Experiencias de enfermería en el manejo de catéteres venosos centrales

Abstract

Introduction: The central venous catheter (CVC) is a device that allows to obtain direct access to venous circulation, it is frequently used in critical medicine and intensive care areas, it allows to administer, fluids, medication, blood products and extraction of blood samples, so its use is a routine and necessity for chronic, critical and oncologic patients. Knowledge about the management and care of the CVC is fundamental at the nursing staff level, since it allows reducing the incidence of infections acquired in health care, finding solutions to difficulties before, during and after the insertion of the device, as well as reducing complications. Objective: To identify the relationship between knowledge and experience of CVC management and care in the nursing staff of the intensive care unit of Hospital General Ambato. Methodology: Qualitative study, with a narrative, descriptive and comprehensive approach. A semi-structured interview with a series of open-ended questions was used. Data analysis was carried out using the methodology of Demaziére D. and Dubar C., with two approaches: propositional analysis, and correlational analysis between discourse and review of existing literature. Results: The total number of interviewees, have a moderate-advanced knowledge about CVC care and management, also agree that strategies should be implemented to reinforce the management of the central line, training on relevant topics such as hand washing, CVC risks, and biosafety standards. Conclusions: The nursing staff of the Intensive Care Unit of the General Hospital Ambato, demonstrated through a qualitative analysis, to have experiences, experiences and knowledge moderately high, in relation to the care and management of the central venous line, however, it is recommended, to constantly train the staff to be able to update in technology and new practices related to the CVC.