Jsmc-10275

ASSESSMENT OF PERIPHERAL INTRAVENOUS CANNULA INSERTION PRACTICE AMONG HEALTH CARE WORKERS OF SULAIMANI SURGICAL TEACHING HOSPITAL, SULAIMANI, IRAQ

Khunaw A. Ahmed a and Nizar M. T. Hamawandi b

a Department of Adult, College of Nursing, University of Sulaimani, Kurdistan Region, Iraq.

b Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

Submitted: 12/1/2020; Accepted: 1/12/2020; Published: 21/12/2020

DOI Link: https://doi.org/10.17656/jsmc.10275

ABSTRACT

Background

Cannula insertion is done to provide venous access for therapeutic purposes such as administration of fluids, medications, chemotherapy, and blood products. Health care workers involved in the care of intravenous access devices must be competent because the skill level is critical in reducing and preventing complications.

Objectives

To assess the practice of the health care workers regarding intravenous cannula insertion and to find out the association between practice and socio-demographic characteristics.

Methods

An observational descriptive study was done in which a sample of health care workers in three operation theatres and 8 surgical wards of Sulaimani surgical teaching hospital during the period of 15th September 2018 up to the end of April 2019. The study sample was chosen by a convenience sample technique. Data were collected by direct interview and observation, through a questionnaire that consists of 9 items, and an observational checklist which consists of three parts with 82 items. Data were analyzed by SPSS (Statistical Package for Social Sciences) version 24.

Results

The majority of the health care workers were female (66.7%), between age group (41-50) years (56.9%), nursing institute graduate (47.1%), have been employed for more than 21 years (39.2%), equipment preparation and patient preparation practice among health care workers were low (22.7%), health care workers who performed the cannula insertion procedure properly were (34.6%), documentation and post-procedure care for the cannula insertion by the health care workers were (22.7%). The study showed that there were no significant associations between the health care worker’s gender, age, level of education, and years of employment and their practice.

Conclusion

This study showed a practice deficit in most items of cannula insertion practice regarding the preparation of the equipment and preparation of the patient, cannula insertion procedure, and post-procedure care of waste and documentation. We recommend the arrangement of special training sessions for the health care workers.

KEYWORDS

Assessment; Cannula insertion; Practice; Surgical Teaching Hospital.

References

1. Gil Z. Intravenous Cannulation. Emedicine.medscape. 2019;(4): 5-21.

2. Lavery I. a Review of the Chain of Infection. British Journal of Nursing. 2010;19(19): 8-12.

3. Panadero A, Iohom G, Taj J, Mackay N, Shorten G. A dedicated intravenous cannula for postoperative use: Effect on incidence and severity of phlebitis. Anesthesia. 2002;57(9): 921-5.

4. Ghazali A, Arbaee I. Nurses Knowledge and Practice towards Care and Maintenance of Peripheral. Research Gate. 2018;(5): 608-614.

5. Morris W. Strategies for preventing peripheral intravenous cannula infection. British Journal of Nursing. 2014;17(8):S14-21

6. Osti C, Khadka M, Wosti D, Gurung G, Zhao Q. Knowledge and practice towards care and maintenance of peripheral intravenous cannula among nurses in Chitwan Medical College Teaching Hospital, Nepal. Nursing Open. 2019;(2): 1-7.

7. Jones R, Simmons A, Boykin L, Stamper D, Thompson C. Measuring Intravenous Cannulation Skills of Practical Nursing Students Using Rubber Mannequin Intravenous Training Arms. Military Medicine. 2014;19(11);1361-7.

8. Jabbar M, Afzal M, Kousar R, Waqas A, Gillani S, Rizwan R. Assess Nurses Knowledge and Practices towards Care and Maintenance of Peripheral Intravenous Cannulation in Services Hospital Lahore, Pakistan. Research Gate. 2017;3(6): 608-614.

9. Juszczakiewicz P, Dykowska G, Czerw A. Patient’s safety as regard to realization of procedures related to short-term i.v. peripheral venous access devices use by midwives. Journal of Public Health and Medical Rescue. 2018;(3): 45-50.

10. Craven RF, Hirnle CJ, Sharon J. Fundamentals of nursing: Human health and function. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. (2009). 510-518.

11. Dillon MF, Curran J, Martos R, Walsh C, Walsh J, Al-Azawi D, et al. Factors that affect longevity of intravenous cannulas: A prospective study. An International Journal of Medicine. 2008;101(9):731-5.

12. Best-Abhiram H, Francis C, Nelson-Castillo M, Kissoon-Ramesar Y, Lalla-Mathara B, Onuoha P. Use of Intravenous Cannula in Patient Management : Practices of Health Workers at a Teaching Hospital in Trinidad. Asian Journal of Science and Technology. 2016;7(1):2178–91.

13. Wallis MC, McGrail M, Webster J, Marsh N, Gowardman J, Playford EG, et al. Risk Factors for Peripheral Intravenous Catheter Failure: A Multivariate Analysis of Data from a Randomized Controlled Trial. Infection Control Hospital Epidemiology. 2014;35(01):63–68.

14. Abolfotouh MA, Salam M, Bani-Mustafa A, White D, Balkhy HH. Prospective study of incidence and predictors of peripheral intravenous catheter-induced complications. Therapeutics and clinical risk management. 2014;10:993–1001.

15. Carr PJ, Glynn RW, Dineen B, Devitt D, Flaherty G, Kropmans TJ, et al. Interns’ attitudes to IV cannulation: a KAP study. British Journal of Nursing. 2014;20(4):S15–20.

16. Hossain AM, Hasan MIA, Haque M. Assessment of the Level of Knowledge and Practice on Intravenous Cannulization among Staff Nurses of Selected Tertiary Care Hospital in Dhaka City. MOJ Public Health. 2016;4(5):156–159.

17. Soifer NE, Borzak S, Edlin BR, Weinstein RA, Reese M. Prevention of Peripheral Venous Catheter Complications with an Intravenous Therapy Team. Archives of Internal Medicine. 1998;158(318):473–7.

18. Osei-Tutu E, Tuoyire DA, Debrah S, Ayetey H. Peripheral intravenous cannulation and phlebitis risk at Cape Coast teaching hospital. Postgraduate Medical Journal of Ghana. 2015;4(1): 8–11.

19. Makafi S, Marfega M. Peripheral Intravenous Catheter (PIVC) Related Local Complications among Patients in KFCH-Jizan. Advanced Practices in Nursing. 2017;02(03):2–4.

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