Abstract
Purpose
Determine the affects of the developed “Pediatric Peripheral Intravenous Access (PPIVA)
Pathway” on the success of the vascular access in children.
Design and methods
A quantitative approach was used using a quasi-experimental single-group post-test
design involved pediatric patients. The patients who were first attempted for peripheral
vascular access were subjected to the procedure in accordance with the “PPIVA Pathway”.
The data was collected via a form on which we recorded down the patients' characteristics
alongside their procedural data, as well as the Difficult Intravenous Access (DIVA)
Score. For statistical analysis, the R vers. 2.15.3 program was utilized.
Results
The patients who applied to the pediatric observation clinic had a mean age of 8.14
± 5.01 years. The DIVA total mean score of the patients was 1.73 ± 1.79. 89.1% (n = 163) of pediatric peripheral intravenous procedures were successfully completed
on the first access. The logistic regression analysis model was found to be statistically
significant to identify the factors that affect pediatric peripheral intravenous success
on the first attempt (χ2 = 24.701; p < 0.001). A one-point increase in the DIVA score was found to reduce the likelihood
of success on the first attempt by 56.1% [OR (95% CI) = 0.439 (0.280, 0.686), p <
0.001].
Conclusions
Using an algorithm to perform a peripheral intravenous intervention in children increases
the likelihood of success on the first attempt.
Practice implications
Using PPIVA Pathway shall improve the provision of atraumatic care for children, as
the success rate of pediatric peripheral intravenous access on the first attempt is
high.
Keywords
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Article info
Publication history
Published online: December 06, 2022
Accepted:
November 26,
2022
Received in revised form:
November 23,
2022
Received:
July 7,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Elsevier Inc. All rights reserved.
