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Knowledge and practices about techniques for inserting a peripherally inserted central

Authors

DOI:

https://doi.org/10.9789/2175-5361.rpcfo.v17.13331

Keywords:

Catheterization, Peripheral, Nurses, Knowledge

Abstract

Objective: to evaluate the knowledge and practices of nurses regarding PICC insertion techniques. Method: a descriptive quantitative study of the survey type. The study population consisted of 32 nurses qualified for PICC insertion. Data collection was conducted via RedCap with the following variables: participant data; characteristics of the nurse performing the PICC insertion; characteristics of the institution; pre-insertion PICC evaluation; and evaluation at the time of insertion. Results: the practice and knowledge of nurses in the pre-insertion and insertion of the PICC vary widely. Notably, 57.1% of the professionals use ultrasound. Conclusion: deficient knowledge regarding PICC insertion techniques was evident, and it was demonstrated that some clinical practices do not comply with internationally recognized infusion therapy guidelines.

 

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Author Biographies

Thaisa Furlan Colichio Aguida , University of São Paulo

Nurse, Ribeirão Preto Nursing School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.

Carolina Scoqui Guimarães, University of São Paulo

Nurse, Ribeirão Preto Nursing School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil

Angelita Stabile, University of São Paulo

Phd Professor, Ribeirão Preto Nursing School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.

 

Renata Cristina de Campos Pereira Silveira, University of São Paulo

Associate Professor, Ribeirão Preto Nursing School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil

Mayra Gonçalves Menegueti, University of São Paulo

Phd Professor, Ribeirão Preto Nursing School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.

Amanda Salles Margatho do Nascimento, University of São Paulo

Phd Professor, Ribeirão Preto Nursing School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.

References

Nickel B, Gorski L, Kleidon T, Kyes A, DeVries M, Keogh S, Meyer B, Sarver MJ, Crickman R, Ong J, Clare S, Hagle ME. Infusion Therapy Standards of Practice, 9th Edition. J Infus Nurs. 2024 Jan-Feb 01;47(1S Suppl 1): S1-S285. doi: 10.1097/NAN.0000000000000532. PMID: 38211609.

Goossens GA, Grumiaux N, Janssens C, Jérôme M, Fieuws S, Moons P, Stas M, Maleux G. SecurAstaP trial: securement with SecurAcath versus StatLock for peripherally inserted central catheters, a randomised open trial. BMJ Open. 2018 Feb 24;8(2):e016058. doi: 10.1136/bmjopen-2017-016058. PMID: 29478011; PMCID: PMC5855473.

Di Santo MK, Takemoto D, Nascimento RG, Nascimento AM, Siqueira É, Duarte CT, et al.. Cateteres venosos centrais de inserção periférica: alternativa ou primeira escolha em acesso vascular?. J vasc bras [Internet]. 2017Apr;16(2):104–12. Available from: https://www.scielo.br/j/jvb/a/ty3KWF54ksstKyZzTZMxTyg/lang=pt#:~:text=https%3A//doi.org/10.1590/1677%2D5449.011516

Bomfim, J. M. S., Passos, L. D. S., & Silva, J. C. D. (2017). Cateter central de inserção periférico: desafios e estratégias de enfermagem na manutenção do dispositivo. CuidArte, Enferm, 131-137.

Chopra V, Kuhn L, Coffey CE Jr, Salameh M, Barron J, Krein S, Flanders SA, Saint S. Hospitalist experiences, practice, opinions, and knowledge regarding peripherally inserted central catheters: a Michigan survey. J Hosp Med. 2013 Jun;8(6):309-14. doi: 10.1002/jhm.2031. Epub 2013 Mar 22. PMID: 23526586.

Chopra V, Flanders SA, Saint S, Woller SC, O'Grady NP, Safdar N, Trerotola SO, Saran R, Moureau N, Wiseman S, Pittiruti M, Akl EA, Lee AY, Courey A, Swaminathan L, LeDonne J, Becker C, Krein SL, Bernstein SJ; Michigan Appropriateness Guide for Intravenouse Catheters (MAGIC) Panel. The Michigan Appropriateness Guide for Intravenous Catheters (MAGIC): Results From a Multispecialty Panel Using the RAND/UCLA Appropriateness Method. Ann Intern Med. 2015 Sep 15;163(6 Suppl):S1-40. doi: 10.7326/M15-0744. PMID: 26369828.

