UNPAD Researchers Highlight DIVA Score as Key Predictor of IV Access Success in Neonates
A cross-sectional study, Prof. Henny Suzana Mediani S.Kp., M.Ng., Ph.D. and Windy Rakhmawati, S.Kp.,M.Kep., Ph.D. from Universitas Padjadjaran has revealed that the Difficult Intravenous Access (DIVA) score is a significant predictor of success in establishing peripheral intravenous (IV) access in neonates. The research, published in the Journal of Neonatal Nursing, evaluated 60 clinical nurses and 60 neonates, assessing multiple factors including nurse competence, training history, neonatal experience, and gestational age.
Findings show that the DIVA score was the only factor significantly associated with IV access success (OR = 0.525, p = 0.028), while needle insertion experience demonstrated a borderline positive effect (OR = 36.863, p = 0.060). Other factors, such as clinical competence, training history, years of neonatal experience, and gestational age, did not show significant associations.
This study was a collaborative effort involving the Neonatal Intensive Care Unit of Hasan Sadikin Central General Hospital, the Pediatric Nursing Department at the Faculty of Nursing Universitas Padjadjaran, the Pediatric and Emergency Nursing Departments at the Faculty of Health Sciences and Technology of Jenderal Achmad Yani University, and the Preanger Institute for Biomedical Engineering, Science, and Technology.
this research supports SDG 3 (Good Health and Well-being) by promoting safer, more effective neonatal care, and SDG 4 (Quality Education) by encouraging skill development and evidence-based practice among healthcare professionals. The authors recommend further research with larger sample sizes to confirm these findings and explore additional predictive factors.
DOI: https://doi.org/10.1016/j.jnn.2025.101664
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