Controlling peripheral intravenous catheter failure by needleless connector design: A pilot randomised controlled trial
Article
Article Title | Controlling peripheral intravenous catheter failure by needleless connector design: A pilot randomised controlled trial |
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ERA Journal ID | 14104 |
Article Category | Article |
Authors | Marsh, Nicole, Larsen, Emily, O'Brien, Catherine, Peach, Hannah, Keogh, Samantha, Davies, Karen, Mihala, Gabor, Hewer, Barbara, Booker, Catriona, McCarthy, Alexandra L., Flynn, Julie and Rickard, Claire M. |
Journal Title | Journal of Clinical Nursing |
Journal Citation | 32 (21-22), pp. 7909-7919 |
Number of Pages | 11 |
Year | 2023 |
Publisher | John Wiley & Sons |
Place of Publication | United Kingdom |
ISSN | 0962-1067 |
1365-2702 | |
Digital Object Identifier (DOI) | https://doi.org/10.1111/jocn.16852 |
Web Address (URL) | https://onlinelibrary.wiley.com/doi/10.1111/jocn.16852 |
Abstract | Aim: To test the feasibility of a study protocol that compared the efficacy of neutral- and negative-pressure needleless connectors (NCs). Design: A single-centre, parallel-group, pilot randomised control trial. Methods: Our study compared neutral-(intervention) and negative-pressure (control) NCs among adult patients in an Australian hospital. The primary feasibility outcome was measured against predetermined criteria (e.g. eligibility, attrition). The primary efficacy outcome was all-cause peripheral intravenous catheter failure, analysed as time-to-event data. Results: In total, 201 (100 control; 101 intervention) participants were enrolled between March 2020 and September 2020. All feasibility criteria were met except eligibility, which was lower (78%) than the 90% criterion. All-cause peripheral intravenous catheter failure was significantly higher in the intervention group (39%) compared to control (19%). Conclusion: With minor modifications to participant screening for eligibility, this randomised control trial is feasible for a large multicentre randomised control trial. The neutral NC was associated with an increased risk of peripheral intravenous catheter failure. Implications for the profession and/or patient care: There are several NC designs available, often identified by their mechanism of pressure (positive, negative and neutral). However, NCs can contribute to peripheral intravenous catheter failure. This is the first randomised controlled trial to compare neutral and negative NC designs. Negative pressure NCs had lower PIVC failure compared to neutral NCs, however the results might not be generalisable to other brands or treatment settings. Further high-quality research is needed to explore NC design. |
Keywords | adult nursing; clinical; clinical trial; evidence-based nursing; health services research; nursing practice; nursing research; randomised controlled trials |
ANZSRC Field of Research 2020 | 420599. Nursing not elsewhere classified |
Byline Affiliations | Royal Brisbane and Women’s Hospital, Australia |
Griffith University | |
University of Queensland | |
Queensland University of Technology | |
School of Nursing and Midwifery | |
Mater Research Institute, Australia | |
Metro North Health, Australia |
https://research.usq.edu.au/item/z38q9/controlling-peripheral-intravenous-catheter-failure-by-needleless-connector-design-a-pilot-randomised-controlled-trial
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