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ABSTRACT

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Inam Khan
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6 views

ABSTRACT

Uploaded by

Inam Khan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ABSTRACT

BACKGROUND OF THE STUDY:

Central line associated bloodstream infections (CLABSIs) are


defined as bacteremia, fungemia in a patient with an intravascular catheter with at least
one positive blood culture obtained from a peripheral vein, clinical manifestations of
infection (i.e. fever, chills, and hypotension), and no apparent source for the bloodstream
infection except the catheter. Central line associated bloodstream infections is caused by
various ways such as contamination of intravenous (IV) fluids by tubing, Insertion of
drug additives to IV fluid, Addition of connecting tube or stopcocks to IV system,
Improper care of needle insertion site, Contaminated needles or catheters, Failure of
change IV access site when inflammation first appears, Improper technique during
administration of multiple blood products, Improper care of peritoneal or hemodialysis
shunts, Improper accessing an IV port. According to the Centers for Disease Control and
Prevention, central line–associated bloodstream infections (CLABSIs) are considered the
deadliest healthcare-associated infection (HAI). Patients who require central venous line
(CVL) access for treatments are often the sickest and most vulnerable to healthcare
associated infection. Central line–associated bloodstream infections not only negatively
impact patient safety, but they are also a tremendous financial burden for healthcare
organizations. Clinical practice guidelines that provide recommendations for preventing
and detecting healthcare-associated infections and central line associated bloodstream
infections have been published and widely disseminated. This review summarizes the
existing guidelines and other literature, with an emphasis on measures that have been
shown to be most successful and provide the greatest yield for prevention of infections.

The purpose of the study is to assess the effectiveness of information


Booklet on knowledge regarding prevention of central line associated bloodstream
infection among staff nurses working in selected hospital Kota, Rajasthan.
THE OBJECTIVES OF THE STUDY:

 To assess the knowledge of staff nurses regarding prevention of central line

associated bloodstream infection before administer an Information Booklet.

 To assess the effectiveness of information booklet regarding prevention of central line

associated bloodstream infection after administer an Information Booklet.

 To assess the effectiveness of Information Booklet regarding prevention of central


line associated Bloodstream infection among staff nurses by comparing pre-test &
post-test knowledge score.

 To find out the association between pre-test knowledge score with selected socio-
demographic variables.

RESEARCH METHEDOLOGY:

The Information Booklet was prepared on the basis of the content on prevention
of central line associated bloodstream infection. The conceptual framework used for
study was based on “Ludwing Von Beralanaffy” General theory,(1968). The research
approach adopted for this study was quantitative approach and research design was pre-
experimental. The study was conducted is Govt. MBS Hospital, Kota among 60 staff
nurses by purposive sampling method. Data was collected by using a structured
knowledge questionnaire which was administered to staff nurses for pre-test. Information
Booklet was given on the second day after pre-test. Post assessment was done by using
same structured knowledge questionnaire after 10 days from the pre-test to assess
effectiveness of Information Booklet.

RESULT:

The result was analyzed by descriptive and inferential statistics. The result
showed that in the pre-test 6.66% respondents had adequate knowledge on prevention on
central line associated bloodstream infection, 23.33% respondents had moderate
knowledge and 70% respondents had Inadequate knowledge on prevention on central line
associated bloodstream infection.

After giving Information Booklet in post-test most of the respondents


gain adequate knowledge on prevention of central line associated bloodstream infection
that was 70% whereas 30% respondents had moderate knowledge and 0% respondents
had in adequate knowledge on prevention of central line associated bloodstream
infection.

The result showed that in pre-test the mean percentage obtained by the
respondents was 51.11% with SD of 1.73 in the aspect of Introduction and definition
regarding central line associated bloodstream infection, 53.70 with SD 0.7 in aspect of
causes, risk factor, pathophysiology, and symptoms of central line associated
bloodstream infection, 53.20% with SD of 0.82 in the aspect of Diagnostic test, treatment
and complication of central line associated bloodstream infection, 49.36% with SD 1.82
in aspect of prevention and management of central line associated bloodstream infection.
The mean percentage of overall knowledge obtained by the respondents is 49.36% with
SD is 3.95.

The result showed that in post-test the mean percentage obtained by the
respondents was 82.22% with SD of 1.11 in the aspect of Introduction and definition
regarding central line associated bloodstream infection, 62.50% with SD 0.64 in aspect of
causes, risk factor, pathophysiology, and symptoms of central line associated
bloodstream infection, 76% with SD of 0.71 in the aspect of Diagnostic test, treatment
and complication of central line associated bloodstream infection, 83% with SD 1.32 in
aspect of prevention and management of central line associated bloodstream infection.
The mean percentage of overall knowledge obtained by the respondents is 79.70% with
SD is 2.56.

The result showed that the mean post-test knowledge score is 23.91(79.70%) is
greater than the mean pre-test knowledge score 14.81 (49.36%). The data further
represent that the ‘t’ value of 19.89 is significantly higher than the tabulated ‘t’ value
2.0010 at 0.05 level of significance. This indicates that there was different in pre-test and
post-test knowledge score of respondents and Information Booklet is effective in
improving the knowledge score of staff nurses on prevention of central line associated
bloodstream infection.
A parametric chi square is used to describe the association between knowledge
score with selected demographic variables such as Age in years, Gender, professional
qualification, years of experience, working area, and previous knowledge on central line
procedure. There is no significant association between knowledge score with selected
demographic variables such as Gender and significant association between knowledge
score with selected demographic variables such as Age in years, professional
qualification, years of experience, working area, and previous knowledge on central line
procedure.
The ‘t’ test which was computed between pre-test and post-test knowledge scores,
indicated a true gain in the knowledge. Hence it was concluded that Information Booklet
was effective method to improve knowledge among staff nurses.
CONCLUSION:
The study concluded that the Information Booklet regarding prevention of
central line associated bloodstream infection was an effective method for providing
inadequate to adequate knowledge and help staff nurses to enhance their knowledge.
IMPLICATION FOR CLINICAL PRACTICES:

On basis of finding, it is recommended that a similar study may be


replicated to a large number of respondents. It is also recommended that the other
methods of teaching with frequent reinforcement be implemented for improving the
knowledge regarding prevention on central line associated bloodstream infection.

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