Assessment knowledge and practices of central line insertion and maintenance in adult intensive care units at a tertiary care hospital in Saudi Arabia

Almahmoud, Rasha S.; Alfarhan, Maha A.; Alanazi, Walaa M.; Alhamidy, Farah Khalid; Balkhy, Hanan H.; Alshamrani, Majid M.; El-Saed, Aiman; Sairafi, Betule A.; Bahron, Salim A.

doi:10.1016/j.jiph.2020.07.009

Cited by 6 publications

(5 citation statements)

References 20 publications

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“…Notably, only 20% of participants answered over 90% of the questions correctly, and just 7.8% answered all questions correctly. Compared to the study conducted by Almahmoud et al at King Abdul-Aziz Medical City in Riyadh, Saudi Arabia, our participants demonstrated a lower knowledge level (82% in Riyadh) [ 13 ]. It is important to consider that their study used a different questionnaire and was conducted in a specialized tertiary medical center.…”

Section: Discussioncontrasting

confidence: 63%

“…Table 4 provides a breakdown of the questions in the "adherence to recommended evidence-based practices for CVC maintenance" section of the questionnaire, along with the corresponding correct response rates. [13]. It is important to consider that their study used a different questionnaire and was conducted in a specialized tertiary medical center.…”

Section: Cvc Central Venous Catheters; Clabsi Central Line-associated...mentioning

confidence: 99%

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Assessment of Knowledge, Attitude, and Adherence to National Guidelines for Preventing Central Line-Associated Bloodstream Infections Among ICU Nurses of Adult Patients in Jeddah, Saudi Arabia: A Cross-Sectional Survey

Almalki¹,

Alghamdi²,

Tashkandy³

2023

Cureus

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Background: Central line-associated bloodstream infections (CLABSIs) pose a significant burden on patient outcomes in intensive care units (ICUs). Adherence to evidence-based guidelines for CLABSI prevention is crucial in reducing healthcare-associated infections. This study aimed to assess the knowledge, attitude, and practice adherence to national guidelines for preventing CLABSIs among adult ICU nurses in Ministry of Health (MOH) hospitals in Jeddah, Saudi Arabia. Methods: This cross-sectional survey included all adult ICU nurses with a minimum of one year of experience from the four major MOH hospitals in Jeddah with operational adult ICUs. A self-administered online questionnaire was utilized for data collection. Descriptive statistics, t-tests, ANOVA, and Pearson correlation were employed for data analysis.Results: A total of 203 nurses completed the questionnaire (response rate: 91.5%). The overall knowledge score was 71%. Only 20% of nurses answered over 90% of the knowledge questions correctly, and merely 8% answered all questions correctly. Higher knowledge levels were significantly associated with older age, longer ICU nursing experience, higher education, holding a head nurse position, and attending educational courses on CLABSI prevention. Regarding attitudes, 58% of respondents had a positive perception of guideline utility for CLABSI prevention. In terms of adherence, the overall score was 65%, with only 5% reporting complete adherence to evidence-based practices for preventing CLABSIs.Conclusion: This study highlights knowledge gaps, suboptimal adherence, and the need for targeted interventions to enhance nurses' understanding of and adherence to evidence-based guidelines for preventing CLABSIs among adult ICU nurses in Jeddah's MOH hospitals. Enhancing knowledge, attitudes, and practice adherence is crucial for reducing CLABSI risks and improving patient outcomes. Further research investigating the factors influencing nurses' knowledge, acceptance, and application of evidencebased guidelines is warranted to inform the development of tailored interventions and educational strategies.

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Section: Discussioncontrasting

confidence: 63%

Section: Cvc Central Venous Catheters; Clabsi Central Line-associated...mentioning

confidence: 99%

Assessment of Knowledge, Attitude, and Adherence to National Guidelines for Preventing Central Line-Associated Bloodstream Infections Among ICU Nurses of Adult Patients in Jeddah, Saudi Arabia: A Cross-Sectional Survey

Almalki¹,

Alghamdi²,

Tashkandy³

2023

Cureus

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“…This finding supports Almahmoud and other previous studies in that training can greatly improve the knowledge score. 28 , 32 , 35 , 36 The knowledge score of catheter-related infections of clinical nurse practitioners after training has significantly increased, and the incidence of catheter-related complications in patients is lower. However, the study by Chen Ying et al 37 revealed that there are substantial variations in training between departments and a lack of consistency and systematicity in the training given to nurses.…”

