Volume 37, Issue 150 (November-In Press 2024)
IJN 2024, 37(150): 0-0 |
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Bozorgnejad M, Edalati M, Najafi T, Haghani S. Assessment of nurses' knowledge and practice on the prevention of central line- associated blood stream infection in intensive care unit in the teaching- medical centers of Iran University of medical sciences 2022. IJN 2024; 37 (150)
URL: http://ijn.iums.ac.ir/article-1-3743-en.html
URL: http://ijn.iums.ac.ir/article-1-3743-en.html
1- Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran , mbozorgnejad@yahoo.com
2- Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
3- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
4- Nursing and Midwifery Care Research Center, Iran University of Medical Sciences, Tehran, Iran
2- Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
3- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
4- Nursing and Midwifery Care Research Center, Iran University of Medical Sciences, Tehran, Iran
Abstract: (183 Views)
Introduction: Central line-associated bloodstream infections (CLABSI) are a common cause of nosocomial infection leading to morbidity, mortality, increased length of hospital stay, and healthcare costs, and are a life-threatening event with a high prevalence rate in the healthcare industry.nurses play an important role in preventing central venous catheter-related bloodstream infection because they are responsible for routine care of central venous catheters. Regular evaluation of nurses' knowledge and compliance with evidence-based guidelines for CLABSI prevention will help to determine the training needs of nurses and the existence of deficiencies in related knowledge and practices. Considering the importance of the topic and the limited number of related studies, this study was conducted with the aim of determining the knowledge and practice of nurses in preventing bloodstream infections caused by central venous catheters in intensive care units.
Materials and Methods: In this descriptive study, 200 nurses working in the intensive care units of teaching- medical centers of Iran University of Medical Sciences in 2022 were included in the research as a simple and accessible non-probability sampling. In order to collect data, the demographic information form, the self-reporting tool of the knowledge questionnaire and the checklist created by the observational researcher of nurses' practice, based on the clinical care guidelines of the "New South Wales Institute for Clinical Innovation", were used. It took about 4 months to collect the questionnaires, which lasted from March 2023 to June 2023. The collected data was analyzed by SPSS version 16 software.
Results: The results of the present study showed that the average score of nurses' knowledge is at a medium to high level (6.44 ± 1.44). According to the results, nurses' knowledge had a direct and statistically significant relationship with age (P=0.006) and work experience (P=0.001) as well as work experience in intensive care units (P=0.006). The practice level of nurses varies in different dimensions, and the most unfavorable practice was in the field of "using 2% chlorhexidine gluconate in 70% isopropyl alcohol to change the dressing", "using sterile gloves to put on a new dressing" and "disinfecting the injection ports". It was evaluated without needles and vascular access tools with a disposable applicator dipped in 70% isopropyl alcohol.
Conclusion: The knowledge of nurses working in the intensive care unit of teaching-medical centers of Iran University of Medical Sciences is at a medium to high level. The present study showed that the knowledge of nurses has a significant relationship with age, work experience, and work experience in Intensive care units, so that with increasing age, work experience, and work experience in intensive care units, the knowledge of nurses improves. The important point in analyzing and interpreting the results is that the knowledge of nurses increases with age and work experience. It is possible that one of the effective factors for the better knowledge of nurses with high work experience is the current approach about the care procedures that are formed over time. The practice level of nurses varies in different dimensions. Although the practice of most nurses was evaluated as favorable in most cases, the small number of unfavorable practice of nurses should be considered important because it affects infection control, quality of care, and patient safety. It is necessary to have educational interventions by managers in this regard and instructions on central venous catheter care to a comprehensive and complete form should be available to all departments, especially intensive care unit.
Conclusion: The knowledge of nurses working in the intensive care unit of teaching-medical centers of Iran University of Medical Sciences is at a medium to high level. The present study showed that the knowledge of nurses has a significant relationship with age, work experience, and work experience in Intensive care units, so that with increasing age, work experience, and work experience in intensive care units, the knowledge of nurses improves. The important point in analyzing and interpreting the results is that the knowledge of nurses increases with age and work experience. It is possible that one of the effective factors for the better knowledge of nurses with high work experience is the current approach about the care procedures that are formed over time. The practice level of nurses varies in different dimensions. Although the practice of most nurses was evaluated as favorable in most cases, the small number of unfavorable practice of nurses should be considered important because it affects infection control, quality of care, and patient safety. It is necessary to have educational interventions by managers in this regard and instructions on central venous catheter care to a comprehensive and complete form should be available to all departments, especially intensive care unit.
Type of Study: کیفی |
Subject:
nursing
Received: 2023/09/19 | Accepted: 2024/11/1 | Published: 2024/11/1
Received: 2023/09/19 | Accepted: 2024/11/1 | Published: 2024/11/1
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