Evidence-Informed Development of a Bundle for Peripheral Intravenous Catheterization in Portugal: A Delphi Consensus Study
Contrary to many international settings, there are no clinical guidelines for peripheral intravenous catheter (PIVC) insertion and maintenance in Portugal. We sought to derive an international consensus on a PIVC bundle that could guide Portuguese nurses’ clinical decision-making in this scope. Meth...
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MDPI AG
2022-07-01
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| Series: | Nursing Reports |
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| Online Access: | https://www.mdpi.com/2039-4403/12/3/47 |
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| author | Paulo Santos-Costa Filipe Paiva-Santos Liliana B. Sousa Rafael A. Bernardes Filipa Ventura Anabela Salgueiro-Oliveira Pedro Parreira Margarida Vieira João Graveto |
| author_facet | Paulo Santos-Costa Filipe Paiva-Santos Liliana B. Sousa Rafael A. Bernardes Filipa Ventura Anabela Salgueiro-Oliveira Pedro Parreira Margarida Vieira João Graveto |
| author_sort | Paulo Santos-Costa |
| collection | DOAJ |
| description | Contrary to many international settings, there are no clinical guidelines for peripheral intravenous catheter (PIVC) insertion and maintenance in Portugal. We sought to derive an international consensus on a PIVC bundle that could guide Portuguese nurses’ clinical decision-making in this scope. Methods: Two international vascular access specialist groups participated in an online Delphi panel. During the first round, specialists (<i>n</i> = 7) were sent a summary report from a previous observational study conducted in a surgical ward in Portugal. Based on the report findings, specialists were asked to provide five to eight PIVC insertion and maintenance interventions. Then, another set of specialists (<i>n</i> = 7) scored and revised the recommendations until a consensus was reached (≥70% agreement). The PIVC bundle was made available and discussed with the surgical ward’s nurses. Results: After three rounds, a consensus was achieved for five evidence-informed interventions: (i) involve the person and assess the peripheral venous network; (ii) maintain an aseptic no-touch technique; (iii) ensure proper catheter dressing and fixation; (iv) perform catheter flush & lock; (v) test the peripheral venous catheter’s functionality and performance at each shift. Conclusion: The final version of the PIVC bundle achieved consensus among international experts. Despite the positive feedback provided by the ward nurses, future studies are warranted to assess its effectiveness in standardizing PIVC care delivery and its potential implications for care outcomes in Portuguese clinical settings. |
| first_indexed | 2024-03-09T22:57:23Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2039-439X 2039-4403 |
| language | English |
| last_indexed | 2024-03-09T22:57:23Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nursing Reports |
| spelling | doaj.art-aedaf45caeec4162ae6b495ad08b93b92023-11-23T18:09:20ZengMDPI AGNursing Reports2039-439X2039-44032022-07-0112349850910.3390/nursrep12030047Evidence-Informed Development of a Bundle for Peripheral Intravenous Catheterization in Portugal: A Delphi Consensus StudyPaulo Santos-Costa0Filipe Paiva-Santos1Liliana B. Sousa2Rafael A. Bernardes3Filipa Ventura4Anabela Salgueiro-Oliveira5Pedro Parreira6Margarida Vieira7João Graveto8The Health Sciences Research Unit: Nursing, Nursing School of Coimbra, 3004-011 Coimbra, PortugalThe Health Sciences Research Unit: Nursing, Nursing School of Coimbra, 3004-011 Coimbra, PortugalThe Health Sciences Research Unit: Nursing, Nursing School of Coimbra, 3004-011 Coimbra, PortugalThe Health Sciences Research Unit: Nursing, Nursing School of Coimbra, 3004-011 Coimbra, PortugalThe Health Sciences Research Unit: Nursing, Nursing School of Coimbra, 3004-011 Coimbra, PortugalThe Health Sciences Research Unit: Nursing, Nursing School of Coimbra, 3004-011 Coimbra, PortugalThe Health Sciences Research Unit: Nursing, Nursing School of Coimbra, 3004-011 Coimbra, PortugalInstituto Ciências da Saúde, Universidade Católica Portuguesa, 4169-005 Porto, PortugalThe Health Sciences Research Unit: Nursing, Nursing School of Coimbra, 3004-011 Coimbra, PortugalContrary to many international settings, there are no clinical guidelines for peripheral intravenous catheter (PIVC) insertion and maintenance in Portugal. We sought to derive an international consensus on a PIVC bundle that could guide Portuguese nurses’ clinical decision-making in this scope. Methods: Two international vascular access specialist groups participated in an online Delphi panel. During the first round, specialists (<i>n</i> = 7) were sent a summary report from a previous observational study conducted in a surgical ward in Portugal. Based on the report findings, specialists were asked to provide five to eight PIVC insertion and maintenance interventions. Then, another set of specialists (<i>n</i> = 7) scored and revised the recommendations until a consensus was reached (≥70% agreement). The PIVC bundle was made available and discussed with the surgical ward’s nurses. Results: After three rounds, a consensus was achieved for five evidence-informed interventions: (i) involve the person and assess the peripheral venous network; (ii) maintain an aseptic no-touch technique; (iii) ensure proper catheter dressing and fixation; (iv) perform catheter flush & lock; (v) test the peripheral venous catheter’s functionality and performance at each shift. Conclusion: The final version of the PIVC bundle achieved consensus among international experts. Despite the positive feedback provided by the ward nurses, future studies are warranted to assess its effectiveness in standardizing PIVC care delivery and its potential implications for care outcomes in Portuguese clinical settings.https://www.mdpi.com/2039-4403/12/3/47catheterizationperipheralnursesbundleconsensus |
| spellingShingle | Paulo Santos-Costa Filipe Paiva-Santos Liliana B. Sousa Rafael A. Bernardes Filipa Ventura Anabela Salgueiro-Oliveira Pedro Parreira Margarida Vieira João Graveto Evidence-Informed Development of a Bundle for Peripheral Intravenous Catheterization in Portugal: A Delphi Consensus Study Nursing Reports catheterization peripheral nurses bundle consensus |
| title | Evidence-Informed Development of a Bundle for Peripheral Intravenous Catheterization in Portugal: A Delphi Consensus Study |
| title_full | Evidence-Informed Development of a Bundle for Peripheral Intravenous Catheterization in Portugal: A Delphi Consensus Study |
| title_fullStr | Evidence-Informed Development of a Bundle for Peripheral Intravenous Catheterization in Portugal: A Delphi Consensus Study |
| title_full_unstemmed | Evidence-Informed Development of a Bundle for Peripheral Intravenous Catheterization in Portugal: A Delphi Consensus Study |
| title_short | Evidence-Informed Development of a Bundle for Peripheral Intravenous Catheterization in Portugal: A Delphi Consensus Study |
| title_sort | evidence informed development of a bundle for peripheral intravenous catheterization in portugal a delphi consensus study |
| topic | catheterization peripheral nurses bundle consensus |
| url | https://www.mdpi.com/2039-4403/12/3/47 |
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