Chan RJ, Northfield S, Larsen E, Mihala G, Ullman A, Hancock P, Marsh N, Gavin N, Wyld D, Allworth A, Russell E, Choudhury MA, Flynn J, Rickard CM. Central venous Access device SeCurement And Dressing Effectiveness for peripherally inserted central catheters in adult acute hospital patients (CASCADE): a pilot randomised controlled trial. Trials. 2017 Oct 4;18(1):458. doi: 10.1186/s13063-017-2207-x. PMID: 28978332; PMCID: PMC5628427.

Lourenço SA, Ohara CV da S. Nurses’ Knowledge about the Insertion Procedure for Peripherally Inserted Central Catheters in Newborns. Rev Latino-Am Enfermagem [Internet]. 2010Mar;18(2):189–95. Available from: https://doi.org/10.1590/S0104-11692010000200008

Belo MPM, Silva RAM de C, Nogueira ILM, Mizoguti DP, Ventura CMU. Conhecimento de enfermeiros de Neonatologia acerca do Cateter Venoso Central de Inserção Periférica. Rev Bras Enferm [Internet]. 2012Jan;65(1):42–8. Available from: https://doi.org/10.1590/S0034-71672012000100006

Guimarães CS, Silveira RC de CP, Stabile AM, Colichio TF, Gaziro GF, Assis M da S de, Ramos RA, Margatho AS. Formulário de coleta de dados sobre conhecimento de enfermeiros sobre as técnicas de inserção do cateter central de inserção periférica . CONJ [Internet]. 25º de novembro de 2022 [citado 11º de maio de 2024];22(16):759-81. Disponível em: https://www.conjecturas.org/index.php/edicoes/article/view/2070

Helm RE, Klausner JD, Klemperer JD, Flint LM, Huang E. Accepted but unacceptable: peripheral IV catheter failure. J Infus Nurs. 2015 May-Jun;38(3):189-203. doi: 10.1097/NAN.0000000000000100. PMID: 25871866.

Keleekai NL, Schuster CA, Murray CL, King MA, Stahl BR, Labrozzi LJ, Gallucci S, LeClair MW, Glover KR. Improving Nurses' Peripheral Intravenous Catheter Insertion Knowledge, Confidence, and Skills Using a Simulation-Based Blended Learning Program: A Randomized Trial. Simul Healthc. 2016 Dec;11(6):376-384. doi: 10.1097/SIH.0000000000000186. PMID: 27504890; PMCID: PMC5345884.

Duwadi S, Zhao Q, Budal BS. Peripherally inserted central catheters in critically ill patients - complications and its prevention: A review. Int J Nurs Sci. 2018 Dec 21;6(1):99-105. doi: 10.1016/j.ijnss.2018.12.007. Erratum in: Int J Nurs Sci. 2020 Dec 05;8(1):IV. PMID: 31406874; PMCID: PMC6608659.

Galen B, Baron S, Young S, Hall A, Berger-Spivack L, Southern W. Reducing peripherally inserted central catheters and midline catheters by training nurses in ultrasound-guided peripheral intravenous catheter placement. BMJ Qual Saf. 2020 Mar;29(3):245-249. doi: 10.1136/bmjqs-2019-009923. Epub 2019 Oct 3. PMID: 31582569.

Recommendation Summary | NICU: CLABSI Guidelines | Infection Control | CDC [Internet]. www.cdc.gov. 2022 [cited 2024 May 11]. Available from: https://www.cdc.gov/infectioncontrol/guidelines/nicuclabsi/recommendations.html/1000

Joint Commission International. Joint Commission International Accreditation Standards for Hospitals: Including Standards for Academic Medical Center Hospitals. Oak Brook, Il Joint Commission International; 2020.

Moureau NL. Vessel health and preservation : the right approach for vascular access. Cham: Springeropen; 2019.

Sharp R, Grech C, Fielder A, Mikocka-Walus A, Cummings M, Esterman A. The patient experience of a peripherally inserted central catheter (PICC): A qualitative descriptive study. Contemp Nurse. 2014;48(1):26-35. doi: 10.5172/conu.2014.48.1.26. PMID: 25410192.

Published

2025-02-20

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1.
Furlan Colichio Aguida T, Scoqui Guimarães C, Stabile A, Cristina de Campos Pereira Silveira R, Gonçalves Menegueti M, Salles Margatho do Nascimento A. Knowledge and practices about techniques for inserting a peripherally inserted central. Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) [Internet]. 2025Feb.20 [cited 2026Jan.19];17:e-13331. Available from: https://seer.unirio.br/cuidadofundamental/article/view/13331

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