title: Factors influencing nurses' decision-making process on leaving in the peripheral intravascular catheter after 96 hours: a longitudinal study.
abstract: The clinical and research debate on the peripheral intravascular (PIV) catheter length of stay in situ is ongoing. The principal aim of this study was to explore the factors behind a nurse's decision to leave a PIV in place for more than 96 hours. The study focused on 7 northern Italian hospitals in 2009. A consequent sample of 269 PIV catheters was included. Direct observation and interviews were adopted. The time of the expected PIV replacement was fixed at 96 hours after its positioning, in accordance with the international guideline. Several factors were taken into account in regard to replacement of the PIV catheters by nurses, ranging from analysis based on their own clinical experience with PIV complications and analysis of the patient's clinical situation to the critical analysis of their own work situation. This clinical decision-making process is valuable: leaving the PIV in place for more than 96 hours is a complex decision and not simply a guideline violation.
authors.affiliation: School of Nursing, Udine University, Viale Ungheria 18, 33100 Udine, Italy. alvisa.palese@uniud.it
authors.forename: Alvisa
authors.initials: A
authors.lastname: Palese
authors.forename: Andrea
authors.initials: A
authors.lastname: Cassone
authors.forename: Annamaria
authors.initials: A
authors.lastname: Kulla
authors.forename: Sabrina
authors.initials: S
authors.lastname: Dorigo
authors.forename: Jesse
authors.initials: J
authors.lastname: Magee
authors.forename: Marco
authors.initials: M
authors.lastname: Artico
authors.forename: Francesco
authors.initials: F
authors.lastname: Camero
authors.forename: Catia
authors.initials: C
authors.lastname: Cassin
authors.forename: Sandra
authors.initials: S
authors.lastname: Cialdella
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Floridia
authors.forename: Boris
authors.initials: B
authors.lastname: Nadlišek
authors.forename: Annamaria
authors.initials: A
authors.lastname: Palcic
authors.forename: Giulia
authors.initials: G
authors.lastname: Valle
authors.forename: Paola
authors.initials: P
authors.lastname: Sclauzero
mesh_terms: D002408:Catheters, Indwelling; D003657:Decision Making; D006801:Humans; D008137:Longitudinal Studies; D009726:Nurses / Q000523:psychology*; D011446:Prospective Studies