Keywords
IV cannulation
nurse knowledge
practice
barriers
vascular access
How to Cite
Abstract
Background: Peripheral intravenous (IV) cannulation is a fundamental yet challenging procedure in pediatric care due to children’s physiological and psychological sensitivity. This study assessed nurses’ knowledge, practices, and perceived barriers in pediatric IV cannula care and maintenance.
Materials and Methods: A descriptive cross-sectional design was used with 100 registered nurses in pediatric wards of a tertiary care hospital. Data were collected through a validated questionnaire covering knowledge, practice, and barriers, and analyzed using SPSS with descriptive and inferential statistics. Ethical approval and informed consent were obtained.
Results: Findings revealed moderate knowledge in 62% of nurses, with only 27% demonstrating high-level evidence-based knowledge. Adherence to IV maintenance protocols was variable, with deficiencies in infection prevention and site monitoring. Reported barriers included heavy workloads, insufficient training, lack of pediatric-specific protocols, and limited institutional support.
Conclusion: Strengthening competency-based training, standardized pediatric protocols, improved nurse-patient ratios, and institutional support are essential for enhancing pediatric IV therapy outcomes.