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  1. Article ; Online: Site selection and incidence of peripheral intravenous catheter complications.

    Indarwati, Ferika

    Evidence-based nursing

    2022  Volume 26, Issue 3, Page(s) 106

    MeSH term(s) Humans ; Incidence ; Catheter-Related Infections/epidemiology ; Catheter-Related Infections/etiology ; Catheterization, Peripheral/adverse effects ; Catheters/adverse effects
    Language English
    Publishing date 2022-11-17
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 1425988-6
    ISSN 1468-9618 ; 1367-6539
    ISSN (online) 1468-9618
    ISSN 1367-6539
    DOI 10.1136/ebnurs-2022-103558
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Peripheral intravenous catheter insertion, maintenance and outcomes in Indonesian paediatric hospital settings: A point prevalence study.

    Indarwati, Ferika / Munday, Judy / Keogh, Samantha

    Journal of pediatric nursing

    2023  Volume 73, Page(s) 106–112

    Abstract: Purpose: This study aimed to assess peripheral intravenous catheter use, maintenance practices, and outcomes of paediatric patients in a developing country setting.: Design and methods: A point prevalence survey using validated checklist was ... ...

    Abstract Purpose: This study aimed to assess peripheral intravenous catheter use, maintenance practices, and outcomes of paediatric patients in a developing country setting.
    Design and methods: A point prevalence survey using validated checklist was conducted between March and April 2022 in ten hospitals in Indonesia. A total number of 478 participants were approached during the audit. Data were obtained from site observation and medical records.
    Results: Of the 386 patients surveyed, >90% (362) had one catheter in-situ. The catheters were mostly inserted by nurses (331, 86%), primarily in the dorsum of the hand (207, 54%) with the purpose of delivering intravenous infusions and medications (367, 95%). Simple transparent dressings (176, 46%) with splint and bandage (295, 76%) were predominantly used for securement methods. Insertion sites were not visible for 182 (47%) patients, and 151 (40%) of daily care practices were poorly documented. Complications were documented in the medical record for 166 (43%) catheters. Adjusted analysis indicated that patient diagnosis, ward, catheter size, location, dressings, infusate, and flushing administration were significantly associated with complications.
    Conclusions: Findings indicate that issues related to paediatric intravenous catheter complications in Indonesia are comparable to developed country settings. Ongoing surveillance is important to evaluate the management practices to benchmark against guidelines, optimise patient safety, and improve outcomes.
    Practice implications: Results demonstrate low and middle-income countries face similar challenges with catheter insertion and care. The study indicates the importance of applying vascular access needs assessments, providing training for inserters, identifying optimum dressing methods, and optimising documentation.
    MeSH term(s) Humans ; Child ; Indonesia ; Hospitals, Pediatric ; Prevalence ; Catheters ; Catheterization, Peripheral/adverse effects ; Catheterization, Peripheral/methods
    Language English
    Publishing date 2023-08-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632731-x
    ISSN 1532-8449 ; 0882-5963
    ISSN (online) 1532-8449
    ISSN 0882-5963
    DOI 10.1016/j.pedn.2023.08.009
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  3. Article ; Online: Adaptation and validation of pediatric peripheral intravenous catheter insertion and care practices audit tools.

    Indarwati, Ferika / Munday, Judy / Keogh, Samantha

    International journal of nursing sciences

    2022  Volume 9, Issue 2, Page(s) 179–186

    Abstract: Objectives: This study aimed to describe the translation process and establish the validity of the three instruments in Indonesian to assess pediatric peripheral intravenous catheter (PIVC) insertion and care practices.: Methods: The six-step forward ...

