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Implementing an Evidence-based, Standardized Care Bundle Targeting Register Nurses and Anaesthesiologists, to Enhance Patient Safety and Quality of Intravascular Access Devices Care Management - The Safe-IVADs Project. A Longitudinell Implementation Intervention With an Embedded Process Evaluation.
Sponsor: Sahlgrenska University Hospital
Summary
The goal of this observational study spanning over three years is to evaluate the effectiveness of implementing a co-designed, care bundle on intravascular access device (IVAD) quality and nurses and anaesthesiologist knowledge of IVADs best practices, at an intervention hospital compare to care as usual the a control hospital. Additional aims are to: 1. translate and validate a tool for identifying patients with difficult vein access within the Swedish healthcare context, 2. to evaluate the implementation related to its feasibility, acceptability, fidelity, and cost-effectiveness. The main questions it aims to answer are: * Does the implementation of evidence-based practices improve the quality of IVADs care, e.g. thrombophlebitis/phlebitis, extravasation, infiltration, dislodgement and increase register nurses and anaesthesiologists' knowledge of IVADs best practices? * Does the intervention bridge barriers to successful implementation and support routinization of evidence-based practices. * Which factors influence the implementation in terms of feasibility, acceptability, cost-effectiveness and compatibility with professionals' existing values and clinical workflows?
Official title: The Safe IVADs Project
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
OBSERVATIONAL
Enrollment
700
Start Date
2026-05-20
Completion Date
2028-12-31
Last Updated
2026-06-08
Healthy Volunteers
No
Conditions
Interventions
The Safe IVADs project
The implementation intervention is based on classic theories on organisational culture and leadership and dialogue, to change nurses and anaesthesiologist way of thinking and acting to improve the quality of intravascular catheters. The implementation will be leas by six facilitators. Approximately 650 register nurses and 50 anaesthesiologist will participate in the implementation program. The implementation objects are co-designed learning activities that will be implemented over one year.
Locations (1)
Sahlgrenska Academy, Sahlgrenska University hospital/Mölndal
Gothenburg, Sweden