دانش و عملکرد پرستاران در پیشگیری از عفونت جریان خون ناشی از کانتر ورید مرکزی در بخشهای مراقبت ویژه مراکز آموزشی و درمانی دانشگاه علوم پزشکی ایران.

Background & Aims Central line-associated bloodstream infections (CLABSI) are a common type of noso- comial infections, with a higher prevalence among healthcare providers, including nurses who play an important role in preventing these infections due to their responsibility for routine care of cent...

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Publicado en:Iran Journal of Nursing (2008-5923) / Nashriyyah-i Parastārī-i Īrān Vol. 37; no. 150; pp. 350 - 364
Autores principales: مهلا عدالتی نسب, مهری بزرگ نژاد, طاهره نجفی قزلجه, شیما حقانی
Formato: research tables/charts Journal Article
Publicado: Iran University of Medical Sciences Nov2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2024
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      pub: Iran University of Medical Sciences
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        atl: دانش و عملکرد پرستاران در پیشگیری از عفونت جریان خون ناشی از کانتر ورید مرکزی در بخشهای مراقبت ویژه مراکز آموزشی و درمانی دانشگاه علوم پزشکی ایران.
      aug:
        au:
          مهلا عدالتی نسب
          مهری بزرگ نژاد
          طاهره نجفی قزلجه
          شیما حقانی
        affil: گروه آموزشی پرستاری داخلی جراحی دانشکده پرستاری و مامایی دانشگاه علوم پزشکی و خدمات بهداشتی درمانی ایران، تهران، ایران.
      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
          Male
          Female
          Adult
          Critical Care
          Academic Medical Centers Iran
          Iran
          Descriptive Research
          Convenience Sample
          Checklists
          Data Analysis Software
          Descriptive Statistics
          Work Experiences
          Antiinfective Agents, Local Therapeutic Use
          Propanols Therapeutic Use
          Funding Source
          Adult: 19-44 years
          Male
          Female
      ab: Background & Aims Central line-associated bloodstream infections (CLABSI) are a common type of noso- comial infections, with a higher prevalence among healthcare providers, including nurses who play an important role in preventing these infections due to their responsibility for routine care of central venous catheters (CVCs). Regular evaluation of nurses' knowledge and compliance with evidence-based guide- lines for CLABSI prevention are thus important. This study aims to determine the knowledge and practice of nurses in preventing CLABSI in intensive care units (ICUs) of hospitals for Iran University of Medical Sciences (IUMS), Tehran, Iran. Materials & Methods In this descriptive study, 200 nurses working in the ICUs of hospitals affiliated to the IUMS in 2023 were included using a convenience sampling method. To collect data, a demographic form, a self-report knowledge scale, and a practice checklist based on the clinical care guidelines of the New South Wales Institute for Clinical Innovation & Emergency Care for preventing CVC-related infections were used. The collected data were analyzed in SPSS software, version 16. Results The nurses' mean knowledge score was 6.44 ± 1.44. There was a significant difference in the knowledge score based on age (P=0.006), work experience (P=0.001), and ICU work experience (P=0.006). The practice of nurses varies in different dimensions, and the most unfavorable practices were in the fields of "using 2% chlorhexidine gluconate in 70% isopropyl alcohol for cleaning the injec- tion site during dressing changes", "using sterile gloves to put on a new dressing", and "disinfecting the injection port without needles and vascular access tools with a disposable applicator dipped in 70% isopropyl alcohol”. Conclusion The knowledge of ICU nurses from the IUMS hospitals regarding the prevention of CVC-relat- ed infections is at a moderate to high level. Older nurses and those with more work experience and ICU work experience have higher knowledge. Although the practice of these nurses are favorable in most cases, their poor practice in some areas should be considered as it can affect infection control, quality of care, and patient safety. Hospital managers should provide educational interventions for nurses regard- ing proper CVC care and the guidelines should be made available to all departments, especially ICUs.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Persian
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