satisfactory prevention of complications that can arise from improper nursing care of intravenous access.
Keywords: nursing care, peripheral venous catheter, children, nurses, PIVC-mini Q.
Accepted: March 31, 2023; Published: April 5, 2023 Show citation
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