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Orientador(es)
Resumo(s)
Background: Peripheral intravenous catheters are widely used in emergency departments for intravenous treatment. However, peripheral intravenous catheter practices supported by the latest evidence remain suboptimal, negatively affecting patient outcomes.
Objective: To identify the determinants influencing adherence to peripheral intravenous catheter guidelines in the emergency department (the insertion technique, maintenance protocols, and timely removal) and to analyse strategies for improving adherence.
Methods: A systematic review was conducted from August to September 2025, in the Cochrane Central Register of Controlled Trials, CINAHL Complete, MEDLINE Complete databases (via EBSCOhost), and SCOPUS and included eligible papers published from 2018, according to eligibility criteria: studies involving emergency department nurses or clinicians, focusing on peripheral intravenous catheter adherence determinants and related strategies. This approach followed the methodological guidelines of the Joanna Briggs Institute and the PRISMA Statement reporting guidelines for Systematic Reviews.
Results: The six studies included in this review identified individual, organisational, and clinical decision-making determinants that influence emergency nurses' adherence to peripheral intravenous catheter infection prevention guidelines, including limited knowledge, training gaps, lack of institutional support, and inconsistent practices. Effective strategies included ongoing education, ultrasound-guided training, the involvement of vascular access teams, and quality improvement approaches like the Plan-Do-Study-Act cycle.
Conclusions: This review identified key determinants and strategies that influence and enhance emergency nurses' adherence to infection prevention guidelines for peripheral intravenous catheter care. The importance of integrating technical training with supportive environments and effective clinical leadership is emphasised throughout multimodal intervention programs. Future interventions should prioritise team empowerment, alignment with institutional goals, and promoting nurses' motivation and self-efficacy, ideally through participatory approaches.
Descrição
Palavras-chave
Catheter-related infections Catheterization Peripheral Guideline adherence Nursing Care Systematic Review
Contexto Educativo
Citação
eixeira, J., Bastos, C., & Pinto, M.R. (2025). Adherence to peripheral venous catheters' guidelines by emergency nurses: A systematic review. International journal of nursing studies advances, 9, 100441. https://doi.org/10.1016/j.ijnsa.2025.100441
Editora
Elsevier