    Abstract Objectives: This study aimed to describe the translation process and establish the validity of the three instruments in Indonesian to assess pediatric peripheral intravenous catheter (PIVC) insertion and care practices.
    Methods: The six-step forward and backward translation method was used to translate the adapted questionnaires. The English version questionnaires included the point prevalence audit checklist, the nurse survey consisting of the nurse PIVC knowledge questionnaire and the nurse PIVC confidence questionnaire, plus a Patient/parent Experience Survey. Data collection was conducted in Indonesia between October 2019 and February 2020. In total, there were six translators (two for each instrument), nine-panel vascular access experts (three for each instrument), and 30 participants (ten for each instrument) of the target population involved in the translation and validation of the three instruments. Three-panel experts rated the content relevance of each instrument using a four-point rating scale. Item level and scale level content validity index and kappa index were calculated. Ten-panel members of the target population evaluated each questionnaire regarding feasibility, clarity, logical sequence, and formatting. Qualitative comments from the panel were also reviewed.
    Results: The translation process indicated relatively low discrepancies between translators except for semantic equivalence. There were nine, eight, and one semantic discrepancies found in the forward translation of the point prevalence audit checklist, nurse survey, and patient/parent experience survey. The semantic discrepancies were less prevalent in the backward translation, with only one, three, and two items reported during the process. The item validity index for all of the three instruments showed relatively high agreement between experts (I-CVI > 0.78, S-CVI/Ave >0.90, S-CVI/UA > 0.70, and kappa index >0.74). The face validity was established with the panel reporting that the three instruments were easy to understand and presented logically. However, some re-formatting of the nurse survey and patient/parent experience survey were needed to avoid ambiguity and confusion for the participants.
    Conclusions: The results indicate that the translated three survey instruments that had been widely used in other developed countries show good content validity in the Indonesian context. They can be used as a reference for further testing in different countries and contribute to understanding the pediatric PIVC audit tools used in future clinical research.
    Language English
    Publishing date 2022-03-15
    Publishing country China
    Document type Journal Article
    ZDB-ID 2800296-9
    ISSN 2352-0132 ; 2352-0132
    ISSN (online) 2352-0132
    ISSN 2352-0132
    DOI 10.1016/j.ijnss.2022.03.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Nurse knowledge and confidence on peripheral intravenous catheter insertion and maintenance in pediatric patients: A multicentre cross-sectional study.

    Indarwati, Ferika / Munday, Judy / Keogh, Samantha

    Journal of pediatric nursing

    2021  Volume 62, Page(s) 10–16

    Abstract: Purpose: To examine nursing knowledge and confidence of peripheral intravenous catheter insertion and maintenance in pediatric patients.: Design and methods: An online survey using validated questionnaires was conducted in ten (tertiary and district) ...

    Abstract Purpose: To examine nursing knowledge and confidence of peripheral intravenous catheter insertion and maintenance in pediatric patients.
    Design and methods: An online survey using validated questionnaires was conducted in ten (tertiary and district) hospitals in Indonesia from May to September 2020. Multivariable general linear models were used to investigate associations between nurses' characteristics and knowledge and confidence on the catheter insertion and maintenance score.
    Results: A total of 413 out of 458 pediatric nurses completed the survey (a response rate of 90%). The mean score of the nurse knowledge on insertion was 18.9(±3.3) (maximum score: 21), and the maintenance score was 6.5(±2.0) (maximum score: 12). The median score of the nurse insertion and maintenance confidence was quite high: 44 (IQR = 7) out of 50 and 37 (IQR = 4) out of 45, respectively. Initial patient assessment, catheter securement, site assessment and management of complications are areas where nurse knowledge and confidence are still lacking. Adjusted analysis indicates that training and work experience were significantly associated with the knowledge and confidence score (p < 0.05).
    Conclusion: Pediatric nurses were largely confident in their skills but this was not reflected in their knowledge scores. Training and experience were important predictors for nursing knowledge and confidence in catheter insertion and maintenance.
    Practice implications: The results provide nursing and hospital managers and educational institutions to understand areas of intravenous catheter insertion and maintenance in which nurses lack of knowledge and confidence as well as to formulate tailored and ongoing training to improve nurse knowledge, confidence, practices and optimize patients' care.
    MeSH term(s) Catheterization, Peripheral/adverse effects ; Catheters ; Child ; Clinical Competence ; Cross-Sectional Studies ; Humans ; Nurses ; Surveys and Questionnaires
    Language English
    Publishing date 2021-11-17
    Publishing country United States
    Document type Journal Article ; Multicenter Study
    ZDB-ID 632731-x
    ISSN 1532-8449 ; 0882-5963
    ISSN (online) 1532-8449
    ISSN 0882-5963
    DOI 10.1016/j.pedn.2021.11.007
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  5. Article: Religious Practices and Spiritual Well-Being of Schizophrenia: Muslim Perspective.

