Factors impacting emergency department clinicians’ peripheral
intravenous catheter practice: A qualitative analysis
Dublin Core
Title
Factors impacting emergency department clinicians’ peripheral
intravenous catheter practice: A qualitative analysis
intravenous catheter practice: A qualitative analysis
Subject
Guideline adherence
Emergency department
Peripheral intravenous catheter
Vascular access
Survey
Qualitative analysi
Emergency department
Peripheral intravenous catheter
Vascular access
Survey
Qualitative analysi
Description
Background: Peripheral intravenous catheters (PIVCs) are commonly used devices in emergency departments
(EDs), and yet relatively little is known about factors influencing Australian clinicians’ adherence to the national
PIVC quality and safety Standard.
Aims: To explore attitudes and experiences of ED clinicians around PIVC insertion and care processes.
Methods: This study used an exploratory qualitative approach to analyse written responses to open-ended
questions included in an online national (mixed data) survey. Snowballing methods were used to gather responses. Deductive analysis was used to analyse open-ended questions regarding practice and Standard
adherence.
Results: There were 340 written responses, mainly from nurses in public EDs, who reported suboptimal practices
regarding idle catheters, lack of patient participation in care, antecubital fossa insertion, multiple insertion attempts, inadequate site preparation, poor documentation and insufficient review of PIVC. The main factors
inhibiting ED clinicians from adhering to the Standard includes inadequate knowledge, perceptions of infeasibility, disbelief in evidence, ambiguous responsibilities, habitual practice, insufficient training, lack of recognition of good practice and inadequate engagement.
Conclusion: The factors that impact ED clinicians’ PIVC Standard adherence are complex and multifactorial.
Strategies and interventions are needed to facilitate the implementation of the Standard into daily practice and
achieve sustainable behaviour change
(EDs), and yet relatively little is known about factors influencing Australian clinicians’ adherence to the national
PIVC quality and safety Standard.
Aims: To explore attitudes and experiences of ED clinicians around PIVC insertion and care processes.
Methods: This study used an exploratory qualitative approach to analyse written responses to open-ended
questions included in an online national (mixed data) survey. Snowballing methods were used to gather responses. Deductive analysis was used to analyse open-ended questions regarding practice and Standard
adherence.
Results: There were 340 written responses, mainly from nurses in public EDs, who reported suboptimal practices
regarding idle catheters, lack of patient participation in care, antecubital fossa insertion, multiple insertion attempts, inadequate site preparation, poor documentation and insufficient review of PIVC. The main factors
inhibiting ED clinicians from adhering to the Standard includes inadequate knowledge, perceptions of infeasibility, disbelief in evidence, ambiguous responsibilities, habitual practice, insufficient training, lack of recognition of good practice and inadequate engagement.
Conclusion: The factors that impact ED clinicians’ PIVC Standard adherence are complex and multifactorial.
