Knowledge and behavior of professionals about bundled strategies of central venous catheter

Manzo, Bruna Figueiredo; Mariano, Danielle Rodrigues; Ferreira, Fernanda Maria Correa; Matozinhos, Fernanda Penido; Simão, Delma Aurélia da Silva; Costa, Anna Caroline Leite; Corrêa, Allana dos Reis

doi:10.1590/0034-7167-2018-0164

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Revista Brasileira de Enfermagem

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 72 (1) • Jan-Feb 2019 • https://doi.org/10.1590/0034-7167-2018-0164 copy

Knowledge and behavior of professionals about bundled strategies of central venous catheter

Conocimiento y comportamiento de profesionales sobre el bundle de catéter venoso central

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To investigate the factors that influence the knowledge and behavior of professionals of neonatal and pediatric units about bundled strategies of insertion of central venous catheter.

Method:

This is a cross-sectional study, conducted in one neonatal and one pediatric intensive care units in a public hospital in Belo Horizonte, Brazil, from April to July, 2016. The sample consisted of 255 professionals who answered a structured instrument. Descriptive and comparative analyses were made using the SPSS software.

Results:

The category nursing professional (p = 0.010), working hours of 12×36 scale (p < 0.001), training as a form of acquiring knowledge (p < 0.001) and participation in training programs (p < 0.001) are associated to greater knowledge about the bundle. Regarding behavior, no significant associations were observed.

Conclusion:

The study showed that there are factors that influence the knowledge about bundled strategies of insertion of central venous catheter, reflecting the need to consider these practices for making more effective educational practices in health care.

Descriptors:
Central Venous Catheterization; Patient Safety; Infant; Child; Nursing

Parameter		n (%)
Age (in years)	21-31	58 (22.7)
	32-42	138 (54.1)
	43-53	50 (19.6)
	54-65	9 (3.6)
Gender	Female	240 (94.1)
Gender	Male	15 (5.9)
Professional category	Nurse	50 (19.6)
	Doctor	28 (11)
	Nursing technician	177 (69.4)
Work unit	Pediatric ICU*	38 (14.9)
Work unit	Neonatal ICU*	217 (85.1)
Training time	1-3 years	27 (10.6)
	4-7 years	47 (18.4)
	8-11 years	62 (24.3)
	> 11 years	119 (46.7)
Time of practice in the institution	< 1 year	14 (5.5)
	1-3 years	72 (28.3)
	4-7 years	74 (29)
	8-11 years	60 (23.5)
	> 11 years	35 (13.7)
Time of practice in the unit	< 1 year	22 (8.6)
	1-3 years	73 (28.6)
	4-7 years	73 (28.6)
	8-11 years	57 (22.4)
	> 11 years	30 (11.8)
Work shift	Morning	28 (11)
	Afternoon	11 (4.3)
	Daytime	99 (38.8)
	Nighttime	117 (45.9)
Working hours	12×36 hours	110 (43.1)
	12×60 hours	21 (8.2)
	12×72 hours	36 (14.1)
	6-8-hour shift	24 (9.4)
	12-hour shift	63 (24.8)
	4-hour shift	1 (0.4)
Employment relationship	CLT employee	17 (6.7)
	Statutory (public sector)	199 (78)
	Administrative contract	23 (9)
	Other	16 (6.3)

Parameter		Good/great knowledge n (%) (n = 203)	Little/no knowledge n(%) (n = 52)	p value
Age (years)	21-31	42 (20.7)	16 (30.8)	0.366^* * Chi-square test,
	32-42	114 (56.2)	24 (46.2)
	43-53	39 (19.2)	11(21.2)
	54-65	8 (3.9)	1 (1.8)
Gender	Male	11 (5.4)	4 (7.7)	0.516^# # Fisher's exact test.
Gender	Female	192 (94.6)	48 (92.3)	0.516^# # Fisher's exact test.
Professional category	Nurse	47 (23.1)	3 (5 .8)	0.010^* * Chi-square test,
	Doctor	19 (9.4)	9 (17.3)
	Nursing technician	137 (67.5)	40 (76.9)
Work shift	Daytime	111 (54.7)	27 (51.9)	0.722^* * Chi-square test,
Work shift	Nighttime	92 (45.3)	25 (48.1)	0.722^* * Chi-square test,
Training time	1-3 years	22 (10.8)	5 (9.6)	0.777^* * Chi-square test,
	4-7years	35 (17.2)	12 (23.1)
	8-11 years	49 (24.2)	13 (25)
	> 11years	97 (47.8)	22 (42.3)
Time of practice in the institution	< 1year	8 (3.9)	6 (11.5)	0.108^* * Chi-square test,
	1-3 years	62 (30.5)	10 (19.2)
	4-7years	56 (27.6)	18 (34.7)
	8-11 years	50 (24.6)	10 (19.2)
	> 11years	27 (13.4)	8 (15.4)
Time of practice in the unit	< 1year	16 (7.9)	6 (11.5)	0.528^* * Chi-square test,
	1-3 years	75 (36.9)	14 (27)
	4-7years	65 (32)	22 (42.3)
	8-11 years	47 (23.2)	10 (19.2)
Working hours	12 × 36 hours	88 (43.4)	19 (36.5)	< 0.001^# # Fisher's exact test.
	12 × 60 hours	14 (6.8)	11 (21.2)
	12 × 72 hours	33 (16.3)	2 (3.9)
	6-8 hour shift	23 (11.4)	1 (1.9)
	12 hour shift	44 (21.6)	19 (36.5)
	4 hour shift	1 (0.5)	0 (0)
Form of acquisition of knowledge about bundled strategies	Books/scientific journals	29 (14.3)	1 (1.9)	*< 0.001^ * Chi-square test,**
	Lectures/courses	40 (19.7)	9 (17.3)
	Training at the hospital	124 (61)	20 (38.5)
	Others	10 (5)	22 (42.3)
Training on infection prevention	Yes	127 (62.6)	5 (9.6)	*< 0.001^ * Chi-square test,**
Training on infection prevention	No	76 (37.4)	47 (90.4)	*< 0.001^ * Chi-square test,**

Parameter		Nurses¹ 1 Three doctors and two nurses were excluded due to not filling out the items about the items regarding the insertion of central venous catheters. (n = 47) n (%)	Doctors¹ 1 Three doctors and two nurses were excluded due to not filling out the items about the items regarding the insertion of central venous catheters. (n = 26) n (%)	p value
Use of maximum protection barriers	Always	47 (100)	25 (96.2)	0.356^# # Fisher's exact test.
Use of maximum protection barriers	A few times/never	0 (0)	1 (3.8)	0.356^# # Fisher's exact test.
Use of antiseptic solution	Antiseptic and alcohol-based chlorhexidine	22 (46.8)	18 (69.2)	0.186^# # Fisher's exact test.
	Antiseptic chlorhexidine	22 (46.8)	8 (30.8)
	Povidone-iodine solution	3 (6.4)	0 (0)
Waiting two minutes before insertion	Always	35 (74.5)	17 (65.4)	0.412^* * Chi-square test,
Waiting two minutes before insertion	A few times/never	12 (25.5)	9 (34.6)	0.412^* * Chi-square test,

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[1] Corresponding Author: Bruna Figueiredo Manzo E-mail: brunaamancio@yahoo.com.br