Bundle for catheter insertion and prevention of primary bloodstream infection in peripherally inserted central catheters

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2025-01-01 DOI:10.1016/j.ijans.2025.100872

Juliana Almeida de Oliveira , Helena Ferraz Gomes , Dayana Carvalho Leite , Bruna Maiara Ferreira Barreto Pires , Cristiene Faria , Carolina Cabral Pereira da Costa , Priscila Cristina da Silva Thiengo de Andrade , Rafael Pires Silva , Antonio Marcos Tosoli Gomes , Alexandrina de Aguiar Ciríaco , Lívia Fajin de Mello , Luciana Guimarães Assad , Vanessa Galdino de Paula , Luana Ferreira de Almeida , Danuza Gomes de Jesus Ferreira , Laura Queiroz dos Anjos , Carlos Eduardo Peres Sampaio , Jaynne Gleyce dos Santos Silva , Renata de Oliveira Maciel , Larihssa Mendes Torres Correa , Ellen Marcia Peres

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引用次数: 0

Abstract

Objective

To develop and validate the content of a nursing care Bundle for the insertion and management of peripherally inserted central catheters, based on the scientific literature, with the aim of preventing bloodstream infections.

Methods

A methodological study was conducted in three stages: integrative literature review, bundle construction, and content validation by expert judges. The Bundle submitted for validation consisted of 21 nursing care items derived from the literature review. A content validity index above 80% was used to assess agreement.

Results

Out of the 27 items evaluated by the expert judges, two were excluded due to a content validity index lower than 0.80, one item was consolidated, and another item was revised. The final version of the Bundle comprised 24 items. The nursing care included, following validation, pertained to the insertion, handling, and maintenance of the catheter in the context of preventing primary bloodstream infections associated with its use, as well as patient safety.

Conclusion

This research serves as a starting point for the development of implementation and management tools for nursing care, and as a resource to support training and education processes. Consequently, it yields results that contribute to improving the quality of care and indicators related to bloodstream infections.

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导管插入束和预防原发性血流感染的周围插入中心导管

目的以预防血液感染为目的，在科学文献的基础上，制定并验证外周中心置管插入与管理护理包的内容。方法方法学研究分为三个阶段：综合文献综述、束构建和专家评审内容验证。提交验证的包包括来自文献综述的21个护理项目。采用80%以上的内容效度指标评价一致性。结果在专家评审评审的27个项目中，因内容效度指数低于0.80而剔除2个项目，合并1个项目，修改1个项目。最终版本的捆绑包包括24个项目。验证后的护理包括导管的插入、处理和维护，以预防与使用相关的原发性血流感染，以及患者安全。结论本研究可为护理实施和管理工具的开发提供起点，并为培训和教育过程提供资源支持。因此，它产生的结果有助于提高护理质量和与血液感染有关的指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.