Knowledge of Central Venous Line Care Bundle among the Intensive Care Nurses of National Hospital Sri Lanka in 2015

DOI: 10.5176/2315-4330_WNC16.87

Authors: Sriyantha K.V.D.C, Sliva S.N, Abeynayaka A.M.A

Abstract:

the study was conducted to assess the intensive care nurses’ knowledge and practices on specific care bundles while render their patient care A bundle is a structured way of improving the processes of care and patient outcomes: a small, straightforward set of evidence-based practices generally three to five that, when performed collectively and reliably, have been proven to improve patient outcomes (Resar R, Pronovost P, Haraden C, Simmonds T, et al). Recommended care bundles will improve the quality of care and the patient safety and avoid the lengthy days in intensive care and the high cost. The objective of this study was to describe the knowledge and current practice of central venous line care (CVC) bundles among the intensive care nurses of National Hospital of Sri Lanka (NHSL). A descriptive study was done on conveniently selected 366 intensive care nurses of the National Hospital of Sri Lanka (NHSL).The collected data was analyzed by a standard soft ware . Out 366 intensive care nurses (n=314) 86{6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465} were female nurses and (n= 50)14{6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465} were male nurses. The five steps of CVC insertion care bundle were known (n= 18) 5{6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465} nurses while all four steps of CVC maintenance care bundle were known 64 (17.8{6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465}). All steps of both bundles were known 5 (1.4{6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465}) nurses. All 5 intensive care nurses were distributed as(n= 1) 0.3{6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465} in the category of Neuro Trauma (NTU) , General Surgery (GSU), Cardio Thoracic (CTU),Neuro medical(NICU) ,Neuro surgical( NSU) units respectively . Cardiology Unit (CU) and the Medical Intensive Care Unit (MICU) nurse were shown zero score of knowing of both steps of the CVC care bundles. Majority of the nurses demonstrated unsatisfactory awareness on care bundles.

Keywords: Central Venous Line Care Bundle.