Effects of using the Clinical Nursing Practice Guideline for Preventing of Complications from Peripheral Intravenous Administration of Increased Blood Pressure Agents
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Abstract
Abstract
This quasi-experimental study aimed to evaluate the effects of a nursing practice guideline for preventing complications from peripheral intravenous administration of vasopressor and inotropic agents. The study compared the incidence of complications between a control group and an experimental group receiving care based on the guideline, and also examined nurses’ satisfaction with its use. The sample consisted of patients receiving vasopressors (norepinephrine, epinephrine, and dopamine) and an inotrope (dobutamine) via peripheral intravenous lines in intensive and semi-critical care units at Nopparat Rajathanee Hospital. Participants were selected using purposive sampling, with 36 patients in each group. Data were collected using a complication record form for four medications, with a content validity index of 0.88. The intervention was a nursing practice guideline developed from a literature review. Data were analyzed using descriptive statistics and independent t-test.
The results showed no statistically significant differences in the incidence of phlebitis and extravasation between the two groups (t = 0.607, p = 0.263; t = 0.439, p = 0.330). However, the experimental group showed a lower incidence of complications, with phlebitis and extravasation rates of 8.30% and 13.90%, compared to 16.70% for both conditions in the control group. The severity of complications was also lower in the experimental group. No cases of grade 4 phlebitis were observed, and grade 4 extravasation occurred in only 2.80% of patients.
The findings indicate that the nursing practice guideline has the potential to reduce both the incidence and severity of complications, although it does not eliminate them completely. Nurses reported a high level of satisfaction with the guideline. The guideline may be applied in clinical practice to improve patient safety and the quality of nursing care.
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References
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