Prevention of central line infection among ICU nurses
Abstract:
Background: Central line-associated bloodstream infections (CLABSI) represent a significant threat to patient safety, particularly in Intensive Care Units (ICUs). Despite evidence-based guidelines for CLABSI prevention, adherence remains suboptimal, particularly among ICU nurses in Jordan.
Aim: To assess the impact of an educational intervention on ICU nurses’ knowledge and attitudes regarding the prevention of CLABSI.
Study design: One-group pre-test-post-test quasi-experimental design was employed. Fifty-two ICU nurses from two Jordanian hospitals participated. Data were collected using a self-reported questionnaire assessing knowledge and attitudes towards CLABSI prevention before and after the intervention. Statistical analyses were descriptive statistics and paired t-tests to evaluate the intervention’s effectiveness on knowledge and attitudes.
Results: The results indicate a significant improvement in knowledge scores following the educational intervention. The mean knowledge score increased from 37.34 ± 16.95 before the intervention to 79.49 ± 21.73 after the intervention, with a mean difference of 42.15 (95% CI: 35.29 to 49.01), p < 0.001. In contrast, there was no significant change in attitude scores. The pre-intervention mean attitude score was 16.44 ± 4.16, while the post-intervention score was 16.38 ± 3.46, with a mean difference of -0.06 (95% CI: -1.06 to 0.94), p = 0.938.
Conclusion: The educational intervention effectively improved ICU nurses’ knowledge regarding CLABSI prevention but did not significantly change their attitudes. Tailoring interventions to demographic characteristics may further enhance their effectiveness and contribute to better patient outcomes and healthcare quality.
Relevance to clinical practice: ICU nurses require ongoing, comprehensive training programmes that encompass both knowledge enhancement and attitude development.
Reference:
Alzoubi M, Assaf DA, Al-Mugheed K, Oweidat IA, Alabdullah AAS, Abdelaliem SMF. Impact of an Educational Intervention on Knowledge and Attitudes Regarding Prevention of Central Line Infection Among ICU Nurses. Nurs Crit Care. 2025 Jul;30(4):e70087. doi: 10.1111/nicc.70087. PMID: 40557801.