الفهرس 
Central venous catheters.Only 14 pages are availabe for public view
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Abstract
Central venous catheters (CVCs) are essential for providing care to children in pediatric intensive care units (PICUs). Children are particularly vulnerable with Catheter Related Blood Stream Infections (CR-BSIs) which is the most commonly reported infection in pediatric ICU The purpose of the study was to: -Assess the effect of nursing care bundle on central venous line associated blood stream infection.Research design: -A quasi-experimental design (pre, post and follow up test) was utilized.Setting: -This study was conducted at the pediatric intensive care unit (PICU) in Menoufia University Hospital.Sample:-a) A convenience sample of all nurses (33 nurses) at the previously mentioned setting who provided direct care to children was included in the current study.b) All children admitted to the PICU during the period of the study with central venous lines (Total number was 34) were included in the study.Instruments of the study: -Instrument one: A structured interviewing questionnaire: to assess Nurses’ knowledge of evidence-based CR-BSI.Part one: characteristics of studied nurses.Part two: Nurses’ knowledge of evidence-based CR-BSI (Catheter Related- Blood Stream Infection) Questionnaire:1: Nurses’ Knowledge about central venous catheter (CVC).2: Nurses’ Knowledge about nursing care to prevent Catheter Related- Blood Stream Infection (CR-BSI).Instrument two: Observational checklist for to assess nurses’ practice for prevention of CR-BSI Instrument three: to assess the rate of Catheter Related- Blood Stream Infection on studied children. It consisted of two parts:Part one: characteristics of studied children.
Part two: Laboratory investigation record.The main results of the study showed that:1. Half of studied nurses (48.5%) aged 25 to 30 years old, were between, more than half of them (57.6 %) were graduated from technical institute of nursing.2. The mean age and SD of studied children was (4.0±1.05), also, about two thirds (70.0%) were females.3. Fifty percent of studied children diagnosed as convulsion and status epilepsy.4. Mean score and SD of nurses‟ knowledge about children central venous catheter (C.V.C) was8.11± 1.5, 10.25 ± 1.24 and 8.5 ± 2.7 on pre, post and follow up tests respectively.5. Mean score and SD of nurses‟ knowledge about nursing care to prevent children bloodstream infection was 18.6061±4.14532, 25.3333±1.81430 and 24.4242±2.34561 on pre, post and follow up tests respectively.6. Mean score and SD of nurses‟ practice to prevent central line associated blood stream infection was 22.20 ±1.81, 25.30 ±1.99 and 23.40 ±0.93on pre, post and follow up tests respectively.
7. There was a highly statistically significant positive correlation between total nurses‟ knowledge and practices scores as p-value was (P<0.0001).8. Children who received nursing care based on nursing care bundle had lower levels of central venous line associated blood stream infection compared to children who received routine nursing care on pretest than follow-up test (13.17±0.65 Vs 10.50±0.43respectively).The study concluded that:
- Nurses who received health education about care bundle of central venous line had higher level of knowledge about prevention of central venous line associated blood stream infections on posttest than pretest. Also, Nurses who received health education about care bundle of central venous line had higher level of practice about prevention of central venous line associated blood stream infections on posttest than pretest. Furthermore, children who received bundle of care had decreased the rate of blood stream associated infection.Based on the results of the study it was recommended that:1. Ongoing in-service education programs about central venous line care bundles should be designed and implemented in pediatric intensive care units to improve nurses’ knowledge and practices on the basis of nurse’s actual needs.2. In- service educational training programs about nursing care bundle for central venous line should be developed and provided for pediatric nurses working in pediatric intensive care units.3. Advanced booklets and electronic media about nursing care bundle for central venous line should be available at each pediatric intensive care unit.4. Further studies should be applied on a larger sample to determine the effect of nursing care bundle on central venous line associated blood stream infection to ensure the generalizability of results.