Strategies and interventions are needed to facilitate the implementation of the Standard into daily practice and
achieve sustainable behaviour change
Creator
Hui Grace Xu a,b,c,d,e,*
, Amanda J. Ullman a,e,f,g
, Claire M. Rickard a,c,e,f,h
, Amy Johnston f,i
, Amanda J. Ullman a,e,f,g
, Claire M. Rickard a,c,e,f,h
, Amy Johnston f,i
Source
https://pdf.sciencedirectassets.com/276922/1-s2.0-S1755599X23X00068/1-s2.0-S1755599X23001052/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjEJr%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJHMEUCIETIJPIcxenMR0DUOAyWkpU8HyYAZJ02D32%2F2HmNUYd8AiEApP%2BTvmHPTnE1ETwAhRCc90JFcHHmtBgSr8C7ocKbQJIqvAUIg%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARAFGgwwNTkwMDM1NDY4NjUiDDj4czSzpMQD2DYzQSqQBX7fdH4YGEqmijtGDgwYqv43P3lz4Dm7mUSshycDR3nW%2FsVhnc0ylNISisKd1XVCAjvGB6G70DYksVZoxYEDSHIPlGbksY07O7wvjpdsKmlqVwxJM06Fv%2FfXh0ZtUgn55DkqfFM5AfV3etLdc0oe4ni3JIfVXfRruzbKaRJw%2FDyfQzBIibs23da02KuiSB7Il6psNNbZIC%2FKdZMWZT98V2quTKKc1zIZg%2FDMGarYAE6lrKSxJVp9cHBLocTGp6Jk94FhFBrC1CN7bTUwCgm5BVLWdXKS81A01PA0oC6%2FGWUM4LQvLgqbdl2zdRGm9sZN68zwCYiBSQUvPhCNVHevJDacZTjJtfKu9MIO07cA0p0YkrySLKrKBifLOsk3kSWpO5PQwS8UmgUguxu0aLvk6OhfxKhcJpa%2Bd4YgSoY591MiEMcv2O7lU3CqwKbNkA6p4d%2F%2BnKZxcjBg66aHwLBYPATZNDfRjUPCJtxGRzm%2BiZVvAIlCTT7A0uuFauWa3KfWDmEUJTym8NoPgxBYVlfA1rqvxikuYLiscxkp4Vdx%2BKUq6WXwAdQmA02Rk6V0SLf4jLgREMzwq5O1NQHXrlFVoiTM0jVbdppBZkYVDdzTLVQQwxepyuakM%2FHqh0LTiG%2FdCl3ttXqTMHHuIToGD0iv9vJxiyUiy7Y1AOZ%2FabsXtX9Eo4QLW17RxkusZ%2FDt9j4unClY%2FV73SPSBVA6syRTVCmsqVdjBNYrktOaO6eWMtZRIudr2BRm0195zb1cck%2BptGjNC8ecKCll6qPxZbEDkgTAIVxjjrKUJhK0irHFPB%2FdvKARASEU7fvyvY3CF9QFL2nxiW%2FlNs5JxOuZgkIxR%2Fzmj8ybgp38O%2FH0wnRZvgTL%2BMLyyyMIGOrEBn9DZk2Ri7WaHEDWF0UintnUwfY23H%2B8n9%2BSyPFE0zgdczmF6YqV6deMbuAacndBRPj%2FS2LRRw1cuq3UGRU9od%2B8EZnVMzUMZmR1ggXtMbN8SSepcEfy1acT%2FYVSZrkp52Zc3EVXmQbfxun5F2Gbz4UrRMAnyIM5xyZCR%2BOmvm%2FOe0UBP7krEuyiDzVIHPtTbdduZZTwakEMLCYHl0Sa0X4Ccgqre6CyQ6PmKTVVwYcd1&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20250618T022924Z&X-Amz-SignedHeaders=host&X-Amz-Expires=300&X-Amz-Credential=ASIAQ3PHCVTY6KCKWDAD%2F20250618%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=3cbfbe53fad24fd3d14dc8eb4d0a9f423b75d3c61d2629ffe1b5eb9f984f3473&hash=b397fc69c2fed856a0b7b1ffd6b9fbdc13cc6e897d97324983dd9667fb04c471&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S1755599X23001052&tid=spdf-1c007171-d8a9-4035-b7cd-2e2be9cb0c64&sid=14b8a1eb7498d34787591540b87a02ee8336gxrqb&type=client&tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&rh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&ua=13025d5355575206060355&rr=95175bdc6fdcb5db&cc=id
Publisher
a NHMRC Centre of Research Excellence (CRE) in Wiser Wound Care, Menzies Health Institute, Queensland, Griffith University, Nathan, Brisbane, Queensland, Australia b School of Nursing and Midwifery, Queensland University of Technology, Kelvin Grove, Brisbane, Queensland, Australia c Centre of Clinical Nursing, Royal Brisbane and Women’s Hospital, Herston, Brisbane, Queensland, Australia d Emergency Department, Queen Elizabeth II Jubilee Hospital, Brisbane, Queensland, Australia e Alliance for Vascular Access Teaching and Research, Schools of Nursing and Midwifery and Pharmacy and Medical Sciences, Griffith University, Brisbane, Australia f School of Nursing, Midwifery and Social Work, The University of Queensland, Brisbane, Queensland, Australia g Children’s Health Queensland Hospital and Health Service, Brisbane, Queensland, Australia h Herston Infectious Diseases Institute, Metro North Health, Herston, Brisbane, Australia i Emergency Department, Princess Alexandra Hospital, Woolloongabba, Brisbane, Queensland, Australia
