Preferred Name

Heather Galang

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

DOI

https://doi.org/10.25885/etd/dnp201019/11

Date of Graduation

Fall 2017

Document Type

Dissertation

Degree Name

Doctor of Nursing Practice (DNP)

Department

School of Nursing

Advisor(s)

Erica Lewis

Linda Hulton

Sharon Zook

Abstract

Peripheral intravenous catheters (PIVC) are used in high volume in acute and ambulatory settings. Due to high volume of use in patient care, complications from a PIVC can significantly impact patient experience. Literature indicates complications such as blood exposure, phlebitis, unplanned removal, infiltration, occlusion, dwell time, pain, and cost have serious consequences in patient care, leading to potential delays in treatment, patient discomfort, patient dissatisfaction, safety concerns, nursing interruptions, increased length of stay, and added costs. Gap analysis indicates additional research can prove beneficial for evidence-based care improvement. The authors propose using the plan, do, study, act to conduct a feasibility study of a multi-center, randomized-controlled trial (RCT), evaluating three different PIVC systems to compare outcomes. The purpose of this pilot was to determine the feasibility of assessing nurse and patient outcomes related to the use of three different types of PIVC, and to pilot implementation of a RCT prior to the expansion of the study to other facilities, which comparatively evaluated outcomes between two closed PIVC systems and an open PIVC system.

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