Compliance with nursing interventions for central venous catheter maintenance in pediatric patients

Compliance with nursing interventions for central venous catheter maintenance in pediatric patients

Introduction: The central venous catheter is necessary in pediatric care; however, it is an important cause of nosocomial bacteremia, with 25% mortality. The nursing professional is responsible for the maintenance of the central venous catheter, in order to prevent local and systemic complications s...

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Autores principales: Castillo Cordova, Jose Angel, Jiménez-Surian, Sandy Guadalupe, Contreras de la Cruz, María Elena, Vicente-Ruiz, María Asunción, de la Cruz García, Carmen
Formato: Online
Lenguaje:spa
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Publicado: Universidad de Sonora 2023
Acceso en línea:https://sanus.unison.mx/index.php/Sanus/article/view/327
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author Castillo Cordova, Jose Angel
Jiménez-Surian, Sandy Guadalupe
Contreras de la Cruz, María Elena
Vicente-Ruiz, María Asunción
de la Cruz García, Carmen
spellingShingle Castillo Cordova, Jose Angel
Jiménez-Surian, Sandy Guadalupe
Contreras de la Cruz, María Elena
Vicente-Ruiz, María Asunción
de la Cruz García, Carmen
Compliance with nursing interventions for central venous catheter maintenance in pediatric patients
author_facet Castillo Cordova, Jose Angel
Jiménez-Surian, Sandy Guadalupe
Contreras de la Cruz, María Elena
Vicente-Ruiz, María Asunción
de la Cruz García, Carmen
author_sort Castillo Cordova, Jose Angel
title Compliance with nursing interventions for central venous catheter maintenance in pediatric patients
title_short Compliance with nursing interventions for central venous catheter maintenance in pediatric patients
title_full Compliance with nursing interventions for central venous catheter maintenance in pediatric patients
title_fullStr Compliance with nursing interventions for central venous catheter maintenance in pediatric patients
title_full_unstemmed Compliance with nursing interventions for central venous catheter maintenance in pediatric patients
title_sort compliance with nursing interventions for central venous catheter maintenance in pediatric patients
description Introduction: The central venous catheter is necessary in pediatric care; however, it is an important cause of nosocomial bacteremia, with 25% mortality. The nursing professional is responsible for the maintenance of the central venous catheter, in order to prevent local and systemic complications such as endocarditis and bacteremia related to intravenous treatment. Objective: To describe the nursing interventions for the maintenance of the central venous catheter in pediatric patients of a specialized hospital. Methodology: Observational, descriptive, cross-sectional design, sample made up of 85 nursing professionals who provided direct care to hospitalized children and received training, non-probabilistic sampling; the instrument used was a central venous catheter maintenance checklist, and data were collected with the observation technique. The survey complies with the ethical aspects of the general health law on research. Results: Nursing interventions were performed with an overall compliance of 90.1%; it is emphasized that 70.6% washed their hands before handling the device. Cleaning and maintenance of the insertion site was carried out by 98.8%, ports and connections were disinfected, and 92.9% lumens were identified. Conclusion: Nursing professionals performed interventions for the maintenance of the central venous catheter with a good compliance. However, the interventions with lower compliance that require improvement are hand hygiene, times for changing equipment and solutions, disinfection of ports and connections, which are essential to reduce infections in the bloodstream. In addition to future surveys about the professional and institutional factors associated with compliance.
publisher Universidad de Sonora
publishDate 2023
url https://sanus.unison.mx/index.php/Sanus/article/view/327
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spelling oai:https:--sanus.unison.mx:article-3272023-08-03T02:16:53Z Compliance with nursing interventions for central venous catheter maintenance in pediatric patients Cumplimiento de intervenciones de enfermería para el mantenimiento del catéter venoso central en pacientes pediátricos Adesão às intervenções de enfermagem para manutenção do cateter venoso central em pacientes pediátricos Castillo Cordova, Jose Angel Jiménez-Surian, Sandy Guadalupe Contreras de la Cruz, María Elena Vicente-Ruiz, María Asunción de la Cruz García, Carmen Enfermería Catéteres Mantenimiento Pediatría Nursing Catheters Maintenance Pediatrics Enfermagem Cateteres Manutenção Pediatria Introduction: The central venous catheter is necessary in pediatric care; however, it is an important cause of nosocomial bacteremia, with 25% mortality. The nursing professional is responsible for the maintenance of the central venous catheter, in order to prevent local and systemic complications such as endocarditis and bacteremia related to intravenous treatment. Objective: To describe the nursing interventions for the maintenance of the central venous catheter in pediatric patients of a specialized hospital. Methodology: Observational, descriptive, cross-sectional design, sample