First Advisor

Patricia Cullen

College

Rueckert-Hartman College for Health Professions

Degree Name

Doctor of Nursing Practice

Division

Loretto Heights

Document Type

Thesis - Open Access

Number of Pages

55 pages

Abstract

Executive Summary

Title: Peripheral Intravenous Education for Nurses

Problem: Nurses are entering the field with little to no experience with peripheral intravenous (PIV) insertions and lack the requisite confidence and skill level needed to insert and maintain PIV lines. This greatly impacts patient satisfaction and the ability to provide care in a timely manner. The vascular access team (VAT) is also inundated with calls for PIV insertions and this prevents the team from being able to focus on central line insertions, care, and maintenance.

Purpose: The purpose of this project was to provide education and mentoring to new nurses with 0-5 years of experience that focused on insertion techniques as well as care and maintenance of peripheral intravenous lines.

Goal: The success of this project would show that education and mentoring can help improve nursing confidence and skill level with PIV insertion, increase first attempt success rate, and ultimately affect patient satisfaction. Although patient satisfaction is not a data point that is tracked in this study, it is a dependent variable that can be affected downstream.

Objective: Improve nurse-reported self-efficacy and skill level with PIV placement and care and to reduce the number of calls to the VAT for PIV access by 10%.

Plan: Provide a one-hour educational offering to all nurses, on an acute care inpatient unit, with 0-5 years nursing experience. A pre-intervention survey was completed by all participants prior to the class and a post intervention survey was completed immediately following the class and again at on month post intervention. VAT calls data was also evaluated for one month pre-intervention, the month during the intervention, and one month post intervention.

Outcomes/Results: There was a statistically significant change in the mean scores from the pre-aggregate data to the first post-aggregate survey data. With a p-value of 0.003 and a positive shift in the mean scores, the intervention was effective, and the nurse-reported self-efficacy improved. There was also a statistically significant change from the post-aggregate 1 survey data to the post-aggregate 2 survey data. With a p-value of 0.012 and a negative shift in the mean scores, although the intervention was successful, the knowledge was not retained. There was also a 10.5% decrease in calls to the VAT in the one-month post-intervention.

Date of Award

Fall 2020

Location (Creation)

Denver, Colorado

Rights Statement

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