{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T22:54:21Z","timestamp":1772232861519,"version":"3.50.1"},"reference-count":22,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Texto contexto - enferm."],"abstract":"<jats:p>ABSTRACT  Objective: to elaborate, based on the assessment of the nursing team\u2019s flushing practice, a care technology prototype aimed at promoting good practices in intravenous catheter maintenance in intensive care.  Method:  a technology elaboration study, developed in three stages: flushing practice assessment through a questionnaire completed by 108 nursing professionals working in intravenous catheter maintenance in intensive care settings of a public hospital located in the city of Rio de Janeiro, Brazil. Data collection took place from November 2019 to January 2020, with descriptive and inferential data analysis; analysis of this practice regarding the existence of errors according to the main guidelines and scientific evidence, with classification of types of errors in the light of the conceptual framework of patient safety; and technology prototype development.  Results:  88% of participants perform flushing in their practice; 49.5% apply the continuous pressure technique on the syringe plunger; 22% perform flushing before, between and after medication administration; predominance of use of volume and syringes with gauges of 5 ml and 10 ml. Variables related to knowledge were associated with not performing flushing. There were active and latent errors that guided the technology prototype construction.  Conclusion:  a care guide was built that aims to increase nursing team\u2019s knowledge about good flushing practices and is configured as a barrier to error recurrence.<\/jats:p>","DOI":"10.1590\/1980-265x-tce-2022-0302en","type":"journal-article","created":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T07:45:40Z","timestamp":1688111140000},"source":"Crossref","is-referenced-by-count":0,"title":["CARE TECHNOLOGY PROTOTYPE FOR FLUSHING PRACTICE IN INTRAVENOUS CATHETER MAINTENANCE"],"prefix":"10.1590","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0224-5944","authenticated-orcid":false,"given":"Gabriella da Silva Rangel","family":"Ribeiro","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio de Janeiro,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7254-5251","authenticated-orcid":false,"given":"Juliana Faria","family":"Campos","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3880-6590","authenticated-orcid":false,"given":"Pedro Miguel Santos Dinis","family":"Parreira","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem de Coimbra,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5211-9586","authenticated-orcid":false,"given":"Rafael Celestino da","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro,  Brasil"}]}],"member":"530","published-online":{"date-parts":[[2023]]},"reference":[{"key":"ref1","first-page":"S1","article-title":"Infusion therapy standards of practice","volume":"39","author":"Gorski L","year":"2016","journal-title":"J Infus Nurs"},{"key":"ref2","series-title":"Vessel Health and Preservation: The Right Approach for Vascular Access","first-page":"243","volume-title":"Right Management and Flushing","author":"Cullinane C","year":"2019"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0168637","article-title":"Peripheral venous cateter related adverse events: evaluation from a multicentre epidemiological study in France (the CATHEVAL Project)","volume":"12","author":"Miliani K","year":"2017","journal-title":"PLoS One"},{"issue":"23-24","key":"ref4","doi-asserted-by":"crossref","first-page":"4488","DOI":"10.1111\/jocn.15035","article-title":"Catheter dwell time and risk of catheter failure in adult patients with peripheral venous catheters","volume":"28","author":"Wei T","year":"2019","journal-title":"J Clin Nurs"},{"key":"ref5","series-title":"Medidas de preven\u00e7\u00e3o de infec\u00e7\u00e3o relacionada \u00e0 assist\u00eancia \u00e0 sa\u00fade","year":"2017"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/NAN.0000000000000396","article-title":"Infusion therapy standards of practice","volume":"44","author":"Gorski LA","year":"2021","journal-title":"J Infus Nurs"},{"issue":"4","key":"ref7","article-title":"Incidence rate and the use of flushing in the prevention of obstructions of the peripheral venous catheter","volume":"27","author":"Braga LM","year":"2018","journal-title":"Texto Contexto Enferm"},{"key":"ref8","article-title":"Flushing and locking of venous catheters: available evidence and evidence deficit","volume":"2015","author":"Goosens GA","year":"2015","journal-title":"Nurs Res