Effect of Health Service Quality Education on Phlebitis Prevention Practices among Nurses in Community Health Centers: A Quasi-Experimental Study
Keywords:
Phlebitis Prevention, Nursing Education, Quality of Care, Intravenous Therapy, Primary Health Care
Abstract
Phlebitis is one of the most common complications associated with intravenous (IV) catheter insertion and is characterized by inflammation of the vein wall, causing pain, redness, and discomfort. This study aimed to analyze the effect of health service quality education on phlebitis prevention practices among healthcare workers at selected inpatient Community Health Centers (Puskesmas) in Makassar City. This study employed a quasi-experimental design using a one-group pretest-posttest approach. The study was conducted from January to March 2025 at Bara-Baraya Community Health Center, Mamajang Kassi-Kassi Community Health Center, and Pattingalloang Community Health Center in Makassar City. A total of 50 healthcare workers were selected using purposive sampling based on predetermined inclusion criteria. Data were collected using validated questionnaires and observation sheets before and after the educational intervention. Instrument validity and reliability tests were conducted prior to data collection, and all instruments were declared valid and reliable. Data were analyzed using descriptive statistics and the Wilcoxon Signed Rank Test with a significance level of α = 0.05. The results showed that 37 respondents experienced an increase in posttest scores, while 13 respondents showed no change. No respondents experienced a decrease in scores after the intervention. The Wilcoxon Signed Rank Test showed a significant difference between pretest and posttest scores with a p-value of 0.000 (p < 0.05). These findings indicate that health service quality education had a significant effect on improving phlebitis prevention practices among healthcare workers at Community Health Centers in Makassar City.
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Nuraini, C. T., & Prasetyorini, A. (2024). Efforts to Improve Nurses Performance Through the Value and Frequency of Infection Prevention and Control Training at Haji Hospital, East Java Province. JOHAR (Journal of Hospit al Administration Research, XX, No.X. http://journal.unsika.ac.id/index.php/johar
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Safitri, J. E., Qodir, A., Kurniyanti, M. A., Eka, J., Stikeswidyagama, S., & Malang, H. (2023). Hubungan Tingkat Kepatuhan Perawat Dalam Pelaksanaan Spo Pemasangan Infus Terhadap Kejadian Phlebitis di RS. Media Husada Journal of Nursing Science, 4(1), 25–35. https://mhjns.widyagamahusada.ac.id
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Subhi, R., Fattah, A.-A., Zaitoun, A., Hamdan, A. M., Imad, M., Jafar, F., Khaldoun, A., Basmah, H., & Salameh, S. (2024). The Effectiveness of Using CLABSI Prevention-Education Based Intervention on Nurse Competency in Central Line Maintenance and Patient Care Outcomes in Intensive Care Units in Palestine: A Quasi-Experimental Study. Assiut Scientific Nursing Journal.
Sun, C. J., Ma, L., Wang, S. Y., & Xue, Q. Y. (2025). A Quasi-Experimental Study on the Preventive Effect of Risk-Stratified Nursing Interventions for PICC-Related Thrombosis in Cancer Patients. Risk Management and Healthcare Policy, 18, 3209–3220. https://doi.org/10.2147/RMHP.S521571
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Wulansari, D. P. (n.d.). Integrating Flushing into Phlebitis Prevention Bundles: Implications for Nursing Practice and Patient Safety-A Literature Review. Jurnal Stikes Mayapada, 01(01).
