Nurses’ compliance with central line associated blood stream infection prevention guidelines

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To assess nurses’ compliance with central line associated bloodstream infection (CLABSI) prevention guidelines related to maintenance of the central line and the predictors of compliance” Aloush and Alsaraireh (2018).

Abstract:

OBJECTIVE: To assess nurses’ compliance with central line associated bloodstream infection (CLABSI) prevention guidelines related to maintenance of the central line and the predictors of compliance.

METHOD: This was an observational study that used a descriptive cross-sectional design. A sample of 171 intensive care unit (ICU) nurses were observed and their compliance was recorded on a structured observational sheet. The study was conducted in the ICUs of 15 hospitals located in 5 cities in Jordan. Data were collected over a 5-month period from March to July 2017. Central lines were all inserted by physicians inside the ICUs.

RESULTS: One hundred and twenty participants (70%) showed sufficient compliance. The mean compliance scores were 14.2±4.7 (min=8, max=20); however, the rate of CLABSI was variable across the participating ICUs. Logistic regression with 4 independent variables (years of experience, previous education with CLABSI, nurse-patient ratio and the ICU’s bed capacity) was conducted to investigate predictors of sufficient compliance. The model was significant (χ2(4)=133.773, p=0.00). The nurse-patient ratio was the only significant predictor. Nurses with a 1:1 nurse:patient ratio demonstrated superior compliance over their counterparts with a 1:2 ratio.

CONCLUSION: Further improvement in compliance and patients’ outcomes could be achieved by lowering the nurse-patient ratio.

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Reference:

Aloush, S.M. and Alsaraireh, F.A. (2018) Nurses’ compliance with central line associated blood stream infection prevention guidelines. Saudi Medical Journal. 39(3), p.273-279.

doi: 10.15537/smj.2018.3.21497.

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