Pre-hospital peripheral intravenous catheter insertion practice: An integrative review

IF 2.1 4区医学 Q2 EMERGENCY MEDICINE

Australasian Emergency Care Pub Date : 2023-06-01 DOI:10.1016/j.auec.2022.08.006

Eleanor Golling , Thea van de Mortel , Nigel Barr , Peta-Anne Zimmerman

{"title":"Pre-hospital peripheral intravenous catheter insertion practice: An integrative review","authors":"Eleanor Golling , Thea van de Mortel , Nigel Barr , Peta-Anne Zimmerman","doi":"10.1016/j.auec.2022.08.006","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p><span>Peripheral intravenous catheters (PIVCs) are widely used within healthcare settings. There is substantial hospital-based research, particularly in </span>Emergency Departments<span>, supporting the need to reduce inappropriate PIVCs due to associated risks. However, there is limited research into pre-hospital practice. This review aims to determine the rates of pre-hospital PIVC insertions, how many remain unused, and to explore paramedic PIVC decision-making.</span></p></div><div><h3>Methods</h3><p>A systematic search of research databases was undertaken using an integrative review methodology. Articles published between 2011 and April 2022 were included. The Mixed Methods Appraisal Tool was used to assess the quality of the studies.</p></div><div><h3>Results</h3><p>Fifteen studies were included. Rates of PIVC insertions ranged from 21% to 58%. Up to 72% of PIVCs remained unused in the pre-hospital setting. Paramedic decision-making was not well reported, though erring of the side of caution and inserting a “just in case” PIVC was identified.</p></div><div><h3>Conclusion</h3><p>There are limited articles on pre-hospital PIVC practice, particularly in Australian settings. Research is required to understand factors influencing practice and provide contemporary evidence to inform the development of guidance specific to the pre-hospital setting to reduce the numbers of inappropriate PIVCs.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":"26 2","pages":"Pages 105-112"},"PeriodicalIF":2.1000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Australasian Emergency Care","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2588994X22000677","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}

引用次数: 1

Abstract

Background

Peripheral intravenous catheters (PIVCs) are widely used within healthcare settings. There is substantial hospital-based research, particularly in Emergency Departments, supporting the need to reduce inappropriate PIVCs due to associated risks. However, there is limited research into pre-hospital practice. This review aims to determine the rates of pre-hospital PIVC insertions, how many remain unused, and to explore paramedic PIVC decision-making.

Methods

A systematic search of research databases was undertaken using an integrative review methodology. Articles published between 2011 and April 2022 were included. The Mixed Methods Appraisal Tool was used to assess the quality of the studies.

Results

Fifteen studies were included. Rates of PIVC insertions ranged from 21% to 58%. Up to 72% of PIVCs remained unused in the pre-hospital setting. Paramedic decision-making was not well reported, though erring of the side of caution and inserting a “just in case” PIVC was identified.

Conclusion

There are limited articles on pre-hospital PIVC practice, particularly in Australian settings. Research is required to understand factors influencing practice and provide contemporary evidence to inform the development of guidance specific to the pre-hospital setting to reduce the numbers of inappropriate PIVCs.

查看原文本刊更多论文

院前外周静脉导管插入实践:综合回顾

背景外周静脉导管（PIVC）在医疗机构中广泛使用。有大量基于医院的研究，特别是在急诊科，支持减少因相关风险而导致的不适当PIVC的必要性。然而，对院前实践的研究有限。本综述旨在确定院前PIVC插入率、有多少未使用，并探讨护理人员的PIVC决策。方法采用综合综述方法对研究数据库进行系统检索。收录了2011年至2022年4月期间发表的文章。使用混合方法评估工具来评估研究的质量。结果纳入15项研究。PIVC插入率在21%到58%之间。高达72%的PIVC在住院前环境中未使用。医护人员的决策没有得到很好的报道，尽管发现了谨慎和插入“以防万一”PIVC的错误。结论关于院前PIVC实践的文章有限，尤其是在澳大利亚。需要进行研究，以了解影响实践的因素，并提供当代证据，为制定针对院前环境的指导提供信息，以减少不适当的PIVC的数量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Australasian Emergency Care Nursing-Emergency Nursing

CiteScore

3.30

自引率

5.60%

发文量

审稿时长

37 days

期刊介绍： Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.