Knowledge and Practices Regarding Prevention of Central Line-Associated Bloodstream Infection (CLABSI) among Critical Care Nurses
AUTHORS
Hidayati bt Abd Rahman,Unit Manager (ICU), KPJ Puteri Specialist Hospital,Johor Baru,Malayia
Aini Ahmad,Post Graduate Coordinator, School of Nursing, KPJ Healthcare University, Nilai,Malaysia
Annamma Kunjukunju,Research Coordinator and Senior Lecturer,School of Nursing, KPJ Healthcare University, Nilai,Malaysia
Azimah Masri,Program Coordinator (CCN)School of Nursing, KPJ Healthcare University, Nilai,Malaysia
ABSTRACT
One of the most common causes of healthcare-associated infections in intensive care units (ICUs) is central line-associated bloodstream infections (CLABSI). Nurses play a pivotal role in preventing CLABSI, must be informed about the Central Venous Catheter (CVC) care guidelines, and must provide meticulous CVC care. This study assessed the knowledge and practices on preventing central lines associated with bloodstream infection among critical nurses at selected Private Hospitals in Johor, Malaysia.A quantitative cross-sectional study was conducted among 68 nurses working in seven (7) different hospitals’ ICU settings. All seven hospitals belong to KPJ Health care group, Malaysia. A purposive sampling method was used for the recruitment of the participants. The data collection instrument was a self-administered questionnaire consisting of 3 parts: demographic characteristics of the participants and knowledge and practice related to CLABSI. The data were analyzed using the IBM Social Packages for the Social Sciences (SPSS) software version 24. For the CLABSI knowledge level, 5.9% of the respondents have good knowledge of the CLABSI bundle, and 83.8% have a moderate knowledge level. The practice related to CVC care had huge variations among the registered nurses. However, there was no association between knowledge and practice with gender, age, service area; level of education and clinical experience.In conclusion, the study indicated that most nurses had moderate knowledge of CLABSI and good practice related to CLABSI bundle care. However, continuous professional development training is needed to enhance nurses’ CLABSI prevention-related knowledge. It is also suggested to have a direct observation to determine the practices for future studies.
KEYWORDS
Hospital-acquired infections, Nosocomial infections, Catheter-associated infections Central Line Associated Infection, Bloodstream infections
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