Vascular Access Management in Inpatients Based on the Vessel Health and Preservation Model
Dublin Core
Title
Vascular Access Management in Inpatients Based on the Vessel Health and Preservation Model
Subject
device, infusions,
intravenous, vascular,
vascular catheters
intravenous, vascular,
vascular catheters
Description
Introduction: Maintaining vascular access is a complex process that involves
various clinical factors, the competence of healthcare staff—particularly
nurses—and the products used in treatment. Administering drug and fluid
therapy through the intravenous route is intricate and carries significant
risks of complications. Therefore, the Vessel Health and Preservation (VHP)
model approach is crucial for administering effective therapy. To date, no
studies have been conducted on comprehensive vascular access
management in Indonesia. This study aimed to describe vascular access
management in inpatient care using the VHP Model.
Methods: Using an accidental sampling technique, the study employed a
descriptive design, with 224 nurses from two private hospitals in Indonesia
serving as respondents. The instrument was an observation sheet, and data
collection was conducted on 224 vascular access installations in patients,
based on observations made in March 2024. The data were analyzed using
descriptive statistics.
Results: Vascular access management, including the four quadrants in the
VHP model, is critical to apply because phlebitis complications still
occurred in 17 (7.59%) of 224 cases, and only 181 (80.80%) of intravenous
access insertions were successful on the first puncture.
Conclusion: These results indicate the need for ongoing nurse education and
training in vascular access management. The complexity of administering
drug and fluid therapy through the intravenous route, with a reasonably
high risk of complications, requires an approach model that can be used in
administering therapy through the intravenous route.
various clinical factors, the competence of healthcare staff—particularly
nurses—and the products used in treatment. Administering drug and fluid
therapy through the intravenous route is intricate and carries significant
risks of complications. Therefore, the Vessel Health and Preservation (VHP)
model approach is crucial for administering effective therapy. To date, no
studies have been conducted on comprehensive vascular access
management in Indonesia. This study aimed to describe vascular access
management in inpatient care using the VHP Model.
Methods: Using an accidental sampling technique, the study employed a
descriptive design, with 224 nurses from two private hospitals in Indonesia
serving as respondents. The instrument was an observation sheet, and data
collection was conducted on 224 vascular access installations in patients,
based on observations made in March 2024. The data were analyzed using
descriptive statistics.
Results: Vascular access management, including the four quadrants in the
VHP model, is critical to apply because phlebitis complications still
occurred in 17 (7.59%) of 224 cases, and only 181 (80.80%) of intravenous
access insertions were successful on the first puncture.
Conclusion: These results indicate the need for ongoing nurse education and
training in vascular access management. The complexity of administering
drug and fluid therapy through the intravenous route, with a reasonably
high risk of complications, requires an approach model that can be used in
administering therapy through the intravenous route.
Creator
Marisa Junianti Manik1*, Fiolenty Sitorus1, Yulia S1, Aryanto Kaburito2, Nurochman
Rizal2, Cicilia2, Gita Amelia3, Stevanie Yelti3, Dian Astari3, Haidy Anesta4
Rizal2, Cicilia2, Gita Amelia3, Stevanie Yelti3, Dian Astari3, Haidy Anesta4
Source
https://doi.org/10.37363/bnr.2025.63505
Date
22 July 2025
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Marisa Junianti Manik1*, Fiolenty Sitorus1, Yulia S1, Aryanto Kaburito2, Nurochman
Rizal2, Cicilia2, Gita Amelia3, Stevanie Yelti3, Dian Astari3, Haidy Anesta4, “Vascular Access Management in Inpatients Based on the Vessel Health and Preservation Model,” Repository Horizon University Indonesia, accessed April 15, 2026, https://repository.horizon.ac.id/items/show/11919.