Central Venous Catheter Care Training for Pediatric Oncology Nurses

NCT ID: NCT07345598

Last Updated: 2026-01-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-01-22

Study Completion Date

2026-06-22

Brief Summary

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The knowledge level of nurses regarding care techniques plays a crucial role in the prevention of central venous catheter-related infections. This study was designed to evaluate the effect of training on central venous catheter care (CVCC), provided to nurses caring for pediatric oncology patients, on their knowledge level and infection prevention behaviors. The study aims to determine the effectiveness of an educational program intended to enhance nurses' knowledge and practical skills in preventing CVC-related infections, thereby contributing to evidence-based practices that improve patient safety.

Detailed Description

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Quasi-experimental, pre-test/post-test desing with a control group. Central catheters are frequently used in hematology and oncology clinics. They are invasive devices employed in hospitalized patients for fluid therapy, drug administration, blood transfusions, total parenteral nutrition, and hemodynamic monitoring. In addition to enabling the effective continuation of treatment, they provide patients with a more comfortable therapeutic experience.

Proper maintenance of catheters is crucial for treatment continuity. Despite their medical advantages, central venous catheters (CVCs) are associated with complications such as infection, hemorrhage, and thrombosis. When central venous catheterization and catheter care are performed by inexperienced personnel or teams, the risk of catheter colonization and infection increases. Furthermore, if the catheter remains in place for more than five days, the risk of infection is eight times higher in groups using gauze dressings and microporous tape.

CVC-related infection is a significant cause of morbidity and mortality in immunocompromised children and adults, with infection-related mortality estimated between 12% and 25%. Recent studies have demonstrated that standardization of aseptic techniques and the provision of regular training reduce the risk of infection, while catheter insertion and maintenance by inexperienced personnel increase the likelihood of colonization or infection.

Nurses are key personnel both during central venous catheter insertion and in ensuring catheter care is maintained with aseptic technique . Regular training of healthcare professionals responsible for catheter insertion and care, ensuring compliance with hand hygiene, and adopting maximum barrier precautions during insertion (use of sterile gloves, gown, sterile drape covering the insertion site, mask, and cap) are recommended. In addition, the use of \>0.5% chlorhexidine-alcohol combinations for skin antisepsis, routine use of chlorhexidine/antiseptic-impregnated catheters, and chlorhexidine-impregnated dressings are advised.

There are various nursing care practices aimed at preventing CVC-associated infections. It has been recommended that healthcare professionals conduct high-level evidence clinical studies to evaluate the effectiveness of these practices on infection, develop clinical protocols that may serve as guidelines for CVC care, and monitor these protocols regularly. Many healthcare institutions provide not only initial training for newly employed staff but also refresher training for existing personnel. Since aseptic techniques are complex, nurses need to complement their education with practical training to strengthen their knowledge and skills. CVC-associated infections remain an important risk factor; however, with properly planned training, nurses' knowledge of current guidelines and their compliance with them should be periodically evaluated . Educational programs provided to nurses should be didactic, evidence-based, and structured with appropriate content and timing.

Nursing is an applied profession that requires meaningful integration of theoretical knowledge and practical skills. Therefore, this study was designed to evaluate the effect of theoretical and practical training on central venous catheter care, provided to nurses caring for pediatric oncology patients, on their knowledge level and infection prevention behaviors.

Conditions

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Pediatric Cancer Pediatric Oncology Central Venous Catheter Central Venous Catheter Placement Central Venous Catheter Exit Site Infection

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

All participants will receive central venous catheter care training follewed by evaluation of knowledge and infection prevention behaviors.
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Training Group

Participants in this arm will receive the central venous catheter care training program, including theoretical education, video demonstration, and hansd-on practice.

Group Type EXPERIMENTAL

CVC Care Training

Intervention Type OTHER

The intervention consists of an educational training program including a PowerPoint presentation, training video, and hands-on practice with a mannequin. Data collection tools include the Sociodemographic Information Form, the Evidence-Based Guidelines Knowledge Test, and the Nurses' Observation Questionnaire on Infection Control and Prevention.

Interventions

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CVC Care Training

The intervention consists of an educational training program including a PowerPoint presentation, training video, and hands-on practice with a mannequin. Data collection tools include the Sociodemographic Information Form, the Evidence-Based Guidelines Knowledge Test, and the Nurses' Observation Questionnaire on Infection Control and Prevention.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Provided care to a pediatric oncology patient at least once
* Performed a procedure via a central venous catheter on a pediatric oncology patient
* Voluntarily signed the informed consent form

Exclusion Criteria

* Not having previously performed a procedure via a central venous catheter
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Acibadem Maslak Hospital

OTHER

Sponsor Role collaborator

Fenerbahce University

OTHER

Sponsor Role lead

Responsible Party

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Emine I Yıldız

Principal Investigator, Nurse, Fenerbahce University

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yagmur Sancı, Assistant Professor

Role: STUDY_DIRECTOR

Fenerbahce University

Locations

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Acıbadem Maslak Hospital - Pediatric Oncology Unit

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Central Contacts

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Emine Yildiz, Registered Nurse

Role: CONTACT

+90 543 641 1944

Facility Contacts

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Emine I Yildiz, Registered Nurse

Role: primary

+90 543 641 1944

Provided Documents

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Document Type: Study Protocol

View Document

Other Identifiers

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FBU-YILDIZ-001

Identifier Type: -

Identifier Source: org_study_id

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