Nurses ' Knowledge and Practice regarding Central Venous Catheter Bundle Care in Neonatal Intensive Care unit | ||
Port Said Scientific Journal of Nursing | ||
Volume 12, Issue 3, September 2025, Pages 67-91 PDF (873.86 K) | ||
Document Type: Original Article | ||
DOI: 10.21608/pssjn.2025.419127.1377 | ||
Authors | ||
Fayza Mohamed El Houssine Khattab* 1; Amal Ahmed Khalil2; Jehan Mahmoud Farrag3 | ||
1Master Degree of Pediatric Nursing, Faculty of Nursing Port Said University | ||
2, Professor of Pediatric Nursing, Faculty of Nursing, Port Said University | ||
3pediatric 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. | ||
Keywords | ||
Bundle Care; Central Venous Catheter; Neonate; Neonatal Intensive Care Unit Nurses' knowledge and practice | ||
References | ||
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. | ||
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