TY - JOUR
T1 - Nurses' involvement in the development and usability assessment of an innovative peripheral intravenous catheterisation pack
T2 - a mix-method study
AU - Santos-Costa, Paulo
AU - Alves, Mariana
AU - Sousa, Carolina
AU - Sousa, Liliana B.
AU - Paiva-Santos, Filipe
AU - Bernardes, Rafael A.
AU - Ventura, Filipa
AU - Salgueiro-Oliveira, Anabela
AU - Parreira, Pedro
AU - Vieira, Margarida
AU - Graveto, João
N1 - Funding Information:
The APC was funded by the Portuguese Association on Vascular Access (APoAVa).
Funding Information:
The authors would also like to thank the UICISA: E and the ICS/UCP for the ongoing support with the project activities. This study was carried out within the scope of the doctoral studies of the first author (scholarship SFRH/BD/136487/2018), and funded by the Foundation for Science and Technology, IP (FCT), through the funds of the POPH/FSE programs.
Publisher Copyright:
© 2022 by the authors.
PY - 2022/9/5
Y1 - 2022/9/5
N2 - Guaranteeing peripheral venous access is one of the cornerstones of modern healthcare. Recent evidence shows that the lack of adequate clinical devices can result in the provision of substandard care to patients who require peripheral intravenous catheterization (PIVC). To address this challenge, we aimed to develop a PIVC pack for adult patients and assess the usability of this new device. Methods: Following a mix-method design, the PIVC pack development and usability assessment were performed in two phases with the involvement of its potential end-users (nurses). In phase one (concept and semi-functional prototype assessment), focus group rounds were conducted, and a usability assessment questionnaire was applied at each stage. In phase two (pre-clinical usability assessment), a two-arm crossover randomised controlled trial (PIVC pack versus traditional material) was conducted with nurses in a simulated setting. Final interviews were conducted to further explore the PIVC pack applicability in a real-life clinical setting. Results: High average usability scores were identified in each study phase. During the pre-clinical usability assessment, the PIVC pack significantly reduced procedural time (Z = −2.482, p = 0.013) and avoided omissions while preparing the required material (Z = −1.977, p = 0.048). The participating nurses emphasised the pack’s potential to standardise practices among professionals, improve adherence to infection control recommendations, and enhance stock management. Conclusions: The developed pack appears to be a promising device that can assist healthcare professionals in providing efficient and safe care to patients requiring a PIVC. Future studies in real clinical settings are warranted to test its cost-effectiveness.
AB - Guaranteeing peripheral venous access is one of the cornerstones of modern healthcare. Recent evidence shows that the lack of adequate clinical devices can result in the provision of substandard care to patients who require peripheral intravenous catheterization (PIVC). To address this challenge, we aimed to develop a PIVC pack for adult patients and assess the usability of this new device. Methods: Following a mix-method design, the PIVC pack development and usability assessment were performed in two phases with the involvement of its potential end-users (nurses). In phase one (concept and semi-functional prototype assessment), focus group rounds were conducted, and a usability assessment questionnaire was applied at each stage. In phase two (pre-clinical usability assessment), a two-arm crossover randomised controlled trial (PIVC pack versus traditional material) was conducted with nurses in a simulated setting. Final interviews were conducted to further explore the PIVC pack applicability in a real-life clinical setting. Results: High average usability scores were identified in each study phase. During the pre-clinical usability assessment, the PIVC pack significantly reduced procedural time (Z = −2.482, p = 0.013) and avoided omissions while preparing the required material (Z = −1.977, p = 0.048). The participating nurses emphasised the pack’s potential to standardise practices among professionals, improve adherence to infection control recommendations, and enhance stock management. Conclusions: The developed pack appears to be a promising device that can assist healthcare professionals in providing efficient and safe care to patients requiring a PIVC. Future studies in real clinical settings are warranted to test its cost-effectiveness.
KW - Catheterisation
KW - Medical device
KW - Nurses
KW - Peripheral
KW - Usability testing
UR - http://www.scopus.com/inward/record.url?scp=85137586186&partnerID=8YFLogxK
U2 - 10.3390/ijerph191711130
DO - 10.3390/ijerph191711130
M3 - Article
C2 - 36078842
VL - 19
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
SN - 1661-7827
IS - 17
M1 - 11130
ER -