Implementation and Evaluation of the Selection Scheme of Peripheral Venous Infusion Devices for Hospitalized Children
Condition: Children,Hospitalized; Vascular Access Devices
Study type: Interventional

Summary: 
      This study is a stepped wedge cluster randomized trial design. The object is to evaluate the
      influence on patient outcomes, medical staff's evidence-based practice behavior and hospital
      context after implementation of the selection scheme of venous access devices comes from"
      Evidence-based guidelines for clinical practice of intravenous infusion therapy in children".
      This study sought to compare the appropriateness of peripheral venous access device
      selection, to compare the incidence of infiltration and extravasation and the cost of venous
      infusion consumables before and after the implementation of the scheme.
    

Detailed description: 
      This study aimed to improve the standardization and suitability of device use and reduce
      complications associated with intravenous fluids by implementing best practice evidence for
      intravenous fluid device selection in children. In 2021, the Chinese Journal of
      Evidence-Based Pediatrics released the " Evidence-based guidelines for clinical practice of
      intravenous infusion therapy in children". The researchers used the evidence in this
      guideline as a standard to understand the current status of clinical intravenous infusion
      device selection and the gap between the current situation and the evidence. The evidence
      tailor, baseline review, develop implementation plan, conduct implementation research. A
      stepped wedge cluster randomized trial divided into 5 steps, 10 clusters(units), and the step
      size was one month. Each included ward of a tertiary first-class pediatric hospital was
      regarded as a group, and each step was included into randomized two groups, and the
      observation was maintained for one month until all units were included in the intervention in
      the fifth month, with a total of 6 research periods. Given the practicality of the study
      design, limited additional inclusion and exclusion criteria will be added.
    

Intervention name(s): the selection scheme of peripheral venous access devices; the existing nursing routine
Intervention type(s): Other; Other
Intervention description(s): Based on the "Facilitator Toolkit" of the promoting action on research implementation in health services integrated framework(i-PARIHS), the implementation plan of peripheral intravenous infusion device selection in hospitalized children was formulated and applied, so as to change the practice behavior of nurses in the intervention group. The specific process mainly includes: tailoring evidence; baseline review; situational analysis; promotion and implementation strategy like lectures, group discussions, operation demonstrations, and scenario simulations.; To choose infusion device according to nurse's working experience. First, nurse placed a peripheral intravenous catheter. The patients and family decide whether to place the central intravenous infusion device according to the recommendation of the medical staff.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Prevention
Keywords: pediatric; implementation study; peripheral venous access devices; selection; effect evaluation; appropriateness; randomised trial