Exploring Nursing Culture's Impact on Peripheral Intravenous Catheter Care

A recent study dives into the intricacies of peripheral intravenous (IV) catheter care and how nursing culture influences adherence to best practices. Led by a team of healthcare professionals this research sheds light on crucial factors shaping nurses' practices in this critical area.

Methodology:

Between March 2021 and March 2022, the study used the Peripheral Intravenous Catheter mini questionnaire (PIVC-miniQ) across 41 wards in a Norwegian tertiary hospital, assessing 566 catheters in 448 patients. This screening revealed variations in care quality between wards, leading to in-depth interviews with 24 nurses to understand the underlying reasons.

Key Findings:

The study highlighted the significant impact of ward culture on nursing practices and patient outcomes related to IV catheters. 

Four main themes emerged:

1. Deviation from best practice: Standardized protocols are needed to ensure consistent adherence to evidence-based guidelines.
2. Gaps in education and training: Ongoing education is crucial, addressing deficiencies in nursing education regarding catheter care.
3. Quality variation between wards: Uniform standards and continuous monitoring are essential to reduce variations in care quality.
4. The importance of supportive leadership: Effective leadership is vital, emphasizing the need for supportive environments and role models.

Implications and Impact:

The study recommends addressing educational gaps and fostering supportive leadership, including appointing local champions, to enhance patient safety and nursing practice quality. 

In conclusion, this study provides actionable insights to improve nursing practices and patient outcomes by aligning quality standards with nursing culture, emphasizing continuous education, and supporting effective leadership. Its adherence to rigorous reporting standards further strengthens the credibility of its findings and recommendations.

Read More: https://onlinelibrary.wiley.com/doi/10.1111/jocn.17179 

Authors: Lise Husby Høvik RN, MSc, Kari Hanne Gjeilo RN, PhD, Gillian Ray-Barruel RN, PhD, Stian Lydersen PhD, Anita Wang Børseth RN, MPH, Lise Tuset Gustad RN, PhD