Pediatric oncology patients with an external central venous catheter (CVC) in situ can be discharged from the hospital. Caregivers are expected to learn how to care for the CVC prior to discharge while also dealing with their child's new cancer diagnosis. This study aimed to evaluate the perceptions of a CVC education program received by caregivers to identify opportunities for improvement. A qualitative study was conducted in 3 stages, using an evidence-based co-design approach, involving caregivers and one adolescent patient discharged from the British Columbia Children's Hospital Oncology/Hematology/BMT inpatient unit. Stage I involved semi-structured interviews to gain feedback on the existing CVC education program. In Stage II, educational resources were updated or developed and implemented. For Stage III, the revised CVC education program was evaluated through a focus group and semi-structured interviews. Interview transcripts were analyzed using QSR NVivo^®. The original CVC education program was overall well received. Repeated instruction and support provided by nurses was reported to have increased confidence with performing CVC skills. Participants appreciated the multimodal approach to meet learning needs and expressed interest in additional visual aids. Inconsistencies in nurses’ practice and offers of “tips and tricks” were identified to be challenging for caregivers while learning a new skill. Videos depicting CVC care were developed to provide an additional visual tool, decreased inconsistencies in care, and support to caregivers at home. Caring for a CVC at home is challenging and overwhelming for caregivers. A standardized multimodal education program is required to support caregivers at home.

原位外置中心静脉导管（CVC）的小儿肿瘤患者可以出院。护理人员应该在出院前学习如何护理 CVC，同时还要处理孩子的新癌症诊断。本研究旨在评估护理人员对 CVC 教育计划的看法，以确定改进机会。一项定性研究分 3 个阶段进行，使用基于证据的协同设计方法，涉及护理人员和一名从不列颠哥伦比亚省儿童医院肿瘤学/血液学/BMT 住院部出院的青少年患者。第一阶段涉及半结构化面试，以获得对现有 CVC 教育计划的反馈。在第二阶段，更新或开发和实施教育资源。对于第三阶段，通过焦点小组和半结构化访谈对修订后的 CVC 教育计划进行了评估。使用 QSR NVivo 分析采访记录^®。最初的 CVC 教育计划总体上受到好评。据报道，护士提供的反复指导和支持增强了执行 CVC 技能的信心。参与者对满足学习需求的多模式方法表示赞赏，并对额外的视觉辅助工具表示了兴趣。护士实践中的不一致和提供的“提示和技巧”被确定为护理人员在学习新技能时具有挑战性。开发描述 CVC 护理的视频是为了提供额外的视觉工具，减少护理中的不一致性，并为在家中的护理人员提供支持。在家中照顾 CVC 对护理人员来说既具有挑战性又难以抗拒。需要标准化的多模式教育计划来支持家庭护理人员。