Yasuda, H., Yamamoto, R., Hayashi, Y., Kotani, Y., Kishihara, Y., Kondo, N., Sekine, K., Shime, N., Morikane, K., Abe, T., Takebayashi, T., Maeda, M., Shiga, T., Furukawa, T., Inaba, M., Fukuda, S., Kurahashi, K., Murakami, S., Yasumoto, Y., … Ishii, J. (2021). Occurrence and incidence rate of peripheral intravascular catheter-related phlebitis and complications in critically ill patients: a prospective cohort study (AMOR-VENUS study). Journal of Intensive Care, 9(1). https://doi.org/10.1186/s40560-020-00518-4
Alshagrawi, S., & Alhodaithy, N. (2024). Determinants of hand hygiene compliance among healthcare workers in intensive care units: a qualitative study. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-024-19461-2
Cernuda-Martínez, J. A., Cobo-Sánchez, J. L., Alarcón-Duque, E. M., Moreno-Rubio, E., Suárez-Mier, M. B., del Río-Pisabarro, M. del C., & Ferraz-Torres, M. (2025). Clinical-epidemiological predictors of phlebitis associated with peripheral intravenous catheters in Spanish hospitals: results of a national cohort study. International Journal of Nursing Studies Advances, 9. https://doi.org/10.1016/j.ijnsa.2025.100355
Demiroğlu Dost, T., & Tosun, N. (2025). The Effect of Evidence-Based Care Bundle Application in the Prevention of Peripheral Venous Catheter-Related Phlebitis Development (Quasi-Experimental Study). Global Nursing Insights, 12(3), 245–256. https://doi.org/10.31125/globnursinsights.1721672
El-Sayad, H. E., Aboalizm, S. E., & Hamed Abd Elhy, A. (2023). Faculty of Nursing Menoufia University Effect of Preventive Measures on Chemotherapy Induced Phlebitis among Patients with Cancer. Menoufia Nursing Journal, 8(1), 187–202. https://menj.journals.ekb.eg
El-Shazly, A. M. E.-S., El-Saidy, T. M. K., & Elhgry, G. M. (2026). Effect of Warm Compresses Application on Reduction of Phlebitis Grade and Pain Level among Hospitalized Elderly Patients. Menoufia Nursing Journal, 11(2), 59–75. https://doi.org/10.21608/menj.2026.490073
Guanche-Sicilia, A., Begoña Sánchez-Gómez, M., Elisa Castro-Peraza, M., Ángel Rodríguez-Gómez, J., Gómez-Salgado, J., & Duarte-Clíments, G. (2021). healthcare Prevention and Treatment of Phlebitis Secondary to the Insertion of a Peripheral Venous Catheter: A Scoping Review from a Nursing Perspective. https://doi.org/10.3390/healthcare
Jois Maragani, E., Marethalia, F., Margareth, L., Gusti Ayu Eka, N., & Aktri Manihuruk, G. M. (2021). Faktor Risiko Eksternal Kejadian Phlebitis Pada Pemasangan Kateter Intravena Perifer: Studi Dokumentasi. Jurnal Muara Sains, 5(2), 467–474. https://doi.org/10.24912/jmistki.v5i2.11923
Langingi, A. R. C., Watung, G. I. V., Sibua, S., & Tumiwa, F. F. (2022). Hubungan Lokasi Pemasangan Dengan Kejadian Flebitis Pada Pasien Yang Terpasang Infus Di Ruang Rawat Inap Rumah Sakit Umum X Manado. Aksara: Jurnal Ilmu Pendidikan Nonformal, 8(2), 1367. https://doi.org/10.37905/aksara.8.2.1367-1376.2022
Margao, S., Fofanah, B. D., Thekkur, P., Kallon, C., Ngauja, R. E., Kamara, I. F., Kamara, R. Z., Tengbe, S. M., Moiwo, M., Musoke, R., Fullah, M., Kanu, J. S., Lakoh, S., Kpagoi, S. S. T. K., Kamara, K. N., Thomas, F., Mannah, M. T., Katawera, V., & Zachariah, R. (2023). Improvement in Infection Prevention and Control Performance Following Operational Research in Sierra Leone: A Before (2021) and After (2023) Study. Tropical Medicine and Infectious Disease, 8(7). https://doi.org/10.3390/tropicalmed8070376
Marsh, N., Webster, J., Ullman, A. J., Mihala, G., Cooke, M., Chopra, V., & Rickard, C. M. (2020). Peripheral intravenous catheter non-infectious complications in adults: A systematic review and meta-analysis. In Journal of Advanced Nursing (Vol. 76, Number 12, pp. 3346–3362). Blackwell Publishing Ltd. https://doi.org/10.1111/jan.14565
Md Vera Susiladewi, I. A., Maya Maheri, N. L., Yanti, N. P. E. D., & Ngurah Putu Jaya Antara, I. G. (2023). Implementation of Intravenous Catheter Treatment to Prevent Phlebitis: A Cross-Sectional Study. Nursing and Health Sciences Journal (NHSJ), 3(1), 91–95. https://doi.org/10.53713/nhs.v3i1.179
Meszaros, M. de J., Almeida, A. O. de, Silva, R. L. F., Eduardo, A. H. A., Lima, M. H. de M., & Ars, O.-K. (2023, July 31). Clinical simulation scenarios for the planning and management of infusion therapy by nurses.
