Assessing Central Blood Stream Infection Knowledge Among Nurses

JOURNAL CLUB PRESENTATION PRESENTER: ASTHA MAHANT M.SC NURSING 1STYEAR BS18MHNS002

A Study to Assess the Knowledge of Staff Nurses regarding Central Blood Stream Infection (CLABSI) with a View to Develop Information-Booklet on Prevention of CLABSI in a Selected Hospital of Delhi. Line Associated Author Name: Rajlaxmi Nishant Kurian, Neha John. Journal Name: International journal of nursing & midwifery research. Volume: 3 Year:2016

Background of the study: Hospitals play an important role in prevention and treatment of diseases but they can also become a source of infection also. In the United States, it has been estimated that 9.2 out of every 100 patients acquire a nosocomial infection. Many factors promote infection) among hospitalized decreased immunity among patients, variety of medical procedures, and invasive techniques creating potential routes transmission of drug-resistant bacteria among crowded hospital populations, infection control may facilitate transmission. HAI (hospital-acquired patients like of infection the where poor

Background of the study: A central infection is a laboratory-confirmed blood stream infection (BSI) in a patient who had a central line within the 48 hour period before the development of the BSI and that is not related to an infection at another site In conjunction with the increasing use of central venous catheters (CVCs) among critically ill patients, the occurrence of central line-associated infections (CLABSI) is also increasing. Recent studies have shown that this serious implication could mortality, morbidity and hospital stay length line-associated blood stream blood stream result in increasing

Objectives of the study: To assess the knowledge of staff nurses regarding CLABSI in a selected hospital . To develop and information booklet on care of patient with central line. disseminate an

RESEARCH METHODOLOGY: ResearchApproach: Quantitative approach. Research Design: Descriptive survey design Study Setting : HAHC (Hakeem Abdul Hameed Centenary) Hospital, New Delhi Population: Staff hospital(ICU, OT, Medicine and Surgery) nurses working in

RESEARCH METHODOLOGY: Sample Size: 50 staff nurses. Sampling sampling sampling technique) Technique: technique Convenient probability (Non

Tools Used For The Study: Socio demographic data sheet. Structured knowledge questionnaire.

Scoring of the tool The tool used to collect the data from the samples was a structured knowledge questionnaire consisting of 30 multiple- choice questions with minimum score as 0 and maximum as 30. The scores obtained were categorized as inadequate knowledge (scores equal or less than 20) and adequate knowledge (scores between 21 and 30)

Data collection procedure: A formal obtained from the administrative authority of HAHC Hospital, New Delhi, to conduct the research study. After seeking the permission data was collected from the staff nurses. After data collection, information booklets regarding prevention disseminated to the subjects. The data were analyzed using descriptive statistics. The demographic variables of the subjects were described using frequencies and percentages. administrative permission was of CLABSI were

Table 1.Frequency and Percentage Distribution of Staff Nurses according to Their Demographic Characteristics S.no Demographical Variables Frequency Percentage (%) Age (in Years) Below 20 21-25 26-30 Above 30 1. 3 34 11 2 6 68 22 4 Gender Male Female 2. 5 45 10 90 Professional qualification GNM B.Sc Nursing/ Post-basic B.sc Nursing M.Sc Nursing 3. 16 34 32 68 0 0

Table 1.Frequency and Percentage Distribution of Staff Nurses according to Their Demographic Characteristics S.no Demographical Variables Frequency Percentage (%) Years of experience(years) Less than 1 1-2 2-3 More than 4 Area of posting Medicine ICU Hemodialysis Other Religion Hindu Muslim Christian Buddhist Other 4. 11 18 11 10 22 36 22 20 5. 12 12 0 26 24 24 0 52 6. 14 12 12 12 0 28 24 24 24 0

Table 1.Frequency and Percentage Distribution of Staff Nurses according to Their Demographic Characteristics S.no Demographical Variables Frequency Percentage (%) In-Service Education Yes No 7. 7 43 14 86 n- 50

