Determination of knowledge levels of nurses and the factors affecting the level of knowledge in central venous catheter care

Objective: This study aimed to evaluate the catheter care given to patients with an inserted central venous catheter in the light of protocols and evidence-based applications.Methods: The universe of the study consisted of 300 nurses working in the surgical and internal medicine units of the Health Sciences University Sultan Abdülhamid Han Training and Research Hospital. Although we planned to reach the whole universe in the sample, a total of 202 nurses were included in the study because 60 nurses left the hospital due to appointment to other provinces, and 38 nurses did not want to participate in the study. Data were collected using the face-to-face interview method through a questionnaire form designed by the researcher.Results: Of the 202 nurses included in the study, 183 (90.6%) were female, and 146 (72.3%) had an undergraduate degree. Nurses who had received information about central venous catheter before and who were aware of the existence of a protocol/procedures/instructions about central venous catheter in the institution were found to get significantly high scores from correct answers that they gave to questions about central venous catheter (p = .001, p = .035)Conclusions: To provide effective central venous catheter care, nurses should have information about the changing and developing care as well as good theoretical knowledge by following current research. In-service training programs in this area should be planned for nurses, and nurses should participate in activities such as congresses, seminars, and courses.

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Central venous catheter care for the patients with cancer: ultrasound-guided insertion should be strongly recommended for internal jugular vein catheterization

Annals of Oncology ◽

10.1093/annonc/mdt387 ◽

2013 ◽

Vol 24 (11) ◽

pp. 2928-2929 ◽

Cited By ~ 5

Author(s):

L. Cavanna ◽

G. Civardi ◽

P. Mordenti ◽

D. Vallisa ◽

R. Bertè ◽

...

Keyword(s):

Central Venous Catheter ◽

Internal Jugular Vein ◽

Jugular Vein ◽

Venous Catheter ◽

Ultrasound Guided ◽

Central Venous ◽

Patients With Cancer ◽

Internal Jugular Vein Catheterization ◽

Vein Catheterization ◽

Catheter Care

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Effect of Central Venous Catheter Care Bundle Implementation on Outcomes of Critically Ill Patients

Evidence-Based Nursing Research ◽

10.47104/ebnrojs3.v2i1.93 ◽

2020 ◽

Vol 2 (1) ◽

pp. 12

Author(s):

Gehan A. F. Atia

Keyword(s):

Central Venous Catheter ◽

Bloodstream Infection ◽

Critically Ill ◽

Critically Ill Patients ◽

Venous Catheter ◽

Care Bundle ◽

Central Venous ◽

Significant Difference ◽

Post Test ◽

Catheter Care

Context: Central venous access device (CVAD) bundles for insertion and maintenance demonstrate a reduction in the frequency of complications and bloodstream infection when implemented with compliance monitoring, with the reported success of CVAD bundles. Aim: This study aimed to examine the effect of central venous catheter care bundle implementation on outcomes of critically ill patients. Methods: Quasi-experimental research (pre/post-test design) used to achieve the aim of this study. The study conducted at general and surgical intensive care units affiliated to Menoufia University and teaching hospital. Two study samples recruited in this study. All nurses working at the ICUs, as mentioned above, were recruited in this study. They were 6o critical care nurses. A convenient sample of all available critically ill patients at the time of the study was subjected to treatment via a central venous catheter. Four study tools used to collect the data of this study. These are a structured interview questionnaire, CVC nurses’ knowledge assessment questionnaire, nurses’ compliance assessment checklists, and patient complications assessment records. Results: The study result showed a highly statistically significant difference between pre and post-test knowledge scores of studied nurses regarding assisting line insertion, removal, maintenance, care, and infection control practices. Besides, a highly statistically significant difference between pre and post-test scores of nurses’ compliance to central venous catheter care practices of assisting in CVC insertion, blood sample withdrawal, medication and fluid administration, CVP measurements, CVC removal, and the management of central venous line complications. The study also revealed a highly statistically significant difference between the study and control group patients regarding the central venous catheter complications. However, signs of infection were the most frequent complications in both groups. Conclusion. The study concluded that a statistically significant difference between pre and post nurses’ knowledge and compliance with the CVC care bundle. The patients’ outcomes were also improved significantly after the implementation of the CVC care bundle compared to the controls. The study recommended the adoption of the current care bundle that should be disseminated and updated following the international organizations’ recommendation for implementing evidence-based practices for successful central line-associated bloodstream infection (CLABSI) prevention.

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