made up of 85 nursing professionals who provided direct care to hospitalized children and received training, non-probabilistic sampling; the instrument used was a central venous catheter maintenance checklist, and data were collected with the observation technique. The survey complies with the ethical aspects of the general health law on research. Results: Nursing interventions were performed with an overall compliance of 90.1%; it is emphasized that 70.6% washed their hands before handling the device. Cleaning and maintenance of the insertion site was carried out by 98.8%, ports and connections were disinfected, and 92.9% lumens were identified. Conclusion: Nursing professionals performed interventions for the maintenance of the central venous catheter with a good compliance. However, the interventions with lower compliance that require improvement are hand hygiene, times for changing equipment and solutions, disinfection of ports and connections, which are essential to reduce infections in the bloodstream. In addition to future surveys about the professional and institutional factors associated with compliance. Introducción: El catéter venoso central es necesario en los cuidados pediátricos, sin embargo, es una causa importante de bacteriemia nosocomial con 25% de mortandad. El profesional de enfermería es responsable del mantenimiento del catéter venoso central con el propósito de evitar complicaciones locales y sistémicas como la endocarditis y la bacteriemia relacionadas al tratamiento endovenoso.Objetivo: Describir las intervenciones de enfermería para el mantenimiento del catéter venoso central en pacientes pediátricos de un hospital especializado.Metodología: Diseño observacional, descriptivo, transversal, muestra conformada por 85 profesionales de enfermería que otorgaron cuidados directos a niños hospitalizados y recibieron capacitación, muestreo no probabilístico, el instrumento utilizado fue una lista de verificación de mantenimiento del catéter venoso central. Se recolectaron datos con la técnica de observación. El estudio cumple con los aspectos éticos de la ley general de salud en materia de investigación.Resultados: Las intervenciones de enfermería se realizaron con un cumplimiento global de 90.1%, se enfatiza que 70.6% efectuaron lavado de manos antes de manipular el dispositivo. La limpieza y mantenimiento del sitio de inserción la realizaron 98.8%, desinfectaron puertos y conexiones, identificaron lúmenes 92.9%.Conclusión: Los profesionales de enfermería realizan las intervenciones para el mantenimiento del catéter venoso central con un cumplimiento bueno. Sin embargo, las intervenciones con menor cumplimiento que requieren mejora son la higiene de manos, los tiempos para cambios de equipo y soluciones, la desinfección de puertos y conexiones; esenciales para disminuir las infecciones del torrente sanguíneo. Además de estudios futuros acerca de los factores profesionales e institucionales asociados al cumplimiento. Introdução: O cateter venoso central é necessário no atendimento pediátrico, porém, é uma importante causa de bacteremia nosocomial, com mortalidade de 25%. O profissional de enfermagem é responsável pela manutenção do cateter venoso central para evitar complicações locais e sistêmicas como endocardite e bacteremia relacionadas ao tratamento intravenoso. Objetivo: Descrever as intervenções de enfermagem para manutenção do cateter venoso central em pacientes pediátricos de um hospital especializado. Metodologia: Delineamento observacional, descritivo, transversal, amostra composta por 85 profissionais de enfermagem que prestavam assistência direta à criança hospitalizada e receberam treinamento, amostragem não probabilística, o instrumento utilizado foi um checklist de manutenção de cateter venoso central e os dados foram coletados com o técnica de observação. O estudo atende aos aspectos éticos da lei geral de saúde em relação à pesquisa. Resultados: As intervenções de enfermagem foram realizadas com uma adesão global de 90,1%, destaca-se que 70,6% lavaram as mãos antes de manusear o aparelho. A limpeza e manutenção do sítio de inserção foi realizada por 98,8%, as portas e conexões foram desinfetadas, os lúmens foram identificados por 92,9%. Conclusões: Os profissionais de enfermagem realizam as intervenções para manutenção do cateter venoso central com boa adesão. No entanto, as intervenções com menor adesão que requerem melhoria são a higienização das mãos, tempos de troca de equipamentos e soluções, desinfecção de portas e conexões; essencial para reduzir as infecções da corrente sanguínea. Além de estudos futuros sobre os fatores profissionais e institucionais associados à adesão. Universidad de Sonora 2023-08-02 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Text Artículo de investigación evaluado por pares Texto Texto application/pdf application/pdf text/xml https://sanus.unison.mx/index.php/Sanus/article/view/327 10.36789/revsanus.vi1.327 SANUS; Vol. 8 (2023): January-December; e327 SANUS; Vol. 8 (2023): Enero-Diciembre; e327 SANUS; v. 8 (2023): Janeiro-Dezembro; e327 2448-6094 spa eng https://sanus.unison.mx/index.php/Sanus/article/view/327/407 https://sanus.unison.mx/index.php/Sanus/article/view/327/408 https://sanus.unison.mx/index.php/Sanus/article/view/327/427 Derechos de autor 2023 https://creativecommons.org/licenses/by-nc-nd/4.0

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