Factors Related to Caring Behavior for Prevention of Central Line-Associated Bloodstream Infections in Adult Intensive Care Units

Main Article Content

Chitlada Kamonpha
Kusuma Khuwatsamrit
Apinya Siripitayakunkit

Abstract

Abstract:
This descriptive research aimed to explore relationships among nurses’ knowledge,attitude, subjective norm, intention to care, and caring behavior for prevention of central lineassociated bloodstream infections (CLABSI) in intensive care units. The Planned Behavior theory was used as the conceptual framework to guide the study. The sample consisted of 184 nurses in the adult intensive care and intermediate care units at Ramathibodi Hospital, Thailand.Six questionnaires were used to collect the data, including demographic characteristics, attitudes,knowledge, subjective norm, intention, and practice for prevention of central line-associated bloodstream infections of nurses. Data were analyzed using descriptive statistics and Pearson’s
correlation. The results showed that the participants had high scores on attitude, knowledge,subjective norm, and intention to care. In particular, the nurses’ knowledge, attitudes, and subjective norms were significantly and positively correlated with the intention to care for prevention of CLABSI. Furthermore, nurses’ intention to care was significantly and positively related to nurses’ caring behavior for CLABSI prevention. The results of this study can be used as basic information to promote caring behavior of nurses by strengthening nurses’ knowledge,attitude, subjective norm, and intention to care for CLABSI prevention.
Keywords: Attitude, Subjective norm, Intention to care, Caring behavior, Central lineassociated
bloodstream infection

Article Details

How to Cite
1.
Kamonpha C, Khuwatsamrit K, Siripitayakunkit A. Factors Related to Caring Behavior for Prevention of Central Line-Associated Bloodstream Infections in Adult Intensive Care Units. Nurs Res Inno J [Internet]. 2021 Jan. 21 [cited 2024 Dec. 3];26(3):274-89. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/242265
Section
บทความวิจัย

References

Dedunska K, Dyk D. Prevention of central venous catheterassociated bloodstream infections: a questionnaire

evaluating the knowledge of the selected 11 evidencebased guidelines by Polish nurses. Am J Infect Control

[Internet]. 2015;43(12):1368–71. [cite 2017 April17]. Available from: http://dx.doi.org/10.1016/j.ajic.2015.07.022

Lin KY, Cheng A, Chang YC, Hung MC, Wang JT, Sheng WH, et al. Central line-associated bloodstream infections

among critically-ill patients in the era of bundle care. JMicrobiol Immunol Infect [Internet]. 2015;(7):1–10.

[cite 2017 April 17]. Available from: http://dx.doi.org/10.1016/j.jmii.2015.07.001

Marschall J, Mermel LA, Fakih M, Hadaway L, Kallen A, O’Grady NP, et al. Strategies to prevent central lineassociated bloodstream infections in acute care hospitals:2014 update. Infect Control Hosp Epidemiol [Internet].2014;35(7):753–71. [cite 2016 December 9].Available from: http://www.scopus.com/inward/record.

url?eid=2-s2.0-84902969294&partnerID=tZOtx3y1

Ullman AJ, Long DA, Rickard CM. Prevention of central venous catheter infections: a survey of paediatric ICU

nurses’ knowledge and practice. Nurse Educ Today [Internet]. 2014;34(2):202–7. [cite 2016 August 8].

Available from: http://dx.doi.org/10.1016/j.nedt.2013.09.002

O’Grady NP, Alexander M, Dellinger EP, Gerberding JL,Heard SO, Maki DG, et al. Guidelines for the prevention

of intravascular catheter-related infections. Am J Infect Control. 2011;30(8):476–89.

Rickard CM, Courtney M, Webster J. Central venous catheters: a survey of ICU practices. J Adv Nurs.

;48(3):247–56.

Humphrey JS. Improving registered nurses’ knowledge of evidence-based practice guidelines to decrease the

incidence of central line-associated bloodstream infections: an educational intervention. J Assoc Vasc

Access [Internet]. 2015;20(3):143–9. [cite 2017 April 8]. Available from: http://www.sciencedirect.com/

science/article/pii/S1552885515000823

Labeau S, Vereecke A, Vandijck DM, Claes B, Blot SI,executive board of the Flemish Society for Critical Care

Nurses. Critacal care nurses’ knowledge of evidence-base Guideline for preventing infections associated with central venous catheters: An evaluation questionnaire. Am J Crit Care. 2008;17(1):65–71.

Yaseen M, Al-Hameed F, Osman K, Al-Janadi M, Al-Shamrani M, Al-Saedi A, et al. A project to reduce the

rate of central line associated bloodstream infection in ICU patients to a target of zero. BMJ Qual Improv Reports

[Internet]. 2016;5(1):u212545.w4986. [cite 2018 April 28]. Available from: http://qir.bmj.com/lookup/

doi/10.1136/bmjquality.u212545.w4986

Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH,Abboud PA, Rubin HR. Why don’t physicians follow

clinical practice guidelines?: a framework for improvement.JAMA. 1999 Oct 20;282(15):1458-65.