Table 2- Mean ,Median, Standard Deviation of Knowledge Score of Nursing Staff Group Mean Median Mode Standard Deviation Staff Nurses 15.86 16.5 18 3.49 n 50

Figure 1.Percentage Distribution of Staff Nurses by Level of Knowledge regarding CLABSI level of knowledge inadequate knowledge adequate knowledge 4% 96%

Discussion- The findings of the study concluded that majority (96%) of staff nurses had inadequate knowledge and only 4% had adequate knowledge. Thus it can be concluded that most of the staff nurses of HAHC Hospital knowledge regarding CLABSI. have inadequate

Limitations-- Study was conducted only among staff nurses of OT, ICU, Medicine and Surgery wards. The sample size of the study was small. The study was limited to only one hospital(HAHC Hospital)

CONCLUSION- The majority of the staff nurses had inadequate knowledge CLABSI. It emphasizes the need for improvement in knowledge of staff nurses, especially regarding risk factors and prevention strategies for CLABSI, which can be achieved through various methods like information booklets, in- service education, continuing education programs, etc. regarding

Critique of the study- Negative points Positive points Title Title of the study was written clearly. Title of the study Abstract In abstract research purpose, design, approach, methodology and findings was mentioned properly. In the article background of the study was written in well manner. In which review of area, current information of topic was explained. Background of the study Introduction Introduction of study was not mentioned in the article.

Critique of the study- S.No Negative points Positive points Aim/objectives One more objective can also be included i.e. about the association between knowledge score with selected demographic variables. Aim and objectives both had explained in the study. Methodology For descriptive survey design sample size was very less. Inclusion and exclusion criteria was not mentioned in the study. Research approach, design, sample, setting, population, sample size was explained in the study. Results -In table no-1 in area of posting hemodialysis unit was not mentioned previously in area of setting. -Result of knowledge questionnaire was not stated in the findings of knowledge score Distribution of mean, median, mode and standard deviation is done.

Critique of the study- S.No Results Negative points -In figure 1 of level of knowledge construction of pie chart is wrong. -For level of knowledge there should be one more table about dissemination of findings of knowledge scores. -In table-1 & 2 total population is written at the bottom and denoted by (n) which should be denoted by (N) and written at the right side of the top. Positive points Study was descriptive but information booklet was given .

References- 1. Srinivasan A, Wise M, Bell M et al. Vital signs: Central line- associated blood stream infectionsUnited States, 2001, 2008, and 2009. Morbidity and Mortality Weekly Report Mar 2011; 60(8): 243-48. 2. O Grady NP, Alexander M, Dellinger EP et al. Guidelines for the prevention of intravascular catheter-related infections. Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report Aug 2002; 51(RR-10): 1-29. 3. Ullman AC, Long DA, Rickard CM. Prevention of central venous catheter infections: a survey of paediatric ICU nurses , knowledge and practice. Nurse Educ Today Feb 2014; 34(2): 202-207. 4. Stubblefield H. Hospital Acquired (Nosocomial) Infections. Jan 2014. Available from: http://www. healthline.com/health/hospital-acquired-nosocomi al-infecti

References- 5. Weber DJ, Sickbert-Bennett EE, Gould CV et al. Incidence of catheter associated and non-catheterassociated urinary tract infections in a healthcare system. Infect. Control Hosp Epidemiol 2011; 32: 822-23. 6. The joint commission NPSG7 health care associated infection Webinar. Available from: http://www.joint commission.org/npsg-7-healthcareassociated-infe ctions- webinar/. 7. Bijayalaxmi B, Urmila A, Prasad PS. Knowledge of staff nurses regarding intravenous catheter related infection working in Orissa. The Nursing Journal of India Jun 2010; 101(6): 122-24. 8. Centre for Disease Control. NHSN Device-associated Module: CLABSI. Available from: http://www.cdc.g ov/nhsn/PDFs/pscManual/4PSC_CLABScurrent.pdf