دورية أكاديمية
Knowledge and Practices for Central Line Infection Prevention Among Brazilian Nurses: A Mixed-Methods Study.
العنوان: | Knowledge and Practices for Central Line Infection Prevention Among Brazilian Nurses: A Mixed-Methods Study. |
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المؤلفون: | Manzo BF; Department of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville (Drs Manzo and Parker); and Department of Maternal Child and Public Health, School of Nursing, Federal University of Minas Gerais, Belo Horizonte, Brazil (Drs Manzo and Dittz Duarte and Mss Joice de Abreu Felizardo, Lopes Vimieiro, Fidelis Vieira Sá, and Felix Campos Sá)., Dittz Duarte E, Joice de Abreu Felizardo M, Lopes Vimieiro V, Fidelis Vieira Sá N, Felix Campos Sá R, Parker LA |
المصدر: | Advances in neonatal care : official journal of the National Association of Neonatal Nurses [Adv Neonatal Care] 2022 Apr 01; Vol. 22 (2), pp. 180-187. Date of Electronic Publication: 2021 Jun 16. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Wolters Kluwer Health/Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 101125644 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1536-0911 (Electronic) Linking ISSN: 15360903 NLM ISO Abbreviation: Adv Neonatal Care Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2007- : Philadelphia : Wolters Kluwer Health/Lippincott Williams & Wilkins Original Publication: Philadelphia, PA : W.B. Saunders Co. |
مواضيع طبية MeSH: | Catheter-Related Infections*/prevention & control , Catheterization, Central Venous*/adverse effects , Central Venous Catheters* , Cross Infection*/prevention & control, Brazil ; Humans ; Infant, Newborn ; Infection Control/methods |
مستخلص: | Background: The risk of central line-associated bloodstream infections (CLABSIs) increases when preventive guidelines are not adhered to. However, studies have generally been quantitative and aimed at determining the effectiveness of CLABSI prevention bundles. Few studies have used a mixed-methods approach to investigate nursing professionals' knowledge and practices regarding CLABSI prevention. Purpose: To determine nursing professionals' knowledge and practices regarding CLABSI prevention and identify facilitators and barriers to adherence to CLABSI prevention strategies in a Brazilian neonatal intensive care unit. Methods: A mixed-methods approach was used. Nursing professionals answered questionnaires regarding knowledge and practices surrounding CLABSI prevention. Semistructured interviews explored barriers nursing professionals face that hinder adherence to CLABSI preventive practices. Findings: Nursing professionals had moderate knowledge regarding CLABSI prevention practices. Daily assessment of the continued need for central venous lines (CVLs), hub disinfection before and after handling, and hand hygiene before handling CVLs were practices less adhered to. Interviews revealed barriers to adherence to preventive practices included lack of adequate equipment, resources for hand hygiene, and inadequate physical structure. Increased education and awareness of safe CVL practices and accountability of the entire healthcare team may improve adherence to CLABSI prevention practices. Results of this study reinforce the importance of considering current nursing practices when developing strategies to increase adherence to CLABSI prevention guidelines. Implications for Practice: Providing continuing education may increase adherence to CLABSI prevention strategies. Implications for Research: Research is needed to develop strategies aimed at increasing nursing adherence to CLABSI prevention strategies. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2021 by The National Association of Neonatal Nurses.) |
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تواريخ الأحداث: | Date Created: 20220615 Date Completed: 20220617 Latest Revision: 20220617 |
رمز التحديث: | 20221213 |
DOI: | 10.1097/ANC.0000000000000893 |
PMID: | 35703927 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1536-0911 |
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DOI: | 10.1097/ANC.0000000000000893 |