Educational practices for families of children and adolescents using a permanent venous catheter

Corrêa, Verônica Braga; Nunes, Michelle Darezzo Rodrigues; Silveira, Ana Luiza Dorneles da; Silva, Liliane Faria da; Sá, Selma Petra Chaves; Góes, Fernanda Garcia Bezerra

doi:10.1590/0034-7167-2019-0129

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Revista Brasileira de Enfermagem

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Sumário

REVIEW • Rev. Bras. Enferm. 73 (suppl 4) • 2020 • https://doi.org/10.1590/0034-7167-2019-0129 copy

Educational practices for families of children and adolescents using a permanent venous catheter

Prácticas educativas junto a las familias de niños y adolescentes en uso de catéter venoso permanente

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

to identify, in the scientific literature, the educational practices performed by nurses with the families of children and adolescents using long-term venous catheters, concerning home care.

Methods:

integrative review in LILACS, PubMed, SCOPUS, Web of Science and CINAHL databases, from August to September 2018.

Results:

we analyzed eight articles that met the inclusion criteria. The results showed that all studies are international, mostly North American and with low level of evidence. The educational practices found were home visits, production of printed educational materials, use of mannequins for simulation, creation of an educational video, and combined educational practices.

Final Considerations:

the care provided by families at home in the countries studied is more complex than in Brazil, and the conclusion is that Brazilian studies need to advance in publications related to this area.

Descriptors:
Central Venous Catheterization; Health Education; Pediatric Nursing; Kid; Home Care

Acronym	Content	MeSH Terms / PubMed, Web of Science and SCOPUS	CINAHL Titles	LILACS
P	Families / caregivers of children and adolescents	"family" OR "caregivers" OR "child" OR "child, preschool" OR "adolescent" OR "parents"	"family" OR "parents" OR "child" OR "child, preschool" OR "adolescence"	"family" OR "caregivers" OR "preschool" OR "teenager" OR "child"

I	Nurse's educational practices	"health education" OR "health promotion" OR "education" OR "orientation" OR "nursing care" OR "pediatric nursing OR" oncology nursing "OR" home nursing "	"heath education" OR "health promotion" OR "education" OR "orientation" OR "nursing care" OR "pediatric nursing" OR "pediatric oncology nursing" OR home nursing "OR" nursing home patients "	"pediatric nursing" OR "nursing care" OR "oncology nursing" OR "health education" OR "health promotion"
C	-	-	-	-

O	Long-term venous catheter care	"central venous catheters" OR "catheterization" OR "catheterization, central venous catheters" OR "catheters, indwelling"	"central venous catheter" OR "catheters, vascular" OR "catheter care, vascular" OR "catheter care" OR "catheterization, peripheral central venous" OR "catheterization, central venous" OR "catheters"	"central venous catheterization" OR "catheterization" OR "delay catheters" OR "implantable catheters" OR "central venous catheters"

Databases	Articles found	Deleted articles	Selected articles	Repeated selected articles	Articles found not fund in full	Total of analyzed articles
CINAHL	3	2	1	0	0	1
PubMed	9	3	6	2	0	4
LILACS	1	1	0	0	0	0
Web of Science	10	4	5	3	1	2
SCOPUS	8	4	3	2	1	1
Total	31	14	15	7	2	8

