Improving Paediatric IV Care with the I-DECIDED Tool

Study Overview
This interrupted time-series study evaluated the effectiveness of the I-DECIDED assessment and decision tool in improving peripheral intravenous catheter (PIVC) care for paediatric patients in a Brazilian public hospital. The tool aims to guide nurses through structured, evidence-based decisions during catheter care.

Key Findings

Reduced Complications: The implementation led to fewer idle PIVCs, substandard dressings, and complications post-intervention.

Increased Engagement: Families and patients reported greater involvement in PIVC assessment, hand hygiene, and device disinfection.

Better Documentation: Nurses and technicians significantly improved the documentation of their decisions regarding catheter care.

Implications

The I-DECIDED tool strengthened nursing-led vascular access care in children by boosting patient safety, elevating care quality, and promoting shared decision-making. These findings highlight the potential for broader adoption of structured assessment tools in paediatric units globally.

Read more:https://onlinelibrary.wiley.com/doi/10.1111/jan.16458 

Authors: Thiago Lopes Silva, Gillian Ray-Barruel, Amanda Ullman, Mari Takashima, Denise Miyuki Kusahara, Sabrina de Souza, Jefferson Wildes da Silva Moura, Aline de Souza Bitencourt, Patrícia Kuerten Rocha