Nurses’ Perception of Risk Factors of Phlebitis Associated with Peripheral Intravenous Catheter: A Cross-Sectional Study

Authors

  • Azlina Daud Department of Medical Surgical Nursing, Kulliyyah of Nursing, International Islamic University Malaysia, Pahang, Malaysia
  • Noor Isnani Mohd Zaki KMI Kuala Terengganu Medical Centre, Terengganu, Malaysia

DOI:

https://doi.org/10.31436/ijcs.v7i2.381

Keywords:

Phlebitis, Perception, Peripheral intravenous catheter, Risk factor, Nurse

Abstract

Background: Phlebitis is a main complication of peripheral intravenous catheters. Nurses play an important role in identifying the risk factors of phlebitis in order to reduce the incidence of phlebitis. The purpose of this study is to determine nurses' perceptions of the risk factors for phlebitis.

Methods: This cross-sectional study was conducted in Hospital Tengku Ampuan Afzan and a random sample of hospital nurses was recruited. 269 participants were involved in this study. All participants are required to answer the questionnaire which divided into two sections, section A regarding socio-demographic background and section B about perception on the risk factors of phlebitis that consist of ten multiple choice questions.

Results: The results showed majority of nurses, 75.8% (204), agreed that phlebitis is a significant problem, while 23.0% (62) thought phlebitis is a moderate problem, and only 1.1% (3) of nurses agreed that phlebitis is a minor problem. Nurses recognized some risk factors for phlebitis; however, more than half of the nurses were unaware that cannula material, size of the cannula, and the characteristics of fluid and drug can affect the development of phlebitis.

Conclusion: The study showed that nurses did not fully perceive the risk factors of phlebitis. However, they were knowledgeable about certain risk factors such as the duration for cannula replacement and the insertion site of the cannula. These findings indicate ongoing training for nurses in peripheral intravenous catheter (PIVC) management and education about the risk factors of phlebitis are necessary.

References

Keogh S, Mathew S, Alexandrou E, Bulmer AC, Cooke M, Coventry L, et al. Peripheral intravenous catheters: A review of guidelines and research 1 Peripheral intravenous catheters: A review of guidelines and research [Internet]. 2019. Available from: www.safetyandquality.gov.au

Mandal A, Raghu K. Study on incidence of phlebitis following the use of pherpheral intravenous catheter. J Family Med Prim Care [Internet]. 2019;8(9). Available from: https://journals.lww.com/jfmpc/fulltext/2019/08090/study_on_incidence_of_phlebitis_following_the_use.14.aspx

Marsh N, Webster J, Larsen E, Cooke M, Mihala G, Rickard CM. Observational Study of Peripheral Intravenous Catheter Outcomes in Adult Hospitalized Patients: A Multivariable Analysis of Peripheral Intravenous Catheter Failure. J Hosp Med [Internet]. 2018 Feb 1;13(2):83–9. Available from: https://doi.org/10.12788/jhm.2867

Milutinovi? D, Simin D, Zec D. Risk factor for phlebitis: A questionnaire study of nurses’ perception. Rev Lat Am Enfermagem. 2015 Jul 1;23(4):677–84.

Li X, Liu W, Qin Y. Nurses? perception of risk factors for infusion phlebitis?A cross-sectional ?survey. Chinese Nursing Research [Internet]. 2016;3:37–40. Available from: https://api.semanticscholar.org/CorpusID:76073886

Ku? B, Büyüky?lmaz F. Effectiveness of vialon biomaterial versus teflon catheters for peripheral intravenous placement: A randomized clinical trial. Jpn J Nurs Sci [Internet]. 2020;e12328. Available from: https://api.semanticscholar.org/CorpusID:211231877

O’Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO, et al. Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis. 2011 May;52(9).

Mermel LA. Prevention of long-term catheter-related bloodstream infection with prophylactic antimicrobial lock solutions: why so little use? Clinical Microbiology and Infection. 2023 Mar 1;29(3):288–90.

Simões AMN, Vendramim P, Pedreira MLG. Risk factors for peripheral intravenous catheter-related phlebitis in adult patients*. Revista da Escola de Enfermagem. 2022;56.

Downloads

Published

2024-07-31

How to Cite

Daud, A., & Mohd Zaki, N. I. . (2024). Nurses’ Perception of Risk Factors of Phlebitis Associated with Peripheral Intravenous Catheter: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF CARE SCHOLARS, 7(2), 11–16. https://doi.org/10.31436/ijcs.v7i2.381

Most read articles by the same author(s)