Educational Nursing Guideline: It’s Effect on Preventing Central Venous Catheter Related Infection among Patients Receiving Total Parenteral Nutrition

Mona Mohamed Mayhob^1, and Manal Abdelsalam²

¹Assocaitet Professor Adult Health Nursing, Faculty of Nursing, British University in Egypt, Cairo, Egypt

²PhD Fellowship, Ain Shams University Hospitals, Cairo, Egypt

Cite this paper:
Mona Mohamed Mayhob and Manal Abdelsalam. Educational Nursing Guideline: It’s Effect on Preventing Central Venous Catheter Related Infection among Patients Receiving Total Parenteral Nutrition. American Journal of Nursing Research. 2022; 10(3):75-83. doi: 10.12691/ajnr-10-3-1

Abstract

Infection of central venous catheter continues to be one of the most serious health problems among patients receiving total parenteral nutrition, and this infection remains a leading cause of morbidity and mortality among hospitalized patients. Therefore, reduction of central venous catheter infection may be achieved through providing appropriate education and training for all health team members specially nurses. Aim of the study: Evaluate effect of educational nursing guideline on preventing central venous catheter-related infection among patients receiving total parenteral nutrition. Data Collection Tools: First Tool; Self-administered Questionnaire that included two parts; Part one: Demographic characteristics of the nurses; Part two: Nurses’ knowledge about central venous catheter infection preventive measures. Second Tool: Nurses’ Practice Observational Checklist and Third Tool: Visual Infusion Phlebitis Score that was used to assess catheter-related infection. Results: The results of this study showed that, there was a highly statistically significant difference between both groups (study & control) regarding prevention of central venous catheter-related infection (P < 0.00). Conclusion: Implementing educational nursing guideline for preventing central venous catheter-related infection among the patients who receive total parental nutrition showed a highly statistically significant positive effect on reducing the developed grade of phlebitis. Recommendations: This study recommended conducting the developed educational nursing guideline program for nurses to train them on central venous catheter, use proper procedures for the insertion, maintenance, and appropriate infection control measures to prevent central venous catheter-related infection.

Keywords:
central venous catheter educational nursing guideline associated infection total parenteral nutrition

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References:

