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All Journal IJNP (Indonesian Journal of Nursing Practices) Nursing Current : Jurnal Keperawatan JURNAL MUTIARA NERS Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Journal of Artificial Intelligence and Digital Business Jurnal Guru Indonesia Journal of English Literature and Linguistic Studies (JELLS) Jurnal Pustaka Keperawatan Holistik Jurnal Kesehatan Literature Research Journal (LRJ)
Lia Kartika, Lia
Department of Prosthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta 10430
Humanities Computer Science & IT Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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Pengalaman perawat melakukan kanulasi intravena pada pasien pediatrik onkologi: A literature review Chodijah, Siti; Kartika, Lia
Holistik Jurnal Kesehatan Vol. 20 No. 2 (2026): Volume 20 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i2.2267

Abstract

Background: Peripheral Intravenous Catheter (PIVC) placement is a frequently performed nursing procedure in pediatric oncology patients. A successful first-attempt placement (FASR) is crucial to minimize pain, psychological trauma, vascular damage, and delays in treatment. However, vascular fragility due to chemotherapy, patient characteristics, and challenges in nursing clinical practice can influence the success of the first insertion. Purpose: To analyze and synthesize research findings related to nurses' experiences in achieving successful first-attempt PIVC placement in pediatric oncology patients. Method: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The search strategy used the Population, Concept, and Context (PCC) framework in PubMed, MEDLINE, and Google Scholar databases. Article selection was performed using Covidence. Six articles meeting the inclusion criteria were analyzed using a thematic analysis approach. Results: Thematic synthesis yielded three main themes: (1) clinical factors and characteristics of pediatric oncology patients, (2) nurses' experiences and technical competencies, including the role of protocol-based training, and (3) technological support and organizational quality improvement interventions. Conclusion: FASR is influenced by a complex interaction between patient conditions, nurse competencies, and healthcare system support.   Keywords: Intravenous Cannulation; Nurses' Experiences; Pediatric Oncology Patients.   Pendahuluan: Pemasangan Peripheral Intravenous Catheter (PIVC) merupakan tindakan keperawatan yang sering dilakukan pada pasien pediatrik onkologi. Keberhasilan pemasangan pada upaya pertama (first attempt success rate/FASR) penting untuk meminimalkan nyeri, trauma psikologis, kerusakan vaskular, serta keterlambatan terapi. Namun, fragilitas vaskular akibat kemoterapi, karakteristik pasien, dan tantangan praktik klinis keperawatan dapat memengaruhi keberhasilan tusukan pertama. Tujuan: Untuk menganalisis dan mensintesis hasil penelitian terkait pengalaman perawat dalam mencapai upaya pertama keberhasilan pemasangan PIVC pada pasien pediatrik onkologi. Metode: Tinjauan sistematis ini mengikuti pedoman Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Strategi pencarian menggunakan kerangka Population, Concept, and Context (PCC) pada basis data PubMed, MEDLINE, dan Google Scholar. Seleksi artikel dilakukan menggunakan Covidence. Enam artikel yang memenuhi kriteria inklusi dianalisis dengan pendekatan analisis tematik. Hasil: Sintesis tematik menghasilkan tiga tema utama, yaitu: (1) faktor klinis dan karakteristik pasien pediatrik onkologi, (2) pengalaman dan kompetensi teknis perawat termasuk peran pelatihan berbasis protokol, dan (3) dukungan teknologi serta intervensi peningkatan mutu organisasi. Simpulan: FASR dipengaruhi oleh interaksi kompleks antara kondisi pasien, kompetensi perawat, dan dukungan sistem pelayanan kesehatan.   Kata Kunci: Kanulasi Intravena; Pasien Pediatrik Onkologi; Pengalaman Perawat.
Co-Authors Aisy, Rihadatul Br Babo, Meisa Karisma Burhamzah, Muftihaturrahmah Delima Hutapea, Adventina fransiska ompusunggu Harikatang, Megalea Rut Indah Permata Sari Joice Cathryne Lestari, Winda Apriya Manurung, Juliana Giofana Mardiyono, Mei Melysa Mulyadi Mulyadi Mulyaningsih, Indrya Nissa, Tia Nur Alfiatun Nova, Fiorentina Nugroho, Dwi Yulianto Nurpatimah, Dini Pali', Sri Mega Pella, Joan Adesandra Rachmawati, Erika Rahmaniah, Nuraini Fitri Ramadhan, Bintang Anugrah Restu Mahardhika Romaito, Tessa Septerina Sinulingga, Elysabeth Siti Chodijah Tahapary, Prisca Adipertiwi Tinambunan, Livoina Gita Kasih Utario, Yossy