Evaluation of Adherence to the Guidelines of Clinical Practice of Vascular Lines by the Nursing Staff of the UMAE H.E. N.- 14 C.M.N. “A.R.C.” Veracruz Norte

Introduction: Clinical practice guidelines are proposed to improve the quality of care. Its purpose is to establish a national reference to guide the making of clinical decisions based on recommendations based on the best available scientific evidence. The perspective of nursing in the 21st century is that all nurses look for evidence and apply it in their daily practice, in order to reflect on the assumptions considered as true and that guide the practice of day-to-day life, and which the impact and results of these interventions are routinely evaluated on patients.

Objective: To analyze the attachment to the prevention, diagnosis and treatment of infections related to vascular lines according to the recommendations of the clinical practice guide in the nursing staff of the intensive care unit in the High Specialty Medical Unit Number 14.

Material and methods: Observational, prospective and cross-sectional study, through review of 112 clinical files of patients with central venous catheters of the intensive care unit in the highly specialized medical unit number 14 Veracruz, Veracruz, Mexico, from August 2017 to November 2018. Incomplete files were excluded. To evaluate the adherence according to the recommendations of the clinical practice guideline, the single card of prevention, diagnosis and treatment of vascular-related infections was used, an adequate adherence was considered greater than 80%.

Results: It was discovered that 73% did not adhere to the recommendations of the clinical practice guide, while 18% had medium attachment and only 9% had attachment. Of this percentage, 7% corresponds to the night shift, with the evening shift being the one that does not show adherence to the recommendations. 9% attachment for seniority: less than 5 years (2.25%), 6-15 years (2.25%), 16-25 years (2.25%), more than 26 years (2.25%).

Conclusion: There is a need to continue with the continuous training and it is suggested to carry out an educational intervention to later evaluate in order to improve the results. It follows that no personal impulse has been shown in the research development on the subject.

Keywords: Attachment; Clinical Practice Guideline; Vascular line management; Evaluation of adherence