The Relationship Between Knowledge of Novice Nurses and The Incidence of Phlebitis In Cipto Mangunkusumo Hospital, Jakarta


  • Lisnadiyanti Politeknik Kesehatan Hermina, Jakarta, Indonesia
  • Nursalam Universitas Airlangga
  • Nani Asna Dewi Nurse Share.Idea Staff, NS.Id, Jambi, Indonesia
  • Akbar Hidayat Nurse Practitioner, RSUPN Cipto Mangunkusumo, Jakarta, Indonesia



Novice nurse, nursing care, phlebitis


Background: Phlebitis leads to increased discomfort for patients, longer hospital stays, and higher healthcare costs. One of the factors causing phlebitis is the lack of skilled nurses when performing infusions. Aim: The purpose of the study was to determine the relationship between novice nurses' knowledge about infusion therapy with the incidence of phlebitis. Methods: This type of research using questionnaire to the nurse was analytic-correlational with a cross-sectional approach, with a total sample of 52 nurses who were inpatients and 54 patients who were given intravenous drip. Univariate and bivariate analyses were performed in data analysis. Results: this research showed 38.5% of nurses had poor knowledge, the incidence of phlebitis was 32.7%, and 62.8% felt comfortable with infusion. There was a significant relationship between nurses' knowledge about infusion therapy with the incidence of phlebitis (p= 0.000; = 0.05), and with quality indicators (p= 0.000; = 0.05). Conclusion: It is recommended for nurses to improve their knowledge and skills of infusion so that complications and discomfort due to infusion can be reduced.


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Urbanetto, J. de S., Peixoto, C. G., & May, T. A. (2016). Incidence of phlebitis associated with the use of peripheral IV catheter and following catheter removal. Revista Latino-Americana de Enfermagem, 24, 1–9.

Sandra Maria Sampaio Enes1, Simone Perufo Opitz1, A. R. M. da C. de F., Gonçalves, M. da L., & Pedreira2. (2016). Phlebitis associated with peripheral intravenous catheters in adults admitted to hospital in the Western Brazilian Amazon*. Journal of School of Nursing USP, 50(2), 261–269.

Hospitalario C, Badajoz U De. Cuidados de Enfermería en los Accesos Vasculares Guía de Recomendaciones. 2018.

Martínez-Ortega, C., Suarez Mier, B., Del Río Pisabarro, C., Cantero, M., & Llinas, M. (2019). Prevención de complicaciones relacionadas con accesos vasculares de inserción periférica.Programa Flebitis Zero. Plan Nacional de Resistencia Antibioticos. Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), 1–41.

Lee, S., Kim, K., & Kim, J.-S. (2019). A Model of Phlebitis Associated with Peripheral Intravenous Catheters in Orthopedic Inpatients. International Journal of Environmental Research and Public Health, 16(18), 1–11.

Ray-Barruel, G., Cooke, M., Mitchell, M., Chopra, V., & Rickard, C. M. (2018). Implementing the I-DECIDED clinical decision-making tool for peripheral intravenous catheter assessment and safe removal: Protocol for an interrupted time-series study. BMJ Open, 8(6), 1–10.

Webster, J., McGrail, M., Marsh, N., Wallis, M. C., Ray-Barruel, G., & Rickard, C. M. (2015). Postinfusion Phlebitis: Incidence and Risk Factors. Nursing Research and Practice, 2015, 1–3.

Almansoori, A., Alshamsi, M., Salloum, S., & Shaalan, K. (2021). Critical Review of Knowledge Management in Healthcare. In Studies in Systems, Decision and Control, (pp.99-119). Dubai, UAE.

Notoadmodjo. (2010). Metodologi Penelitian Kesehatan. Jakarta, Indonesia: Rineka Cipta.

Arikunto S. (2012). Prosedur Penelitian Suatu Pendekatan Praktis (Edisi Revisi). Jakarta, Indonesia: Rineka Cipta.

Wayunah, Elly Nurachmah, S. M. (2013). Pengetahuan perawat tentang terapi infus memengaruhi kejadian plebitis dan kenyamanan pasien. Jurnal Keperawatan Indonesia, 16(2), 128–137.

Horsburgh, J., & Ippolito, K. (2018). A skill to be worked at: Using social learning theory to explore the process of learning from role models in clinical settings. BMC Medical Education, 18(1), 1–8.

Akhter, Z., Malik, G., & Plummer, V. (2021). Nurse educator knowledge, attitude and skills towards using high-fidelity simulation: A study in the vocational education sector. Nurse Education in Practice, 53, 103048.

