Intervención educativa sobre catéter intravenoso periférico con I-DECIDED® en el conocimiento de profesionales de enfermería pediátrica
DOI:
https://doi.org/10.5902/2179769293111Palabras clave:
Cateterismo Periférico, Enfermería Pediátrica, Toma de Decisiones Clínicas, Infecciones Relacionadas con Catéteres, Educación en SaludResumen
Evaluar el efecto de una intervención educativa basada en la herramienta I-DECIDED® sobre el conocimiento de profesionales de enfermería pediátrica acerca del catéter intravenoso periférico. Estudio cuasiexperimental, de tipo antes y después, realizado en una unidad de hospitalización pediátrica en el Sur de Brasil, con la participación de 27 profesionales de enfermería, entre 2023 y 2024. La recolección de datos se llevó a cabo en dos etapas: preintervención y postintervención. Se aplicó un cuestionario pre y postintervención compuesto por 49 preguntas, de las cuales 19 fueron analizadas en este estudio, abordando complicaciones, prevención de infecciones y cobertura/estabilización del catéter intravenoso periférico. La intervención educativa incluyó presentación teórica de la herramienta I-DECIDED®, simulación de baja fidelidad y disponibilidad de materiales educativos. Se observó un aumento de aciertos postintervención en 11 (68,8%) de las preguntas relacionadas con la evaluación del catéter intravenoso periférico. En las preguntas de autoevaluación, todas las respuestas evolucionaron de “de acuerdo parcialmente” a “totalmente de acuerdo”. La intervención educativa basada en la herramienta I-DECIDED® resultó en aumento de las respuestas correctas después de la intervención, lo que indica una mejora en el conocimiento de los profesionales sobre complicaciones, prevención de infecciones y cobertura/estabilización del catéter intravenoso periférico.
Descargas
Citas
Kleidon TM, Schults J, Rickard CM, Ullman AJ. Techniques and technologies to improve peripheral intravenous catheter outcomes in pediatric patients: systematic review and meta-analysis. J Hosp Med. 2021;16(12):742-50. doi: 10.12788/jhm.3718. DOI: https://doi.org/10.12788/jhm.3718
Panepinto R, Harris J, Wellette J. A review of best practices related to intravenous line management for nurses. Nurs Clin North Am. 2021;56(3):389-99. doi: 10.1016/j.cnur.2021.05.001. DOI: https://doi.org/10.1016/j.cnur.2021.05.001
Arreguy-Sena C, Lemo RCPB, Brandão MAG, Salgueiro-Oliveira AS, Braga LM, Krempser P. Incidence and type of peripheral vascular trauma in people undergoing diagnostic imaging exams. Referência. 2020;V(2):e19061. doi: 10.12707/RIV19061. DOI: https://doi.org/10.12707/RIV19061
Kleidon TM, Takashima M, Rickard CM, Schults JA, Bulmer AC, Ullman AJ. A prospective cohort study of technique and technology used to improve first time PICV insertion success in hospitalised paediatric patients. J Adv Nurs. 2025;81(10):6486-503. doi: 10.1111/jan.16795. DOI: https://doi.org/10.1111/jan.16795
Zingg W, Barton A, Bitmead J, Eggimann P, Pujol M, Simon A, et al. Best practice in the use of peripheral venous catheters: a scoping review and expert consensus. Infect Prev Pract. 2023;5(2):100271. doi: 10.1016/j.infpip.2023.100271. DOI: https://doi.org/10.1016/j.infpip.2023.100271
Lv L, Zhang J. The incidence and risk of infusion phlebitis with peripheral intravenous catheters: a meta-analysis. J Vasc Access. 2020;21(3):342-9. doi: 10.1177/1129729819877323. DOI: https://doi.org/10.1177/1129729819877323
