DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20203086

Study of knowledge, attitude and practice of peripheral intravenous cannulation among interns at Mc Gann teaching district hospital, Shivamogga: a descriptive cross-sectional study

Vedavathi Hanumaiah, Eshanu H. Shastry, Shreenivas Revankar

Abstract


Background: Peripheral intravenous cannulation (PIVC) is a first-choice vascular device, commonly performed clinical skill by junior medical doctors and interns in hospital. Improper technique of PIVC can lead to pain, stress, increased chance of infection. Thus, practising the appropriate PIVC technique is vital for interns. This study is conducted to analyse the understanding and necessity for training required to perform accurate PIVC. The objective of this descriptive cross-sectional study was conducted to determine and identify the level of knowledge, attitude and practice regarding PIVC among the interns of Mc Gann teaching district hospital, Shivamogga.

Methods: A validated structured questionnaire containing 20 questions regarding PIVC in knowledge, attitude and practice (KAP) format was distributed in hand among 109 interns affiliated to this institution. Descriptive statistics were used to illustrate the results in the form of number and percentage. Chi- square and one-way ANOVA was used to analyse the result. SPSS 21.0 was used.

Results: 74% of the participating interns had proper knowledge about the vein commonly used for PIVC. Only 39% of the interns answered that PIVC was an aseptic technique. 108 participants had knowledge about the common complication due to PIVC which is thrombophlebitis. 2/3rd of the interns was supervised on their first PIVC procedure by a nurse. 94.4% of the interns were instructed regarding the hand washing technique during PIVC.

Conclusions: Need for learning module and training programs to ensure the interns have knowledge PIVC technique, complications and management.


Keywords


Peripheral intravenous cannulation, Thrombophlebitis, Hand washing technique

Full Text:

PDF

References


Decker K, Ireland S, O’Sullivan L, Boucher S, Kite L, Rhodes D, et al. Peripheral intravenous catheter insertion in the Emergency Department. Australasian Emergency Nursing J. 2016;19(3):138-42.

Plumb AA, Murphy G. The use of central venous catheters for intravenous contrast injection for CT examinations. British J Radiology. 2011;84(999):197-203.

Martin M, Satterly S, Inaba K, Blair K. Does needle thoracostomy provide adequate and effective decompression of tension pneumothorax. J Trauma Acute Care Surg. 2012;73(6):1412-7.

Alexandrou E, Barruel RG, Carr PJ, Frost S, Inwood S, Higgins N, et al. International prevalence of the use of peripheral intravenous catheters. J Hospital Medicine. 2015;10(8):530-3.

Newswire PR. Global peripheral I.V. catheter market 2014-2018. Available at http://www.prnewswire.com/news-releases/global- peripheral-iv-catheter-market-2014-2018-257019061.html. Accessed on 28 April 2015.

O’grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO, et al. Guidelines for the prevention of intravascular catheter-related infections. Clin Infectious Diseases. 2011;52(9):162-93.

Peripheral intravenous catheter (PIVC). Available at https://www.health.qld.gov.au/__data/assets/pdf_file/0025/444490/icare-pivc-guideline.pdf. Accessed on 20 October 2018.

Mavillard BI, Calero RMA, Gomez PJ, Garcia PG, Fernandez FI, Sanchez CE. Incidence of peripheral intravenous catheter failure among inpatients: variability between microbiological data and clinical signs and symptoms. Anti-microbial Resistance Infection Control. 2019;8(1):124.

Makafi SA, Marfega MA. Peripheral Intravenous Catheter (PIVC) Related Local Complications among Patients in KFCH-Jizan. Adv Practice Nurs. 2017;2(138):2573-347.

Lawshe CH. A quantitative approach to content validity. Personnel Psychology. 1975;28(4):563-75.

Carr PJ, Glynn RW, Dineen B, Devitt D, Flaherty G, Kropmans TJ, et al. Interns attitudes to IV cannulation: a KAP study. British J Nursing. 2011;20(4):15-20.

Elm VE, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Annals Internal Med. 2007;147(8):573-7.

Abolfotouh MA, Salam M, Mustafa ABDW, Balkhy HH. Prospective study of incidence and predictors of peripheral intravenous catheter-induced complications. Therapeutics Clin Risk Management. 2014;10:993.

Ganeshan A, Warakaulle DR, Uberoi R. Central venous access. Cardiovascular Interventional Radiology. 2007;30(1):26-33.

Alexandrou E, Barruel GR, Carr PJ, Dip HE, Niall Higgins N, Lin F, et al. Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide. J Hosp Med. 2018.

Portal MR. Peripheral intravenous (IV) device management. R Child. 1997;70:99-101.

Ortega R, Sekhar P, Song M, Hansen CJ, Peterson L. Peripheral intravenous cannulation. N Engl J Med. 2008;359(21):26-9.

Lee S, Kim K, Kim JS. A Model of Phlebitis Associated with Peripheral Intravenous Catheters in Orthopedic Inpatients. Int J Environmental Res Public Health. 2019;16(18):3412.

Urbanetto JD, Peixoto CG, May TA. Incidence of phlebitis associated with the use of peripheral IV catheter and following catheter removal. Revista latino-americana de enfermagem. 2016;24.

Kaur P, Rickard C, Domer GS, Glover KR. Dangers of Peripheral Intravenous Catheterization: The Forgotten Tourniquet and Other Patient Safety Considerations. Vignettes Patient Safety. 2019;4.

Clohert J, Eichenwald E, Hansen A, Stark A. Manual of intensive care. Lippincott Williams and Wilkins; 2012.