Effectiveness of reinforcement program on adherence toward short peripheral catheter (SPC) care guidelines among registered nurses working in pediatric wards of a tertiary care hospital
نویسندگان
1 College of Nursing, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
2
doi
چکیده
hospital with patients’ admittance. It becomes challenging when it comes to children and requiresmore knowledge and skills. The aim of the current study was to assess the effectiveness of thereinforcement program on adherence to short peripheral catheter (SPC) care guidelines amongregistered nurses.MATERIALS AND METHODS: A quasi‑experimental study was conducted among 44 registerednurses by observing 96 SPC care events before and after the reinforcement program in pediatricwards of a tertiary care hospital in Eastern India. The study was conducted in a tertiary care publichospital in Eastern India in 2019, and the data collection tool included children’s and nurses’socio‑demographic data and an observation checklist on intravenous catheterization care. Descriptivestatistics were used to explain the participant characteristics, and McNemar’s test was used to identifythe adherence to SPC care guidelines.RESULTS: There was a statistically significant improvement in most steps, such as hand washing,gloving, tray preparation, documentation initiation, maintenance, and removal (P = 0.001). A statisticallysignificant reduction in the early stage of phlebitis was found from 66.7% in pre‑intervention to 37.5%in post‑intervention (P = 0.027).CONCLUSIONS: The majority of nurses adhered to SPC care guidelines after the reinforcementprogram. From the study findings, it is recommended that regular reinforcement related to peripheralcatheter care acts as a stimulant to adhere to SPC care guidelines. The nursing administrationshould take initiative by conducting in‑service training for the nurses, which motivates them towardpracticing quality nursing care.