Construction of a nursing care instrument for patients with central venous catheters

Keywords: Nursing Care; Catheters; Intensive Care Units.


Objective: to build a nursing care instrument for patients with short-term central venous catheters in an Intensive Care Unit. Methods: a multi-method study in three stages: structuring of the instrument; pre-testing of the instrument; agreement analyses among nurses and final composition of the instrument. Results: the instrument, in its first version, presented three domains related to the moment of insertion (five items), maintenance (15 items) and catheter removal (ten items). Most of the 30 items were assessed as relevant (23/77%) and presented a satisfactory Content Validity Index (28/93%). Ten items were reformulated, 32 new items were included, and three items were deleted. Conclusion: the instrument was constructed, which presented response validity for the care of nurses to patients with central venous catheters in Intensive Care Units, consisting of three domains and 59 items evaluated by nurses and considered appropriate for the moments of insertion, maintenance and removal of the catheter.


Moureau N, Chopra V. Indications for peripheral, midline and central catheters: summary of the MAGIC recommendations. Br J Nurs. 2016; 25(8):15-24. doi:

Adler L, Yi D, Li M, McBroom B, Hauck l, Sammer C, et al. Impact of inpatient harms on hospital finances and patient clinical outcomes. J Patient Saf. 2018; 14(2):67-73. doi:

Iordanou S, Middleton N, Papathanassoglou E, Raftopoulos V. Surveillance of device associated infectionsand mortality in a major intensive care unit in the Republic of Cyprus. BMC Infect Dis. 2017; 17(1):607. doi:

Silva JAJ, Ferreira LA, Zuffi FB, Rezende MP, Mendonça GS. Breakdown of complications related to the use of central venous catheters in intensive therapy units. Biosci J. 2018; 34(3):810-7. doi:

Camargo FC, Iwamoto HH, Galvão CM, Pereira GA, Andrade RB, Masso GC. Competences and barriers for the evidence-based practice in Nursing: an integrative review. Rev Bras Enferm. 2018; 71(4):2148-56. doi:

Gorski LA, Hadaway L, Hagle ME, Broadhurst D, Clare S, Kleidon T, et al. Infusion therapy standards of practice, 8th Edition. J Infus Nurs. 2021; 44(1S):S1-S224. doi:

O’Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO, et al. Guidelines for the prevention of intravascular catheter-related infections, 2011. Centers for Disease Control and Prevention [Internet]. 2017 [cited May 17, 2021];1-80. Available from:

Sichieri K, Lida LIS, Menezes IRSC, Garcia PC, Santos TR, Peres E, et al. Central line bundle maintenance among adults in a university hospital intensive care unit in São Paulo, Brazil: a best practice implementation project. Database System Rev Implement Rep. 2018; 16(6):1454-73. doi:

Pasquali L. Princípios de elaboração de escalas psicológicas. Rev Psiquiatr Clín [Internet]. 1998 [cited May 12, 2021];25(5):206-13. Available from:

Jesus SC, Bertoncello KCG, Vieira GT, Colaço AD, Schineider DG, Costa IAP, et al. Nursing care for patients with central venous catheter: a systematic review and meta-analysis. Res Rev J Nurs Health Sci [Internet]. 2020 [cited May 12, 2021]; 10(5):1071-8. Available from:

Silva AM, Mota ANB, Matuhara AM, Vicentim AH, Avelar AFM, Freitas CB, et al. Diretrizes práticas para terapia infusional. São Paulo: Infusion Nurses Society Brasil; 2018.

Polit DF, Beck CT. Fundamentos de pesquisa em enfermagem: avaliação de evidência para a prática da enfermagem. Porto Alegre: Artmed; 2019.

Lynn MR. Determination and quantification of content validity. Nurs Res. 1986; 35(6):382-6. doi:

Souza AC, Alexandre NMC, Guirardello EB. Psychometric properties in instruments evaluation of reliability and validity. Epidemiol Serv Saúde. 2017; 26(3):649-59. doi:

Lanza VE, Alves APP, Camargo AMS, Cacciari P, Montandon DS, Godoy S. Preventive measures of infection related to peripheral venous catheter: adherence in intensive care. Rev Rene. W2019; 20:e40715. doi:

Lao GC, Reyes MR, Turet JR, Dot MP, Muner DS, Cabezas CL. Compatibility of drugs administered as Y-site infusion in intensive care units: A systematic review. Med Intensiva. 2020; 44(2):80-7. doi:

Mitchell ML, Ullman AJ, Takashima M, Davis C, Meng GM, Powell M. et al. Central venous access device Securement and dressing effectiveness: the CASCADE pilot randomised controlled trial in the adult intensive care. Aust Crit Care. 2020; 33(5):441-51. doi:

How to Cite
Jesus, S. C. de, Bertoncello, K. C. G., Gonçalves, F. A. F., Colaço, A. D., Lentz, G. N. S., & Schneider, D. G. (2022). Construction of a nursing care instrument for patients with central venous catheters. Rev Rene, 23, e70967.
Research Article