Code	Title	Authors / year of publication / database / journal / country	Type of study / level of evidence	Educational practice used	RESULTS
A1	"Teaching parents advanced clinical skills"⁽¹⁷17 Vidler V. Teaching parents advanced clinical skills. Haemophilia [Internet]. 1999[cited 2018 Aug 20];5(5):349-53. Available from: https://www.ncbi.nlm.nih.gov/pubmed/10583517 https://www.ncbi.nlm.nih.gov/pubmed/1058... ⁾	Vidler V 1999 PubMed Journal Haemophilia England	Qualitative descriptive study Level: 6	Home visits as theoretical and practical education practice	It allowed nurses to continuously evaluate the technique of catheter manipulation by families, preventing complications, and promoting emotional support; thus, reducing anxiety, and opportunity for continuing education about the disease and treatment was given.
A2	"Pre-operative awareness implantable ports"⁽¹⁸18 Hatchard L, O’Leary S. Pre-operative awareness for children with implantable ports. J Child Health Care[Internet]. 1999[cited 2018 Aug 29];3(2):20-3. Available from: https://www.ncbi.nlm.nih.gov/pubmed/10451337 https://www.ncbi.nlm.nih.gov/pubmed/1045... ⁾	Hatchard L, O'Leary S 1999 PubMed Journal of Child Health Care England	Qualitative descriptive study Level: 6	Produce a booklet containing necessary information for families based on their questions.	Most families interviewed pointed to the need for a book or leaflet as an educational tool. The booklet produced tells the story of a little boy named Scott, who passes through hospital admission, visits the theater, the postoperative period, and subsequent care of his Port a cath. The article also concludes that the association of verbal and written orientations enhances the teaching to families.
A3	"Reduced central line infection rates in children with leukemia following caregiver training"⁽¹⁹19 Vecchio AL, Schaffzin JK, Ruberto E, Caiazzo MA, Saggiomo L, Manbretti D, et al. Reduced central line infection rates in children with leukemia following caregiver training. Medicine [Internet]. 2016 [cited 2018 Sep 01];95(25):e3946. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4998326/ https://www.ncbi.nlm.nih.gov/pmc/article... ⁾	Vecchio AL, Schaffzin JK, Ruberto E, Caiazzo MA, Saggiomo L, Manbretti D, et al. 2016 SCOPUS Journal Medicine Italy	Clinical trial without randomization Level: 3	Training course for family members of children with leukemia containing theoretical information; practice with mannequins and children; and video.	The study demonstrated a 46% reduction in overall catheter-associated bloodstream infection rates and an 80% reduction in rate between thoroughly trained and untrained caregivers. This suggests that any caregiver involvement is effective and that their empowerment in care has a major impact on infection reduction rates in this population.
A4	"Becoming Parent and Nurse: High-Fidelity Simulation in Teaching Ambulatory Central Line Infection Prevention for Parents of Children with Cancer"⁽²⁰20 Heiser RCE, Terhaar MF, Ascenzi JA, Walbert A, Kokoszka KM, Perretta JS, et al. Becoming parent and nurse: high-fidelity simulation in teaching ambulatory central line infection prevention to parents of children with cancer. Jt Comm J Qual Patient Saf. 2017;43(5):251-8. doi: 10.1016/j.jcjq.2017.02.007 https://doi.org/10.1016/j.jcjq.2017.02.0... ⁾	Heiser RCE, Terhaar MF, Ascenzi JA, Walbert A, Kokoszka KM, Perretta JS, et al. 2017 CINAHL Journal Joint Commission Journal on Quality and Patient Safety USA	Clinical trial without randomization Level: 3	Training based on prior knowledge assessment, video and realistic simulation as a teaching practice for parents in central catheter care in pediatric oncology.	Realistic simulation proved to be an effective educational practice in preparing parents to take care of the central catheter at home, based on scientific evidence. In addition, it has improved parents' ability to recognize when health staff do not adhere to these same standards.
A5	"Caregiver Education Reduces the Incidence"⁽²¹21 Drews B, Maaluso M, Piper H, Channabasappa N. Caregiver education reduces the incidence. Gastroenterol Nurs. 2017;40(6):458-62. doi: 10.1097/SGA.0000000000000274 https://doi.org/10.1097/SGA.000000000000... ⁾	Drews B, Maaluso M, Piper H, Channabasappa N 2017 Web of Science Journal Gastroenterology Nursing USA	Descriptive study Level: 6	Theoretical training, didactic material and manual practice on mannequins for home care.	Reduction of catheter-associated bloodstream infection rate. These reductions improved patient morbidity and mortality and impacted hospital readmission rates, resulting in cost savings.
A6	"Developing and Producing a Patient Education Video on Care of the Permanent Right Atrial Catheter"⁽²²22 Akcasu N, Bodenmiller S. Developing and producing a patient education video on care of the permanent right atrial catheter. J Pediatr Oncol Nurs [Internet]. 1994 [cited 2018 Sep 10];11(3):120-4. Available from: https://www.ncbi.nlm.nih.gov/pubmed/7917138 https://www.ncbi.nlm.nih.gov/pubmed/7917... ⁾	Akcasu N, Bodenmiller S 1994 PubMed Journal of Pediatric Nurse Oncology USA	Descriptive study Level: 6	Patient education video about permanent central catheter care.	Step by step description of video creation. Although this videotape was designed for a specific audience, it could easily target a wider audience. Future research will evaluate the effectiveness of the video.
A7	"Preventive strategies for central line and associated bloodstream infections in pediatric hematopoietic stem cell transplant recipients"⁽²³23 Barrell C, Covington L, Bhatia M, Robison J, Patel S, Jacobson JS, et al. Preventive strategies for central line e associated bloodstream infections in pediatric hematopoietic stem cell transplant recipients. Am J Infect Control. 2012;40(5):434-9. doi: 10.1016/j.ajic.2011.06.002 https://doi.org/10.1016/j.ajic.2011.06.0... ⁾	Barrell C, Covington L, Bhatia M, Robison J, Patel S, Jacobson JS, et al. 2012 Web of Science American Journal of Infection Control USA	Clinical trial without randomization Level: 3	Using a mannequin for practical training of families and nursing staff	Catheter-associated bloodstream infection rates in children in both the community and hospital decreased significantly after the implementation of the educational practices.
A8	"Impact of changes in catheter management on infectious complications among children with central venous catheters"⁽²⁴24 Lange BJ, Weiman M, Feuer EJ, Jakobowski D, Bilodeau J, Stallings VA, et al. Impact of changes in catheter management on infectious complications among children with central venous catheters. Infect Control Hosp Epidemiol [Internet]. 1997[cited 2018 Sep 08];181(5):326-32. Available from: https://www.ncbi.nlm.nih.gov/pubmed/9154475 https://www.ncbi.nlm.nih.gov/pubmed/9154... ⁾	Lange BJ, Weiman M, Feuer EJ, Jakobowski D, Bilodeau J, Stallings VA, et al. 1997 PubMed Infection Control and Hospital Epidemiology USA	Clinical trial without randomization Level: 3	Educational program for nurses and families using institutional protocols, videos and verbal guidelines illustrating catheter care procedures.	The study showed a reduction in catheter-related complication rates in children with chronic diseases after the educational intervention.

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[1] Corresponding author: Verônica Braga Corrêa E-mail: veronikbraga@gmail.com