The Development of Clinical Nursing Practice Guidelines for Patients with Peripheral Intravenous Catheters in the Inpatient Department of Kae Dam Hospital, MahaSarakham Province
Abstract
Abstract
The objective of this developmental research is to enhance clinical nursing practices and evaluate the outcomes of using clinical nursing practices for patients with peripheral intravenous catheters in the inpatient department of Kae Dam Hospital, Maha Sarakham Province. The study utilizes the framework for developing clinical practice from the National Health and Medical Research Council (NHMRC) of Australia. The study sample consists of 10 experienced professional nurses who administer peripheral intravenous catheters from the inpatient department, with at least 1 year of work experience. A total of 20 individuals were involved in testing and evaluating the feasibility of the clinical practice. The study was conducted from October 2022 to September 2023, and data were collected using questionnaires to assess the feasibility of the clinical nursing practices for patients who have received endovascular therapy. The content validity of the study was verified by three qualified individuals, and their feedback was used to make improvements and additions to the content. After the modifications, the practices were implemented and the data were analyzed using descriptive statistic.
The results revealed that the clinical nursing practices for patients with peripheral intravenous catheters at Kae Dam Hospital consisted of 8 components, including 1) prepping before administering the intravenous fluid, 2) hand hygiene and aseptic technique, 3) skin preparation, 4) needle insertion for the intravenous fluid, 5) monitoring during the intravenous fluid therapy, 6) changing needles and sets for intravenous fluid therapy, 7) dressing changes, and 8) post-intravenous fluid therapy care. The majority of professional nurses using these practices were aged between 25 - 39 years, with 80% having more than 5 years of experience. 70% had knowledge about peripheral intravenous catheters, and 100% were able to assess the feasibility of the practices. The clarity of recommendations in the practices and the practicality of implementing them in the unit were rated highly at 95%. Feedback on the use of the practices indicated convenience, suitability for implementation, cost-effectiveness, and problem-solving abilities, all rated at 100%. This study suggests that the developed clinical nursing practices for patients with peripheral intravenous catheters can be effectively implemented in practice.
Keywords : Development, Clinical Nursing Practice Guidelines, Patients with Peripheral Intravenous Catheters
