Central Venous Catheter, Central Venous Catheter Exit Site Infection, Central Venous Catheter Placement, Pediatric Cancer, Pediatric Oncology
Conditions
Keywords
Pediatric Nursing, Central venous catheter placement, Central Venous Catheter Exit Site Infection, Nurse training, hand hygiene, knowledge, infection prevention, clinical education, quasi-experimental study
Brief summary
The knowledge level of nurses regarding care techniques plays a crucial role in the prevention of central venous catheter-related infections. This study was designed to evaluate the effect of training on central venous catheter care (CVCC), provided to nurses caring for pediatric oncology patients, on their knowledge level and infection prevention behaviors. The study aims to determine the effectiveness of an educational program intended to enhance nurses' knowledge and practical skills in preventing CVC-related infections, thereby contributing to evidence-based practices that improve patient safety.
Detailed description
Quasi-experimental, single-group pre-test/post-test desing. Central catheters are frequently used in hematology and oncology clinics. They are invasive devices employed in hospitalized patients for fluid therapy, drug administration, blood transfusions, total parenteral nutrition, and hemodynamic monitoring. In addition to enabling the effective continuation of treatment, they provide patients with a more comfortable therapeutic experience. Proper maintenance of catheters is crucial for treatment continuity. Despite their medical advantages, central venous catheters (CVCs) are associated with complications such as infection, hemorrhage, and thrombosis. When central venous catheterization and catheter care are performed by inexperienced personnel or teams, the risk of catheter colonization and infection increases. Furthermore, if the catheter remains in place for more than five days, the risk of infection is eight times higher in groups using gauze dressings and microporous tape. CVC-related infection is a significant cause of morbidity and mortality in immunocompromised children and adults, with infection-related mortality estimated between 12% and 25%. Recent studies have demonstrated that standardization of aseptic techniques and the provision of regular training reduce the risk of infection, while catheter insertion and maintenance by inexperienced personnel increase the likelihood of colonization or infection. Nurses are key personnel both during central venous catheter insertion and in ensuring catheter care is maintained with aseptic technique . Regular training of healthcare professionals responsible for catheter insertion and care, ensuring compliance with hand hygiene, and adopting maximum barrier precautions during insertion (use of sterile gloves, gown, sterile drape covering the insertion site, mask, and cap) are recommended. In addition, the use of \>0.5% chlorhexidine-alcohol combinations for skin antisepsis, routine use of chlorhexidine/antiseptic-impregnated catheters, and chlorhexidine-impregnated dressings are advised. There are various nursing care practices aimed at preventing CVC-associated infections. It has been recommended that healthcare professionals conduct high-level evidence clinical studies to evaluate the effectiveness of these practices on infection, develop clinical protocols that may serve as guidelines for CVC care, and monitor these protocols regularly. Many healthcare institutions provide not only initial training for newly employed staff but also refresher training for existing personnel. Since aseptic techniques are complex, nurses need to complement their education with practical training to strengthen their knowledge and skills. CVC-associated infections remain an important risk factor; however, with properly planned training, nurses' knowledge of current guidelines and their compliance with them should be periodically evaluated . Educational programs provided to nurses should be didactic, evidence-based, and structured with appropriate content and timing. Nursing is an applied profession that requires meaningful integration of theoretical knowledge and practical skills. Therefore, this single-group pre-test/post-test study was designed to evaluate the effect of theoretical and practical training on central venous catheter care on nurses knowledge levels and infection prevention behaviors.
Interventions
OTHERCVC Care Training
The intervention consists of an educational training program including a PowerPoint presentation, training video, and hands-on practice with a mannequin. Data collection tools include the Sociodemographic Information Form, the Evidence-Based Guidelines Knowledge Test, and the Nurses' Observation Questionnaire on Infection Control and Prevention.
Sponsors
Fenerbahce University
Acibadem Maslak Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Intervention model description
All participants will receive central venous catheter care training follewed by evaluation of knowledge and infection prevention behaviors.
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Provided care to a pediatric oncology patient at least once * Performed a procedure via a central venous catheter on a pediatric oncology patient * Voluntarily signed the informed consent form
Exclusion criteria
* Not having previously performed a procedure via a central venous catheter
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Knowledge Level of Nurses | At baseline (pre-training) and on the same day immediately after completion of the training | Knowledge level will be measured using the Evidence-Based Guidelines Knowledge Assessment Test for the Prevention of Central Venous Catheter-Related Infections. The test consists of 10 questions, with each correct answer scored as 1 and incorrect or unanswered items scored as 0. Total scores range from 0 to 10, with higher scores indicating greater knowledge. Nurses will complete the test before and immediately after the training. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post-Training Observation of Infection Prevention Behaviors | At 4 weeks after completion of the training program | Nurses will be observed in their clinical practice environment after completing the training program. Observations will be conducted by the principal investigator and an independent observer using the Nurses' Infection Control and Prevention Observation Questionnaire. The questionnaire consists of 19 items, with total scores ranging from 19 to 95. Lower scores indicate better infection prevention behaviors. A greater decrease in the total score from pre-training to post-training indicates a greater effect of the educational intervention. |
Countries
Turkey (Türkiye)
Contacts
STUDY_DIRECTORYagmur Sancı, Assistant Professor
Fenerbahce University
Outcome results
None listed