Research utilization: Adhesive bandage dressing regimen for peripheral venous catheters

Abstract

Background: This project used the process of research utilization to apply research knowledge to clinical practice for dressing peripheral intravenous (IV) catheters. Method: The project included (1) the review and synthesis of multiple research studies, (2) transformation of the research-based knowledge into a clinical protocol of use of adhesive bandage (AB) for dressing peripheral IV catheters, and (3) evaluation of the proportion of phlebitis as an outcome measure for comparison of peripheral IV catheter sites dressed with 2 × 2 inch gauze/tape or AB. Integral to the research utilization process was the use of planned change strategies. Results: The proportion of phlebitis among peripheral IV catheters dressed with gauze/tape was 16.7% compared with 14.9% for AB. Antimicrobial ointment applied to the insertion site resulted in a higher proportion of phlebitis when used with an AB. Conclusion: This project used a research utilization framework to transfer research knowledge into clinical practice. To assure dissemination and implementation of the new practice, the use of ABs for dressing peripheral IVs was incorporated into hospital policy and procedure. In addition, the discontinuation of application of an antimicrobial ointment to peripheral IV sites was reinforced.