Educational intervention on peripheral intravenous catheter using I-DECIDED® on the knowledge of pediatric nursing professionals
DOI:
https://doi.org/10.5902/2179769293111Keywords:
Catheterization, Peripheral, Pediatric Nursing, Clinical Decision-Making, Catheter-Related Infections, Health EducationAbstract
Objective: To evaluate the effect of an educational intervention based on the I-DECIDED® tool on the knowledge of pediatric nursing professionals regarding the peripheral intravenous catheter. Method: A quasi-experimental before-and-after study conducted in a pediatric inpatient unit in Southern Brazil, with the participation of 27 nursing professionals between 2023 and 2024. Data collection occurred in two stages: pre-intervention and post-intervention. A pre- and post-intervention questionnaire composed of 49 questions was applied, of which 19 were analyzed in this study, addressing complications, infection prevention, and coverage/stabilization of the peripheral intravenous catheter. The educational intervention included a theoretical presentation of the I-DECIDED® tool, low-fidelity simulation, and provision of educational materials. Results: An increase in correct answers was observed post-intervention in 11 (68.8%) of the questions related to peripheral intravenous catheter assessment. In the self-assessment questions, all responses progressed from “partially agree” to “totally agree.” Conclusion: The educational intervention based on the I-DECIDED® tool resulted in an increase in correct responses after the intervention, indicating improved knowledge among professionals regarding complications, infection prevention, and coverage/stabilization of the peripheral intravenous catheter.
Downloads
References
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Revista de Enfermagem da UFSM

This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.



