Adherence to central venous catheter maintenance bundle in an intensive care unit

Abstract

Objective: To check adherence to the Central Venous Catheter maintenance bundle in an Intensive Care Unit, after an educational intervention to the professionals who provide care to patients using this catheter. Method: Descriptive-exploratory study, carried out in two stages: stage 1 – educational intervention and stage 2 – verification/observation of adherence. Data were organized in the Microsoft Excel® and analyzed through the Stata®. Results: Sixty three workers participated in stage 1 and 44 in stage 2. The sample consisted of 64 observation opportunities. Among the domains observed, the recording of indication of permanence had an 8% compliance rate; aseptic technique in catheter handling, 3%; maintenance of the infusion system, 15%; and care with the central venous catheter dressing, 17%. The domains represent unwanted care according to the Positivity Index for assessing the quality of care. Conclusion: The findings show the need for discussions, training, and investments in constant strategies for the prevention of primary bloodstream infections related to the central venous catheter.

Development and Validation of a Questionnaire to Measure ICU Nurses' Knowledge, Attitudes, and Practices Related to Central Line Bloodstream Infection Practices

“…12 Training and continuing education programs for nurses engaged in CVC insertion and maintenance are pivotal for preventing CLABSIs. 13 Therefore, understanding gaps in knowledge related to CLABSI prevention efforts could aid in developing educational interventions and enable nurses to use evidence-based prevention interventions. 14 Currently, only one questionnaire has been developed to evaluate ICU nurses' knowledge of evidence-based guidelines related to CLABSI prevention practices.…”

“…Studies have shown that it is essential for nurses to receive training, and that quality improvement programs should be conducted to reduce ICU-acquired catheter-related infections 12. Training and continuing education programs for nurses engaged in CVC insertion and maintenance are pivotal for preventing CLABSIs 13. Therefore, understanding gaps in knowledge related to CLABSI prevention efforts could aid in developing educational interventions and enable nurses to use evidence-based prevention interventions 14…”