The reduction of risk in central line-associated bloodstream infections: knowledge, attitudes and evidence-based practices in healthcare workers
| Autor: | Pierluigi Coscarelli, Maria Pavia, Carmelo G A Nobile, Claudia Pileggi, Aida Bianco |
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| Přispěvatelé: | Coscarelli, P, Nobile, Cga, Pavia, M, Bianco, A, Pileggi, C |
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Catheterization Central Venous Health Knowledge Attitudes Practice Evidence-based practice Vascular catheter Epidemiology Cross-sectional study Attitude of Health Personnel Health Personnel MEDLINE law.invention Professional Competence Nursing law Bloodstream infection Sepsis Surveys and Questionnaires Health care Medicine Humans Central line business.industry Health Policy Public Health Environmental and Occupational Health Middle Aged Intensive care unit Infectious Diseases Cross-Sectional Studies Italy Catheter-Related Infections Female Guideline Adherence business |
| Popis: | Background We set out to acquire information about the knowledge, attitudes, and evidence-based practices associated with the insertion and maintenance of central vascular catheters (CVC) for the prevention of central line-associated bloodstream infections (CLABSI). Methods We selected all health care workers (HCW) in all units using CVCs in the Calabria region of Italy. Results Correct answers about the knowledge of physicians and nurses ranged from 43% to 72.9% and were significantly higher in respondents who worked in intensive care unit (ICU) wards in hospitals that had a written policy about CVC maintenance and had active formal training. Respondents' attitudes toward general aspects of CLABSI prevention were very positive and were significantly higher for HCWs working in regional general hospitals, practicing in ICU wards, and having appropriate knowledge. Concerning HCWs, 83.9% reported that, if patients had any manifestations suggesting local or bloodstream infection, the dressing was removed for assessment purposes; this practice was significantly more likely to occur in HCWs having appropriate knowledge and positive attitudes and who worked in hospitals with a written policy about CVC maintenance. Conclusion The study demonstrated that written policies, formal training, and years of experience contributed to an increase in knowledge, practice, and positive attitudes toward CLABSI prevention. In addition the paper demonstrates how great this need is, having reported many non-evidence-based practices still continuing despite new evidence. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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