J Korean Clin Nurs Res.  2025 Apr;31(1):1-14. 10.22650/JKCNR.2025.31.1.1.

Updates of Evidence-Based Nursing Practice Guidelines for Peripheral Intravenous Infusion Therapy

• Jeong IS
• Kang CM
• Kim KS
• Kim HL
• Park JO
• Lee J
• Lim KC
• Choi GE

• KMID: 2567673
• DOI: http://doi.org/10.22650/JKCNR.2025.31.1.1

Abstract

Purpose
This study was conducted to update the practice guidelines for intravenous infusion therapy published in 2017, focusing on the most recent evidence for peripheral intravenous infusion therapy.
Methods
The guideline update was conducted using the 22-step methodology.
Results
The updated guidelines consist of 17 domains and 235 recommendations (including 284 sub-recommendations). The domains are as follows: general instructions (5 items), peripheral catheter selection (7), catheter insertion site selection (11), management during peripheral catheter insertion (10), post-insertion management (30), perfusion and locking (17), blood sampling via peripheral catheters(6), exchange and removal of peripheral catheters (6), infusion set management (14), add-on devices (32), complications (25), chemotherapy infusions (10), PCA infusions (7), parenteral nutrition (20), transfusion therapy (23), education (5), and documentation and reporting (7). The evidence levels for these recommendations are as follows: 27(9.5%) at level I, 3 (1.1%) at level I A/P, 118 (41.5%) at level II, and 136 (47.9%) at level III. Recommendation grades are categorized as follows: 30 (10.6%) at level A, 118 (41.5%) at level B, and 136(47.9%) at level C. Of these, 73 (25.7%) recommendations were newly developed, 49 (17.3%) underwent major revisions, and 147 (51.7%) underwent minor revisions.
Conclusion
The updated practice guideline, based on the latest evidence, is anticipated to enhance nursing practice related to peripheral intravenous infusion therapy.

Keyword

Catheterization, Peripheral; Infusions, Intravenous; Practice Guideline; Evidence-Based Nursing