An Implementation Framework for the Clinically Indicated Removal Policy for Peripheral Intravenous Catheters

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Author(s)
Takashima, Mari
Cooke, Marie
DeVries, Michelle
Kleidon, Tricia M
Alexandrou, Evan
Chopra, Vineet
Rickard, Claire M
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2020
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Abstract

Background: Equivalent clinical outcomes, lower costs, and fewer invasive procedures have resulted in revised recommendations for the removal of peripheral intravenous catheters (PIVCs) from the traditional 72- to 96-hourly removal to removal based upon clinical indication. Problem: Uptake of this evidence-based innovation to health systems is often delayed, in part due to the lack of a guiding framework for successful implementation strategies to guide systems to transition to and sustain clinically indicated PIVC removal. Approach: We used the Consolidated Framework for Implementation Research (CFIR) to reflect on strategies likely important for the successful implementation of PIVC removal evidence into policy and practice. Outcomes: We discuss and provide a critique of salient strategies for successful implementation of clinically indicated PIVC removal with regard to intervention characteristics, the outer and inner settings, characteristics of individuals, and implementation processes. Conclusions: Successful implementation of clinically indicated PIVC removal can be achieved through planned and systematic processes within the CFIR framework.

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Journal of Nursing Care Quality

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© 2020 LWW. This is a non-final version of an article published in final form in Journal of Nursing Care Quality, Ahead of Print. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal link for access to the definitive, published version.

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This publication has been entered into Griffith Research Online as an Advanced Online Version.

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Nursing

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Takashima, M; Cooke, M; DeVries, M; Kleidon, TM; Alexandrou, E; Chopra, V; Rickard, CM, An Implementation Framework for the Clinically Indicated Removal Policy for Peripheral Intravenous Catheters., Journal of Nursing Care Quality, 2020

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