The Effect of a Designed Teaching Module Regarding Prevention of Central-Line Associated Blood Stream Infection on ICU Nurses' Knowledge and Practice
American Journal of Nursing Science
Volume 6, Issue 1, February 2017, Pages: 11-18
Received: Dec. 8, 2016; Accepted: Dec. 24, 2016; Published: Jan. 19, 2017
Views 3899      Downloads 196
Abeer El-Sol, Medical Surgical Nursing, Faculty of Applied Medical Sciences, Al-Baha University, Al-Baha, Kingdom of Saudi Arabia; Adult Health Nursing, Faculty of Nursing, Menoufia University, Menoufia, Egypt
Amina I. Badawy, Medical Surgical Nursing, Faculty of Applied Medical Sciences, Al-Jouf University, Al-Jouf, Kingdom of Saudi Arabia; Adult Health Nursing, Faculty of Nursing, Menoufia University, Menoufia, Egypt
Article Tools
Follow on us
Background: The management for intensive care patients need to the insertion of central venous catheter, which has many dangerous complications, one of these complications is central-line associated blood stream infection which affects the patients' health status. Aim of the study: the study aimed to investigate the effect of a designed teaching module regarding prevention of central-line associated blood stream infection on ICU nurses' knowledge and practice through designed teaching module (theoretical & practical for infection control measures). Methodology: A quasi-experimental research design used to achieve the study aim and pre/post-test was used. A convenience sample of 44 nurses working in Intensive Care Units. Two tools were used to collect data, I-Structured Interviewing Questionnaire: consists of two parts Part-A: Socio-demographic questionnaire &Part-B: Structured questionnaire regarding knowledge of staff nurse to assess nurse’s knowledge regarding prevention of central-line associated blood stream infection. II- An observational checklist. Results: the current study revealed that, most sample had nursing diploma. There were significant statistical differences were found between mean total knowledge score of studied sample pre-and post the educational module. Significant statistical differences were found in mean practice scores in post than pre-the educational module. There was a strong positive correlation was found among age, experience, knowledge and practice for studied nurses. Conclusion: Based on findings of the current study, it can be concluded that the improvement occurred in nurse's knowledge and practice after teaching of a designed module about infection control. Recommendations: Establishment educational programs centers in all hospitals which responsible updating and refreshing the nurses knowledge and practice; workshops which emphasizing on the evidence-based practices about infection control measures in critical settings within the hospitals, these services must be included the recently graduated nurses, the infection control department in hospital should follow up infection control process application in all hospital unities generally and critical unities especially.
Central-Line Associated Blood Stream Infection, The National Patient Safety Goals, Prevention of Central-Line Associated Bloodstream Infection, Nurses Education and Training
To cite this article
Abeer El-Sol, Amina I. Badawy, The Effect of a Designed Teaching Module Regarding Prevention of Central-Line Associated Blood Stream Infection on ICU Nurses' Knowledge and Practice, American Journal of Nursing Science. Vol. 6, No. 1, 2017, pp. 11-18. doi: 10.11648/j.ajns.20170601.12
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
McKean, Sylvia; Ross, John; Dressler, Daniel; Brotman, Daniel; Ginsburg, Jeffrey (2012). Principles and practice of hospital medicine. New York: McGraw-Hill. ISBN 978-0071603898.
Weinstein, R. A. (2015). Infections Acquired in Health Care Facilities. New York, NY: McGraw-Hill. ISBN 0071802150.
Centers for Disease Control and Prevention (2015). Bloodstream Infection Event (Central Line-Associated Bloodstream Infection and Non-central line-associated Bloodstream Infection).
O’Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO, Lipsett PA, Masur H, Mermel LA, Pearson ML, Raad II, Randolph AG, Rupp ME, Saint S; Healthcare Infection Control Practices Advisory Committee (HICPAC). Guidelines for the prevention of intravascular catheter–related infections. Clin Infect Dis. 2011; 52 (9): e162–193. Epub 2011.
Mermel LA. What is the predominant source of intravascular catheter infections? Clin Infect Dis. 2011 Jan 15; 52 (2): 211–212.
National Institute for Health and Clinical Excellence (2002). "Technology appraisal: the clinical effectiveness and cost effectiveness of ultrasonic locating devices for the placement of central venous lines". Retrieved 2008-06-01.
Murray E. C., Deighan C., Geddes C., Thomson P. C. (2014). Taurolidine-citrate-heparin catheter lock solution reduces staphylococcal bacteremia rates in Hemodialysis patients. QJMed2014.
Weber DJ, Rutala WA. Central line-associated bloodstream infections: prevention and management. Infect Dis Clin North Am. 2011; 25 (1): 77–102. [Pub Med].
Rosenthal VD. Central line-associated bloodstream infections in limited-resource countries: a review of the literature. Clin Infect Dis. 2009; 49 (12): 1899–907. [Pub Med].
Band, J. (2010). Pathogenesis of and risk factors for central venous catheter-related infections. Retrieved from
Parienti JJ; Thirion M; Mégarbane B; et al. (May 2008). "Femoral vs. jugular venous catheterization and risk of nosocomial events in adults requiring acute renal replacement therapy: a randomized controlled trial". JAMA 299 (20): 2413–22.doi:10.1001/jama.299.20.2413. PMID 18505951.
