Developing Nursing Practice Guidelines for Prevention Peripheral Intravenous Infection

Abstract

Phlebitis, septicemia, and die are complication after treating peripheral intravenous infusion. To decrease the complication, this research aimed to develop a nursing practice guideline to prevent infection from peripheral intravenous infusion. The sample consisted of 12 professional nurses and 38 patients who were admitted to the male surgical ward. Instruments included a plan to develop nursing practice guidelines to prevent infection from peripheral intravenous infusion and a questionnaire. The questionnaire included demographic data, knowledge, practice observation form, and surveillance of infection from peripheral intravenous infusion. Data were analyzed by using descriptive and Mac Nemar statistics. The results showed that the problems of sample group were lack of knowledge review, lack of equipment support, and lack of continuous surveillance system. Thus, guideline for the prevention of infection from peripheral intravenous infusion was developed. The guideline included providing knowledge review via video media, training workshop, producing electronic book, arranging the system for monitoring of phlebitis in record form, and creating an innovative reminder wheel including distributing leaflets to patients and relatives. After the experiment, there were significant for knowledge, for some items of practice, and for the infection rate from peripheral intravenous infusion (p < .05, .01, and .01 respectively). This study can be used as basic information and guidelines for developing an infectious surveillance system from providing peripheral intravenous infusion to suit the context of each ward at hospitals