Journal List > Korean J Healthc Assoc Infect Control Prev > v.22(1) > 1098366

Kim and Heo: Study on Central Line Bundle Cognition, Knowledge and Performance Level of Infection Management on Central Venous Catheter among Intensive Care Nurses

Abstract

Background

The purpose of this study is to identify the Central Line Bundle (CLB) Cognition, knowledge and performance Level of Infection management on Central Venous Catheter among Intensive Care Unit (ICU) Nurses.

Methods

Data were collected from April 1 to 20, 2015, targeting 162 nurses working in the ICU of an upper general hospital and a general hospital. The collected data were analyzed using descriptive statistics, t-test, and ANOVA, with SPSS software (IBM SPSS Statistics for Windows, Version 21.0, Armonk, NY: IBM Corp.).

Results

Average CLB cognitive score, knowledge score of central venous catheter infection management, and performance score of central venous catheter infection management were 2.46, 16.28, and 77.41, respectively. CLB cognition, knowledge of central venous catheter infection management, and performance with central venous catheter infection management showed positive correlations (r=.209, P=.007; r=246, P=.002). There was also a positive correlation between central venous catheter infection management knowledge and performance (r=.475, P=.000). CLB cognition showed statistically significant differences depending on the number of patients and the type of hospital. Knowledge of central venous catheter infection management also showed statistically significant differences depending on age and total career. Additionally, performance in central venous catheter infection management showed statistically significant differences depending on age, sex, position, total career, and the number of patients.

Conclusion

Based on the results, it is necessary to spread awareness about CLB as proposed by the CDC and to develop educational programs to increase the knowledge regarding, and improve performance of central venous catheter infection management.

Figures and Tables

Table 1

General characteristics of participants (N=162)

kjhaicp-22-21-i001

Abbreviation: ICU, Intensive care unit.

Table 2

Participants distribution according to central line bundle cognition score (N=162)

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Table 3

Central venous catheter-related infection management knowledge and performance score according to each content (N=162)

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Abbreviations: CVC, central venous catheter; CLABSI, central line-associated bloodstream infection.

Table 4

Correlation among central line bundle cognition, knowledge and performance level of central venous catheter-related infection management (N=162)

kjhaicp-22-21-i004

Abbreviation: CLB, central line bundle.

Table 5

Differential central line bundle cognition score, knowledge and performance level of central venous catheter-related infection management (N=162)

kjhaicp-22-21-i005

Abbreviations: CLB, central line bundle; ICU, Intensive care unit.

