Predictors of IV Insertion Competency Among Staff Nurses: The Role of Clinical Experience, Training Exposure and Institutional Support

This study aimed to identify predictors of IV insertion competency among staff nurses by examining the roles of clinical experience, training exposure, and institutional support in selected Level 2 hospitals in Rizal. A quantitative predictive-correlational research design was employed involving 153 registered staff nurses selected through proportionate stratified sampling. Data were gathered using a researcher-developed, expert-validated, and reliability-tested questionnaire administered through Google Forms. Descriptive statistics, Pearson Product-Moment Correlation, and Multiple Linear Regression Analysis were utilized to analyze the data. The findings revealed that staff nurses demonstrated a very high level of IV insertion competency, clinical experience, training exposure, and institutional support. Significant positive relationships were found between IV insertion competency and clinical experience, training exposure, and institutional support. However, regression analysis showed that only clinical experience and institutional support significantly predicted IV insertion competency, with clinical experience emerging as the strongest predictor, while training exposure did not significantly predict competency after controlling for the other variables. The study was limited to staff nurses from three selected Level 2 hospitals in Rizal and relied on self-reported responses, which may limit the generalizability of the findings and may not fully reflect actual clinical performance. Future studies may include observational competency assessments, additional organizational variables, and broader healthcare settings to strengthen the evidence. The findings provide empirical support for strengthening experiential learning, competency validation, mentorship, and organizational support systems in nursing practice through the proposed Project VASCULAR. This study contributes to the limited Philippine literature on IV insertion competency by identifying the strongest predictors of competency among Filipino staff nurses and provides evidence to guide nursing administrators, educators, and healthcare institutions in developing competency-based staff development programs.