Development and Effectiveness of a Central Venous Catheter Management Education Program for Nurses in Hematology-Oncology Wards

Purpose: This study aimed to develop and implement a central venous catheter (CVC) management education program for nurses in hematology-oncology wards and evaluate its effects on CVC-related knowledge, performance, empowerment, and central line-associated bloodstream infection (CLABSI) rates. Methods: A total of 46 nurses from two university hospitals in South Korea participated. The program was developed using the ADDIE instructional model and implemented over a four-month period. Outcome measures included knowledge and performance in CVC and hub management, empowerment, and CLABSI rates. Results: Post-intervention analysis showed significant improvements in CVC management knowledge (t=3.42, p =0.001), CVC performance (t=4.37, p =0.000), hub management performance (t=2.64, p =0.011), and empowerment (t=3.40, p =0.001). No significant differences were found in hub management knowledge (t=0.88, p =0.382) or CLABSI rates (X 2 =2.00, p =0.157). Conclusion: The CVC management education program developed in this study was found to be effective in significantly improving nurses’ knowledge, performance, and empowerment related to CVC and hub management in hematology-oncology wards. However, there was no statistically significant reduction in the rate of CLABSIs. This suggests that CVC management is influenced by a multidisciplinary clinical environment involving various healthcare professionals beyond nurses. Therefore, future interventions aimed at reducing infection rates should incorporate a multidisciplinary approach in addition to nurse education. Keywords: central venous catheter, nurse, education, knowledge, infection