Evidence map›Paper›PMID 39253763›Full record

ArticleJournal of advanced nursing2025

Peripheral intravenous catheter clinical care standard adherence in emergency departments: A qualitative study underpinned by the behaviour change wheel.

Hui Xu, Julie Bowdery, Yeng To, Jed Duff, Bronwyn Griffin, Amanda J Ullman, Claire M Rickard, Karin Plummer

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Observational
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Hui XuSchool of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0002-3421-4176
Julie BowderyEmergency Department, Queen Elizabeth II Jubilee Hospital, Queensland Health, Coopers Plains, Queensland, Australia.
Yeng ToEmergency Department, Queen Elizabeth II Jubilee Hospital, Queensland Health, Coopers Plains, Queensland, Australia.
Jed DuffSchool of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia.
Bronwyn GriffinSchool of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.
Amanda J UllmanAlliance for Vascular Access Teaching and Research (AVATAR), School of Nursing and Midwifery and Pharmacy and Medical Sciences, Griffith University, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0001-8860-5319
Claire M RickardAlliance for Vascular Access Teaching and Research (AVATAR), School of Nursing and Midwifery and Pharmacy and Medical Sciences, Griffith University, Brisbane, Queensland, Australia.
Karin PlummerSchool of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0002-6020-6508

Funding

Queensland Health Metro South Health Research Support Scheme RSS_2022_020
6 · The paper itself

Abstract

aimTo explore the barriers and facilitators influencing emergency department clinicians' adherence to the Australian Peripheral Intravenous Catheter (PIVC) Clinical Care Standard, using the Behaviour Change Wheel (BCW).

backgroundSuboptimal PIVC practices are frequently linked to a range of patient-important adverse outcomes. The first Australian Peripheral Intravenous Catheter Clinical Care Standard was introduced in 2021, aiming to standardize practice. However, a recent national survey revealed a lack of adherence to the Standard among emergency department clinicians.

designA qualitative descriptive study.

methodThe study was conducted across two Australian emergency departments in 2023. Utilizing purposive sampling, semi-structured interviews were conducted. The analysis incorporated both deductive and inductive approaches, mapping the findings to the BCW.

findingsInterviews with 25 nurses and doctors revealed nine key subthemes. The main barriers were the stressful environment, insufficient education and training, and the absence of a feedback mechanism. The main facilitators were recognition of suboptimal practice, belief in the importance of patient engagement, and the desire to improve practice.

conclusionMultiple complex factors have an impact on clinicians' adherence to the Standard. The identified interventions will serve as a guide for future implementation of the Standard. IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE: The findings inform healthcare organizations of the significance of implementing strategies to enhance clinicians' acceptance of the Standard. Clinicians should consider incorporating the multifaceted interventions developed in accordance with the BCW for future implementation projects. IMPACT: Promoting adherence to standards opens avenues to challenge suboptimal practice and has the potential to instigate a culture shift in the fundamental skills of frontline clinicians. REPORTING

methodThe study is designed and reported according to the Consolidated Criteria for Reporting Qualitative Research checklist. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Indexed as

Catheterization, PeripheralEmergency Service, HospitalGuideline AdherenceAdultAttitude of Health PersonnelAustraliaFemaleHumansMaleMiddle AgedQualitative Researchbarriersemergency departmentfacilitatorsguideline adherenceperipheral intravenous catheterqualitative studyvascular access

Identifiers

PMID39253763
PMCPMC12535365

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.