Tuğba DEMİROĞLU DOST, Nuran TOSUN
Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi - 2025;12(3):245-256
Aim: The aim of this study was to evaluate the effectiveness of an evidence-based care bundle in preventing phlebitis associated with peripheral venous catheters (PVCs). Material and Methods: A quasi-experimental design with control and experimental groups was employed between September 1, 2021, and March 31, 2022, in the Internal Medicine/Wound Care and Neurology/Neurosurgery clinics of Karaman Training and Research Hospital. The study sample comprised 75 patients, including 88 PVCs in the control group and 41 patients with 48 PVCs in the experimental group. Data were collected using the Nurse Identification Form, Patient Demographic and Clinical Information Form, Phlebitis Assessment Scale, and Care Bundle Clinical Monitoring Form. Patients in the control group received standard PVC care without implementation of the care bundle. Statistical analyses were conducted using Chi-square and Fisher's Exact tests. Results: Phlebitis developed in 37.5% of patients in the experimental group and 60.2% of patients in the control group. The difference in phlebitis incidence between the groups was found to be statistically significant (p<0.05). Conclusion: The findings suggest that implementing the care bundle is effective in reducing the incidence of phlebitis associated with PVCs. (ClinicalTrials.gov: NCT06743399). Implication for nursing practice: Implementing an evidence-based care bundle in routine nursing practice can significantly reduce the incidence of PVC-related phlebitis. Adoption of such standardized protocols in clinical guidelines may improve patient safety, enhance quality of care, and reduce treatment costs.