Pinto KCO, Souza PR, Oliveira TC. Measures of prevention and control of infection associated with the use of venous catheter peripheral and central. Revisa [Internet]. 2021 Oct 10 [cited 2025 Mar 21];10(4):684-96. Available from: https://rdcsa.emnuvens.com.br/revista/article/view/337. DOI: https://doi.org/10.36239/revisa.v10.n4.p684a696
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;47(1S Suppl 1):S1-S285. doi: 10.1097/NAN.0000000000000532. DOI: https://doi.org/10.1097/NAN.0000000000000532
Charters B, Foster K, Lawton B, Lee L, Byrnes J, Mihala G, et al. Novel peripheral intravenous catheter securement for children and catheter failure reduction: a randomized clinical trial. JAMA Pediatr. 2024;178(5):437-45. doi: 10.1001/jamapediatrics.2024.0167. DOI: https://doi.org/10.1001/jamapediatrics.2024.0167
Corley A, Marsh N, Ullman AJ, Rickard CM. Peripheral intravenous catheter securement: an integrative review of contemporary literature around medical adhesive tapes and supplementary securement products. J Clin Nurs. 2023;32(9-10):1841-57. doi: 10.1111/jocn.16237. DOI: https://doi.org/10.1111/jocn.16237
Agência Nacional de Vigilância Sanitária (ANVISA). Nota Técnica GVIMS/GGTES/DIRE3/ANVISA Nº 04/2022: Práticas seguras para a prevenção de incidentes envolvendo cateter intravenoso periférico em serviços de saúde [Internet]. Brasília (DF): ANVISA; 2017 [acesso em 2025 mar 21]. Disponível em: https://portaldeboaspraticas.iff.fiocruz.br/atencao-recem-nascido/nt4-cateter-intravenoso-anvisa-2022/.
Ray-Barruel G, Cooke M, Mitchell M, Chopra V, Rickard CM. Implementing the I-DECIDED clinical decision-making tool for peripheral intravenous catheter assessment and safe removal: protocol for an interrupted time-series study. BMJ Open. 2018;8(6):e021290. doi: 10.1136/bmjopen-2017-021290. DOI: https://doi.org/10.1136/bmjopen-2017-021290
Ray-Barruel G, Cooke M, Chopra V, Mitchell M, Rickard CM. The I-DECIDED clinical decision-making tool for peripheral intravenous catheter assessment and safe removal: a clinimetric evaluation. BMJ Open. 2020;10(1):e035239. doi: 10.1136/bmjopen-2019-035239. DOI: https://doi.org/10.1136/bmjopen-2019-035239
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;148:104604. doi: 10.1016/j.ijnurstu.2023.104604. DOI: https://doi.org/10.1016/j.ijnurstu.2023.104604
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;33:e20230279. doi: 10.1590/1980-265X-TCE-2023-0279pt. DOI: https://doi.org/10.1590/1980-265x-tce-2023-0279pt
Silva TL, Ray-Barruel G, Ullman A, Takashima M, Kusahara DM, 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. 2025;81(9):5329-5341. doi: 10.1111/jan.16458. DOI: https://doi.org/10.1111/jan.16458
Jarlais DCD, Lyles C, Crepaz N; TREND Group. Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND statement. Am J Public Health. 2004;94(3):361-6. doi: 10.2105/ajph.94.3.361. DOI: https://doi.org/10.2105/AJPH.94.3.361
Haynes AB, Haukoos JS, Dimick JB. TREND Reporting guidelines for nonrandomized/quasi-experimental study designs. JAMA Surg. 2021;156(9):879-80. doi: 10.1001/jamasurg.2021.0552. DOI: https://doi.org/10.1001/jamasurg.2021.0552
Bitencourt AS, Silva TL, Souza S, Moura JWS, Santos LM, Silva BSM, et al. Effects of the TIV-Disinfect educational intervention in pediatric units: a quasi-experimental study. Rev Gaúcha Enferm. 2024;45(esp1):e20230237. doi: 10.1590/1983-1447.2024.20230237.pt. DOI: https://doi.org/10.1590/1983-1447.2024.20230237.pt
