Prevention of central line‐associated bloodstream infections: ICU nurses' knowledge and barriers.

Background: Central line‐associated bloodstream infections (CLABSI) have been a significant challenge in care, increasing healthcare costs and leading to adverse outcomes, including mortality. Aim: The present study aimed to assess the knowledge of intensive care unit (ICU) nurses on the prevention...

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Publicado en:Nursing in Critical Care Vol. 28; no. 3; pp. 419 - 427
Autores principales: Badparva, Bita, Ghanbari, Atefeh, Karkhah, Samad, Osuji, Joseph, Kazemnejad leyli, Ehsan, Jafaraghaee, Fateme
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell May2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2023
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        atl: Prevention of central line‐associated bloodstream infections: ICU nurses' knowledge and barriers.
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          Badparva, Bita
          Ghanbari, Atefeh
          Karkhah, Samad
          Osuji, Joseph
          Kazemnejad leyli, Ehsan
          Jafaraghaee, Fateme
        affil: Inflammatory Lung Diseases Research Center, Department of Internal Medicine, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
      sug:
        subj:
          Central Venous Catheters Adverse Effects
          Critical Care Nurses Iran
          Nursing Knowledge Evaluation
          Catheter-Related Bloodstream Infections Prevention and Control
          Nursing Practice, Evidence-Based
          Guideline Adherence
          Implementation Science
          Nursing Practice
          Human
          Critical Care
          Iran
          Cross Sectional Studies
          Adult
          Middle Age
          Male
          Female
          Descriptive Statistics
          Data Analysis Software
          Mann-Whitney U Test
          Kruskal-Wallis Test
          Friedman Test
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Central line‐associated bloodstream infections (CLABSI) have been a significant challenge in care, increasing healthcare costs and leading to adverse outcomes, including mortality. Aim: The present study aimed to assess the knowledge of intensive care unit (ICU) nurses on the prevention of CLABSI and the implementation barriers of evidence‐based guidelines in practice. Design: A cross‐sectional study. Methods: Data were collected from adult, paediatric, and neonatal ICU nurses working in seven hospitals in Iran, using census sampling from April to July 2020. Results: A number 209 out of 220 ICU nurses participated in the present study (response rate of 95%). The median score of knowledge of ICU nurses towards the prevention of CLABSI was 3.00 out of 11. 50.72% of ICU nurses had insufficient knowledge. The most critical implementation barriers of evidence‐based guidelines were high workload, shortage of necessary equipment, and lack of CLABSI prevention workshops. Conclusions: Overall, the knowledge of ICU nurses towards the prevention of CLABSI was insufficient. Study findings suggest that the knowledge of ICU nurses may be improved by reducing the workload, increasing the number of nursing staff in the ICU, having an adequate supply of equipment needed to ensure safe practice in the ICU, and providing regular related educational workshops for nurses working in the ICU. Relevance to Clinical Practice: The present study's findings suggest that regular training programs should be developed to improve the knowledge of ICU nurses in the care and prevention of CLABSI. Nursing policymakers and managers need to identify and address implementation barriers of evidence‐based guidelines to improve nursing, such as high workload, shortage of necessary equipment, and lack of CLABSI prevention workshops.
      pubtype: Academic Journal
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        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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