RamrituP, HaltonK, CookD, WhitbyM, GravesN. Catheter-related bloodstream infections in intensive care units: a systematic review with meta-analysis. J Adv Nurs. 2008 Apr; 62 (1): 3-21. Retrieved from
Scott, R. D. (2009). The Direct Medical Costs of Healthcare-Associated Infections in U. S. Hospitals and the Benefits of Prevention. Atlanta, GA: Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention. Retrieved from
Labeau, S., Vereecke, A., Vandijck, A, Claes, B., & Blot, S. I. (2008). Critical care nurses' knowledge of evidence-based guidelines for preventing infections associated with central venous catheters: An evaluation questionnaire. American journal of critical care 17 (1), 65-71.
Uba, M. N., Alih, F. I., Kever, R. T., & Lola, N. (2015). Knowledge, attitude and practice of nurses toward pressure ulcer prevention in University of Maidugubi teaching hospital, Borno tate, north-eastern, Nigeria. Hnternational Journal of Nursing and Midwiferq, 7 (4), 54–60. doi: 10.5897/IJNM2014. 0155.
Deshmukh, M., & Shinde, M. (2014). Impact of structured education on knowledge and practice regarding venous access device care among nurses. Interfational Journal of Science and Research, 3 (1), 895–901. Retrieved from
Pushpakala, K. J., & Ravinath, A. (2014). Effectiveness of self-instructional module on central venous catheter care among ICU nurses. Journal of Nursang and Health Science, 3 (5), 3234. Retrieved
Bianco, A., Coscarelli, P., Nobile, C. G., Pileggi, C., & Pavia, M. (2013). The reduction of risk in central line-associated bloodstream infections: Kngwledge, attitudes, and evidence-based practices in `ealth care workers. American Journal of Infection Control, 41 (2) (107–112. doi: 10.1016/j.ajic.2012.02.038.
Qhrestha, R. (2013). Impact of educational interventions on nurses’ knowledge regarding care kf the patient vith central venous line. Journal of Kathmandu Medical College, Vol. 2. No. 1. Issue 3. DOI: http:'/
Meherali, S. ., Parpio, I., Ali, T. S., & Javed, F. (2011). Nurses’ knowledge of evidence-based guidelines fgr prevention of ventilator associatad pneumonia in critical cabe areas: a pre-and post%test design. J Ayub Med Coll Abbottabad, 23 (1), 146–). Retrieved from
Cooper, K., Frampton, G., Harris, P., Jones, J., Cooper, T., Graves, N., & Cuthbertsof, B. H. (2014). Are educational interventions tk prevent catheter-related bloodstream infections in intensive care unit cost-effective? Journal of Hospital Infection, 86 (1), 47-52. doi: 10.1016/j.jhin.2013.09.004.
Kim, J. S., Holtom, P., & Vigen, C. (2011). Reduction of catheter-related bloodstream infections using a central venous line bundle: Epidemiologic and economic consequences. American Journal of Infection Control, 39 (8), 640– 646.doi: 10.1016/j.ajic.2010.11.005.
Kadium, J. M. (2015). Improving Nurses' Knowledge to Reduce Catheter- Related Bloodstream Infection in Hemodialysis Unit. Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice. Walden University Follow this and additional works at:
Chu, G., Adams, K., & Crawford, S. (2013). Improving catheter-related bloodstream infection in Hemodialysis patients using a practice development framework. Renal Society of Australasia Journal, 9 (1), 16–21. Retrieved from
Kable, Guset, Mcleod, (2011). Organizational risk management and nurses’ perceptions of workplace risk associated with sharps including needle stick injuries in nurses in new south Wales, Australia. Nurse Health Sci Faculty of Health, University of Newcastle, New South Wales nurses’ association Sydney, New South Wales, Australia.
Ebied, E. (2011). Impact of blood-borne diseases prevention program on compliance with infection control standard precautions among nurses in family health centers, El Fayoum Governorate, Egypt.
Bianco, A., Coscarelli, P., Nobile, C. G., Pileggi, C., & Pavia, M. (2013). The reduction of risk in central line-associated bloodstream infections: Knowledge, attitudes, and evidence-based practices in health care workers. American Journal of Infection Control, 41 (2), 107–112. doi: 10.1016/j.ajic.2012.02.038.
Parra, A., P., Granda, M., P., Padilla, M., P., B., & Bouza, E. (2010). A simple educational intervention to decrease the incidence of central line–associated bloodstream infection (CLABSI) in intensive care units with low baseline incidence of CLABSI. Infection Control and Hospital Epidemiology, 31 (9), 964–967. doi:10.1017/S019594170003887X.
Evans, R. J., & Donnelly, G. W. (2006). A model to describe the relationship between knowledge, skill, and judgment in nursing practice. In Nursing Forum (vol. 41, no. 4, pp. 150–157). Blackwell Publishing Inc. doi: 10.1111/j.1744- 6198.2006.00053.x.
Royal College of Nursing (2012). Essential practice for infection prevention and control Guidance for nursing staff, London: RCN. Publication code: 004 166.
Labrague L. J., Rosales R. A., & Tizon M. M. (2012). Knowledge of and compliance with standards precautions among student nurses. International journal of advanced nursing studies. 1 (2): 84-97.
Alwutaib A. H., Abdulghafour Y. A., Alfadhli A. K., Makboul G., El-Shazly M. K. (2012). Knowledge and attitude of the physicians and nurses regarding blood borne infections in primary health care, Kuwait. Greener Journal of Medical Sciences., 2 (4): 107-114.
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
Tel: (001)347-983-5186