Effect of implementing a bundle of care for peripheral intravenous catheter on Nurses 'Performance at the pediatric Intensive Care Unit

Abstract

Introduction: A care bundle is a collection of evidence-based interventions that have been proved to improve patient care and clinical outcomes significantly. Aim of the study was to evaluate the effect of implementing a bundle of care for peripheral intravenous on nurses' performance in the pediatric intensive care unit. Quasi experimental research design was used. Subjects and Method: Sixty nurses who were responsible for providing care for children who received peripheral venous catheter infusion or medication (Pediatric Intensive Care Unit of Tanta Main University Hospital. Also, sixty pediatric patients who had peripheral venous catheters were included 30 children before, immediately after, and 30 children after one month from the care bundle implementation. Three tools were used to collect data: A structured interview schedule about peripheral Intravenous Catheter care bundle, an observation Checklist for Peripheral Intravenous Catheter Bundle of Care, and a Visual Infusion Phlebitis Grading Scale (V.I.P). Results: Revealed that the total scores of nurses' knowledge and practice for most of the participated nurses were improved immediately after and after one month. Also, according to visual Infusion phlebitis grading scales (VIP), phlebitis was encountered among more than three-fifths of studied children and there was a significant improvement immediately after and after one month.