Nurses' and physicians' knowledge of guidelines for preventing <scp>catheter‐related</scp> blood stream infections

Qadire, Mohammad Al; Hani, Awatef Mohammad

doi:10.1111/nicc.12577

Cited by 12 publications

(23 citation statements)

References 35 publications

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“…The better knowledge of infection control and prevention rules among nurses than physicians was also confirmed by other authors. Al Qadire M et al confirmed this phenomenon with regard to procedures related to the prevention of catheterrelated bloodstream infections [14], and Chang et al confirmed it in regard to hand hygiene compliance at critical points of care [15]. An unsatisfactory level of physicians' knowledge of hand hygiene was reported also by Wałaszek et al in a questionnaire study at another teaching hospital in the south of Poland [16].…”

Section: Discussionmentioning

confidence: 84%

Preparedness of Health Care Workers and Medical Students in University Hospital in Krakow for COVID-19 Pandemic within the CRACoV Project

Żółtowska

Barańska

Szczerbińska

et al. 2021

JCM

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Backgrounds Health care workers’ (HCWs) knowledge of and compliance with personal protective procedures is a key for patients’ and personnel safety. The aim of this study was to assess which factors are associated with higher self-evaluations of training on infection prevention and control (IPC) and higher self-assessment of IPC practices used by HCWs regarding COVID-19 in University Hospital in Krakow, Poland, in January 2021. Material and methods This was an online survey on the preparedness for COVID-19 epidemic of medical/non-medical staff and medical students. Questions included in the survey concerned participants’ socio-demographic characteristics, hospital staff involvement in the training, knowledge about the hand hygiene, and adherence to IPC measures. Knowledge and Performance Index (K&PI) based on selected questions was constructed for to reflect both subjective (self-evaluation) of preparedness and objective IPC knowledge and skills of HCWs participated in the IPC training. Results A total of 1412 health care workers, including 129 medical students, participated in the study. The largest group, 53.6%, was made up of nurses and paramedics. Age of respondents significantly correlated with knowledge of IPC and with K&PI. The mean age of workers with high K&PI was 42.39 ± 12.53, and among those with low, 39.71 ± 13.10, p < 0.001. 51% UHK workers participated in IPC training, but 11.3% of physicians, 28.8% of other HCWs, and 55.8% of students did not know the IPC standard precaution. Most participants, 72.3%, felt that they had received sufficient training; however, 45.8% of students declined this. There was no correlation between self-reported preparedness and the K&PI, indicating that self-reported preparedness was inadequate for knowledge and skills. Nurses and paramedics assessed their knowledge most accurately. Participants with low K&PI and high subjective evaluation constituted a substantial group in all categories. Students least often overestimated (23.8%) and most often (9.6%) underestimated their knowledge and skills. Conclusions Our study revealed inadequate IPC practice, especially as it refers to the training programme. We confirmed the urgent need of including theory and practice of IPC in curricula of health professions’ training in order to provide students with knowledge and skills necessary not only for future pandemic situations but also for everyday work.

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Section: Discussionmentioning

confidence: 84%

Preparedness of Health Care Workers and Medical Students in University Hospital in Krakow for COVID-19 Pandemic within the CRACoV Project

Żółtowska

Barańska

Szczerbińska

et al. 2021

JCM

View full text Add to dashboard Cite

show abstract

“…They are the ones who provide constant care to patients and play a vital role in the care and maintenance of vascular catheters, which explains why they have shown much better knowledge in this area than physicians. However, even this knowledge is insufficient and needs to be standardized [ 4 , 6 , 7 ]. Studies have shown that systematic, brief training of nursing staff increases their knowledge and thus reduces the incidence of CLABSI [ 17 ] by up to 41.7% [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…Numerous surveys of knowledge on central-line-associated bloodstream infections (CLABSIs) involving both physicians and nurses show that nurses are more knowledgeable in this area [ 4 , 6 , 7 , 8 ]. On the other hand, their knowledge is unstructured.…”

Section: Introductionmentioning

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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“…The World Health Organization (2017) reported that ~30% of nosocomial hospital infections are due to catheter-associated bloodstream infections (CRBSI). In addition, more than half of bloodstream infections are caused by CRBSI which increases morbidity and mortality rates and increases healthcare costs ( Tatsuno et al, 2019;Despotovic et al,.2020; Al Qadire & Hani, 2022).…”

Section: Introductionmentioning

confidence: 99%

Impact of implementation of the I-DECIDED tool on the occurrence of bloodstream infection events in ICUs

Elsayed

Elbiaa

2023

Egyptian Journal of Nursing and Health Sciences

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Background: Patients admitted to intensive care units may be needed intravascular catheters for several purposes, but this device may be present without indication. Central or peripheral intravenous catheters are associated with local and systematic complications. Bloodstream infection event is categorized into bloodstream infection from the central line and non-central line. Aims: To explore the impact of the implementation of the I-DECIDED tool on bloodstream infection events in the ICU. Research design: A quasi-investigational research design was utilized. Setting: Intensive care units of Al-Behera hospitals in Egypt were included. Population: The total sample size included 120 patients, where the newly admitted adults aged ≥18 years are patients who are attached to the intravenous catheters. The data gathering: Two tools were developed, where the first one was the patient clinical assessment consisting of 4 parts and the second one was the clinical patient outcomes assessment. Results: Routine group had an increase in temperature than the intervention group. The routine group was a significantly high phlebitis score than the intervention one (p< 0.001). The routine group also had a higher Pitt score of 10.20±4.74 than the intervention one which was 7.95±5.52 with a significant among them (p= 0.001). A significant difference between routine and intervention groups in primary bloodstream infection, noncentral line infection, and central line infection was noted, orderly (p1=0.003; p2=0.001; and p3=0.014). Conclusion: I-DECIDED is an innovation tool used to improve performance and modify nurses' behavioral changes and advocate for patient safety. Recommendation: Using I-DECIDED to care for peripheral venous catheters and help nurses to decide on early removal and detection of complications.

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Nurses' and physicians' knowledge of guidelines for preventing catheter‐related blood stream infections

Cited by 12 publications

References 35 publications

Preparedness of Health Care Workers and Medical Students in University Hospital in Krakow for COVID-19 Pandemic within the CRACoV Project

Preparedness of Health Care Workers and Medical Students in University Hospital in Krakow for COVID-19 Pandemic within the CRACoV Project

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

Impact of implementation of the I-DECIDED tool on the occurrence of bloodstream infection events in ICUs

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