Assessment of Emergency Nurses’ Knowledge and Awareness Regarding Peripheral Intravenous Extravasation: A Cross-Sectional Study
Abstract
Background: Nurses play a crucial role in ensuring patient safety during intravenous therapy. Awareness of vascular extravasation is essential for preventing tissue injury and promoting evidence-based care. Considering the clinical importance of intravenous injections, their potential complications, and the limited awareness among emergency nurses, this study aimed to assess the level of knowledge regarding vascular extravasation among nurses working in the emergency departments of Khatam-al-Anbia and Ali Ibn Abi Talib hospitals in Zahedan.
Methods: This cross-sectional descriptive study was conducted on 77 emergency department nurses from Khatam-al-Anbia and Ali Ibn Abi Talib hospitals in Zahedan during 2024–2025. Data were collected using a validated, researcher-developed questionnaire assessing six domains of extravasation knowledge. Statistical analysis was performed using SPSS version 24, and relationships between awareness scores and demographic variables were analyzed using the independent t-test, with the significance level set at p < 0.05.
Results: The mean age of participants was 34.4 ± 6.8 years, and 62.3% were female. The overall mean knowledge score was 34.2 ± 5.6 (range: 19–46) out of a maximum of 72, indicating a generally low level of awareness. In total, 61% of nurses demonstrated low awareness and 39% demonstrated moderate awareness, while none achieved a high level. The results showed a significant association between awareness scores and both educational level and participation in training courses (p < 0.05), whereas no significant relationship was found with age, gender, or work experience.
Conclusions: The findings indicate that a considerable proportion of emergency nurses possess inadequate knowledge regarding vascular extravasation. Structured and continuous training programs are strongly recommended to enhance awareness, improve prevention and management skills, and ensure safer intravenous practices in emergency settings.
2. Zavvar T. The role of core self-evaluation and job autonomy on nurses’ job performance in public hospitals. J Hosp. 2017;16(3):112-9.
3. Sadoughi F, Ahmadi M, Moghaddasi H, Sheikhtaheri A. Patient safety information system: purpose, structure and functions. J Mazandaran Univ Med Sci. 2011;21(85):174-88.
4. Poellman D, Hadaway L, Bowe-Geddes LA, et al. Infiltration and extravasation: update on prevention and management. J Infus Nurs. 2009;32(4):203-11. https://doi.org/10.1097/ NAN.0b013e3181aac042
5. Infusion Nurses Society. Infusion nursing standards of practice. J Infus Nurs. 2006;29(Suppl 1):S1-92. https://doi. org/10.1097/00129804-200601001-00001
6. Boulanger J, Ducharme A, Dufour A, et al. Management of the extravasation of anti-neoplastic agents. Support Care Cancer. 2015;23(5):1459-71. https://doi.org/10.1007/s00520- 015-2635-7
7. Atay S, Üzen Cura Ş, Efil S. Nurses’ knowledge and experience related to short peripheral venous catheter extravasation. J Vasc Access. 2021;22(5):785-92.
8. Sisan M, Rayan A, Elmorsy S, Elyan H, Salahat M. Knowledge regarding noncytotoxic medication extravasation among registered nurses. J Vasc Nurs. 2018;36(1):12-22. https://doi.org/10.1016/j.jvn.2017.09.007
9. Alaee Karahroudy F, Naeimi N, Khanali Mojan L, Nasiri M. The audit of nursing care related to the treatment of extravasation in neonatal intensive care units. Hayat. 2016;22(1):79-89.
10. Nicholson J. Royal College of Nursing’s standards for infusion therapy: an overview. Br J Nurs. 2018;27(2 Suppl):S12-4. https://doi.org/10.12968/bjon.2018.27.2.S12
11. Bahrami M, Karimi T, Yadegarfar G, Norouzi A. Assessing the quality of existing clinical practice guidelines for chemotherapy drug extravasation by appraisal of guidelines for research and evaluation II. Iran J Nurs Midwifery Res. 2019;24(6):410-6. https://doi.org/10.4103/ijnmr. IJNMR_80_19
12. Adly RM, Ismail SS, Saleh SM. Assessment of nurses’ knowledge and practices regarding the application of safety standard precautions in pediatric critical care. Novelty J. 2020;7:524-43.
13. Sharour LA. Oncology nurses’ knowledge about exploring chemotherapy-related extravasation care: a cross-sectional study. Clin Epidemiol Glob Health. 2020;8(3):780-4. https://doi.org/10.1016/j.cegh.2020.01.019
14. Prakash P, Chandra A, Kotha M, Das SK, Prakash B, et al. Effectiveness of structured teaching programme on knowledge regarding management of extravasation of chemotherapeutic drugs. Insights Depress Anxiety. 2022;6:18-24. https://doi. org/10.29328/journal.ida.1001032
15. Ener RA, Meglathery SB, Styler M. Extravasation of systemic hemato-oncological therapies. Ann Oncol. 2014;15(6):858-62. https://doi.org/10.1093/annonc/mdh214
16. Kaplan A, Bayat M, Çinar SL, Yerer MB, Avşaroğulları ÖL. Comparison of two topical pharmacological agents in alleviating peripheral intravenous catheterization-induced
pain in adults: a randomized controlled study. J Clin Pract Res. 2024;46(3):23-34. https://doi.org/10.14744/cpr.2024.15497
17. El-Fadl NM. Effect of educational program on nurses’ performance regarding prevention and management of intravenous extravasation chemotherapy. Evid Based Nurs Res. 2020;2(3):12-22. https://doi.org/10.47104/ bnrojs3.v2i3.172
18. Sauerland C. Vesicant extravasation part I: mechanisms, pathogenesis, and nursing care to reduce risk. Oncol Nurs Forum. 2006;33(6):1134-41. https://doi.org/10.1188/06. ONF.1134-141
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| Issue | Vol 8 No 3 (2025) | |
| Section | Original Article(s) | |
| Keywords | ||
| Extravasation Nurses Emergency Department Awareness Intravenous Therapy | ||
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