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I-DECIDED® in Paediatric Nursing: Can a Simple Education Bundle Improve PIVC Knowledge?

Posted on 30 June 2026
I-DECIDED® in Paediatric Nursing: Can a Simple Education Bundle Improve PIVC Knowledge?
Study Overview

Peripheral IV catheters (PIVCs) are used constantly in paediatric care, but consistent assessment and infection prevention practices can vary between clinicians. This study tested whether an educational intervention using the I-DECIDED® tool could improve the knowledge of paediatric nursing professionals.

The team ran a quasi-experimental before-and-after study in a paediatric inpatient unit in Southern Brazil with 27 nursing professionals (2023-2024). Knowledge was measured pre- and post-intervention using a structured questionnaire focused on PIVC complications, infection prevention, and dressing/securement.

The intervention included a theory session on I-DECIDED®, a low-fidelity simulation, and supporting educational materials.

Key Findings
  • Knowledge improved after the intervention
    • In 11 out of 16 (68.8%) PIVC assessment-related responses, participants recorded more correct answers post-intervention.
  • Confidence shifted upward
    • In self-assessment questions, responses moved from “partially agree” to “strongly agree”, suggesting stronger confidence in PIVC assessment and decision-making after training.
  • Clear gains in key practice areas
    • Improvements were seen across the topics the intervention targeted: complications, infection prevention, and dressing/stabilisation.


Implications
This study reinforces that structured education, when paired with practical simulation and clear decision-support tools like I-DECIDED®, can lift knowledge and confidence in paediatric PIVC care. It also supports the idea that improving outcomes isn’t only about new products, it’s about helping clinicians apply consistent assessment and timely action in everyday practice.

A useful next step in future work would be tracking whether these knowledge gains translate into measurable clinical outcomes, such as fewer complications, better documentation, and more consistent removal of idle devices.

Read more: https://periodicos.ufsm.br/reufsm/article/view/93111

Authors: Isadora Silva de Souza; Thiago Lopes Silva; Bianka Sousa Martins Silva; Bruna Figueiredo Manzo; Aline de Souza Bitencourt; Jefferson Wildes da Silva Moura; Gillian Ray-Barruel; Patricia Kuerten Rocha

Address

Griffith University
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Queensland
Australia 4111