Factors Affecting Central Venous Catheter’s Dwell Time in Critically Ill Patients: Suggested Guideline

Galal Soliman Abdelkader, Angham; Mohamed Khalifa, Arzak; Hamdi Mohamed, Asmaa; Ahmed Elsenousy, Tahany

doi:10.21608/ejhc.2019.223307

Factors Affecting Central Venous Catheter’s Dwell Time in Critically Ill Patients: Suggested Guideline

Document Type : Original Article

Authors

¹ B.Sc. Nursing, Damanhur University Faculty of Nursing- Ain Shams University

² Lecturer of Medical Surgical Nursing Faculty of Nursing- Ain Shams University

³ Assistant Professor of Medical Surgical Nursing Faculty of Nursing- Ain Shams University

⁴ Professor of Critical Care Nursing , Faculty of Nursing- Ain Shams University

10.21608/ejhc.2019.223307

Abstract

Background: Central venous catheter (CVC) is a hollow tube that provides reliable

vascular access in critically ill patients. The dwell time of the catheter is ample, limited by presence

of complications-related factors. Nursing care regarding central venous catheter is very important to

prevent complications and increase the central venous catheter’s dwell time. Aim: Assess the

factors affecting central venous catheter’s dwell time in critically ill patients with suggested

guideline. Design: A descriptive exploratory design was utilized in this study. Setting: This study

was conducted at the combined medical intensive care unit at Ain Shams University Hospital.

Study subjects: A convenient sample of all nurses (32 nurses), all available physicians (22

physicians) working in the previous mentioned setting and all available patients connected with

central venous catheter (84 patients). Data collection tools: Four tools were used for data

collection; 1) Patient-related factors assessment questionnaire. 2) Nurse-related factors assessment

tools containing knowledge assessment questionnaire and central venous catheter nursing care

observational checklists. 3) Central venous catheter insertion observational checklist for physicians.

4) Environmental related-factors assessment tool. Results: more than one third of the studied

patients had secondary education, more than two thirds of the studied nurse had unsatisfactory level

of total knowledge regarding central venous catheter care, more than half of them had satisfactory

level of total practice regarding its care and more than three quarters of the studied physicians had

satisfactory level of practice regarding insertion of central venous catheter. Conclusion: The factors

affecting central venous catheter’s dwell time were patients’ level of education, nurses’ experience,

their total knowledge and total practice and physicians’ experience and practice.

Recommendations: In-service training program must be developed based on need assessment for

nurses in relation to care of central venous catheter.

Keywords