PiccPed® app impact on nurses' knowledge to prevent adverse events for peripherally inserted central catheters (PICC) in pediatric and neonatal healthcare: A quasi-experimental study

• Published in: Journal of pediatric nursing 2024-09, Vol.78, p.112-117
• Main Authors: de Souza, Sabrina, Takashima, Mari, August, Deanne, Biazus-Dalcin, Camila, Silva, Thiago Lopes, Bitencourt, Aline de Souza, Ullman, Amanda, Rocha, Patricia Kuerten
• Format: Article
• Language: English
• Subjects: Adult; Brazil; Catheterization, Central Venous - adverse effects; Catheterization, Central Venous - nursing; Catheterization, Peripheral - adverse effects; Clinical Competence; Female; Health Knowledge, Attitudes, Practice; Humans; Infant, Newborn; Male; Mobile Applications; Neonatal nursing; Neonatal Nursing - education; Patient safety; Pediatric Nursing; Vascular Access Devices
• ISSN: 0882-5963; 1532-8449; 1532-8449
• DOI: 10.1016/j.pedn.2024.06.017

The PiccPed® health application was developed to support clinical decision-making in peripherally inserted central catheter (PICC) management. We aimed to evaluate its impact on nurses' knowledge regarding the prevention of PICC-associated adverse events in pediatrics and neonatology. A quasi-experimental, pre-post intervention study, was conducted with a dependent/paired sample of pediatric and neonatal nurses from two tertiary hospitals in South Brazil. Data were collected from October 2022 to January 2023 across three phases: pre-, intervention (use of the PiccPed®) and post-test. Study outcomes were a knowledge test (15 questions) of evidence-based PICC maintenance procedures, and PiccPed® app time spent and screens used. A total of 56 nurses completed the study. The post-test mean score was significantly higher (12/15; standard deviation (SD) 1.9) in comparison with the pre-test (mean 9/15; SD 2.2). The change in scores was significantly higher for nurses without postgraduate qualifications, in comparison to those with (Mean Difference 1.26; p = 0.039). Each minute using the app resulted in a significant increase of 0.04 points (95% confidence interval 0.01–0.08; p = 0.014) on the mean post-test score (10.94 points). Conclusion: The research demonstrated that PiccPed® enhances nurses' learning regarding the prevention of adverse events associated with PICC maintenance in pediatrics and neonatology. The app can be safely and effectively used for training and continuing education of nurses who care for children and neonates with PICCs. •PiccPed® positively impacts nurses' knowledge, preventing adverse events in PICC maintenance for pediatric and neonatal patients•PiccPed® is effective across a variety of training levels and surrounding nurses' characteristics.•This research supports future studies evaluating the tool's effectiveness in improving knowledge among students and professionals.