Nurses ' Knowledge and Practice regarding Central Venous Catheter Bundle Care in Neonatal Intensive Care unit

Document Type : Original Article

Authors

1 Master Degree of Pediatric Nursing, Faculty of Nursing Port Said University

2 , Professor of Pediatric Nursing, Faculty of Nursing, Port Said University

3 pediatric nursing-Faculty of Nursing-Port Said University

Abstract

Background: Neonate in the Neonate Intensive Care Unit often require the use of central venous catheter for administering medications, providing nutritional and blood transfusions, and facilitating blood sampling. Aim: to assess nurses' Knowledge and practices regarding central venous catheter bundle care in the neonatal intensive care unit Subjects and Method: A descriptive design was conducted at Central Hospital of Menia-El-Qamh, Sharqia governorate. Two tools were used Tool (1) Nurses' knowledge questionnaire and Tool (2) Nurses' practice checklist about central venous catheter bundle care. Results: The study revealed that 87.8% of the studied nurses had an unsatisfactory level of total knowledge, and 94.0% of them had an Incompetent level of total practice about central venous catheter bundle care Conclusion: The study concluded that there was  a statistically significant positive correlation between nurses' knowledge and practice. Recommendations: Recommends to implement continuous in-service training programs focusing on evidence-based CVC bundle care practices.
Background: Neonate in the Neonate Intensive Care Unit often require the use of central venous catheter for administering medications, providing nutritional and blood transfusions, and facilitating blood sampling. Aim: to assess nurses' Knowledge and practices regarding central venous catheter bundle care in the neonatal intensive care unit Subjects and Method: A descriptive design was conducted at Central Hospital of Menia-El-Qamh, Sharqia governorate. Two tools were used Tool (1) Nurses' knowledge questionnaire and Tool (2) Nurses' practice checklist about central venous catheter bundle care. Results: The study revealed that 87.8% of the studied nurses had an unsatisfactory level of total knowledge, and 94.0% of them had an Incompetent level of total practice about central venous catheter bundle care Conclusion: The study concluded that there was  a statistically significant positive correlation between nurses' knowledge and practice. Recommendations: Recommends to implement continuous in-service training programs focusing on evidence-based CVC bundle care practices.
 

