A study to assess the effectiveness of infusion experts on the nursing interventions of peripheral intravascular devices among patients admitted to a tertiary care hospital of the city

Abstract

Aim: The study aimed to scrutinize best practices in infusion nursing among the nurses in a private tertiary care center
hospital in Mumbai, India.

Materials and Methods: A total of 400 IV cannulation were evaluated on the basis of the IV therapy monitoring chart
among the nurses. 20 nurses were included in the study. 10 IV cannulation of each nurse was assessed and then infusion
expert training was imparted to them with 4 days training in which pre and post evaluation of knowledge test was done.
Later 10 IV cannulation from the same experts were evaluated to see the effectiveness of training. The evaluation was
based on Visual Thrombophlebitis Score (VTS) and rate of grades of phlebitis.

Result: The result of knowledge score of the nurses regarding infusion practices were evaluated and it was found in the
pre-test that 65% of nurses were rated average and 35%poor.After infusion expert training, knowledge of nurses was reevaluated and it was increased. It was found in the post-test that 55% of nurses were rated average and45%good. The
training also showed a significant difference of p < 0.05 in the phlebitis grade, whereas in pre-evaluation grade 3 phlebitis
was found but after training grade 0 has increased, which indicates an improvement in the IV cannulation practices.

Conclusion: Infusion nursing is the newer perspective and primary need of the patient in the hospital. Infusion experts are
the skilled nurses for phlebotomy and maintenance of IV line. The study paved to fulfill our nursing vision in the
verticalization of infusion nursing by their best practices in our hospital.