[1]	Aloush, S. M., & Alsaraireh, F. A. (2018). Nurses' compliance with central line associated blood stream infection prevention guidelines. Saudi Medical Journal; 39(3): 273-279.
[2]	Tarikci, K.E., Sema, Y., Senol, C., Kadir, Y., & Ethem, U. (2019). Central line-associated blood stream infection (CLABSI) complications seen in total parenteral nutrition (TPN) in patients admitted to intensive care unit (ICU), Transplantation; 103(7S2): S147.
[3]	Fonseca, G., Burgermaster, M., Larson, E., & Seres, D. S. (2018). The relationship between parenteral nutrition and central line-associated bloodstream infections: 2009-2014. Journal of Parenteral and Enteral Nutrition; 42(1): 171-175.
[4]	Parra-Flores, M., Souza-Gallardo, L.M., García-Correa, G.A., Centellas-Hinojosa, S. (2017). Incidencia de infección asociada a catéter venoso central y factores de riesgo relacionados en pacientes con nutrición parenteral total en un hospital de tercer nivel [Incidence of catheter-related infection incidence and risk factors in patients on total parenteral nutrition in a third level hospital]. Cirugia Cirujanos Journal; 85(2):104-108.
[5]	Aloush, S. (2018). Educating intensive care unit nurses to use central venous catheter infection prevention guidelines: Effectiveness of an educational course. Journal of Research in Nursing; 23(5): 406-413.
[6]	Chen, Sh., Yao, J., Jianhua Chen, J., Liu, L., Miu, A., Jiang, Y., Jie Zhu, J., Tang, S., & Chen, Y. (2015). Knowledge of guidelines for the prevention of intravascular catheter-related infections (2011): A survey of intensive care unit nursing staffs in China. International Journal of Nursing Sciences; 2(4): 383-388.
[7]	Haddadin, Y., Annamaraju, P., & Regunath, H. (2022). Central line associated blood stream infections. [Updated 2022, Apr 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430891/.
[8]	Al Qadire, M., Tawlbeh, L.I., & Suliman, M. (2017). Student nurses’ knowledge of guidelines for preventing central venous catheter-associated infections. International Journal of Nursing Studies; 6(1):32-35.
[9]	Yoshida, T., Silva, A., Simões, L., & Guimarães, R.A. (2019). Incidence of central venous catheter-related bloodstream infections: Evaluation of bundle prevention in two intensive care units in Central Brazil. The Scientific World Journal; 7.
[10]	Shimoyama, Y., Umegaki, O., Agui, T., Kadono, N,. Komasawa, N., & Minami, T. (2017). An educational program for decreasing catheter-related bloodstream infections in intensive care units: A pre- and post-intervention observational study. JA Clinical Reports; 3(1):23.
[11]	Comer, A., Harris, A.D., Shardell, M., Braun, B., Belton, B.M., Wolfsthal, S.D., Dembry, L. M., Jacob, J.T., Price, C., Sulis, C., Chu, E.S., & Xiao, Y. (2011). Web-based training improves knowledge about central line bloodstream infections. Journal of Infection Control and Hospital Epidemiology, 32(12): 1219-1222.
[12]	Ferrara, P., & Albano, L. (2018). The adherence to guidelines for preventing CVC-related infections: A survey among Italian health-care workers. BMC Journal of Infectious Diseases; 18(1): 606.
[13]	Gilman, M., & Marek, L. (2020). Knowledge based approach to solving CLABSIs in patients receiving total parenteral nutrition improving nursing best practice through direct observation & education. American Journal of Infection Control; 48 (8): 37-38.
[14]	Jackson, A. (1998). Infection control--a battle in vein: Infusion phlebitis. Journal of Nursing Times; 94(4): 68-71.
[15]	O'Connor, A., Hanly, A.M., Francis, E., Keane, N., & McNamara, D.A. (2013). Catheter associated blood stream infections in patients receiving parenteral nutrition: A prospective study of 850 patients. Journal of Clinical Medicine Research; 5(1):18-21.
[16]	Seisdedos, E.R., Conde, G.M.C., Castellanos, M.J.J., García-Manzanares, V., Agredos, A., Valenzuela, G.J.C., & Fraga, F. (2012). Parenteral total central venous catheters-related infections in patients with parenteral nutrition. Nutro Hosp Journal; 27(3): 775-80.
[17]	Timsit, J.F., Baleine, J., Bernard, L., Calvino-Gunther, S., Darmon, M., Dellamonica, J., Desruennes, E., Leone,M., Lepape, A., Leroy, O., Lucet, J. Ch., Merchaoui, Z., Mimoz, O., Misset, B., Parienti, J.J., Quenot, J.P., Roch, A., Schmidt, M., Slama, M., Souweine, B., Zahar, J.R., Zingg, W., Bodet-Contentin, L., & Maxime, V. (2020). Expert consensus-based clinical practice guidelines management of intravascular catheters in the intensive care unit. Annals of Intensive Care Journal; 10 (1): 118.
[18]	Bayoumi, M.H., & Mahmoud, N.F. (2017). Effect of education program on nurses’ knowledge and practice regarding care of central venous line in pediatric hemodialysis: Evidence-based practice guidelines. Egyptian Nursing Journal; 14(2): 87-99.
[19]	Said, N.Y., Yassien, S., & Ameen, D.A. (2020). Factors affecting nurses’ performance toward central line associated blood stream infection in critical care units. Egyptian Journal of Health Care; 11(1): 234-247
[20]	Alkubati, S.A., Ahmed,N.T., Mohamed,O.N., Fayed, A.M., & Asfour, H.I. (2015). Health care workers' knowledge and practices regarding the prevention of central venous catheter-related infection. American Journal of Infection Control; 43(1):26-30.
[21]	Conley, S.B. (2016). Central line-associated bloodstream infection prevention: Standardizing practice focused on evidence-based guidelines. Clinical Journal of Oncology Nursing; (1):23-6.
[22]	Khudair, H.A., & Khadur, Kh.M. (2021). Effectiveness of an educational program on nurses' knowledge regarding care of central venous catheter in AL-Nasiriyah cardiac center. Annals of R.S.C.B.; 25(6): 10036-10042.
[23]	Elbilgahy, A.A., Davidson, P.M., Sharps, Ph.W., & Elassmy, M.M. (2016). Nursing practice for prevention of central line associated blood stream infection (CLABSI) in A Pediatric Intensive Care Unit. Journal of Nursing and Health Science; 5(6): 14-20.
[24]	El-Sol, A., & Badawy, A.I. (2017). The Effect of a designed teaching module regarding prevention of central-line associated blood stream infection on ICU nurses' knowledge and Ppractice. American Journal of Nursing Science; 6(1):1: 11-18.
[25]	Esposito, M.R., Guillari, A., & Angelillo, I.F. (2017). Knowledge, attitudes, and practice on the prevention of central line-associated bloodstream infections among nurses in oncological care: A cross-sectional study in an area of southern Italy. Journal of PLoS One; 12: (6).
[26]	Abdo, N.M., Ramadan, M.A., Tosson, M.M., & Al-Fadhli, M.A. (2020). Effectiveness of an educational program on knowledge and practices regarding care of central venous catheters among dialysis nurses. The Egyptian Journal of Community Medicine; 38(1): 1-11.
[27]	Kaya, H., Turan, Y., Akbal, S., Tosun, K., Aksoy, E., Tunalı, Y., & Özdemir, A.G. (2016). The effect of nursing care protocol on the prevention of central venous catheter-related infections in neurosurgery intensive care unit. Journal of Applied Nursing Research; 32: 257-261.
[28]	Ling, M.L., Apisarnthanarak, A., & Jaggi, N. (2016). APSIC guide for prevention of central line associated bloodstream infections (CLABSI). Antimicrob Resist Infect Control; 5, 16.
[29]	Bekcibasi, M., & Dayan, S., Aslan, E., Kortak, M., & Hosoglu, S. (2019). Risk factors for central venous catheter-related bloodstream infections. Clinica e Terapia Delle Patologie Infettive; 27(3): 258-265.