EFFECTIVENESS OF EDUCATION PROGRAM REGARDING CENTRAL VENOUS CATHETER (CVC) CARE BUNDLE IN TERMS OF KNOWLEDGE AND PRACTICE OF NURSING PERSONNEL

Introduction: Central Venous Catheter (CVC) is commonly used for administration of drugs as well as nutrients and for hemodynamic monitoring in Intensive Care Unit. Lack of knowledge and inappropriate handling of CVC can lead to Central Line Associated Blood Stream Infection (CLABSI). Nursing Personnel have an important role of in prevention of CLABSI. The aim of present study was to evaluate the Effectiveness of Education Program regarding CVC Care Bundle in terms of Knowledge and Practice of Nursing Personnel. Methods: Pre- Experimental study using One Group Pretest Posttest Design was conducted. Total Enumeration Sampling Technique was used to enroll 35 Nursing Personnel who were directly involved in patient care in the Liver Coma ICU. A Structured knowledge questionnaire was prepared to assess the knowledge of Nursing Personnel regarding CVC Care Bundle. An Observation Checklist was prepared to assess the practice of the Nursing Personnel regarding CVC Care Bundle. The reliability of the Knowledge questionnaire was established by test retest method and Crohn Back alpha was found to be 0.75. The reliability of Observation checklist was by interrater reliability and was found to be 0.95. The Education Program on CVC Care Bundle was prepared got validated by Subject experts. The data was collected in the month of January till February, 2018. The Practice of Nursing Personnel regarding CVC Care Bundle was assessed using an Observation Checklist and their Knowledge was assessed using Structured Knowledge Questionnaire. This was followed by administration of Education Program on CVC Care Bundle through Lecture cum Discussion method. After the completion of the Education Program, Practice and Knowledge were reassessed using the same tools on day 7. The data was analyzed using descriptive and inferential statistics by SPSS version 22. Following statistical tests of significance were applied: Student t test, Paired t test, One Way ANOVA, Post hoc analysis and Pearson correlation. Results: There was a significant difference in the Mean Pretest (19.57?3.43) and Posttest (24.94?4.78) knowledge scores (p= <0.001) as well as Pretest (39.17?2.86) and Posttest (47.11?1.87) Practice scores (p= <0.001) of Nursing Personnel regarding CVC Care Bundle. This revealed significant increased scores for both Knowledge and Practice after the Education Program. Domain wise, the lowest mean percentage in Pretest Knowledge scores of Nursing Personnel was 46.2 percent in the domain Removal of CVC, followed by 48.5 percent in the domain Maintenance of CVC, 66.8 percent in the domain Blood sample collection from CVC and 67.1 percent in the domain Insertion of CVC. It indicated that the Nursing Personnel had minimum Knowledge in the domains Removal of CVC and Maintenance of CVC. After administration of Education Program, the mean percentage of Posttest Knowledge Scores was increased in all 4 Domains. There was no significant association found between Posttest Knowledge scores and Posttest Practice scores of Nursing Personnel regarding CVC Care Bundle. Conclusion: Study concluded that the Education Program was effective in enhancing the Knowledge and improving the Practice of Nursing Personnel regarding CVC Care Bundle. The findings also revealed that the knowledge of Nursing Personnel was associated with the duration of last attended In-service Education Program. Therefore it can be concluded that there is a need to provide education regarding CVC Care Bundle after regular intervals.