Effectiveness of Self Instructional Module on Central Venous Catheter Care among ICU Nurses

Abstract

Central venous catheters are often used as mandatory devices when caring critically ill patients. Catheter-related blood stream infections are associated with significantly increased morbidity, mortality, and expenditures. Despite technological advances, an estimated 250,000 catheter related blood stream infections occur annually. Advanced practice nurses possess the power to influence catheter-related line infections in their critical care units. Understanding current recommendations for catheter material selection, site selection, site preparation, and site care can affect rates of catheter-related bloodstream infections 3 . Central venous catheterization can be lifesaving but is associated with complication rates of approximately 15%. 10 A study done at Escort Heart Centre, New Delhi shows that mortality due to central venous catheter related blood stream infection was 22.9% as compared with 0.2% in non central venous catheter related blood stream infection 11 . Many Studies shows that education of nurses and proper care of central venous catheters can reduces infection rates by 41 to 66% in adult ICUs. Hence, this study was aimed to determine effectiveness of self instructional module on central venous catheter care. The aim of the study was to impart the current recommendation regarding nursing care of patient with central venous catheter among staff nurses working in ICU. An Evaluative approach was used for the present study. Using purposive sampling technique 50 samples were selected from Chettinad Hospital and Research institute, Tamil Nadu, India. The tool used was self administered questionnaire. The collected data was analyzed using descriptive and inferential statistics. The findings of the study revealed a significantly increase in the staff nurses knowledge score after administration of self instructional module. The mean pre test score was 9.80 % and the mean post test score was 16.58 % and the difference between pre test and post test knowledge score was 6.78%.Based on the objectives of the study the findings of the level of knowledge score on staff nurses shows that they were able to gain adequate knowledge. The study shows that the staff nurses in post test were having average of moderately 30 % knowledge and adequate 70 % of knowledge regarding nursing care of patients with central venous catheter. Self instructional module is effective in increasing the knowledge regarding nursing care of patients with Central venous catheter among staff nurses.