Nursing Knowledge and Compliance regarding Central Line Associated Blood Stream Infection Bundle in Neonatal Intensive Care Units: An Assessment Study | ||||
| Egyptian Journal of Health Care | ||||
| Article 109, Volume 12, Issue 3, September 2021, Page 1762-1781 PDF (478.67 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2021.213855 | ||||
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| Authors | ||||
| Soheir Emad Mahmoud1; Safy Salah El-Dien Al-Rafay2; Safaa Salah Ismail3 | ||||
| 1B.Sc. of Nursing,Faculty of Nursing, Ain Shams University | ||||
| 2Professor of Pediatric Nursing, Faculty of Nursing, Ain Shams University | ||||
| 3Dean of Helwan Faculty of Nursing, Bachlore in Science of Nursing | ||||
| Abstract | ||||
| Background: Central Line Associated Blood Stream Infections (CLABSIs) are the most common healthcare associated infections in the Neonatal Intensive Care Unit (NICU). The nurse has an important role in CLABSI bundle during insertion and maintenance. This study aimed to: Assess nursing knowledge and compliance regarding CLABSI bundle. Setting: This study was conducted at the (NICU) in Children University Hospital (Abu Elrish) El-Mounira and New Kasr El-Ani Teaching Hospital. Design: A descriptive design was used. Sample: A purposive sample of 86 nurses included in the study working at the previously mentioned setting. Tools: The first tool is a predesigned questionnaire to assess nurses' knowledge about CLABSI bundle; the second tool was observational checklist to assess nurses' compliance for neonates with CVL. Results: Revealed that less than half had poor knowledge and more tham half had average knowledge about CLABSI bundle while more than half had incompetent practice. Conclusion: The current study provides a picture of the current nursing knowledge and compliance of CLABSI bundle in NICUs. The study conducted that less than half had poor knowledge and less than half had average knowledge about CLABSI bundle while more than half had incompetent practice. In addition, the study illustrated an absence of a uniform protocol for prevention of CLABSI in the studied NICUs and absence of adequate training. This indicates the need for developing a protocol for CLABSI prevention based upon current evidence based guidelines and make education program on this protocol. There is also a need for establishing a system to implement prevention protocols and the monitoring of adherence and CLABSI bundle. Recommendations: Collaboration and continuing education of the staff in the NICUs are vital to improve their knowledge and practices of care provided for neonates with central venous line. Standardized nursing guide lines about CLABSI bundle should be used to guide the nurse while caring of neonate with central line. Make checklist for insertion and maintenance CLABSI bundle for each patient and also make kits for CVL insertion and dressing change. | ||||
| Keywords | ||||
| CLABSI; Knowledge; Compliance; Infection; Bundle; Nurses & Neonates | ||||
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