Not "just" an intravenous line: Consumer perspectives on peripheral intravenous cannulation (PIVC). An international cross-sectional survey of 25 countries

Marie Cooke; Amanda J. Ullman; Gillian Ray-Barruel; Marianne Wallis; Amanda Corley; Claire M. Rickard

doi:10.1371/journal.pone.0193436

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Not "just" an intravenous line: Consumer perspectives on peripheral intravenous cannulation (PIVC). An international cross-sectional survey of 25 countries

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Not "just" an intravenous line: Consumer perspectives on peripheral intravenous cannulation (PIVC). An international cross-sectional survey of 25 countries

Marie Cooke, Amanda J. Ullman, Gillian Ray-Barruel, Marianne Wallis, Amanda Corley and Claire M. Rickard

PloS one, Vol.13(2), e0193436

28/02/2018

DOI: https://doi.org/10.1371/journal.pone.0193436

PMCID: PMC5831386

PMID: 29489908

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Peripheral intravascular cannula/catheter (PIVC) insertion is a common invasive procedure, but PIVC failure before the end of therapy is unacceptably high. As PIVC failure disrupts treatment and reinsertion can be distressing for the patient, prevention of PIVC failure is an important patient outcome. Consumer participation in PIVC care to prevent failure is an untapped resource. This study aimed to understand consumers' PIVC experience; establish aspects of PIVC insertion and care relevant to them; and to compare experiences of adult consumers to adult carers of a child. An international, web-based, cross-sectional survey was distributed via social media inviting adult consumers and adult carers of a child under 18 years who had experienced having a PIVC in the last five years (one survey each for adults and adult carers) to complete a 10-item survey. As such, sampling bias is a limitation and results should be carefully considered in light of this. There were 712 respondents from 25 countries, mainly female (87.1%) and adults (80%). A little over 50% of adults described insertion as moderately painful or worse, with level of insertion difficulty (0-10 scale) identified as moderate (median 4, IQR 1, 7). Adult carers reported significantly more pain during insertion and insertion difficulty (both p < 0.001). Rates of first insertion attempt failure were higher in children compared with adults (89/139 [64%] vs 221/554 [40%]; p < 0.001), and 23% of children required >= 4 attempts, compared with 9% of adults (p < 0.0001). Three themes from open-ended question emerged: Significance of safe and consistent PIVC care; Importance of staff training and competence; and Value of communication. The PIVC experience can be painful, stressful and frustrating for consumers. Priorities for clinicians and policy makers should include use of pain relief as standard practice to reduce the pain associated with PIVC insertion and developing strategies to increase first PIVC insertion attempt success particularly for children and older consumers.

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Title: Not "just" an intravenous line: Consumer perspectives on peripheral intravenous cannulation (PIVC). An international cross-sectional survey of 25 countries
Creators: Marie Cooke - Griffith University
Amanda J. Ullman - Griffith University
Gillian Ray-Barruel - Griffith University
Marianne Wallis - Griffith University
Amanda Corley - Griffith University
Claire M. Rickard - Griffith University
Publication Details: PloS one, Vol.13(2), e0193436
Publisher: Public Library Science
Number of pages: 18
Identifiers: 991013099081002368
Academic Unit: Nursing; Faculty of Health
Language: English
Resource Type: Journal article

Not "just" an intravenous line: Consumer perspectives on peripheral intravenous cannulation (PIVC). An international cross-sectional survey of 25 countries

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