Effect of Care Bundle Education Program on Nurses’ Performance Regarding Central Line-Associated Blood Stream Infection in High Risk Neonates

Abstract

Context: Catheter-related bloodstream infections are the most common type of nosocomial infections among those populations. Central line-associated bloodstream infection (CLABSI) is a preventable complication of the use of CVC.

Aim: This study aimed to evaluate the effect of the care bundle education program on nurses' performance regarding central line-associated bloodstream infections in high-risk neonates. Through the following: assessing nurses' knowledge and performance regarding central line-associated bloodstream infection in high-risk neonates, designing, implementing and evaluating the effect of the care bundle education program on nurses' performance regarding central line-associated bloodstream infection in high-risk neonates.

Methods: A quasi-experimental (pre/post-test) design was utilized to conduct this study at neonatal intensive care units affiliated to Ain Shams University Hospitals and Teaching Hospitals in Cairo. A convenient sample of forty-five 45 nurses was included in the study as a single study group. A structured interview questionnaire, nurses’ observation checklists were used to evaluate the effect of care bundle education on nurses’ performance regarding central line-associated bloodstream infection in high-risk neonates. The care bundle education program was premeditated as reference guidelines for nurses.

Results: There were statistically significant differences between mean scores of the pre and post-test as regards nurses’ knowledge and practices regarding central line-associated bloodstream infection in high-risk neonates.

Conclusion: The study revealed an unsatisfactory knowledge as well as an incompetent practice among nurses regarding central line-associated bloodstream infections in high-risk neonates before the care bundle education program. The research hypotheses are supported, and the care bundle education program achieved a significant improvement in nurses’ knowledge and performance regarding CLABSI in high-risk neonates. The current study recommended establishing educational centers in all hospitals for educating and updating the knowledge and performance of new nursing staff working in NICUs and supporting them by instructional brochure and illustrative booklets.