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

Authors

1 Demonstrator Pediatric Nursing Department, Faculty of Nursing, Alexandria University, Egypt

2 , Professor Pediatric Nursing Department, Faculty of Nursing, Alexandria University, Egypt.

3 Professor Pediatrics, Department of Pediatrics, Faculty of Medicine, Alexandria University, Egypt.

4 Lecturer 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.

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