Bundle for catheter insertion and prevention of primary bloodstream infection in peripherally inserted central catheters

Objective: To develop and validate the content of a nursing care Bundle for the insertion and management of peripherally inserted central catheters, based on the scientific literature, with the aim of preventing bloodstream infections. Methods: A methodological study was conducted in three stages: integrative literature review, bundle construction, and content validation by expert judges. The Bundle submitted for validation consisted of 21 nursing care items derived from the literature review. A content validity index above 80% was used to assess agreement. Results: Out of the 27 items evaluated by the expert judges, two were excluded due to a content validity index lower than 0.80, one item was consolidated, and another item was revised. The final version of the Bundle comprised 24 items. The nursing care included, following validation, pertained to the insertion, handling, and maintenance of the catheter in the context of preventing primary bloodstream infections associated with its use, as well as patient safety. Conclusion: This research serves as a starting point for the development of implementation and management tools for nursing care, and as a resource to support training and education processes. Consequently, it yields results that contribute to improving the quality of care and indicators related to bloodstream infections.