The Effect of a Designed Teaching Module Regarding Prevention of Central-Line Associated Blood Stream Infection on ICU Nurses' Knowledge and Practice

Abstract

Abstract:Background: The management for intensive care patients need to the insertion of central venous catheter, which has many dangerous complications, one of these complications is central-line associated blood stream infection which affects the patients' health status. Aim of the study: the study aimed to investigate the effect of a designed teaching module regarding prevention of central-line associated blood stream infection on ICU nurses' knowledge and practice through designed teaching module (theoretical & practical for infection control measures). Methodology: A quasi-experimental research design used to achieve the study aim and pre/post-test was used. A convenience sample of 44 nurses working in Intensive Care Units. Two tools were used to collect data, I-Structured Interviewing Questionnaire: consists of two parts Part-A: Socio-demographic questionnaire &Part-B: Structured questionnaire regarding knowledge of staff nurse to assess nurse's knowledge regarding prevention of central-line associated blood stream infection. II-An observational checklist. Results: the current study revealed that, most sample had nursing diploma. There were significant statistical differences were found between mean total knowledge score of studied sample pre-and post the educational module. Significant statistical differences were found in mean practice scores in post than pre-the educational module. There was a strong positive correlation was found among age, experience, knowledge and practice for studied nurses. Conclusion: Based on findings of the current study, it can be concluded that the improvement occurred in nurse's knowledge and practice after teaching of a designed module about infection control. Recommendations: Establishment educational programs centers in all hospitals which responsible updating and refreshing the nurses knowledge and practice; workshops which emphasizing on the evidence-based practices about infection control measures in critical settings within the hospitals, these services must be included the recently graduated nurses, the infection control department in hospital should follow up infection control process application in all hospital unities generally and critical unities especially.

Effectiveness of An Educational Program on Knowledge and Practices Regarding Care of Central Venous Catheters among Dialysis Nurses

“…21 Although hand hygiene is an important element in infection control standard precautions, our study demonstrated a positive response percentage only among 42% of nurses in the pre-intervention phase which raised to 59.4% at the postintervention phase. Yet this percentage 16 Although our nurses had increased their knowledge for these studied elements to reach (59.4%) at the post-interventional phase, yet it remained much lower than reported by Bayoumi et al (100%). 16 On the other hand at the pre-intervention phase, our nurses' knowledge for complications related to CRBSIs was higher (63.8%) when comparing it to what shown by Bayoumi and her colleague (37.5%).…”

“…While another study conducted in pediatric HD unit revealed that the participants' correct knowledge ranged from 2.5% to 47.5% at the pre-intervention phase and changed to be 90% to 100% in the post education phase. (16) Other cross sectional studies showed different knowledge ranges depending on the units; El Nemr et al revealed a knowledge range among the studied elements ranging from 9.1% to 58.3%. 18 Also Bianco et al showed that the level of knowledge among physicians and nurses from different units ranged from 43 to 72.9%.…”

“…The mean age was 35.73±4.66years. 16,18 Training in most of HD centers was found to rely on senior nurses who instruct and educate new staff members on protocols of CVCs care. 19 Although a formal training about updated infection control guidelines for CVCs maintenance and care is conducted every year by the Farwaniya hospital infection control team for the HD nurses, however only few number of nurses attend.…”

“…The knowledge level and evidence based practices of HCWs regarding care and maintenance of different elements of CVCs in different settings has been assessed in many countries. 3,10,16,19,20 The studied elements related to care and maintenance of CVCs vary from study to another based on the study design (interventional, descriptive), population, aspects and settings. These variation does not create discrepancy in comparison, on the contrary it enriches the information gained from these researches and elucidate new elements for future studies.…”

Assessment of Nurses’ Knowledge and Practice for Patients Undergoing a Bronchoscopy [Suggested Nursing Care Guidelines]

“…Each complete correct answer was given two score, incomplete correct given one score while the wrong answer not given any score. The number of questions was (8).The total score lay between (0-16). Nurses were classified as having satisfactory level of knowledge if their total score was ≥ 70%, and were classified as having unsatisfactory level of knowledge if their total score was < 70%degree.…”