Vieira NNP, Vasques CI, Reis PED, Ciol MA. Educational intervention to improve management of totally implanted vascular access device. Acta Paul Enferm. 2024;37:eAPE02872. doi: 10.37689/acta-ape/2024AO0002872. DOI: https://doi.org/10.37689/acta-ape/2024AO00028722
Almeida ACN, Pires MH, Santana IS, Salgado PO, Toledo LV, Parreira P, et al. Effectiveness of an educational intervention for the prevention of peripheral venous catheter. Cogitare Enferm. 2022;27:e83329. doi: 10.5380/ce.v27i0.83329. DOI: https://doi.org/10.5380/ce.v27i0.83329
Bierlaire S, Danhaive O, Carkeek K, Piersigilli F. How to minimize central line-associated bloodstream infections in a neonatal intensive care unit: a quality improvement intervention based on a retrospective analysis and the adoption of an evidence-based bundle. Eur J Pediatr. 2021;180(2):449-60. doi: 10.1007/s00431-020-03844-9. DOI: https://doi.org/10.1007/s00431-020-03844-9
Indarwati F, Munday J, Keogh S. Nurse knowledge and confidence on peripheral intravenous catheter insertion and maintenance in pediatric patients: a multicentre cross-sectional study. J Pediatr Nurs. 2022;62:10-6. doi: 10.1016/j.pedn.2021.11.007. DOI: https://doi.org/10.1016/j.pedn.2021.11.007
Bakcek ÖA, Ayhan H. Peripheral intravenous catheter-related phlebitis and infiltration in an emergency department: a descriptive study. J Infus Nurs. 2024;47(3):155-62. doi: 10.1097/NAN.0000000000000548. DOI: https://doi.org/10.1097/NAN.0000000000000548
Singh N, Kalyan G, Kaur S, Jayashree M, Ghai S. Quality improvement initiative to reduce intravenous line-related infiltration and phlebitis incidence in pediatric emergency room. Indian J Crit Care Med. 2021;25(5):557-65. doi: 10.5005/jp-journals-10071-23818. DOI: https://doi.org/10.5005/jp-journals-10071-23818
Ferreira GS, Estequi JG, Roseira CE, Souza RS, Figueiredo RM. Good practices in intravenous drugs administration. Enferm Foco. 2021;12(1):100-4. doi: 10.21675/2357-707X.2021.v12.n1.3454. DOI: https://doi.org/10.21675/2357-707X.2021.v12.n1.3454
Zang F, Liu J, Wen Y, Jin X, Yang Y, Li L, et al. Adherence to guidelines and central-line-associated bloodstream infection occurrence during insertion and maintenance of intravascular catheters: evidence from 20 tertiary hospitals. J Hosp Infect. 2024;150:17-25. doi: 10.1016/j.jhin.2024.05.011. DOI: https://doi.org/10.1016/j.jhin.2024.05.011
Estequi JG, Roseira CE, Jesus JB, Figueiredo RM. Good practices in maintenance of the peripheral intravenous cateter. Enferm Foco. 2020;11(1):10-4. doi: 10.21675/2357-707X.2020.v11.n1.2246. DOI: https://doi.org/10.21675/2357-707X.2020.v11.n1.2246
Ximenes MAM, Brandão MGSA, Araújo TM, Galindo Neto NM, Barros LM, Caetano JA. Effectiveness of educational interventions for fall prevention: a systematic review. Texto Contexto Enferm. 2021;30:e20200558. doi: 10.1590/1980-265X-TCE-2020-0558. DOI: https://doi.org/10.1590/1980-265x-tce-2020-0558
Nyarko BA, Nie H, Yin Z, Chai X, Yue L. The effect of educational interventions in managing nurses' alarm fatigue: an integrative review. J Clin Nurs. 2023;32(13-14):2985-97. doi: 10.1111/jocn.16479. DOI: https://doi.org/10.1111/jocn.16479
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2026 Revista de Enfermagem da UFSM

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Este trabalho está licenciado sob uma Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.



