Evaluation of Knowledge and Practice of Nurses Before and After Implementation of Clinical Practice Guideline for Prevention of Central Venous Catheter- Related Blood Stream Infections (CRBSI) in Neonatal Surgical Patients
Keywords:
Central venous catheter care, Clinical practice guideline for prevention of central venous catheterrelated blood stream infections (CRBSI), Neonatal surgical patientsAbstract
Background : Central venous catheterization is the most common cause of nosocomial infection and associated with short and long term adverse events especially with neonates who have immature immune. Strict implementation of clinical practice guideline for prevention of central venous catheter-related blood stream infections is the gold standard to prevent CRBSI.
Objectives : the purposes of this study were to compare nurses’ knowledge and practices before and after implementing the clinical practice guideline for prevention of CRBSI at neonatal surgical unit.
Methods : Sample was 11 registered nurses of neonatal surgical unit at Queen Sirikit National Institute of Child Health. Instrument used in this study were 1) clinical nursing practice guideline for the prevention of central-line associated blood stream infection 2) knowledge related to prevention of CRBSI questionnaire and 3) observational form. 11 nurses were recruited as experimental group before and after initiating implementation of the clinical practice guideline for prevention of CRBSI. The data were collected by the researcher and were analyzed using Wilcoxon signed-rank test to compare scores on knowledge and practice before and after implementation the guideline for prevention of CRBSI.
Results : 1) After implementation the guideline, means of knowledge scores were significantly higher than before implementation the guideline 2) After implementation the guideline, practice for prevention of CRBSI were significantly higher than before implementation the guideline.
Conclusion : To initiate the clinical practice guideline for prevention of CRBSI enhances nurses’ knowledge and understanding, then promote standard practices
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