Pract"},{"key":"ref9","series-title":"Medication without harm: WHO global patient safety challenge","year":"2017"},{"issue":"5","key":"ref10","article-title":"What do we know about flushing for intravenous catheter maintenance in hospitalized adults?","volume":"75","author":"Ribeiro GSR","year":"2022","journal-title":"Rev Bras Enferm"},{"issue":"6","key":"ref11","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1136\/ewjm.172.6.393","article-title":"Human error: models and management","volume":"172","author":"Reason J","year":"2000","journal-title":"West J Med"},{"key":"ref12","series-title":"Desenvolvimento de tecnologias cuidativo-educacionais","author":"Teixeira E","year":"2017"},{"issue":"8","key":"ref13","doi-asserted-by":"crossref","DOI":"10.1016\/j.heliyon.2020.e04579","article-title":"The flushing procedure in nursing practices: a cross-sectional study with Portuguese and Brazilian nurses","volume":"6","author":"Parreira P","year":"2020","journal-title":"Heliyon"},{"key":"ref14","series-title":"Human error","author":"Reason J","year":"2009","edition":"20"},{"issue":"1","key":"ref15","doi-asserted-by":"crossref","DOI":"10.1186\/s13063-016-1470-6","article-title":"Varied flushing frequency and volume to prevent peripheral intravenous cateter failure: a pilot, factorial randomised controlled trial in adult medical-surgical hospital patients","volume":"17","author":"Keogh S","year":"2016","journal-title":"Trials"},{"issue":"2","key":"ref16","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1188\/18.CJON.199-202","article-title":"Heparin versus normal saline: flushing effectiveness in managing Central Venous Catheters in patients undergoing Blood and marrow transplantation","volume":"22","author":"Klein J","year":"2018","journal-title":"Clin J Oncol Nurs"},{"issue":"1","key":"ref17","doi-asserted-by":"crossref","first-page":"29","DOI":"10.5455\/msm.2020.32.29-34","article-title":"The efficacy of normal saline (N\/S 0.9%) versus heparin solution in maintaining patency of peripheral venous cateter and avoiding complications: a systematic reviews","volume":"32","author":"Sotnikova C","year":"2020","journal-title":"Mater Sociomed"},{"issue":"3","key":"ref18","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1097\/NAN.0000000000000276","article-title":"Maintaining short peripheral catheter patency: a comparison of saline lock versus continuous infusion in the acute care setting","volume":"41","author":"Roszell SS","year":"2018","journal-title":"J Infus Nurs"},{"issue":"5","key":"ref19","doi-asserted-by":"crossref","first-page":"461\u201070","DOI":"10.1177\/1129729818820200","article-title":"Implications for maintaining vascular access device patency and performance: application of science to practice","volume":"20","author":"Hawthorn A","year":"2019","journal-title":"J Vasc Access"},{"issue":"1","key":"ref20","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1097\/NAN.0000000000000311","article-title":"Pulsatile Flushing: a review of the literature","volume":"42","author":"Boord C","year":"2019","journal-title":"J Infus Nurs"},{"issue":"1","key":"ref21","doi-asserted-by":"crossref","DOI":"10.1590\/2177-9465-ean-2019-0153","article-title":"Contributive factors for the consolidation of patient safety culture in the hospital environment","volume":"24","author":"Heidmann A","year":"2019","journal-title":"Esc Anna Nery"},{"issue":"1","key":"ref22","doi-asserted-by":"crossref","DOI":"10.1186\/s12916-020-01728-1","article-title":"Implementation and evaluation of short peripheral intravenous catheter flushing guidelines: a stepped wedge cluster randomised trial","volume":"18","author":"Keogh S","year":"2020","journal-title":"BMC Med"}],"container-title":["Texto &amp; Contexto - Enfermagem"],"original-title":["PROT\u00d3TIPO DE TECNOLOGIA DE CUIDADO PARA PR\u00c1TICA DO FLUSHING NA MANUTEN\u00c7\u00c3O DE CATETERES INTRAVENOSOS"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0104-07072023000100328&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T07:45:57Z","timestamp":1688111157000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-07072023000100328&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":22,"alternative-id":["S0104-07072023000100328"],"URL":"https:\/\/doi.org\/10.1590\/1980-265x-tce-2022-0302en","relation":{"is-translation-of":[{"id-type":"doi","id":"10.1590\/1980-265x-tce-2022-0302pt","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1980-265x-tce-2022-0302pt","asserted-by":"object"}]},"ISSN":["1980-265X","0104-0707"],"issn-type":[{"value":"1980-265X","type":"electronic"},{"value":"0104-0707","type":"print"}],"subject":[],"published":{"date-parts":[[2023]]},"article-number":"e20220302"}}