Section: Discussionmentioning

confidence: 99%

Intern-Nursing Students’ Knowledge of Vascular Catheter-Associated Infections and Its Associated Factors: A Cross-Sectional Survey in China

Hu,

Xu,

Yao

et al. 2024

RMHP

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Background Medical personnel contact with the patient closely, and their knowledge of vascular catheter-associated infections (VCAIs) is closely related to the prevention of VCAIs. Researchers mainly pay attention to the VCAIs knowledge of doctors and nurses but rarely pay attention to the nursing students in the hospital internship stage. Purpose To investigate the current situation of knowledge of intern-nursing students in VCAIs, and analyze its influencing factors. Patients and Methods 843 intern-nursing students were selected from 10 hospitals in five regions of eastern, western, southern, northern, and central China from June 26 to July 31, 2023, using a two-stage random sampling method. A self-designed questionnaire with good reliability and validity was used to investigate their knowledge of VCAIs, and t -test, multiple linear regression analysis, and Welch t -test were used to analyze the collected data by using SPSS Statistics 26.0 (IBM Corp., Armonk, NY). Results Intern nursing students’ mean score of VCAIs knowledge was 48.66 (SD=15.77), with a score below 60 (unqualified) accounting for 75.4%, a score of 60–79 (qualified) accounting for 19.7%, a score of 80–89 (good) accounting for 3.6%, and a score of above 90 accounting for 1.3%. Students who attended VCAIs training three or more times had higher scores than those who did not attend training (B: 4.706, p=0.001), knowledge scores of students with a bachelor’s degree or above were higher than those with junior college degree or below (B: 8.479, p<0.001), students who interned in tertiary hospitals had higher scores than those practicing in secondary hospitals (B:12.381, p<0.001) and scores of students in hospital training were significantly higher than study independently (B:4.116, p=0.007). Conclusion Intern-nursing students have a relatively low level of knowledge about VCAIs. It is recommended to strengthen clinical systematic and standardized training, improve the knowledge mastery level of intern-nursing students, and enhance their ability to handle VCAIs.

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“…However, it is difficult to determine the most effective method of education due to the existence of different approaches. For instance, Almahmoud et al pointed out that although adherence to the guidelines is high, training that focuses on individual, less adhered to recommendations would be advisable [ 19 ]. Manzo et al drew a similar conclusion from their study of professionals in neonatal and paediatric units [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Assessment of Knowledge on the Prevention of Central-Line-Associated Bloodstream Infections among Intensive Care Nurses in Poland—A Prospective Multicentre Study

Dyk

Matusiak

Cudak

et al. 2021

IJERPH

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The presence of a central venous catheter (CVC) leads to a high risk of blood infections, which are considered major causes of morbidity, mortality and high medical costs. The aim of this study was to assess the knowledge of nursing staff working in intensive care units (ICUs) regarding the prevention of central-line-associated bloodstream infections (CLABSIs). A nationwide survey was conducted among ICU nurses from August 2016 to April 2017. A modified Polish version of the questionnaire developed by Labeau et al. was used to assess the nurses’ knowledge. Of the 750 questionnaires distributed, 468 were returned. Women accounted for 95.73% of all respondents, and over 80% were university educated. Most of the nurses surveyed (85.9%) had previously received training in CVC guidelines, and thus over 82% rated their knowledge as good or very good. The guidelines introduced in hospitals were the main declared sources of information. In addition, more than half (68%) of respondents also knew the international guidelines. The knowledge of nursing staff in the study area is not sufficient. Studies show that the guidelines for the prevention of CLABSIs in ICUs should be standardized, and continuous training of personnel in this field should be provided.

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Assessment knowledge and practices of central line insertion and maintenance in adult intensive care units at a tertiary care hospital in Saudi Arabia

Cited by 6 publications

References 20 publications

Assessment of Knowledge, Attitude, and Adherence to National Guidelines for Preventing Central Line-Associated Bloodstream Infections Among ICU Nurses of Adult Patients in Jeddah, Saudi Arabia: A Cross-Sectional Survey

Assessment of Knowledge, Attitude, and Adherence to National Guidelines for Preventing Central Line-Associated Bloodstream Infections Among ICU Nurses of Adult Patients in Jeddah, Saudi Arabia: A Cross-Sectional Survey

Intern-Nursing Students’ Knowledge of Vascular Catheter-Associated Infections and Its Associated Factors: A Cross-Sectional Survey in China

Assessment of Knowledge on the Prevention of Central-Line-Associated Bloodstream Infections among Intensive Care Nurses in Poland—A Prospective Multicentre Study

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