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Abbady, A. Gaballah, S. Abotakia, A. & Sherif, W. (2019). Bundle of care for improving nurses' performance related to a central line-associated bloodstream infection. American Journal of Nursing Research. 7(4), 465-470.
Abdel Salam, Y. A., Nour El Din, S., & El Masry, S. (2021). Nursing Knowledge and Compliance regarding Central Line Associated Blood Stream Infection Bundle in Neonatal Intensive Care Units: An Assessment Study. Egyptian Journal of Health Care, 12(3), 1762–1781. https://ejhc.journals.ekb.eg/article_213855.html
Abdel-Hady, H., et al. (2014). Hospital-acquired infections in a neonatal intensive care unit. The Journal of Hospital Infection, 86(2), 106–110. https://pubmed.ncbi.nlm.nih.gov/25238664
Abdelmoneim, H., Ibrahim, H., Ahmed, A., & Mohammed, A: Incidence of central line-associated bloodstream infection in Pediatric Intensive Care Unit (PICU). The Egyptian Journal of Hospital Medicine, (2020) 78(1), 136-141.
Al Bizri, A., Wakim, R. H., Obeid, A., Daaboul, T., Charafeddine, L., Mounla, N. & Yunis, K. (2023). A Quality improvement initiative to reduce central line-associated bloodstream infections in a neonatal intensive care unit in a low-and-middle-income country. BMJ Open Quality, 12(2). ‏
APSIC guide for prevention of central line associated bloodstream infections (CLABSI). Antimicrobial Resistance & Infection Control, 2016, 5(1), 16. ‏
Aydogdu, S., and Akgun, M. (2020). Determination of knowledge levels of nurses and the factors affecting the level of knowledge in central venous catheter care. Clinical Nursing Studies, 8(2), 1-9.
Bell, T. & O’Grady, N. (2018). Prevention of central line-associated bloodstream
infections. Infection Disease Clinics of North America, 31(3), 551-559.
https://doi.org/10.1016/j.idc.2017.05.007
CDC (2021). Bloodstream infection event (central line-associated bloodstream infection and non-central line associated bloodstream infection) Device-associated module BSI [Internet]. 2021 3/2/2021: [1-38 pp.] Available from: https://www.cdc.gov/nhsn/pdfs/pscmanual/4psc_clabscurrent.pd.
Centers for Disease Control and Prevention (2017). Bloodstream infection event (central line-associated bloodstream infection and non-central line-associated bloodstream infection). Atlanta, GA: Centers for Disease Control and Prevention, 4, 1- 32
Centers for Disease Control and Prevention. Hand hygiene in health care settings. Atlanta, Georgia: CDC; 2020 [cited 17 August 2021]. Available from: https://www.cdc.gov/ hand hygiene/index.html
Foka M, Nicolaou E, Kyprianou T, Palazis L, Kyranou M, Papathanassoglou E, Lambrinou E.:Prevention of Central Line-Associated Bloodstream Infections Through Educational Interventions in Adult Intensive Care Units: A Systematic Review.
(2021)., 18;13(8):
Gorski LA, Hadaway L, Hagle ME, et al. Infusion Therapy Standards of Practice, Eighth Edition. J Infus Nurs. 2021 Jan-Feb 01; 44(1S Suppl 1): S1- S224. DOI: 10.1097/NAN.0000000000000396.
Hamza W., Hamed A., Alfadhli A., Ramadan A.: A multidisciplinary intervention to reduce central line-associated bloodstream infection in pediatrics and neonatal intensive care units. Pediatrics and Neonatology, 2021.08. (10).
Hassan, R., El-Gilany, A. H., El-Mashad, N. (2019). Device associated infection rates in different intensive care units in a tertiary care hospital in Egypt. American Journal of Preventive Medicine, 4(1), 1-7.‏
Hussain AS, Ahmed AM, Arbab S, Ariff S, Ali R, Demas S, Zeb J, Rizvi A, Saleem A, Farooqi J. CLABSI reduction using evidence-based interventions and nurse empowerment: a quality improvement initiative from a tertiary care NICU in Pakistan. Arch Dis Child. 2021; 106(4):394-400.
Khalifa, M., K Omar, T., M El-Gendy, F., M Ahmed, H., & A Saad, A. (2022). Effect of nursing care bundle on nurse's performance regarding central venous Line-Associated Blood Stream Infection. International Egyptian Journal of Nursing Sciences and Research, 3(1), 554-570. ‏
Khieosanuk K, Fupinwong S, Tosilakul A, Sricharoen N, Sudjaritruk T (2022) Incidence rate and risk factors of central line-associated bloodstream infections among neonates and children admitted to a tertiary care university hospital. Am J Infect Control 50(1):105–107
Kramer, C., Doellman, D., Blaser, C., Rosenberg, R. H., & Bernatchez, S. F. (2019). A Quality improvement approach in standardizing pediatric central venous catheter dressings and its impact on the reduction of central line-associated bloodstream infections and costs. Journal of the Association for Vascular Access, 24(2), 11-19.
Lin, F. F., Murphy, N., Martinez, A., & Marshall, A. (2022). An audit of central venous catheter insertion and management practices in an Australian tertiary intensive care unit: a quality improvement project. Intensive and Critical Care Nursing, 70, 103217. ‏
Matlab, A. A., Al-Hussami, M. O., & Alkaid Albqoor, M. (2022). Knowledge and compliance to prevention of central line-associated blood stream infections among registered nurses in Jordan. Journal of Infection Prevention, 23(4), 133-141. doi:10.1177/17571774211066778.
National Health and Medical Research Council (NHMRC). Australian guidelines for the prevention and control of infection in healthcare [Internet]. Canberra, Australia: Commonwealth of Australia; 2019 [cited 17 August 2021]. Availablefromhttps://www.nhmrc.gov.au/about-us/publications/ Australian –guidelines -preventionand-control-infection-healthcare-2019.
Paquet, F., Boucher, L. M., Valenti, D., & Lindsay, R. (2019). Impact of arm selection on the incidence of PICC complications: Results of a randomized controlled trial. Journal of Vascular Access, 18(5), 408 414.
Payne, V., Hall, M., Prieto, J., & Johnson, M. (2018). Care bundles to reduce central line-associated bloodstream infections in the neonatal unit: A systematic review and meta-analysis. Archives of Disease in Childhood. Fetal and Neonatal Edition, 103(5), F422-F429.
Said, N. Y., Yassien, S., & Ali Ameen, D. (2020). Factors affecting nurses' performance toward central line associated blood stream infection in critical care units. Egyptian Journal of Health Care, 11(1), 234-247. ‏
Salem, G. M., et al. (2022). Epidemiology of bloodstream infections in neonates at Suez Canal University Hospital. Egyptian Pediatric Association Gazette, 70(1), 1–8.
Savage, T., Hodge, D., Pickard, K., Myers, P.Powell, K., & Cayce, J.: Sustained reduction and prevention of neonatal and pediatric central line associated bloodstream infection following a nurse driven quality improvement initiative in a pediatric facility. Journal of the Association for Vascular Access,2018; 23(1), 30-41.
Sol. J., de Loo, M., Boerma, M., Bergman, K., Donker, A., van der Hoeven, M., & van Ommen, C. (2018). Neonatal central-venous line observational study on thrombosis (NEOCLOT): Evaluation of a national guideline on management of neonatal catheter-related thrombosis. BMC pediatrics, 18, 84. DOI 10.1186/s12887-018 1000-7
Teja, B., Bosch, N. A., Diep, C., Pereira, T. V., Mauricio, P., Sklar, M. C., & Wunsch, H. (2024). Complication rates of central venous catheters: a systematic review and meta-analysis. JAMA Internal Medicine, 184(5),474-482.‏ https://doi.org/10.1001/jamainternmed.2023.8232
Yasuda, H., Kashiura, M., Kishihara, Y., Hifumi, T., Abe, T., Sasaki, J., ... & Shime, N. (2021). Efficacy and safety of 1.5% aqueous olanexidine gluconate antiseptic solution compared to 1% alcoholic chlorhexidine for the prevention of intravenous catheter-related infections (Apollo study): a protocol for a randomised controlled trial. BMJ Open, 11(12), e053925.