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Lisa Jacobs EBP paper for OhioLink.pdf (1.67 MB)

ETD Abstract Container

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Peripheral IV Insertion Competence and Confidence in Medical/Surgical Nurses

Jacobs, Lisa
http://orcid.org/0000-0001-5949-1471
http://rave.ohiolink.edu/etdc/view?acc_num=msjdn1588803002744564

Abstract Details

2020, Doctor of Nursing Practice, Mount St. Joseph University, Department of Nursing.
Medical surgical nurses vary in their ability to insert and assess peripheral IVs. Literature supports general lack of education in this area. The use of a blended online learning module and live simulation has been found to increase peripheral IV insertion confidence and competence (Schuster Stahl, Murray, & Glover, 2016; Schuster, Stahl, Murray, Keleekai & Glover, 2016). Internal application of a blended curriculum model for nurses indicates improved first attempt IV insertion success. Three online modules focusing on the standards of care of peripheral IV insertion, infection prevention and documentation, as well as phlebitis assessment for IVs previously inserted were completed followed by a simulation IV competence session. Student volunteers served as the patients with a practice forearm attached to the arm for cannulation. This live interaction aided in simulating a real IV insertion and assessment experience and required the learners to interact with the patient in describing the procedure. The Peripheral Intravenous Cather Insertion Confidence Assessment (validated tool) was completed by participants (n=38) pre intervention, immediately post intervention and 30 days post intervention. A Mann-Whitney U test was completed and determined that nurses’ confidence was significantly higher immediately following the intervention compared to pre intervention (p=0.003) and the increase was sustained 30 days after the intervention (p<0.001). While placing an IV in simulation, the observer measured competence by verifying 28 steps required, with a 76% success rate for all 28 steps. 24% missed one step with the majority being failure to label the dressing with date, time and initials. Nurses’ self-reported first attempt peripheral IV success increased significantly from the pre intervention survey to the 30-day post intervention survey (p=0.00004). While significant, additional dissemination with hospital wide application is recommended.
Nancy Hinzman, Dr (Committee Chair)
66 p.
Nursing
Peripheral IV; competence; confidence; simulation; PIV; intravenous; IV;

Recommended Citations

Citations

  • Jacobs, L. (2020). Peripheral IV Insertion Competence and Confidence in Medical/Surgical Nurses [Doctoral dissertation, Mount St. Joseph University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=msjdn1588803002744564

    APA Style (7th edition)

  • Jacobs, Lisa. Peripheral IV Insertion Competence and Confidence in Medical/Surgical Nurses . 2020. Mount St. Joseph University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=msjdn1588803002744564.

    MLA Style (8th edition)

  • Jacobs, Lisa. "Peripheral IV Insertion Competence and Confidence in Medical/Surgical Nurses ." Doctoral dissertation, Mount St. Joseph University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=msjdn1588803002744564

    Chicago Manual of Style (17th edition)

msjdn1588803002744564
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© 2020, all rights reserved.
This open access ETD is published by Mount St. Joseph University Dept. of Nursing and OhioLINK.