Associated factors with nursing practices related to peripheral intravenous catheters in pediatrics: a cross-sectional study
DOI:
https://doi.org/10.12957/reuerj.2026.92398Keywords:
Patient Safety, Pediatric Nursing, Nursing Care, Catheterization, PeripheralAbstract
Objective: to verify factors influencing nursing team care practices related to peripheral intravenous catheter assessment, infection prevention, and complication assessment during medication administration. Method: cross-sectional, analytical study. The sample consisted of 360 observations of intravenous medication administrations through peripheral intravenous catheters in a Pediatric Inpatient Unit. Descriptive analysis was performed, and risk ratios with 95% Confidence Intervals were calculated. A p-value ≤0.05 was considered significant. Results: adherence to catheter-related practices varied. However, only hand hygiene showed a statistically significant difference. Professionals with >20 years since graduation (94.2% adherence), additional training (92.1%), and ≥10 years of experience in the unit (93.8%) showed greater adherence to hand hygiene, with statistically relevant results (p <0.05). Conclusion: weaknesses related to catheter necessity assessment, proper disinfection performance, and complication assessment were identified.
References
1. Privitera D, Bassi E, Airoldi C, Capsoni N, Innocenti G, Molin AD. Effectiveness of short peripheral intravenous catheter educational programmes to improve clinical outcomes protocol for a systematic review. MethodsX. 2023 [cited 2025 April 08]; 11:102352. DOI: https://doi.org/10.1016/j.mex.2023.102352.
2. Takashima M, Gibson V, Borello E, Galluzzo L, Gill FJ, Kinney S, et al. Pediatric invasive device utility and harm: a multi-site point prevalence survey. Pediatr Res. 2024 [cited 2025 April 08]; 96(1):148-58. DOI: https://doi.org/10.1038/s41390-023-03014-1.
3. Marsh N, Larsen EN, Ullman AJ, Mihala G, Cooke M, Chopra V, et al. Peripheral intravenous catheter infection and failure: a systematic review and meta-analysis. Int J Nurs Stud. 2024 [cited 2025 April 08]; 151:104673. DOI: https://doi.org/10.1016/j.ijnurstu.2023.104673.
4. Indarwati F, Mathew S, Munday J, Keogh S. Incidence of peripheral intravenous catheter failure and complications in paediatric patients: systematic review and meta-analysis. Int J Nurs Stud. 2020 [cited 2025 April 11]; 102:103488. DOI: https://doi.org/10.1016/j.ijnurstu.2019.103488.
5. Ullman AJ, Takashima M, Kleidon T, Ray-Barruel G, Alexandrou E, Rickard CM. Global pediatric peripheral intravenous catheter practice and performance: a secondary analysis of 4206 catheters. J Pediatr Nurs. 2020 [cited 2025 April 09]; 50:e18-25. DOI: https://doi.org/10.1016/j.pedn.2019.09.023.
6. Chu CH, Liu CC, Lai CY, Chen YC, Tien CH, Hsieh KH, et al. New dimension on potential factors of successful pediatric peripheral intravenous catheterization. Pediatr Neonatol. 2023 [cited 2025 April 09]; 64(1):19-25. DOI: https://doi.org/10.1016/j.pedneo.2022.05.011.
7. Santos MLBM, Castro ADRV, Almeida AP, Fraga APM, Costa AA. Assessment interval scale for peripheral intravenous catheters in pediatrics: a convergent care research study. Rev Enferm Ref. 2023 [cited 2025 April 18]; 6(2):e30864. DOI: https://doi.org/10.12707/RVI23.54.30864.
8. Kaphan K, Auypornsakul S, Somno J, Wongwattananan W, Jamsittikul K, Baicha W, et al. The prevalence and associated factors of peripheral intravenous complications in a Thai hospital. J Infus Nurs. 2024 [cited 2025 April 18]; 47(2):120-31. DOI: https://doi.org/10.1097/nan.0000000000000538.
