Published January 24, 2025 | Version v1
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Knowledge and Practices of the Nurses Regarding Central Line Associated Infection at Tertiary Care Hospital, Peshawar, Pakistan

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Background: Central Line-Associated Bloodstream Infections (CLABSIs) are a considerable source of increased mortality and morbidity during intensive care unit stays. As there has been a difference in the use of the above preventive measures, nonadherence to protocols still continues to be an issue. Since nurses are direct caregivers, they are in a central position of implementing the recommended measures to minimize CLABSI rates.

Aim: To determine the knowledge and performance of nurses towards CLABSI prevention in a tertiary care Hospital in Peshawar, Pakistan.

Methods: In a cross-sectional study, 100 nurses from the tertiary care hospital participated. Data was collected through the structured questionnaire tool. The survey targeted three major areas: knowledge of CLABSI prevention and control measures by the nurses, their compliance with the infection prevention and control measures and their perception of the effect of change on patient outcome. Quantitative descriptive and inferential statistical analysis was done to measure the results.

Results: When evaluating the nurses’ conformity to the research questions, 85% of the nurses-maintained hand hygiene strictly, and 75% were aware of chlorhexidine’s use for skin antisepsis. However, central line removal was evident only 60% of the time. They removed unnecessary central lines promptly. Data analysis revealed that there is a very small knowledge gap. They are adherent to protocol and showed a correlation between knowledge: adherence to protocols, and / or patient health (p < 0.05). Challenges faced were related to workload, staffing and resources.

Conclusion: In our study, even though the knowledge of and the actual behavior regarding CLABSI manifested a relatively impressive level among the nurses, there are systematic barriers that do not allow them to avoid inconsistent actions. To surmount these challenges, strict training, institutional backing and promotion of interdisciplinary cooperation will improve compliance and, in the process, patient safety.

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https://journal.medtigo.com/knowledge-and-practices-of-the-nurses-regarding-central-line-associated-infection-at-tertiary-care-hospital-peshawar-pakistan/?article_type=journal-of-medicine

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Journal article: 3066-3202 (ISSN)

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2025-01-24

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