Effect of an Educational Program on critical care Nurses Knowledge and practice regarding Central line associated bloodstream infection prevention (CLABSI) in Jenin Hospitals: A Quasi-Experimental Study رسالة ماجستير

Abstract

Background: the intensive care Unit is frequently plagued by central Line Associated Blood Stream Infections, which stand as one of the most common healthcare associated infections. The nurse assumes a pivotal position in ensuring the implementation of infection control protocols specifically regarding insertion, maintenance and follow-up care procedures of Central venous catheter, optimal nursing performance is achieved through adherence to evidence-based protocols and the consistent enforcement of educational programs. Aim of study: this study aimed to assess the effectiveness of implementing an evidence-based educational program on critical care Nurses Knowledge and practice regarding Central line associated bloodstream infection prevention (CLABSI) in Jenin Hospitals. Methodology: The research is quantitative study, quasi experimental. The study involved a convenient sample with a total of 70 Critical Care Nurses who working in Hospitals that located in Jenin city (Jenin governmental hospital, Alrazi hospital and Ibn-Sina hospital) where one group of participated nurses were assigned: (pre-test & post- test measures) was adopted and the level of knowledge and practice for assigned nurses were assessed before and after educational program, study was carried out over five months based on similar previous studies and knowledge retention considerations, in the period from February 2024 to the end of July 2024. Result: the result showed there is a statistically significant different in knowledge and practice level after educational program, the mean knowledge score increased significantly from 4.25 ± 1.37 (range: 0–15) before the intervention to 13.05 ± 1.58 after the intervention VII indicated by the paired t-test (t=35.35, P<0.001) and the practice score showed a notable increase, rising from a mean of 2.45 ± 1.03 (range: 0–15) pre-intervention to 14.85 ± 2.09 post-intervention. Also, the paired t-test result (t=45.75, p<0.001) confirms that this improvement was highly significant. Conclusion: The study demonstrated a significant improvement in nurses' knowledge regarding the prevention of central-line bloodstream infections (CLABSI) following the implementation of the evidence-based educational program. Additionally, the findings revealed variations in clinical practices, which, while indicating an overall improvement in nursing care, also highlighted the need for greater adherence to established prevention protocols, particularly in high-usage clinical areas.