9. Nickel B, Gorski L, Kleidon T, Kyes A, DeVries M, Keogh S, et al. Infusion therapy standards of practice, 9th edition. J Infus Nurs. 2024 [cited 2025 April 08]; 47(1S Suppl 1):S1-S285. DOI: https://doi.org/10.1097/nan.0000000000000532.
10. Walker RM, Pires MPO, Ray-Barruel G, Cooke M, Mihala G, Azevedo SS, et al. Peripheral vascular catheter use in Latin America (the vascular study): a multinational cross-sectional study. Front Med. 2023 [cited 2025 April 11]; 9:1039232. DOI: https://doi.org/10.3389/fmed.2022.1039232.
11. Silva TL, Ray-Barruel G, Ullman A, Takashima M, Kusahara DM, de Souza S, et al. Impact of the I-DECIDED tool to improve peripheral intravenous catheter care in paediatrics: interrupted time-series study. J Adv Nurs. 2024 [cited 2025 April 14]; 81:5329–5341. DOI: https://doi.org/10.1111/jan.16458.
12. Ray-Barruel G, Chopra V, Fulbrook P, Lovegrove J, Mihala G, Wishart M, et al. The impact of a structured assessment and decision tool (I-DECIDED®) on improving care of peripheral intravenous catheters: a multicenter, interrupted time-series study. Int J Nurs Stud. 2023 [cited 2025 April 14]; 148:104604. DOI: https://doi.org/10.1016/j.ijnurstu.2023.104604.
13. Silva TL, Ray-Barruel G, Ullman A, Rocha PK. I-DECIDED®-Brazil: cross-cultural adaptation of an assessment and decision-making tool for peripheral intravenous catheter. Texto Contexto Enferm. 2024 [cited 2025 April 14]; 33:e20230279. DOI: https://doi.org/10.1590/1983-1447.2024.20230263.en.
14. Silva BSM, Santos LM, Rocha PK, Silva AVS, Avelar AFM, Kusahara DM. Demographic profile, training and practical experience of professionals performing peripheral intravenous catheterization in Brazil. Texto Contexto Enferm. 2023 [cited 2025 April 11]; 32:e20220335. DOI: https://doi.org/10.1590/1980-265X-TCE-2022-0335en.
15. Indarwati F, Munday J, Keogh S. Peripheral intravenous catheter insertion, maintenance and outcomes in Indonesian paediatric hospital settings: a point prevalence study. J Pediatr Nurs. 2023 [cited 2025 April 11]; 73:106-12. DOI: https://doi.org/10.1016/j.pedn.2023.08.009.
16. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008 [cited 2025 March 28]; 61(4):344-9. DOI: https://doi.org/10.1016/j.jclinepi.2007.11.008.
17. Dutra HS, Reis VN. Experimental and quasi-experimental study designs: definitions and challenges in nursing research. Rev Enferm UFPE Online. 2016 [cited 2025 March 22]; 10(6):2230-41. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/viewFile/11238/12840.
18. Silva LH, Oliveira AAS. Contribuições do projeto piloto à coleta de dados em pesquisas na área de educação. Rev Iberoam Estud Educ. 2015 [cited 2025 March 22]; 10(1):225-45. DOI: https://doi.org/10.21723/riaee.v10i1.7584.
19. Kefale D, Baih SZ, Ayenew YE. Practice towards care and maintenance of peripheral intravenous cannula among nurses and midwives in teaching hospitals, Amhara, Ethiopia. Pan Afr Med J. 2024 [cited 2025 June 01]; 48:166. DOI: https://doi.org/10.11604/pamj.2024.48.166.43279.
20. Pittiruti M, Van Boxtel T, Scoppettuolo G, Carr P, Konstantinou E, Ortiz Miluy G, et al. European recommendations on the proper indication and use of peripheral venous access devices (the ERPIUP consensus): a WoCoVA project. J Vasc Access. 2023 [cited 2025 June 03]; 24(1):165-82. DOI: https://doi.org/10.1177/11297298211023274.
21. Høvik LH, Gjeilo KH, Ray-Barruel G, Lydersen S, Børseth AW, Gustad LT. Aligning peripheral intravenous catheter quality with nursing culture: a mixed method study. J Clin Nurs. 2024 [cited 2025 June 04]; 33(7):2593-608. DOI: https://doi.org/10.1111/jocn.17179.
