The Effect of Catheter-Associated Infection Control Training

The Effect of Catheter-Associated Infection Control Training on Surgical Nurses' Knowledge and Attitude Levels

The goal of this type of study: clinical trial is to determine the effectiveness of educational practices on catheter-associated infection control measures on surgical nurses. The main question it aims to answer are: Is there a difference between the knowledge and attitude levels of surgical nurses receiving and not receiving catheter-related infection control training on preventing peripheral and central catheter-related bloodstream infections? Is there a difference between the knowledge and attitude levels of surgical nurses receiving and not receiving catheter-related infection control training to prevent catheter-related urinary tract infections? The main tasks that the participants will be asked to do will be explained and their consent will be obtained. The two research groups will be compared.

This study will be conducted with a total of 70 nurses working in the surgical clinics of a city hospital in Istanbul and meeting the inclusion criteria. Nurses who meet the inclusion criteria of the study will be divided into two groups: intervention (n=35) and control group (n=35) according to the randomization method created with computer-based random numbers. Nurses in the intervention group will be given face-to-face training on evidence-based catheter-related infection control measures. The content of the training program will also be given to the participants as written material (brochure). The training will take an average of 30 minutes. Routine in-service training practices will be given to the control group. Descriptive Characteristics Form, the Peripheral and Central Venous Catheter-Related Bloodstream Infection Prevention Knowledge and Attitudes Scale, and Catheter-Associated Urinary Tract Infections Control Precautions will be used in data collection. Data will be collected from all participants before, immediately after, and three months after the training practices.

This study is a single-center parallel-group randomized controlled clinical trial. Participants who accepted to participate in the study and met the inclusion criteria will be assigned to the intervention (n=35) or control group (n=35) according to the computer-based randomization table.

Nurses in the intervention group will be given face-to-face training on evidence-based catheter-related infection control measures. The content of the training program will also be given to the participants as written material (brochure). The training will take an average of 30 minutes. After the data collection forms are applied to the participants in the intervention group (pre-test), evidence-based training on catheter-related infection control measures will be conducted. The forms will be applied again immediately after the training (post-test) to measure the knowledge level of nurses and three months after the training (post-test) to measure the level of attitude.

Routine in-service training practices will be given to the control group. Data collection forms will be applied to the participants in the control group at the same time as the intervention group.

Structured catheter-related infection control training was prepared by using evidence-based information and receiving 10 expert opinions. This training will be given to the participants with a face-to-face PowerPoint presentation by the infection control nurse (researcher) and will also be presented as written material.

The peripheral and central venous catheter-related bloodstream infection prevention knowledge and attitudes of the surgical nurses"

There is a difference between 0-3 months on the knowledge and attitudes of the training given to nurses to prevent peripheral and central venous catheter-related bloodstream infections. The Peripheral and Central Venous Catheter-Related Bloodstream Infection Prevention Knowledge and Attitudes Scale will be administered to the all participants before the training (pre-test). This scale will be used again immediately after the training (post-test) to measure the knowledge level of nurses and three months after the training (post-test) to measure the level of attitude. The scale includes 14 items and consists of "general precautions" and "catheter care" sub-dimensions. The scale score range is 14-70 points. Higher scores on the scale indicates higher knowledge and attitude.

The catheter-associated urinary tract infections control precautions knowledge and attitudes of the surgical nurses

There is a difference between 0-3 months on the knowledge and attitudes of the training given to nurses to prevent catheter-associated urinary tract infections. The Catheter-Associated Urinary Tract Infections Control Precautions Scale will be administered to the all participants before the training (pre-test). This scale will be used again immediately after the training (post-test) to measure the knowledge level of nurses and three months after the training (post-test) to measure the level of attitude. The scale includes 15 items and consists of "standard precautions", "maintenance of the closed drainage system" and "catheter-bag change" sub-dimensions. The scale score range is 15-75 points. Higher scores on the scale indicates higher knowledge and attitude.

Inclusion Criteria: Being a nurse Working in the surgical unit Agreeing to participate in the research Exclusion Criteria: Being on leave/reported (maternity leave, unpaid leave, medical report, etc.) Not filling out the questionnaire

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Guidelines for the prevention of intravascular catheter-related infections. Georgia: Centers for Disease Control and Prevention.

Bloodstream infection event (Central line-associated bloodstream ınfection and non-central line associated bloodstream infection).

http://www.ecdc.europa.eu/sites/default/files/documents/AER_for_2015-healthcare-associated-infections_0.pdf

Healthcare associated infections acquired in intensive care units - annual epidemiological report for 2015. Stockholm (Sweden): European Centre for Disease Prevention and Control.