ArticleBMC nursing2024
Mitigating risks in central line-associated bloodstream infection: a comprehensive insight into critical care nurses' knowledge, attitudes, barriers, and compliance.
Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Complications in Central Venous Access Devices in Paediatric Cancer Care: A Global Cross-Sectional Survey.European journal of haematology · 2026Article
- Electronic health record-derived care-exposure burden and central line-associated bloodstream infection among critically ill adults: a multi-source retrospective cohort study.Frontiers in public health · 2026Article
- Knowledge, attitude, and practice of central line-associated bloodstream infection prevention among intensive care unit nurses in Hebei Province, China: a cross-sectional study.Frontiers in public health · 2026Article
- Article
- Clinical Prediction of Secondary Bloodstream Infections in Patients with Cerebral Infarction: A Nomogram-Driven Risk Assessment Model Based on LASSO Regression.Infection and drug resistance · 2025Article
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Authors and funding
1 author.
Funding
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Abstract
backgroundCentral venous catheter-related bloodstream infections (CLABSIs) are a significant concern in intensive care units (ICUs) as they lead to increased morbidity, mortality, and healthcare costs. Fortunately, these infections are largely preventable through strict adherence to CLABSI prevention guidelines. Nurses play a critical role in preventing CLABSIs.
aimThis study aimed to investigate factors affecting critical care nurses' knowledge, attitudes, and perceived barriers related to implementing CLABSI prevention guidelines, and to predict factors influencing compliance with these guidelines.
methodsThis cross-sectional study was conducted from April to May 30, 2023, with a convenience sample of 470 critical care nurses from ICUs across eight hospitals in Sana'a, Yemen. Data were collected using an observational checklist and self-administered questionnaire. Descriptive statistics, Independent Student's t-test, one-way ANOVA, Pearson's correlation coefficient, multiple linear regression, and multilayer perceptron neural networks were performed.
resultsCritical care nurses exhibited low knowledge of CLABSI prevention guidelines, with compliance reaching an acceptable level. Despite the higher perceived barriers, the nurses demonstrated a positive attitude. Nurses with greater knowledge and positive attitudes displayed higher compliance levels. However, perceived barriers were negatively associated with knowledge and compliance. Notably, multilayer neural network analysis identified knowledge and perceived barriers as the strongest predictors of nurses' compliance.
conclusionThe current findings emphasize the need for multifaceted strategies to implement the CLABSI prevention guidelines. These strategies should address knowledge gaps, support positive attitudes, and address practical barriers faced by nurses to ensure successful implementation of CLABSI prevention.
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