Effect of Evidence Based Guideline on Neonatal Nurse's Adherence Regarding Prevention and Management of Intravenous Infiltration and Extravasation

Document Type : Original Article

Authors

1 Assistant Professor of Pediatric Nursing, Faculty of Nursing, Menoufia University

2 MD, Pediatrics, Shiben El-kom Teaching Hospital

3 Lecturer of Pediatric Nursing, Faculty of Nursing, Menoufia University

Abstract

Infiltration and Extravasation injury resulting from administration of intravenous therapies via
peripheral intravenous catheters or central venous catheters, newborns and children are more
exposed to infiltration and extravasation injuries. Aims: Evaluate the effect of evidence based
guideline for prevention and management of infiltration and extravasation on neonatal nurses
Adherence. Evaluate the effect of implementing evidence based guideline on the incidence rate of
intravenous infiltration and extravasation among studied neonate . Setting, The study was
conducted at (neonatal intensive care units) at Shebin EL Kom teaching hospital and Tala central
hospital at Menoufia Governorate. Sample: Convenience sample of 30 nurses and Purposive
sample of 30 neonates were obtained from the previously mentioned neonatal intensive care units.
Tools , four tools were used for data collection tool one: Structured Interview Questionnaire. was
utilized to identify nurses' knowledge about intravenous infiltration and extravasation, tool two was
an clinical practices guideline adherence scale to assess nurses practices about prevention and
management intravenous infiltration and extravasation, tool three include the intravenous
infiltration assessment scale, tool four include extravasation assessment scale. The results of this
study showed, the highest percentage of nurses had significantly high knowledge and practices
regarding adherence to evidence base guideline of prevention and management of intravenous
infiltration
and extravasation on posttest than pre test ,in addition, marked decrease in the
incidence rate of Infiltration and extravasation between neonates on the posttest than pretest with
no statistical significant differences . Conclusions implementation of evidence-based clinical
practices guideline regarding prevention and management of intravenous infiltration and
extravasation significantly increases nurses' knowledge and practices regarding adherence to
evidence base guideline, Also, it decreased the incidence rate of intravenous infiltration and
extravasation among studied neonate. Recommendation: continuous training of evidence based
clinical practices guideline should be established in each neonatal unite to enhance nurses'
adherence regarding intravenous infiltration and extravasation prevention and management

Keywords

Egyptian Journal of Health Care
Volume 13, Issue 1
March 2022
Pages 1840-1856

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