Effect of I-DECIDED Intervention on Occurrence of Visual Phlebitis for Patients with Peripheral Intravenous Catheter at Medical Department | ||
| Assiut Scientific Nursing Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 25 November 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asnj.2025.436842.2198 | ||
| Authors | ||
| kawther Badry Mobed* 1; Marwa Ali Almasry2; Fatma Gareh Ahmed3 | ||
| 1medical surgical nursing department- faculty of nursing- assiut university | ||
| 2Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Egypt | ||
| 3Medical Surgical Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt | ||
| Abstract | ||
| Background: Peripheral intravenous catheters (PIVCs) are among the most widely used invasive devices in clinical practice, yet their use is frequently complicated by phlebitis, a preventable condition that increases patient discomfort, infection risk, and healthcare costs. Aim: Evaluate the effect of I-DECIDED intervention on occurrence of Visual Phlebitis for patients with peripheral intravenous catheter at medical department. Research design: Quasi-experimental research design. Sample: A convenient sample of 30 nurses who worked in the medical department and a purposive sample of 60 adult who needed for I.V catheter for long period of time. Setting: medical department at Assiut university. Tools: Tool I; Socio- demographic data of nurses, Tool II; I-DECIDED tool performance checklist, Tool III; Demographic and clinical data of patients, and Tool IV; Visual infusion phlebitis. Results: A highly significant improvement (p<0.001) was observed across all checklist items after implementation of the I-DECIDED intervention, and a highly significant difference (p<0.001) was observed between the study and control groups of patients in phlebitis grading. Patients in the study group had lower phlebitis scores, with more cases in Grade 0–1 and none in Grade 5. Conclusion: Implementation of I-DECIDED decision-making tool significantly enhanced nursing performance and lowered both the incidence and severity of visual phlebitis among patients. Recommendations: Hospitals should adopt the I-DECIDED tool as part of routine nursing practice for PIVC management. | ||
| Keywords | ||
| I-DECIDED Intervention; Medical Department; Peripheral Intravenous Catheter; Visual Phlebitis | ||
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