Staff Education to Decrease Peripheral Intravenous Infiltrates

Date of Conferral

10-31-2023

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Corinne Wheeler

Abstract

Peripheral intravenous (PIV) catheter placement is one of the most frequently performed invasive patient interventions. The project facility had 64 IV infiltrates as noted on a recent facility review, suggesting a nursing knowledge or practice deficit. The purpose of this project was to develop, implement, and evaluate a staff education project on preventing PIV infiltrates in patients. The practice-focused question addressed whether a staff education project would increase the knowledge and self-efficacy of nursing staff in the prevention and early recognition of IV infiltrates. With Knowles’s model of adult learning and the Kirkpatrick model, an education module was created containing information to improve knowledge and to determine nurses’ ability to recognize symptoms of IV infiltration in the form of a pre- and posttest. The education module was presented to 31 staff via a PowerPoint presentation after a pretest using Smartsheet. A posttest using Smartsheet was administered after the education module. Data were analyzed using descriptive statistics. A mean increase of 33% between pre- and posttest scores was significant. It is recommended that this education program be presented during new employee orientation or in a yearlong workgroup for new graduate nurses. Social change may result from an increase in early PIV event reporting through early recognition and understanding of complication risks, thereby decreasing PIV infiltration rates and severity in an inpatient hospital care setting and improving length-of-stay and patient outcomes.

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