Podrazilová P, Hudáčková A. A comparison of nurses’knowledge of nursing care for central vascular catheters.Kontakt. 2015;17(4):e190–200.

Jeffery AD, Pickier RH. Barriers to nurses’ adherence to central venous catheter guidelines. J Nurs Adm [Internet].2014;44(7/8):429-35 7p. [cite 2016 August 8].Available from: http://search.ebscohost.com/login.aspx

?direct=true&db=cin20&AN=107871626&site=ehost-live

The Joint Commission. Preventing central line – associated bloodstream infections: a global challenge, a global perspective. 2012;136. [cite 2016 August 8]. Available from: http://www.jointcommission.org/assets/1/18/

CLABSI_Monograph.pdf

Ajzen I. The theory of planned behavior. Orgnizational Behav Hum Decis Process. 1991;50:179–211.

Bertani L, Carone M, Caricati L, Demaria S, Fantuzzi S,Guarasci A, et al. Using the theory of planned behavior to explore hospital-based nurses’ intention to use peripherally inserted central catheter (PICC): a survey study. Acta Biomed. 2016;87(1):23–9.

Dudeck MA, Weiner LM, Allen-Bridson K, Malpiedi PJ,Peterson KD, Pollock DA, et al. National Healthcare Safety

Network (NHSN) report, data summary for 2012,device-associated module. Am J Infect Control [Internet].

;41(12):1148–66. [cite 2016 August 8].Available from: http://dx.doi.org/10.1016/j.ajic.2013.09.002

Parra AP, Menárguez MC, Granda MJP, Tomey MJ,Padilla B, Bouza E. A simple educational intervention to

decrease incidence of central line-associated bloodstream infection (CLABSI) in intensive care units with low

baseline incidence of CLABSI. Infect Control Hosp Epidemiol. 2010;31(9):964–7.

Bruce N. Improving compliance with healthcare associated infection (HAI) practice guidelines to reduce the

acquisition of HAIs. Doctor of Nursing Practice (DNP) Projects, University of Massachusetts Amherst; 2003 [cite

April 28]. Available from: https://scholarworks.umass.edu/nursing_dnp_capstone/30

Bianco A, Coscarelli P, Nobile CGA, Pileggi C, Pavia M.The reduction of risk in central line-associated bloodstream infections: knowledge, attitudes, and evidence-based practices in health care workers. Am J Infect Control [Internet]. 2013;41(2):107–12. [cite 2016 August 8]Available from: http://dx.doi.org/10.1016/j.

ajic.2012.02.038

Appleby B. Exploring the value of an extended theory of planned behaviour model: to explain nurses’ and health care assistants’ instrumental research utilisation intentions in clinical practice, Doctoral dissertation, University of Birmingham; 2016

Koutzavekiaris I, Vouloumanou EK, Gourni M, Rafailidis PI, Michalopoulos A, Falagas ME. Knowledge and

practices regarding prevention of infections associated with central venous catheters: a survey of intensive care unitmedical and nursing staff. Am J Infect Control. 2011;39(7):542–7.

Wichmann D, Campos CE, Ehrhardt S, Kock T, Weber C, Rohde H, Kluge S. Efficacy of introducing a checklist

to reduce central venous line associated bloodstream infections in the ICU caring for adult patients. BMC infect

dis. 2018;18(1):1–6.

Piras SE, Minnick A, Lauderdale J, Dietrich MS, Vogus TJ. The effects of social influence on nurses’ hand hygiene behaviors. Nurs Adm. 2018;48(4):216-21

Boev C, Xia Y. Nurse-physician collaboration and hospital-acquired infections in critical care. Crit Care

Nurse. 2015;35(2):66–72.

Ko N-Y, Feng M-C, Chiu D-Y, Wu M-H, Feng J-Y,Pan S-M. Applying theory of planned behavior to predict

nurses’ intention and volunteering to care for SARS patients in southern Taiwan. Kaohsiung J Med Sci. 2004;20

(8):389–98.

Ab Malik N, Mohamad Yatim S, Lam OLT, Jin L, McGrath C. Factors influencing the provision of oral hygiene care following stroke: an application of the theory of planned behaviour. Disabil Rehabil [Internet].2018;40(8):889–93. [cite 2017 April 8]. Available from: https://doi.org/10.1080/09638288.2016.1277397

Gu JE, Ha YK, Hwang SH, Gong KH. Path Analysis of performance of multidrug-resistant organisms management guidelines among intensive care unit nurses: with focus on the theory of planned behavior and patient safety culture. J Korean Crit Care Nurs. 2018;11(1):89–100.

Ward DJ. The application of the theory of planned behaviour to infection control research with nursing and

midwifery students. J Clin Nurs. 2013;22(1–2):296–8.

Pasunon P. Reliability of Questionnaire in Quantitative Research. PRCJ. 2014;27(1):145-163. (in Thai)

Cook DA, Beckman TJ. Current concepts in validity and reliability for psychometric instruments: theory and

application. Am J Med. 2006;119(2):166.E7-E16.