Nurses' knowledge of evidence-based guidelines on the prevention of peripheral venous catheter-related infections: a multicentre survey
Corresponding Author
Giancarlo Cicolini PhD, RN, MSN
Nurse Director
Department of Medicine and Science of Aging, “G. d'Annunzio” University of Chieti, Chieti, Italy
These authors equally contributed to the present study.Correspondence: Giancarlo Cicolini, PhD, RN, MSN, Center of Excellence on Aging, Clinical Research Center CRC-CeSI – University of “G. d'Annunzio” – Chieti, Via dei Vestini 31, 66013 Chieti Scalo, Italy. Telephone: +39 0871 541355.
E-mail:[email protected]
Search for more papers by this authorValentina Simonetti RN, MSN
PhD student
Department of Medicine and Science of Aging, “G. d'Annunzio” University of Chieti, Chieti, Italy
These authors equally contributed to the present study.Search for more papers by this authorDania Comparcini RN, MSN
PhD student
Department of Medicine and Science of Aging, “G. d'Annunzio” University of Chieti, Chieti, Italy
Search for more papers by this authorSonia Labeau MNSc, PhD, RN
Professor
Faculty of Education, Health and Social Work, University College Ghent, Ghent, Belgium
Search for more papers by this authorStijn Blot MNSc, PhD, RN
Professor
Department of Internal Medicine, Ghent University, Ghent, Belgium
Search for more papers by this authorGilda Pelusi RN, MSN
Chief Director
University of Ancona, Ancona, Italy
Search for more papers by this authorPamela Di Giovanni MD
Assistant Professor
Department of Pharmacy, “G. d'Annunzio” University of Chieti, Chieti, Italy
Search for more papers by this authorCorresponding Author
Giancarlo Cicolini PhD, RN, MSN
Nurse Director
Department of Medicine and Science of Aging, “G. d'Annunzio” University of Chieti, Chieti, Italy
These authors equally contributed to the present study.Correspondence: Giancarlo Cicolini, PhD, RN, MSN, Center of Excellence on Aging, Clinical Research Center CRC-CeSI – University of “G. d'Annunzio” – Chieti, Via dei Vestini 31, 66013 Chieti Scalo, Italy. Telephone: +39 0871 541355.
E-mail:[email protected]
Search for more papers by this authorValentina Simonetti RN, MSN
PhD student
Department of Medicine and Science of Aging, “G. d'Annunzio” University of Chieti, Chieti, Italy
These authors equally contributed to the present study.Search for more papers by this authorDania Comparcini RN, MSN
PhD student
Department of Medicine and Science of Aging, “G. d'Annunzio” University of Chieti, Chieti, Italy
Search for more papers by this authorSonia Labeau MNSc, PhD, RN
Professor
Faculty of Education, Health and Social Work, University College Ghent, Ghent, Belgium
Search for more papers by this authorStijn Blot MNSc, PhD, RN
Professor
Department of Internal Medicine, Ghent University, Ghent, Belgium
Search for more papers by this authorGilda Pelusi RN, MSN
Chief Director
University of Ancona, Ancona, Italy
Search for more papers by this authorPamela Di Giovanni MD
Assistant Professor
Department of Pharmacy, “G. d'Annunzio” University of Chieti, Chieti, Italy
Search for more papers by this authorAbstract
Aims and objectives
To evaluate nurses' knowledge of guidelines for preventing infections associated with peripheral venous catheters.
Background
Guidelines for the prevention of intravascular catheter-related infections are an important tool to help healthcare professionals minimise the risk of infection. However, they are not always applied by nurses. The literature on this topic is limited, and no study examined this matter for peripheral venous catheters.
Design
This cross-sectional study was carried out from November 2011–June 2012.
Methods
The nurses' knowledge of peripheral venous catheter guidelines and its association with gender, experience, education and the ward membership was assessed using a validated questionnaire.
Results
Sixteen hospitals from six regions of Italy participated, and 933 questionnaires were collected. Most participants were female (70·1%), undergraduate (51·8%), worked in medical (35·8%) and surgical departments (28·0%), and had >10 years of experience (55·0%). The median score on 10 questions was 6 of 10.
A majority of nurses knew it is recommended to replace peripheral venous catheters routinely (90·0%), to perform an aseptic technique during connecting/disconnecting the infusive lines (55·2%), and to replace the administration set <24 hour when lipid emulsions have been infused (88·4%). Of note, 52·6% of nurses advocated the use of steel needles, a potentially dangerous practice.
In multivariate analysis, a higher level of education and the area of work were associated with better test scores.
Conclusion
The sample of nurses' knowledge to some recommendations is frequently low. This could be a potential risk factor for patient safety. The results should sensitise healthcare managers to improve nursing training and education, according to clinical risk management perspectives.
Relevance to clinical practice
These data request for more emphasis on international guidelines in infection prevention initiatives.
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