Determinantes del incumplimiento del cuidado enfermero en el manejo del catéter venoso central. Revisión Sistemática

Abstract

The central venous catheter is a vascular device manufactured with biocompatible material, indicated to administer drugs or intravenous substances required by the patient. Objective: To systematize the available scientific evidence on the determinants that affect the noncompliance of nursing care in the management of central venous catheters through a systematic review that includes the search, analysis, and synthesis of different theoretical supports obtained from different sources of scientific information duly referenced. Methodology: The present study is a systematic review using the prism method, carried out under a qualitative approach, considering 30 publications obtained from scientific databases such as Web of Science, MedLine/Scopus, Lilacs, PubMed, SciELO, and Redalyc. Results: The studies reviewed indicate that the nursing care applied in central venous catheter care is related to three fundamental aspects: insertion, handling, and removal of the device. These complications can be mechanical and infectious, and the factors that influence noncompliance with catheter management are lack of knowledge of the correct technique, excessive workload, noncompliance with protocols, and a shortage of supplies, among others. Conclusions: Determinants influencing noncompliance with nursing care in central venous catheter management include a lack of knowledge among nursing staff, excessive workload, a shortage of sanitary supplies, limited patient collaboration, and the absence of manuals outlining staff responsibilities.