    Irawati, Kellyana / Indarwati, Ferika / Haris, Fahni / Lu, Jing-Yi / Shih, Yin-Hwa

    Psychology research and behavior management

    2023  Volume 16, Page(s) 739–748

    Abstract: Purpose: To explore religious activities and its functions on the spiritual wellbeing of Muslim patients with schizophrenia.: Patients and methods: Semi-structured in-depth interviews were conducted in six schizophrenia inpatients and two female ... ...

    Abstract Purpose: To explore religious activities and its functions on the spiritual wellbeing of Muslim patients with schizophrenia.
    Patients and methods: Semi-structured in-depth interviews were conducted in six schizophrenia inpatients and two female nurses. Document analysis of the standard operating procedure related to patients' spiritual needs fulfilment and patients' medical records were also undertaken in order to triangulate data and to get insights about patient spiritual and religious activity. Thematic analysis was used to analyse data.
    Results: Five themes and 12 sub themes were revealed from the study data. The five themes elicited from the study namely frequency, timing, barriers to perform religious activities, impact on health status and negative effects if not performing the religious activities. Religious activities such as
    Conclusion: The findings show that
    Language English
    Publishing date 2023-03-12
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 2495093-2
    ISSN 1179-1578
    ISSN 1179-1578
    DOI 10.2147/PRBM.S402582
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  6. Article ; Online: Incidence of peripheral intravenous catheter failure and complications in paediatric patients: Systematic review and meta analysis.

    Indarwati, Ferika / Mathew, Saira / Munday, Judy / Keogh, Samantha

    International journal of nursing studies

    2019  Volume 102, Page(s) 103488

    Abstract: Background: Most paediatric patients have at least one peripheral intravenous catheter insertion during their hospitalisation. Despite the important function of peripheral intravenous catheters for delivery of intravenous therapy, failure and ... ...

    Abstract Background: Most paediatric patients have at least one peripheral intravenous catheter insertion during their hospitalisation. Despite the important function of peripheral intravenous catheters for delivery of intravenous therapy, failure and complications rates are widely reported; however these results have not been synthesised.
    Objective: To provide an overall estimate of peripheral intravenous catheter failure and related complications in the paediatric population.
    Design: Systematic review and meta-analysis DATA SOURCES: The electronic databases, Cochrane Central Register of Controlled Trials, US National Library of Medicine National Institutes of Health, Cumulative Index of Nursing and Allied Health, Embase, Joanna Briggs Institute databases and ProQuest Dissertations and Theses, from January 2000 to January 2019 was conducted.
    Review methods: Observational studies and randomised controlled trials were independently screened by paired reviewers, and then eligible studies had data extracted and assessed for quality. Key outcomes of interest were any peripheral intravenous catheter complication, either as a composite measure or individually reported, including infiltration, extravasation, phlebitis, accidental removal, occlusion, leakage, local or catheter-associated infection. Results were pooled for analysis or summarised in a narrative synthesis.
    Results: Thirty-two studies met the inclusion criteria. Overall, the pooled incidence of peripheral intravenous catheter failure as a composite measure was 38% (n = 6,492; 95% CI 0.32 - 0.45) by device and 34% (n = 3,654, 95% CI 0.29 - 0.39) by patients. Infiltration was the most common individual reason for failure with 10% pooled incidence (95% CI 0.07 - 0.14) followed by accidental removal, occlusion, and leakage. Incidence of total phlebitis (any symptoms) was 5% (95% CI 0.02 - 0.10), with extravasation at 1% (95% CI 0.00 - 0.02). Studies ranged in methodological quality as appraised by the relevant tool.
    Conclusions: Peripheral intravenous catheter failure and complications in paediatrics patients are a significant problem globally. Therefore, continued efforts from health care providers are required to decrease the incidence of these complications.
    MeSH term(s) Catheterization, Peripheral/adverse effects ; Child ; Humans ; Incidence ; Phlebitis/etiology
    Language English
    Publishing date 2019-11-26
    Publishing country England
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 80148-3
    ISSN 1873-491X ; 0020-7489
    ISSN (online) 1873-491X
    ISSN 0020-7489
    DOI 10.1016/j.ijnurstu.2019.103488
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