Asian Journal of Nursing Education and Research

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Comparison of Central Line Care Practice of Staff Nurses before and after Implementation of Guidelines


Affiliations
1 Department of Child Health Nursing, St. Johns College of Nursing, Bangalore, India
2 St. Johns Medical College Hospital, Bangalore, India
     

   Subscribe/Renew Journal


Central line associated blood stream infections in children can be prevented when evidence based guidelines are followed by the nurses for post insertion care and maintenance of central venous catheters. This study aimed to compare the central line care practices of staff nurses before and after implementing the guidelines in pediatric intensive care unit (PICU). This experimental quantitative study was done at 12 bedded PICU, St John’s Hospital over a period of 3 months from October 2016- December 2016. A purposive sample consisting of 15 staff nurses who are working in PICU were selected for this one group pre-test post-test designed study. Central line care practices of staff nurses were observed twice using an observational checklist consisting of 50 items by the researcher before and after implementing the guidelines. The practices were analyzed and scored using descriptive and inferential statistics. The findings showed that the mean post-test score was higher than the mean pre-test score in the study group. There was a significant association of the pre-test practice score with years of experience in PICU. The central line care practice guideline can be used as an effective tool for the maintenance of central venous catheters of children.

Keywords

Central Venous Catheter, Central Line Care Practice, Guideline, Observational Checklist, PICU.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Guidelines for the Prevention of Intravascular Catheter-Related Infections, 2011; The Centers for Disease Control and Prevention (CDC) (http://www.cdc.gov/hicpac/guidelineMethod/guidelineMethod.html)

  • Mermel LA. What is the predominant source of intravascular catheter infections? Clin Infect Dis. 2011; Jan 52 (2): 211-212

  • The joint commission. Preventing central line associated blood stream infection. Useful tools. An international perspective, 2013; Nov 20 Accessed http://www.jointcommission.org/CLABSIToolkit

  • Al-Somali FO, Abu-Salem LY, Al-Afghani S & Babgi A. Assessment of Nurses’ Adherence to CDC Guidelines Regarding Central Line Care for Children with Cancer Journal of Education and Practice 2014; 5(28) www.iiste.org

  • Ullman AJ, Long DA & Claire MR Prevention of central venous catheter infections: A survey of paediatric ICU nurses’ knowledge and practice. http://www.Nurse educationtoday.com/article/S0260-6917(13) 00326-2

  • Deshmukh M, Shinde M. Impact of structured education on knowledge and practice regarding venous access device care among nurses. International journal of science and research, 2014; May 3(5): 895-901

  • Pushpakala K J, and Ravinath A. Effectiveness of selfinstructional module on central venous catheter care among ICU nurses. Journal of Nursing and Health Science, 2014; 3(5): 32-34. Retrieved from www.iosrjournals.org

  • Al. Salmi IBS, Kadium MJ. An education intervention to improve nurses’ knowledge to reduce catheter-related bloodstream infection in hemodialysis unit. International Journal of Science and Research (IJSR) 2015; 4(4): www.ijsr.net

  • Kalender.N, Tosun.N. Nursing Studies about Central Venous Catheter Care: A Literature Review and Recommendations for Clinical Practice, International Journal of Caring Sciences 2015; 8 (2): 461

  • Michael L, Rinke, Bundy DG, Chen AR, Milstone AM. et.al, Central Line Maintenance Bundles and CLABSIs in Ambulatory Oncology Patients, Pediatrics 2013; Nov 132(5): e1403- e1412


Abstract Views: 648

PDF Views: 0




  • Comparison of Central Line Care Practice of Staff Nurses before and after Implementation of Guidelines

Abstract Views: 648  |  PDF Views: 0

Authors

Bincy George
Department of Child Health Nursing, St. Johns College of Nursing, Bangalore, India
Vasantha Singarayan
Department of Child Health Nursing, St. Johns College of Nursing, Bangalore, India
A. V. Lalitha
St. Johns Medical College Hospital, Bangalore, India

Abstract


Central line associated blood stream infections in children can be prevented when evidence based guidelines are followed by the nurses for post insertion care and maintenance of central venous catheters. This study aimed to compare the central line care practices of staff nurses before and after implementing the guidelines in pediatric intensive care unit (PICU). This experimental quantitative study was done at 12 bedded PICU, St John’s Hospital over a period of 3 months from October 2016- December 2016. A purposive sample consisting of 15 staff nurses who are working in PICU were selected for this one group pre-test post-test designed study. Central line care practices of staff nurses were observed twice using an observational checklist consisting of 50 items by the researcher before and after implementing the guidelines. The practices were analyzed and scored using descriptive and inferential statistics. The findings showed that the mean post-test score was higher than the mean pre-test score in the study group. There was a significant association of the pre-test practice score with years of experience in PICU. The central line care practice guideline can be used as an effective tool for the maintenance of central venous catheters of children.

Keywords


Central Venous Catheter, Central Line Care Practice, Guideline, Observational Checklist, PICU.

References