Mimoz, O., Debonne, A., Glanard, A., Keita Perse, O., & Lucet, J. C. (2024). Best practice in the use of peripheral venous catheters: A consensus from French experts. In Infectious Diseases Now (Vol. 54, Number 5). Elsevier Masson s.r.l. https://doi.org/10.1016/j.idnow.2024.104923
Mobed, kawther B., Almasry, M. A., & Ahmed, F. G. (2025). Effect of I-DECIDED Intervention on Occurrence of Visual Phlebitis for Patients with Peripheral Intravenous Catheter at Medical Department. Assiut Scientific Nursing Journal, 13(54), 360–372. https://doi.org/10.21608/asnj.2025.436842.2198
Nuraini, C. T., & Prasetyorini, A. (2024). Efforts to Improve Nurses Performance Through the Value and Frequency of Infection Prevention and Control Training at Haji Hospital, East Java Province. JOHAR (Journal of Hospit al Administration Research, XX, No.X. http://journal.unsika.ac.id/index.php/johar
Puspitasari, N., & Saelan. (2023). Hubungan Kepatuhan Perawat dalam Menjalankan SOP Pemasangan Infus Dengan.
Safitri, J. E., Qodir, A., Kurniyanti, M. A., Eka, J., Stikeswidyagama, S., & Malang, H. (2023). Hubungan Tingkat Kepatuhan Perawat Dalam Pelaksanaan Spo Pemasangan Infus Terhadap Kejadian Phlebitis di RS. Media Husada Journal of Nursing Science, 4(1), 25–35. https://mhjns.widyagamahusada.ac.id
Sagoe, S., Clottey, P. T., Kwakye, I. N., Lamptey, E., Sagoe, S., Degley, T. A., Nukpezah, R. N., & Adom-Fynn, D. (2026). Adolescent Girls’ Breast Self-Examination Practices in Eastern Region of Ghana. Breast Journal, 2026(1). https://doi.org/10.1155/tbj/5207043
Scholarworks, S., Dissertations, W., Studies, D., & Ali, S. (n.d.). Staff Education and Competency Assessment for Central Line-Staff Education and Competency Assessment for Central Line-Associated Bloodstream Infection Reduction Associated Bloodstream Infection Reduction. Retrieved https://scholarworks.waldenu.edu/dissertations
Sinaga, A. D. P., Lousiana, M., & Simbolon, A. R. (2022). Hubungan Pengetahuan, Motivasi Dan Beban Kerja Dengan Praktik Perawat Kewaspadaan Universal: Cuci Tangan Bersih. Carolus Journal of Nursing, 4.
Subhi, R., Fattah, A.-A., Zaitoun, A., Hamdan, A. M., Imad, M., Jafar, F., Khaldoun, A., Basmah, H., & Salameh, S. (2024). The Effectiveness of Using CLABSI Prevention-Education Based Intervention on Nurse Competency in Central Line Maintenance and Patient Care Outcomes in Intensive Care Units in Palestine: A Quasi-Experimental Study. Assiut Scientific Nursing Journal.
Sun, C. J., Ma, L., Wang, S. Y., & Xue, Q. Y. (2025). A Quasi-Experimental Study on the Preventive Effect of Risk-Stratified Nursing Interventions for PICC-Related Thrombosis in Cancer Patients. Risk Management and Healthcare Policy, 18, 3209–3220. https://doi.org/10.2147/RMHP.S521571
Survei Internal Puskesmas Bara-Baraya. (2022). Laporan Internal Puskesmas Bara-Baraya.
Tegegne, B., Checkole, D., Shumye, M. W., Zeru, L. M., Yalew, Z. M., Ademe, S., Shiferaw, M. T., & Edmealem, A. (2025). Knowledge, practice, and factors affecting peripheral intravenous catheters among nurses working in Dessie City public hospitals. BMC Nursing, 24(1). https://doi.org/10.1186/s12912-025-03484-0
Wulansari, D. P. (n.d.). Integrating Flushing into Phlebitis Prevention Bundles: Implications for Nursing Practice and Patient Safety-A Literature Review. Jurnal Stikes Mayapada, 01(01).
Yasuda, H., Yamamoto, R., Hayashi, Y., Kotani, Y., Kishihara, Y., Kondo, N., Sekine, K., Shime, N., Morikane, K., Abe, T., Takebayashi, T., Maeda, M., Shiga, T., Furukawa, T., Inaba, M., Fukuda, S., Kurahashi, K., Murakami, S., Yasumoto, Y., … Ishii, J. (2021). Occurrence and incidence rate of peripheral intravascular catheter-related phlebitis and complications in critically ill patients: a prospective cohort study (AMOR-VENUS study). Journal of Intensive Care, 9(1). https://doi.org/10.1186/s40560-020-00518-4
Published
2026-05-31
How to Cite
Mappanganro, A., & Abeng, A. (2026). Effect of Health Service Quality Education on Phlebitis Prevention Practices among Nurses in Community Health Centers: A Quasi-Experimental Study. ancasakti ournal f ublic ealth cience nd esearch, 6(2), 120-128. https://doi.org/10.47650/pjphsr.v6i2.2512
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Articles
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