Effect of applying nursing guidelines on reducing central venous line related infection among patientsof intensive care units | ||
| Port Said Scientific Journal of Nursing | ||
| Volume 12, Issue 3, September 2025, Pages 118-161 PDF (822.51 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/pssjn.2025.421795.1380 | ||
| Author | ||
| Noha mohamed Abd-Elmalek Shahda* | ||
| Medical - surgical —nursing - portsaid | ||
| Abstract | ||
| Background: Central venous lines (CVLs) are widely used in intensive care units (ICUs) to provide long-term vascular access for critically ill patients. While they offer significant clinical benefits, CVLs are also associated with a considerable risk of central line-associated bloodstream infections (CLABSIs). Aim of the study: This study aimed to explore the effect of implementing nursing guidelines on reducing central venous line-related Infections among Patients of Intensive Care Units. Design: A Quasi-experimental design was carried out. Subjects: A purposive sample of 129 adult patients and 129 nurses working in ICUs. Setting: The study was conducted in the intensive care units (ICUs) of four hospitals affiliated with the Egypt Healthcare Authority in Port Said governorate: Al-Zohor Hospital, Al-Salam Hospital, El-Shefaa Medical Complex, and Al-Hayat Port-Fouad Hospital. Tools: four tools utilized for data collection; central venous line assessment questionnaire, an observational checklist for infection prevention, an observational checklist for line-related infection, and a questionnaire on nurses’personal and work-related characteristics. Results: The prevalence of CVL-related infection was 18% before the application of evidence-based nursing guidelines, which decreased to 7.6% afterward. Conclusion: The findings revealed that implementing evidence-based nursing guidelines significantly reduced central venous line infections Among ICUs Patients. Recommendations: It is recommended to standardize CVL care bundles across ICUs, combined with ongoing nurse training and competency assessments in aseptic techniques and line maintenance. | ||
| Keywords | ||
| Nursing guidelines; Central venous line; ICU patients; Prevalence | ||
| References | ||
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