Theoretical Framework to Assess Peripheral Intravenous Catheter Insertion and Care Practices in Paediatric Patients: A Literature Review

Abstract

— Theoretical frameworks are used to guide research processes as well as to accommodate the multiple constructs of the phenomena being evaluated. A literature review was undertaken to identify a theoretical framework to inform a study of paediatric peripheral intravenous catheter (PIVC) utilization in hospitals in Indonesia. The literature search was undertaken in four databases: US National Library of Medicine National Institutes of Health, Cumulative Index of Nursing and Allied Health (CINAHL), Embase, and Google Scholar using the predefined keywords. Further searches across reference lists were also conducted. All relevant articles were screened and analyzed for inclusion and exclusion criteria based on the research questions, aim and objectives. Among theoretical frameworks identified in the literature the Donabedian theoretical framework offered the most comprehensive model to assess the current state of paediatric peripheral intravenous catheter insertion and care practices in hospitals. The Donabedian framework provided a construct to investigate the interdependent components of structure, process, and outcomes (S-P-O) of PIVC insertion and management service in paediatric population. This framework also supported the use of multiple data collection methods to study the PIVC service. The Donabedian S-P-O model provides a useful framework to assess healthcare service in general and in paediatric PIVC in particular. The use of this framework enables the researcher to identify relevant indicators as well as to understand the strengths and weaknesses of each dimension of the healthcare services.