Abstract
Background: Peripheral Venous Catheters used for administering fluids and medications throughout the body quickly. PVA can be associated with complications such as extravascular infiltration, thrombophlebitis, hematoma, infections, and air embolism. The study aimed to: Assess of nurses' performance regarding factors contributing to complication of PVA device in NICU. Setting: This study was conducted at NICU at Egypt Children Hospital and El-Nasr Hospital which are affiliated to Cairo Governorate. Design: A descriptive research design was utilized. Sample: A purposive sample of 55 neonatal nurses and were satisfying the inclusion criteria. Tools: The First tool was a Structured Interviewing Questionnaire Sheet to assess characteristics of nurses, Characteristics of the neonates and neonatal nurse's knowledge regarding PVA complication, the second tool was Observational Checklist to assess nurses' actual practices regarding care provided for neonate undergoing PVAD insertion. Results: The study findings revealed that 92.7% of the studied neonatal nurses had satisfactory total score level of knowledge about one-third (32.7%) of neonatal nurses had satisfactory total practices and (67.3%) of the studied neonatal nurses were competent total score level of practices. Conclusion: The great majority (92.7%) of the studied neonatal nurses had satisfactory total score level of knowledge, more than two third (67.3%) of the studied neonatal nurses were incompetent total score level of practices, there was no statistical significant correlation between the studied neonatal nurses total score level of knowledge and practice regarding factors contributing to peripheral vascular access device. Recommendation: periodical educational programs for neonatal nurses about peripheral vascular access insertion.