Change search
ReferencesLink to record
Permanent link

Direct link
A new reliable tool (PVC assess) for assessment of peripheral venous catheters
Karolinska Univ Hosp Huddinge, Karolinska Inst, Div Surg, Dept Clin Sci Intervent & Technol, SE-14186 Stockholm, Sweden..
Karolinska Univ Hosp Huddinge, Karolinska Inst, Div Surg, Dept Clin Sci Intervent & Technol, SE-14186 Stockholm, Sweden..
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden..
Show others and affiliations
2010 (English)In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 16, no 6, 1108-1115 p.Article in journal (Refereed) PublishedText
Abstract [en]

Rationale and aims To evaluate the extensive use of peripheral venous catheters (PVCs), including catheter-related complications, a reliable tool for PVC assessment is needed. The aim of this study was to develop such a tool to evaluate PVCs in relation to management, documentation and signs and symptoms of thrombophlebitis (TH), as well as to determine its inter-rater and test-retest reliability. Method The tool development included confirmation of content and face validity. Two groups of registered nurses used the new tool (PVC assess) to assess PVC management and signs of TH independently. Group A (n = 3) assessed 26 items in 67 PVCs bedside (inter-rater reliability). Group B (n = 3) assessed photographs (67 PVCs, 21 items) of the same PVCs as those in Group A with a 4-week interval (test-retest reliability). Proportion of agreement P(A) and Cohen's kappa were calculated to evaluate inter-rater and test-retest reliability. Results Among nurses assessing PVCs at bedside, the P(A) was good to excellent (0.80-1) in 96% of the items in PVC assess. In 80% of the items kappa was substantial to almost perfect (0.61-1). TH sign erythema fell into the fair range (kappa = 0.40). In test-retest reliability analysis the P(A) was within the good and excellent range (0.80-1.0) and kappa varied from moderate to almost perfect (0.41-1.0) in 95% of the items. One item 'outer dressing is clean' was in fair range (0.21-0.40). Conclusions The PVC assess instrument shows satisfactory inter-rater and test-retest reliability. Reliability tests on reviewing documentation remain to be performed.

Place, publisher, year, edition, pages
2010. Vol. 16, no 6, 1108-1115 p.
Keyword [en]
assessment, inter-rater reliability, peripheral venous catheters, test-retest reliability, tool development
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:kau:diva-40472DOI: 10.1111/j.1365-2753.2009.01278.xISI: 000285763900015PubMedID: 19925593OAI: oai:DiVA.org:kau-40472DiVA: diva2:905317
Available from: 2016-02-22 Created: 2016-02-17 Last updated: 2016-02-23Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Nordström, Gun
By organisation
Department of Health Sciences
In the same journal
Journal of Evaluation In Clinical Practice
Nursing

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 115 hits
ReferencesLink to record
Permanent link

Direct link