Optimizing Hand Hygiene and Infection Control in Chest Drain Care: Essential Guidelines for Nurses

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Mana benaya shaher alanazi,Tahani rady mohdaf aldfery,Madiha zwinny rakies aldfery,Gamillah khallaf aldhafeeri,Sara zwinny rakies aldfery,Harbiyyah abdullah aldhafeeri,Nadia eidan aldhafeeri,Amal eidan aldhafeeri,Nouf rumayd aldhafeeri,Ebtesam awad ahmad alanazi,Qaydah khalif hawi alanazi,Fatimah salem alanazi,Khatar Khalaf Aldafiri,Mohammed Khalif Aldafiri,Ebtasam Khalaf Aldafiery,Nofah Awied Alruwaili,Manal Awaid Alanazi,Khaznah Merweh Alteel Aldhafeeri,Sami hawas Alharbi,Fizah hadad awdah albathaly.

Abstract

Chest drain management is a vital nursing intervention for patients requiring the drainage of air, fluid, or pus from the pleural cavity. This procedure is essential for conditions such as empyema, pneumothorax, pleural effusion, and other thoracic disorders. Nurses are responsible for handling, monitoring, and supervising patients with chest tubes. However, research indicates that nurses often rely on informal sources such as peer interactions and personal experience rather than standardized resources like guidelines, seminars, or conferences. While informal knowledge exchange plays a role in practice, its inconsistency may impact patient outcomes negatively.


The initial step in nursing care—assessment—plays a crucial role in identifying risks and complications related to chest tube placement. A structured approach that incorporates evidence-based guidelines, ongoing education, and individualized treatment plans can enhance patient outcomes and mitigate complications.


Aim


This study aims to:



  1. Examine current nursing practices in chest drain management.

  2. Evaluate the effectiveness of formal and informal educational resources for chest drain care.

  3. Assess the impact of nursing assessment and critical thinking on improving patient outcomes related to chest tube placement and maintenance.


Conclusion


This study highlights the importance of an evidence-based approach in chest drain nursing care. While informal knowledge-sharing remains prevalent, structured education, training, and adherence to research-based guidelines are essential. Providing access to up-to-date resources through in-service education, seminars, and university courses can significantly reduce complications such as infection, dislodgement, and bleeding. By integrating critical thinking and a patient-centered approach throughout the nursing process, nurses can enhance patient care and reduce adverse events

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