EVALUATION OF THE ACCURACY OF NURSES AND RELATED FACTORS WHEN APPLYING THE I-DECIDED TOOL IN PERIPHERAL INTRAVENOUS CATHETER CARE AT UNIVERSITY MEDICAL CENTER, BRANCH 2
Main Article Content
Abstract
Objective: To evaluate the accuracy of nurses and related factors in assessing and monitoring peripheral intravenous catheters using the I-DECIDED tool at University Medical Center Branch 2. Methods: A cross-sectional descriptive study was conducted on all 58 nurses directly involved in patient care with peripheral intravenous catheters, utilizing the I-DECIDED tool for assessment and decision-making at five clinical departments of the University Medical Center Branch 2. Results: The study results showed that the accuracy of nurses using the I-DECIDED tool in all indicators had a high level of agreement, ranging from 85.7% to 100%, with PABAK=0.576–1. Indicators such as "D - Device necessity," "E - Effectiveness of device," "I - Infection prevention," "D - Dressing and securement," "E - Evaluation of education," and "D - Decision" achieved 100% agreement between nurses and experts (PABAK=1, p=0.0012–0.0127). The "C – Complications at IV site" indicator showed the most discrepancies in assessments across departments, with results ranging from 85.7% (PABAK=0.576, p=0.009) to 100% (PABAK=1, p<0.001). Statistical analysis indicated that nurses over 40 years old had 100% accuracy, 1.49 times higher than the group under 30 years old (PR=1.49, p=0.007). Nurses with more than 15 years of experience were 1.48 times more accurate than those with less than 5 years (PR=1.48, p<0.008). The group that participated in training had a 93.2% accuracy rate, 2.6 times higher than the untrained group (PR=2.6, 95% CI: 1.73 - 3.93, p<0.001). The total time for nurses to assess and care for peripheral intravenous catheters using the I-DECIDED tool was 2.75 minutes ± 1.00 minutes. Conclusion: The accuracy of using the I-DECIDED tool for peripheral intravenous catheter care in the hospital is relatively high, with consistent agreement among clinical nurses. However, further training on the I-DECIDED tool is needed for younger, less experienced nurses.
Article Details
Keywords
I-DECIDED tool, care, peripheral intravenous catheter.
References


2. Nguyễn Thị Phương Thảo, Trần Quang Huy, Nguyễn Tấn Được, Trần Thụy Khánh Linh. Giá trị và độ tin cậy công cụ I-DECIDED trong theo dõi ống thông tĩnh mạch ngoại vi cho người bệnh nội trú. Tạp chí Y học TPHCM. 2020;24(5):1859-1779.

3. Ray-Barruel Gillian, Cooke Marie, Chopra Vineet, Mitchell Marion, Rickard Claire M. The I-DECIDED clinical decision-making tool for peripheral intravenous catheter assessment and safe removal: a clinimetric evaluation. BMJ open. Jan 21 2020;10(1): e035239. doi:10.1136/ bmjopen-2019-035239


4. Rickard Claire M, Marsh Nicole M, Webster Joan, et al. Intravascular device administration sets: replacement after standard versus prolonged use in hospitalised patients-a study protocol for a randomised controlled trial (The RSVP Trial). BMJ open. Feb 3 2015;5(2):e007257. doi:10.1136/bmjopen-2014-007257


5. Webster Joan, Osborne Sonya, Rickard Claire M, Marsh Nicole. Clinically-indicated replacement versus routine replacement of peripheral venous catheters. The Cochrane database of systematic reviews. Jan 23 2019; 1(1): Cd007798. doi:10.1002/ 14651858.CD007798.pub5


6. Kim Jung Hee, Hwang Inju, Kim Eun Man. Factors influencing peripheral intravenous catheter practice of nurses in small and medium sized hospitals: a cross-sectional study. BMC nursing. May 22 2024;23(1):347. doi:10.1186/ s12912-024-02026-4


7. Vandenhouten Christine L, Owens Andrea K, Hunter Mark R, Raynak Andrea. Peripheral Intravenous Education in North American Nursing Schools: A Call to Action. The Journal of nursing education. Sep 1 2020;59(9):493-500. doi: 10.3928/01484834-20200817-03

