Consumer experience and outcomes of insertion, removal, and management practices of short and midline peripheral intravenous catheters in acute health care: a mixed methods systematic review protocol

Author:

Nelson Michelle12,Coventry Linda1342,Baker Melanie132

Affiliation:

1. The School of Nursing and Midwifery, Edith Cowan University, Perth, WA, Australia

2. Edith Cowan University, Joondalup, Australia: An Affiliated JBI Centre, Perth, WA, Australia

3. The Centre for Research in Aged Care, Edith Cowan University, Perth, WA, Australia

4. The Centre for Nursing Research, Sir Charles Gairdner Hospital, Perth, WA, Australia

Abstract

Objective: This review will synthesize and integrate current research on the practices relating to the insertion, removal, and management of short and midline peripheral intravenous catheters on consumer experiences and outcomes in acute health care. The aim is to provide consolidated evidence to support policy decision-makers and health care workers in overcoming peripheral intravenous catheter device management challenges. Implementing the evidence provided by this review could increase positive consumer outcomes and reduce the gap between research evidence and clinical practice. Introduction: Peripheral intravenous catheterization is a process in which a device is inserted into a patient’s peripheral vein to administer medication, blood products, and therapeutic fluids. Recent studies have demonstrated the positive and negative impacts of peripheral intravenous catheter site placement, pain relief for insertion, complications, consumer engagement, and routine versus clinically indicated removal of these devices on consumers and the health care system. Managing these impacts in relation to research–practice gaps and conflicting evidence remains challenging. Moreover, consumer experiences and outcomes concerning these challenges are unclear. Inclusion criteria: This review will consider quantitative, qualitative, and mixed methods studies on consumer experiences and outcomes in acute health care. The quantitative component will consider outcomes of pain, satisfaction, anxiety, and distress. The qualitative component will consider consumer experiences, including perceptions, preferences, perspectives, attitudes, expectations, and satisfaction. Methods: This study will follow JBI’s methodology of the convergent segregated approach for mixed method systematic reviews. A search of 12 databases will be conducted for peer-reviewed published articles, theses, and dissertations. There will be no age, date, or language limitations. Review registration number: PROSPERO (CRD42023410214).

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Nursing

Reference20 articles.

1. Not “just” an intravenous line: consumer perspectives on peripheral intravenous cannulation (PIVC). An international cross-sectional survey of 25 countries;Cooke;PLoS One,2018

2. Patient perceptions and experience of pain, anxiety and comfort during peripheral intravenous cannulation in medical wards: topical anaesthesia, effective communication, and empowerment;Tee;Int J Nurs,2015

3. Peripheral intravenous cannulation: reducing pain and local complications;Welyczko;Br J Nurs,2022

4. Incidence of midline catheter complications among hospitalized patients;Tran;J Infus Nurs,2023

5. Post-infusion phlebitis: incidence and risk factors;Webster;Nurs Res Pract,2015

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