Practice towards care and maintenance of peripheral intravenous cannula among nurses and midwives in teaching hospitals, Amhara, Ethiopia.

Abstract

Introduction: nearly 80% of hospital patients called for a peripheral intravenous catheter (PIVC) for important medications and fluid therapies. Peripherally inserted intravenous cannulation is the most common procedure done in patient care delivery. Even though insertion of IV cannula is essential and common, there are different limitations starting from insertion without vibrant indication to improper management and care of these devices. Patients can experience multiple adverse events during the insertion. The objective of this study was to investigate the care of peripheral intravenous cannulation by nurses and midwives in the Amhara Region, Ethiopia, 2022.

Methods: an institutional-based cross-sectional study was conducted. Data was collected using structured interviewer-administered questionnaires plus an observational checklist. A simple random sampling technique was used to select 415 nurses and midwives. Data were entered using Epi Data version 3.1 and analyzed using SPSS version 25. Bi-variable and multivariable analyses were conducted to examine the association between independent and outcome variables.

Results: the findings of this study revealed that 4.9% of respondents had good practice for the care of peripheral intravenous cannulation. Work experience (AOR= 7.269, 95% CI= 1.68, 31.40), having special training on care of peripheral intravenous cannulation (AOR= 10.12, 95% CI= 4.32, 19.45) and presence of protocol guideline (AOR=3.31, 95% CI= 2.83, 12.87) were significantly associated with good practice on the care and maintenance of peripheral intravenous cannulation.

Conclusion: findings showed that poor peripheral intravenous cannulation practice and care which was predicted by work experience, existence of guidelines, and training. As a result, Nurses and midwifes must keep up to speed with focused in-service training, access, and/or follow thorough protocol guidelines for the management of peripheral intravenous cannulation.