The effectiveness of training programmes in reducing short peripheral intravenous catheter failures: A systematic review

PRIVITERA, Daniele; Basso, Ines; Santomauro, Isabella; Bassi, Erika; Capsoni, Nicolò; Rovati, Lucrezia; Molin, Alberto Dal

doi:10.1016/j.nepr.2025.104608

Article (Scientific journals)

The effectiveness of training programmes in reducing short peripheral intravenous catheter failures: A systematic review

PRIVITERA, Daniele; Basso, Ines; Santomauro, Isabella et al.

2025 • In Nurse Education in Practice, 89

Peer Reviewed verified by ORBi

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https://hdl.handle.net/10993/66510

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10.1016/j.nepr.2025.104608

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Keywords :

Catheter-related complications; Peripheral intravenous catheters; Systematic review; Training programme; bloodstream infection; catheter complication; health care personnel; hospital patient; human; pain; pain assessment; phlebitis; randomized controlled trial (topic); Review; risk assessment; risk factor; systematic review; thrombophlebitis; training

Abstract :

[en] Aim: To assess and synthesise evidence on short peripheral intravenous catheter (sPVC) management training programmes and evaluate their effectiveness in reducing early sPVC failure in hospitalised patients. Background: Modifiable risk factors, including choice of catheter, site of insertion, early recognition of complications and provider expertise, play a critical role in sPVC failure, highlighting the need for targeted educational programmes to improve provider skills and adherence to evidence-based practices. Design: A systematic review was employed following the PRISMA guidelines. Methods: A systematic search was conducted across four databases—PubMed, Embase, CINAHL and the Cochrane CENTRAL. Only randomized controlled trials (RCTs) evaluating training programmes for sPVC management in healthcare professionals, with outcomes related to sPVC failure, were included. Risk of bias was assessed using the Cochrane risk-of-bias tool for RCTs. The protocol was registered in PROSPERO (CRD42023444364) and the search covered studies published up to June 20, 2024. Results: The search strategy retrieved 12,253 articles, of which three were included. These reported a significant reduction in sPVC failure in the intervention groups, with reductions ranging from 8 % to 29 %. However, no improvements were found in individual outcomes (occlusion, dislodgment, infiltration, infection). The included studies exhibited substantial heterogeneity in training programme characteristics, including duration, content and delivery methods. Conclusion: Structured training programmes can help reduce sPVC failure rates, despite variations in programme implementation. Short- and long-term programmes showed benefits, with long-term training supporting sustained adherence to evidence-based practice despite requiring more resources. A small number of studies prevent definitive conclusions about overall effectiveness. © 2025 The Authors

Disciplines :

Nursing Science

Author, co-author :

PRIVITERA, Daniele ; University of Luxembourg > Faculty of Science, Technology and Medicine (FSTM) > Department of Life Sciences and Medicine (DLSM) > Medical Education ; Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy ; Department of Cardiovascular, Neural and Metabolic Sciences, Istituto Auxologico Italiano, IRCCS, San Luca Hospital, Milan, Italy

Basso, Ines; Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy

Santomauro, Isabella; Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy

Bassi, Erika; Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy

Capsoni, Nicolò; School of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy

Rovati, Lucrezia; School of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy

Molin, Alberto Dal; Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy ; Health Professions’ Direction, Maggiore della Carità Hospital, Novara, Italy

External co-authors :

Language :

English

Title :

The effectiveness of training programmes in reducing short peripheral intravenous catheter failures: A systematic review

Publication date :

2025

Journal title :

Nurse Education in Practice

ISSN :

1471-5953

eISSN :

1873-5223

Publisher :

Elsevier Ltd

Volume :

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBilu :

since 26 November 2025

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