Adherence of Pediatric Intensive Care Nurses to Central Venous Line Care Bundle
Belal, M., Elarousy, W., Antonios, M., Ramadan, H. (2025). Adherence of Pediatric Intensive Care Nurses to Central Venous Line Care Bundle. EKB Journal Management System, 27(1), 1-12. doi: 10.21608/asalexu.2025.414944
Maha Osama Abdelwahab , Belal; Wafaa Mohamed Elarousy; Manal Abdel Malik , Antonios; Hanan Mabrouk Ramadan. "Adherence of Pediatric Intensive Care Nurses to Central Venous Line Care Bundle". EKB Journal Management System, 27, 1, 2025, 1-12. doi: 10.21608/asalexu.2025.414944
Belal, M., Elarousy, W., Antonios, M., Ramadan, H. (2025). 'Adherence of Pediatric Intensive Care Nurses to Central Venous Line Care Bundle', EKB Journal Management System, 27(1), pp. 1-12. doi: 10.21608/asalexu.2025.414944
Belal, M., Elarousy, W., Antonios, M., Ramadan, H. Adherence of Pediatric Intensive Care Nurses to Central Venous Line Care Bundle. EKB Journal Management System, 2025; 27(1): 1-12. doi: 10.21608/asalexu.2025.414944

Adherence of Pediatric Intensive Care Nurses to Central Venous Line Care Bundle

Alexandria Scientific Nursing Journal
Volume 27, Issue 1, March 2025, Page 1-12  XML PDF (296.39 K)
DOI: 10.21608/asalexu.2025.414944
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Authors
Maha Osama Abdelwahab , Belal1; Wafaa Mohamed Elarousy2; Manal Abdel Malik , Antonios3; Hanan Mabrouk Ramadan4
1Demonstrator Pediatric Nursing Department, Faculty of Nursing, Alexandria University, Egypt
2, Professor Pediatric Nursing Department, Faculty of Nursing, Alexandria University, Egypt.
3Professor Pediatrics, Department of Pediatrics, Faculty of Medicine, Alexandria University, Egypt.
4Lecturer Pediatric Nursing Department, Faculty of Nursing, Alexandria University, Egypt.
Abstract
Background: Central Venous Lines (CVLs) are crucial for managing critically ill children but are also
associated with the risk of Central Line-Associated Bloodstream Infections (CLABSIs), which can lead to
prolonged hospital stays, higher morbidity and mortality rates. Adherence to evidence-based care bundles
by pediatric intensive care nurses is vital for reducing the incidence of CLABSI and improving outcomes
for children with CVLs. Aim: The study aimed to assess adherence of pediatric intensive care nurses to
central venous line care bundle. Setting: The study was conducted in Pediatric Intensive Care Unit (PICU)
at Alexandria University Children's Hospital (AUCH) at El-Shatby. Subjects and sampling: Non
probability convenience sampling technique was used to recruit all available pediatric nurses in PICU
(25 nurses) who were responsible for providing CVL care bundle. Tool: One tool was used to collect
necessary data: Adherence of Pediatric Intensive Care Nurses to Central venous line Care Bundle
Observational Checklists. Results: More than half of the studied nurses (52%) had good adherence to
wearing personal protective equipment, more than two-fifths of them (44%) obtained satisfactory score
regarding adherence to hand hygiene. Less than three-quarters of nurses (72%) had obtained satisfactory
score regarding removal of central venous line. While, 44% of them obtained unsatisfactory score
regarding adherence to dressing of central venous line. Conclusion: It was concluded from this study that
more than two-thirds of the studied nurses had overall "Satisfactory" adherence to central venous line
care bundle. Recommendations: Based on the previous findings and conclusion: Training of nurses and
health care providers on using CVL recent guidelines is recommended to improve their knowledge and
practices of care provided for children with CVL.
Keywords
Adherence; pediatric Nurses; Central Venous Line; Bundle; Pediatric Intensive Care
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