References

1. Korean Nosocomial Infections Surveillance System. Intensive care unit module report. Seoul: Korean Nosocomial Infections Surveillance System;2014.
2. Dudeck MA, Horan TC, Peterson KD, Allen-Bridson K, Morrell G, Anttila A, et al. National Healthcare Safety Network report, data summary for 2011, device-associated module. Am J Infect Control. 2013; 41:286–300.
crossref
3. Frasca D, Dahyot-Fizelier C, Mimoz O. Prevention of central venous catheter-related infection in the intensive care unit. Crit Care. 2010; 14:212.
crossref
4. Blot SI, Depuydt P, Annemans L, Benoit D, Hoste E, De Waele JJ, et al. Clinical and economic outcomes in critically ill patients with nosocomial catheter-related bloodstream infections. Clin Infect Dis. 2005; 41:1591–1598.
crossref
5. O'Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO, et al. Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis. 2011; 52:e162–e193.
6. Korean Study group for Infection Control and Prevention. Intervention to decrease central line-associated bloodstream infection in the ICU, The end result task of studying academic report of CDC. 2013. Report No.: 2013E2100300.
7. LeMaster CH, Hoffart N, Chafe T, Benzer T, Schuur JD. Implementing the central venous catheter infection prevention bundle in the emergency department: experiences among early adopters. Ann Emerg Med. 2014; 63:340–350.
crossref
8. Jeong IS, Park SM, Lee JM, Song JY, Lee SJ. Effect of central line bundle on central line-associated bloodstream infections in intensive care units. Am J Infect Control. 2013; 41:710–716.
crossref
9. Marra AR, Cal RG, Durão MS, Correa L, Guastelli LR, Moura DF Jr, et al. Impact of a program to prevent central line-associated bloodstream infection in the zero tolerance era. Am J Infect Control. 2010; 38:434–439.
crossref
10. Choi OJ. The impact of reminder program on catheter-related blood stream infection rates in an Intensive care unit. Gwangju: Chonnam National University;2013.
11. Pronovost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006; 355:2725–2732.
crossref
12. Ha HJ, Park JH, Kim MH. Knowledge and performance level of infection control guidelines on indwelling urinary catheter, central venous catheter and ventilator among intensive care nurses. J Korea Acad Ind Coop Soc. 2016; 17:113–120.
crossref
13. Pronovost PJ, Goeschel CA, Colantuoni E, Watson S, Lubomski LH, Berenholtz SM, et al. Sustaining reductions in catheter related blood stream infections in Michigan intensive care units: observational study. BMJ. 2010; 340:c309.
14. Yoo JY, Oh EG, Hur HK, Choi M. Level of knowledge on evidence-based infection control and influencing factors on performance among nurses in intensive care unit. Korean J Adult Nurs. 2012; 24:232–243.
crossref
15. Kim HB. Intervention to decrease catheter-related bloodstream infection and urinary tract infection in the ICU. Cheongju: Korea Center for Disease Control and Prevention;2012.
16. Merrer J, De Jonghe B, Golliot F, Lefrant JY, Raffy B, Barre E, et al. Complications of femoral and subclavian venous catheterization in critically ill patients: a randomized controlled trial. JAMA. 2001; 286:700–707.
crossref
17. Moon HJ, Cho YS, Kim HJ, Lim H, Lee MG, Yoo B, et al. Comparison of infection rates for central venous catheters administered in an intensive care unit versus an emergency department. J Korean Soc Emerg Med. 2011; 22:669–675.
18. Young EM, Commiskey ML, Wilson SJ. Translating evidence into practice to prevent central venous catheter-associated bloodstream infections: a systems-based intervention. Am J Infect Control. 2006; 34:503–506.
crossref
19. Lim JH, Kim NC. Effects of maximal sterile barrier precaution on the central venous catheter-related infection and cost. J Korean Acad Adult Nurs. 2010; 22:229–238.
20. O'Grady NP, Alexander M, Dellinger EP, Gerberding JL, Heard SO, Maki DG, et al. Guidelines for the prevention of intravascular catheter-related infections. Infect Control Hosp Epidemiol. 2002; 23:759–769.
21. Pittet D, Hugonnet S, Harbarth S, Mourouga P, Sauvan V, Touveneau S, et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Infection Control Programme. Lancet. 2000; 356:1307–1312.
crossref
22. Kim KM, Kim HJ, Choi JS. Knowledge and performance level of infection control and influencing factors of oriental medical doctors and nurses in Korea. Korean J Adult Nurs. 2012; 24:74–84.
crossref
23. Yun JY, Kim SO, Kim IS. Influencing factors on practice of healthcare-associated infection control among clinical nurses. Korean J Occup Health Nurs. 2014; 23:208–218.
crossref
24. Kim IY. A comparative study of nurses' knowledge, safety environment and compliance of standard precaution for infection control between university hospitals and general hospitals. Gimhae: Inje University;2012.
25. Kim KS, Lee SM. Effects of Ventilator-Associated Pneumonia (VAP) control education on ICU nurses' infection control performance and incidence of pneumonia. J Korean Crit Care Nurs. 2010; 3:13–22.
26. Labeau SO, Vandijck DM, Rello J, Adam S, Rosa A, Wenisch C, et al. Centers for Disease Control and Prevention guidelines for preventing central venous catheter-related infection: results of a knowledge test among 3405 European intensive care nurses. Crit Care Med. 2009; 37:320–323.
crossref
27. Go GJ. Clinical nurses' knowledge and performance regarding the central venous catheter management in cancer center hospital. Ulsan: Ulsan University;2016.
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