Date
23 september 2023
Contributor
Fajar bagus W
Format
PDF
Language
English
Type
Text
Website Item Type Metadata
Local URL
https://pdf.sciencedirectassets.com/276922/1-s2.0-S1755599X23X00068/1-s2.0-S1755599X23001052/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjEJr%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJHMEUCIETIJPIcxenMR0DUOAyWkpU8HyYAZJ02D32%2F2HmNUYd8AiEApP%2BTvmHPTnE1ETwAhRCc90JFcHHmtBgSr8C7ocKbQJIqvAUIg%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARAFGgwwNTkwMDM1NDY4NjUiDDj4czSzpMQD2DYzQSqQBX7fdH4YGEqmijtGDgwYqv43P3lz4Dm7mUSshycDR3nW%2FsVhnc0ylNISisKd1XVCAjvGB6G70DYksVZoxYEDSHIPlGbksY07O7wvjpdsKmlqVwxJM06Fv%2FfXh0ZtUgn55DkqfFM5AfV3etLdc0oe4ni3JIfVXfRruzbKaRJw%2FDyfQzBIibs23da02KuiSB7Il6psNNbZIC%2FKdZMWZT98V2quTKKc1zIZg%2FDMGarYAE6lrKSxJVp9cHBLocTGp6Jk94FhFBrC1CN7bTUwCgm5BVLWdXKS81A01PA0oC6%2FGWUM4LQvLgqbdl2zdRGm9sZN68zwCYiBSQUvPhCNVHevJDacZTjJtfKu9MIO07cA0p0YkrySLKrKBifLOsk3kSWpO5PQwS8UmgUguxu0aLvk6OhfxKhcJpa%2Bd4YgSoY591MiEMcv2O7lU3CqwKbNkA6p4d%2F%2BnKZxcjBg66aHwLBYPATZNDfRjUPCJtxGRzm%2BiZVvAIlCTT7A0uuFauWa3KfWDmEUJTym8NoPgxBYVlfA1rqvxikuYLiscxkp4Vdx%2BKUq6WXwAdQmA02Rk6V0SLf4jLgREMzwq5O1NQHXrlFVoiTM0jVbdppBZkYVDdzTLVQQwxepyuakM%2FHqh0LTiG%2FdCl3ttXqTMHHuIToGD0iv9vJxiyUiy7Y1AOZ%2FabsXtX9Eo4QLW17RxkusZ%2FDt9j4unClY%2FV73SPSBVA6syRTVCmsqVdjBNYrktOaO6eWMtZRIudr2BRm0195zb1cck%2BptGjNC8ecKCll6qPxZbEDkgTAIVxjjrKUJhK0irHFPB%2FdvKARASEU7fvyvY3CF9QFL2nxiW%2FlNs5JxOuZgkIxR%2Fzmj8ybgp38O%2FH0wnRZvgTL%2BMLyyyMIGOrEBn9DZk2Ri7WaHEDWF0UintnUwfY23H%2B8n9%2BSyPFE0zgdczmF6YqV6deMbuAacndBRPj%2FS2LRRw1cuq3UGRU9od%2B8EZnVMzUMZmR1ggXtMbN8SSepcEfy1acT%2FYVSZrkp52Zc3EVXmQbfxun5F2Gbz4UrRMAnyIM5xyZCR%2BOmvm%2FOe0UBP7krEuyiDzVIHPtTbdduZZTwakEMLCYHl0Sa0X4Ccgqre6CyQ6PmKTVVwYcd1&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20250618T022924Z&X-Amz-SignedHeaders=host&X-Amz-Expires=300&X-Amz-Credential=ASIAQ3PHCVTY6KCKWDAD%2F20250618%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=3cbfbe53fad24fd3d14dc8eb4d0a9f423b75d3c61d2629ffe1b5eb9f984f3473&hash=b397fc69c2fed856a0b7b1ffd6b9fbdc13cc6e897d97324983dd9667fb04c471&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S1755599X23001052&tid=spdf-1c007171-d8a9-4035-b7cd-2e2be9cb0c64&sid=14b8a1eb7498d34787591540b87a02ee8336gxrqb&type=client&tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&rh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&ua=13025d5355575206060355&rr=95175bdc6fdcb5db&cc=id
Citation
Hui Grace Xu a,b,c,d,e,*
, Amanda J. Ullman a,e,f,g
, Claire M. Rickard a,c,e,f,h
, Amy Johnston f,i , “Factors impacting emergency department clinicians’ peripheral
intravenous catheter practice: A qualitative analysis,” Repository Horizon University Indonesia, accessed June 18, 2025, https://repository.horizon.ac.id/items/show/9540.
intravenous catheter practice: A qualitative analysis,” Repository Horizon University Indonesia, accessed June 18, 2025, https://repository.horizon.ac.id/items/show/9540.