Indrašienė, V., Jegelevičienė, V., Merfeldaitė, O., Penkauskienė, D., Pivorienė, J., Railienė, A., Sadauskas, J., & Valavičienė, N. (2021). Linking critical thinking and knowledge management: A conceptual analysis. Sustainability (Switzerland), 13(3), 1–17.

Kemenkes RI. (2018). SNARS Standar Nasional Akreditasi Rumah Sakit Indonesia (Edisi I). Kementerian Kesehatan RI. Jakarta, Indonesia.

Nobre AS, da Silva Martins MD. (2018). Prevalence of peripheral intravenous catheter-related phlebitis: Associated factors. Revista de Enfermagem Referência.

Fabian B. (2010) Infusion therapy in the older adult. In: Alexander M, Corrigan A, Gorski L, Hankins J, Perucca R, eds. Infusion Nursing: An Evidence-Based Approach. 3rd ed. St Louis, MO: Saunders/Elsevier.

Cicolini, G., Simonetti, V., Comparcini, D., Labeau, S., Blot, S., Pelusi, G., & Di Giovanni, P. (2013). Nurses' knowledge of evidence-based guidelines on the prevention of peripheral venous catheter-related infections: A multicenter survey. Journal of Clinical Nursing, 23(17-18), 2578-2588. doi: 10.1111/jocn.12474

Etafa, W., Wakuma, B., Tsegaye, R., Takele, T. (2020). Nursing students' knowledge on the management of peripheral venous catheters at Wollega University. PLoS One. doi: 10.1371/journal.pone.0238881

Simonetti, V., Comparcini, D., Miniscalco, D., Tirabassi, R., Di Giovanni, P., Cicolini, G. (2019) Assessing nursing students' knowledge of evidence-based guidelines on the management of peripheral venous catheters: A multicentre cross-sectional study. Nurse Educ Today. doi: 10.1016/j.nedt.2018.11.023

Ahlin, C., Klang-Söderkvist, B., Johansson, E., Björkholm, M., Löfmark A. (2017). Assessing nursing students' knowledge and skills in performing venepuncture and inserting peripheral venous catheters. Nurse Educ Pract. doi: 10.1016/j.nepr.2017.01.003

Osti, C., Khadka, M., Wosti, D., Gurung, G., Zhao, Q. (2019). Knowledge and practice towards care and maintenance of peripheral intravenous cannula among nurses in Chitwan Medical College Teaching Hospital, Nepal. Nursing Open.

Milutinovic, D., Simin, D., & Zec, D. (2015). Risk factor for phlebitis: A questionnaire study of nurses' perception. Revista Latino-Americana De Enfermagem, 23(4), 677– 684.

Imad, F., Ahmad, A., Faeda, E., Iubna, H. (2015). Knowledge and practices of nursing staff towards infection control measures in the Palestinian Hospitals. Journal of Education and Practice.

Kim, K.M., Oh, H. (2015). Clinical experiences as related to standard precautions compliance among nursing students: A focus group interview based on the theory of planned behavior. Asian Nursing Research, 9(2) 109-114.

Mestre, G., et al. (2013). Successful multifaceted intervention aimed to reduce short peripheral venous catheter-related adverse events: A quasiexperimental cohort study. American Journal of Infection Control, 41(6) 520-526.

Rusmawati, A., Subekti, D.E., Saputro, H. (2018). Effect of nursing compliance in washing hand to phlebitis physical events in Graha Room Hita Husada dr Iskak Tulungagung Hospital. Journal of Nursing Practice, 1(2) 60-65.

Braga, L.M., Salgueiro-Oliveira, A.S., Henriques, M.A.P., Rodrigues, M.A., Rodrigues, C.J.V., Pereira, S.A.G., et al. (2016). Translation and adaptation of the Phlebitis Scale for the Portuguese population. Rev Enferm Ref. 4(11):101-9. doi: 10.12707/RIV16048

Braga, L.M., et al. (2018) Phlebitis and infiltration: vascular trauma associated with the peripheral venous catheter. Revista Latino-Americana de Enfermagem.

Gupta, D.M., Boland, R.J. & Aron, D.C. (2017).The physician’s experience of changing clinical practice: a struggle to unlearn. Implementation Sci 12 (28).








How to Cite

Lisnadiyanti, Nursalam, Nani Asna Dewi, Akbar Hidayat. The Relationship Between Knowledge of Novice Nurses and The Incidence of Phlebitis In Cipto Mangunkusumo Hospital, Jakarta. J Keskom [Internet]. 2022 Aug. 31 [cited 2023 Jan. 28];8(2):306-13. Available from: