Improving Adherence to Peripheral Intravenous Catheter Standards in Emergency Departments
Peripheral intravenous catheters (PIVCs) are essential in emergency care, but suboptimal practices can lead to serious patient complications. In 2021, Australia introduced the Peripheral Intravenous Catheter Clinical Care Standard to help standardize these practices. However, recent studies show that many emergency department clinicians are still not adhering to these guidelines.
Study Overview
This qualitative study, conducted in 2023, explored the barriers and facilitators influencing the adherence to the PIVC Clinical Care Standard among clinicians in two Australian emergency departments. The research was guided by the Behaviour Change Wheel (BCW) framework, which helped map out key influences on clinician behavior.
Methodology
Through semi-structured interviews with 25 doctors and nurses, researchers identified nine key subthemes that affect PIVC standard adherence. The study used both deductive and inductive approaches to analyze the data, focusing on the specific behaviors and challenges faced by emergency department staff.
Findings
The main barriers to adhering to the PIVC Standard included the stressful and fast-paced environment of emergency departments, insufficient training and education, and the absence of feedback mechanisms. On the other hand, facilitators included recognition of suboptimal practices, belief in patient engagement, and a desire among clinicians to improve their practices.
Conclusion
Adherence to the PIVC Clinical Care Standard in emergency departments is influenced by multiple complex factors. By addressing the identified barriers and leveraging facilitators, healthcare organizations can improve compliance with the Standard. The study's recommendations provide a roadmap for future implementation projects aimed at promoting best practices in PIVC use.
Implications for Patient Care
Improving adherence to clinical standards is crucial for reducing patient complications and ensuring high-quality care. This study highlights the importance of creating a supportive environment where clinicians receive proper training and feedback to encourage optimal PIVC practices.
Authors: Hui (Grace) Xu, Julie Bowdery, Yeng To, Jed Duff, Bronwyn Griffin, Amanda J Ullman, Claire M Rickard, Karin Plummer
Read More: https://pubmed.ncbi.nlm.nih.gov/39253763/