22. Silva TL, Santos LM, Kusahara DM, Burciaga LVB, Dalcin CB, Souza S, et al. Factors associated with the disinfection of devices attached to peripheral intravenous catheters performed by the nursing team in pediatric units. J Infect Prev. 2024 [cited 2025 June 05]; 25(3):66-72. DOI: https://doi.org/10.1177/17571774241231675.
23. Harun MGD, Anwar MMU, Sumon SA, Mohona TM, Hassan MZ, Rahman A, et al. Hand hygiene compliance and associated factors among healthcare workers in selected tertiary-care hospitals in Bangladesh. J Hosp Infect. 2023 [cited 2025 June 01]; 139:220-7. DOI: https://doi.org/10.1016/j.jhin.2023.07.012.
24. Constantinou D, Leontiou I, Mpouzika M, Michail K, Middletton N, Merkouris A. Health care workers’ knowledge and perceptions on WHO hand hygiene guidelines, and the perceived barriers to compliance with hand hygiene in Cyprus. BMC Nurs. 2024 [cited 2025 June 03]; 23:644. DOI: https://doi.org/10.1186/s12912-024-02181-8.
25. Manzo BF, Duarte ED, Felizardo MJA, Vimieiro VL, Sá NFV, Sá RFC, et al. Knowledge and practices for central line infection prevention among Brazilian nurses: a mixed-methods study. Adv Neonatal Care. 2022 [cited 2025 June 03]; 22(2):180-7. DOI: https://doi.org/10.1097/anc.0000000000000893.
26. Biazus-Dalcin C, Sincero TCM, Zamparette CP, Tartari DC, de Souza S, Silva TL, et al. Efficacy of disinfection procedures to reduce Acinetobacter baumanii blaOXA-23 contamination rate of needleless connectors: an in-vitro study. Infect Prev Pract. 2024 [cited 2025 June 05]; 6(1):100328. DOI: https://doi.org/10.1016/j.infpip.2023.100328.
27. Bitencourt AS, Silva TL, Souza S, Moura JWS, Santos L, Silva BSM, et al. Effects of the TIV-Disinfect educational intervention in pediatric units: a quasi-experimental study. Rev Gaucha Enferm. 2024 [cited 2025 June 05]; 45(esp1):e20230237. DOI: https://doi.org/10.1590/1983-1447.2024.20230237.en.
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Taynarianne Ferreira Alves, Thiago Lopes Silva, Jefferson Wildes da Silva Moura, Aline de Souza Bitencourt, Sabrina de Souza, Isadora Silva de Souza, Luciano Marques dos Santos, Patrícia Kuerten Rocha
This work is licensed under a Creative Commons Attribution 4.0 International License.
When publishing in Revista Enfermagem UERJ, the authors declare that the work is their exclusive authorship and therefore assume full responsibility for its content.
Authors retain copyright to their article and agree to license their work using a Creative Commons Attribution International Public License (CC BY), thereby accepting the terms and conditions of this license (https://creativecommons.org/licenses/by/4.0/legalcode.en), which allows material created by the author to be distributed, copied and displayed by third parties. The original work must be cited and present a link to the article available on the website of the journal in which it was published.
The Copyright of the articles published in Revista Enfermagem UERJ belongs to their respective author(s), with the rights of first publication assigned to Revista Enfermagem UERJ, with the work simultaneously licensed under a Creative Commons License CC BY, which allows sharing of work with recognition of authorship and initial publication in this journal.
The authors grant Revista Enfermagem UERJ the right of first publication, to identify themselves as the original publisher of the work and grant the magazine a license of non-exclusive rights to use the work in the following ways:
- Sell and/or distribute the work in printed copies and/or electronic format;
- Distribute parts and/or the work as a whole with the aim of promoting the magazine through the internet and other digital and printed media;
- Record and playback work in any format, including digital media.
In line with the journal's policies, each published article will be assigned a Creative Commons Attribution (CC BY) license.
