Abstract
Background: Optimizing the monitoring of peripheral venous catheters is
essential. We developed a nursing record system at bedside (Patient
Smart Reader®) to track peripheral venous catheters acts. Aims: Improve
peripheral venous catheter monitoring. To improve the quality of
monitoring, we aimed to increase the usage rate of nursing record system
at bedside. Methods: We developed a “commitment intervention” course
based on binding communication paradigm. Evaluation of its performance
on monitoring was analyzed using a p-chart and time series analysis.
Findings: Nurses observed a significant improvement in compliance with
catheter monitoring over time (shifts after shifts), ranging from 27.6%
(CI = [25.3; 30.0]) of compliance before commitment intervention to
47.4% (CI = [45.0; 49.9]) after training. The commitment
intervention increased the chances of carrying out monitoring through
the tool for acts related to peripheral venous catheter by 2.42 (odds
ratio) (CI = [1.88; 3.11]). Conclusion: Binding communication
provides an effective method for changing nurses’ behaviors in terms of
safe care. The determinants of engagement (individual vs. collective)
can be indicators for defining future communication and training
strategies in care centers for all Health care workers.