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

Abstract

Background: Central Venous Lines (CVLs) are crucial for managing critically ill children but are alsoassociated with the risk of Central Line-Associated Bloodstream Infections (CLABSIs), which can lead toprolonged hospital stays, higher morbidity and mortality rates. Adherence to evidence-based care bundlesby pediatric intensive care nurses is vital for reducing the incidence of CLABSI and improving outcomesfor children with CVLs. Aim: The study aimed to assess adherence of pediatric intensive care nurses tocentral 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: Nonprobability 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 collectnecessary data: Adherence of Pediatric Intensive Care Nurses to Central venous line Care BundleObservational Checklists. Results: More than half of the studied nurses (52%) had good adherence towearing personal protective equipment, more than two-fifths of them (44%) obtained satisfactory scoreregarding adherence to hand hygiene. Less than three-quarters of nurses (72%) had obtained satisfactoryscore regarding removal of central venous line. While, 44% of them obtained unsatisfactory scoreregarding adherence to dressing of central venous line. Conclusion: It was concluded from this study thatmore than two-thirds of the studied nurses had overall "Satisfactory" adherence to central venous linecare bundle. Recommendations: Based on the previous findings and conclusion: Training of nurses andhealth care providers on using CVL recent guidelines is recommended to improve their knowledge andpractices of care provided for children with CVL.