Adherence of Pediatric Intensive Care Nurses to Central Venous Line Care Bundle | ||
| Alexandria Scientific Nursing Journal | ||
| Volume 27, Issue 1, March 2025, Pages 1-12 PDF (296.39 K) | ||
| DOI: 10.21608/asalexu.2025.414944 | ||
| 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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