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Nurses’ Involvement in the Development and Usability Assessment of an Innovative Peripheral Intravenous Catheterisation Pack: A Mix-Method Study

Author

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  • Paulo Santos-Costa

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal
    Instituto Ciências da Saúde, Universidade Católica Portuguesa, 4169-005 Porto, Portugal)

  • Mariana Alves

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

  • Carolina Sousa

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

  • Liliana B. Sousa

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

  • Filipe Paiva-Santos

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

  • Rafael A. Bernardes

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

  • Filipa Ventura

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

  • Anabela Salgueiro-Oliveira

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

  • Pedro Parreira

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

  • Margarida Vieira

    (Instituto Ciências da Saúde, Universidade Católica Portuguesa, 4169-005 Porto, Portugal
    Centro de Investigação Interdisciplinar em Saúde, Universidade Católica Portuguesa, 4169-005 Porto, Portugal)

  • João Graveto

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

Abstract

Guaranteeing peripheral venous access is one of the cornerstones of modern healthcare. Recent evidence shows that the lack of adequate clinical devices can result in the provision of substandard care to patients who require peripheral intravenous catheterization (PIVC). To address this challenge, we aimed to develop a PIVC pack for adult patients and assess the usability of this new device. Methods: Following a mix-method design, the PIVC pack development and usability assessment were performed in two phases with the involvement of its potential end-users (nurses). In phase one (concept and semi-functional prototype assessment), focus group rounds were conducted, and a usability assessment questionnaire was applied at each stage. In phase two (pre-clinical usability assessment), a two-arm crossover randomised controlled trial (PIVC pack versus traditional material) was conducted with nurses in a simulated setting. Final interviews were conducted to further explore the PIVC pack applicability in a real-life clinical setting. Results: High average usability scores were identified in each study phase. During the pre-clinical usability assessment, the PIVC pack significantly reduced procedural time (Z = −2.482, p = 0.013) and avoided omissions while preparing the required material (Z = −1.977, p = 0.048). The participating nurses emphasised the pack’s potential to standardise practices among professionals, improve adherence to infection control recommendations, and enhance stock management. Conclusions: The developed pack appears to be a promising device that can assist healthcare professionals in providing efficient and safe care to patients requiring a PIVC. Future studies in real clinical settings are warranted to test its cost-effectiveness.

Suggested Citation

  • Paulo Santos-Costa & Mariana Alves & Carolina Sousa & Liliana B. Sousa & Filipe Paiva-Santos & Rafael A. Bernardes & Filipa Ventura & Anabela Salgueiro-Oliveira & Pedro Parreira & Margarida Vieira & J, 2022. "Nurses’ Involvement in the Development and Usability Assessment of an Innovative Peripheral Intravenous Catheterisation Pack: A Mix-Method Study," IJERPH, MDPI, vol. 19(17), pages 1-14, September.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:17:p:11130-:d:907226
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    References listed on IDEAS

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    1. Paulo Santos-Costa & Liliana B. Sousa & Fredericus H.J. van Loon & Anabela Salgueiro-Oliveira & Pedro Parreira & Margarida Vieira & João Graveto, 2020. "Translation and Validation of the Modified A-DIVA Scale to European Portuguese: Difficult Intravenous Access Scale for Adult Patients," IJERPH, MDPI, vol. 17(20), pages 1-11, October.
    2. Pedro Parreira & Liliana B. Sousa & Inês A. Marques & Paulo Santos-Costa & Sara Cortez & Filipa Carneiro & Arménio Cruz & Anabela Salgueiro-Oliveira, 2020. "Usability Assessment of an Innovative Device in Infusion Therapy: A Mix-Method Approach Study," IJERPH, MDPI, vol. 17(22), pages 1-13, November.
    3. Pedro Parreira & Beatriz Serambeque & Paulo S. Costa & Lisete S. Mónico & Vânia Oliveira & Liliana B. Sousa & Fernando Gama & Rafael A. Bernardes & David Adriano & Inês A. Marques & Luciene M. Braga &, 2019. "Impact of an Innovative Securement Dressing and Tourniquet in Peripheral Intravenous Catheter-Related Complications and Contamination: An Interventional Study," IJERPH, MDPI, vol. 16(18), pages 1-12, September.
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