Imperial College London
Alternate

Dr Enrique Castro Sánchez

Faculty of Medicine, Department of Infectious Disease

Honorary Lecturer
 
 
 
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Contact

 

+44 (0)20 3313 2072e.castro-sanchez Website

 
 
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Location

 

8.N17Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Blanco-Mavillard:2022:rs.3.rs-839710/v1,
author = {Blanco-Mavillard, I and Castro-Sánchez, E and Parra-García, G and Rodríguez-Calero, MÁ and Bennasar-Veny, M and Fernández-Fernández, I and Lorente-Neches, H and De, Pedro-Gómez JE},
doi = {rs.3.rs-839710/v1},
journal = {Antimicrobial Resistance and Infection Control},
title = {What Fuels Suboptimal Care of Peripheral Intravenous Catheter-related Infections in Hospitals? – a Qualitative Study of Decision-making Among Spanish Nurses},
url = {http://dx.doi.org/10.21203/rs.3.rs-839710/v1},
year = {2022}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - <h4>Background: </h4> Peripheral intravenous catheters (PIVC) are commonly used in hospital worldwide. However, PIVC are not exempt from complications. Catheter-related bloodstream infections (CRBSI) increase morbidity and mortality rates, and costs for the healthcare organization. PIVC care is shaped by the complex mix of professional and organizational culture, such as knowledge gaps, low perception of impact of PIVCs on patient safety, or lack of hospital guidelines. <h4>Aim:</h4> To explore determinants of decision-making about the prevention of PIVC-BSI among nurses in Spanish hospitals. <h4>Methods:</h4> We conducted a descriptive qualitative study with semi-structured interviews in three public hospitals, the Balearic Islands Health Care Service in Spain. We considered hospital ward nurses working routinely with inpatients at any of the three hospitals for enrolment in the study. We approached relevant informants to identify suitable participants who recruited other participants through a ‘snowball’ technique. Fourteen inpatient nurses from the hospital took part in this study between September and November 2018. We employed several triangulation strategies to underpin the methodological rigour of our analysis and conducted the member checking, showing the information and codes applied in the recording of the interviews to identify the coherence and any discrepancies of the discourse by participants. We used the COREQ checklist for this study. <h4>Findings:</h4> We identified four major themes in the analysis related to determinants of care: The fog of decision-making in PIVC; The taskification of PIVC care; PIVC care is accepted to be suboptimal, yet irrelevant; and PIVC care gaps may reflect behavioural shortcomings, yet solutions proposed to involve education and training. <h4>Conclusion:</h4> The clinical management of PIVCs appear ambiguous, unclear, and fragmented, with no clear pro
AU  - Blanco-Mavillard,I
AU  - Castro-Sánchez,E
AU  - Parra-García,G
AU  - Rodríguez-Calero,MÁ
AU  - Bennasar-Veny,M
AU  - Fernández-Fernández,I
AU  - Lorente-Neches,H
AU  - De,Pedro-Gómez JE
DO  - rs.3.rs-839710/v1
PY  - 2022///
SN  - 2047-2994
TI  - What Fuels Suboptimal Care of Peripheral Intravenous Catheter-related Infections in Hospitals? – a Qualitative Study of Decision-making Among Spanish Nurses
T2  - Antimicrobial Resistance and Infection Control
UR  - http://dx.doi.org/10.21203/rs.3.rs-839710/v1
ER  -
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