Effect of Video Feedback on Adherence to Intravenous Insertion Standards in Nurses of Neonatal Intensive Care Unit

Abstract

Background: Many newborns are hospitalized in neonatal intensive care units (NICU) and undergo invasive procedures. Intravenous (IV) insertion is one of the most common painful invasive procedures performed on newborns. Thus, it is important to carry out this procedure according to the standards. The present study aimed to determine the effect of video feedback on nurses' adherence to neonatal IV insertion standards in selected hospitals affiliated to Isfahan University of Medical Sciences, Isfahan, Iran. Methods: This study was conducted as a clinical trial on 60 nurses in selected hospitals affiliated to Isfahan University of Medical Sciences in 2018. In the control group, after filling out the pre-test checklist and recording the IV insertion processes, the procedures were implemented according to the NICU routines. After a month, the post-test checklist was filled out. In the intervention group, feedbacks were given to the nurses about the correct insertion of IV and their performance after filling out the pre-test checklist and recording the processes. After a month, the post-test checklist was filled out, and the data were analyzed by the independent t-tests, Fisher's exact test, Chi-square test, covariance analysis, and paired sample t-test using SPSS software (version 22). Results: According to the findings, the mean score of adherence to neonatal IV insertion standards in the intervention group was about 59 before the intervention, but it increased to 78.7 after the intervention. The statistical test also indicated a significant difference in this practice before and after the intervention (P<0.001). Moreover, the results of the independent t-test showed that the mean score of adherence to neonatal IV insertion standards had improved significantly in the intervention group after the intervention, compared to that in the control group (P<0.001). Conclusion: Use of feedback method can be effective in nurses' adherence to standards.