Extravasation Injury
Conditions
Keywords
Intravenous nursing, Newborn infant, Neonatal intensive care units, Evidence-based professional practice
Brief summary
This study is aimed to evaluate the effectiveness of an evidence-based clinical practice guideline in the prevention and management of neonatal extravasation injury, and to examine the change in nurses' knowledge of and adherence to the guideline.
Detailed description
A study with controlled before-and-after design was conducted. The clinical practice guideline was developed and a multifaceted educational program was delivered for nurses. Neonatal outcomes were collected at baseline and after completion of the intervention. The changes in nurses' level of knowledge and adherence to the guideline were also measured.
Interventions
OTHERClinical practice guideline for prevention and management of extravasation injury
Implementation of an evidence-based clinical practice guideline and delivery of an educational programme for nurses
Sponsors
United Christian Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
No minimum to 1 Years
Healthy volunteers
No
Inclusion criteria
* Neonates who were admitted for intravenous medication or infusion therapy, and * Neonates whose parents were equal to or over 18 years old and able to communicate in Chinese or English.
Exclusion criteria
* Neonates who were born with congenital dermatological problems such as ichthyosis and epidermolysis bullosa.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in rate of peripheral intravenous extravasation | Change from Baseline rate at one month | The number of the incidents divided by the total number of catheter days and multiplied by 1,000 |
| Change in rate of extravasation from a central line | Change from Baseline rate at one month | The number of the incidents divided by the total number of catheter days and multiplied by 1,000 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in nurses' level of knowledge | Change from Baseline Knowledge level at six months | The Neonatal Extravasation Knowledge Test |
| Change in nurses' adherence to clinical practice guidelines | Change from Baseline Adherence level at six months | A 27-item audit tool |
Outcome results
None listed