Evaluation of the Effect of Nurse-Driven Algorithm in Prevention of Central Catheter-Related Bloodstream Infections in Intensive Care Units.

IF 1.4 Q3 NURSING

Dimensions of Critical Care Nursing Pub Date : 2025-03-01 DOI:10.1097/DCC.0000000000000683

Aysun Acun, Nurcan Çalışkan

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Abstract

Background: Infection control in intensive care units is important for both patients' quality of life and institutions.

Aim: This study was conducted to evaluate the effect of a nurse-driven algorithm in preventing central catheter-related bloodstream infections in intensive care units.

Methods: This intervention research was implemented in a training and research hospital in Turkey between July 1, 2021, and December 31, 2021. The research was carried out in 3 stages after the creation of the algorithm. The data were collected using the Descriptive Characteristics Form for Nurses, the Descriptive and Medical Characteristics Form for Patients, the algorithm knowledge test, and the Algorithm Parameters Follow-up form. After obtaining the necessary permissions for the study, consent was obtained from the nurses participating in the study. Number, percentage, Wilcoxon, Kruskal-Wallis, and Mann-Whitney U test values were used in the study.

Results: With the algorithm, a decrease was found in the rate of infections in the intensive care units.

Conclusion: As a result, it was observed that the nurse-driven, central catheter-related bloodstream infection prevention algorithm, prepared using evidence-based clinical guidelines, reduced the rates of infection. Therefore, it is recommended to use algorithm studies as a long-term guide in intensive care units.

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护士驱动算法在重症监护病房预防中心导管相关血流感染中的效果评价。

背景：重症监护病房的感染控制对患者的生活质量和机构都很重要。目的：本研究旨在评估护士驱动算法在重症监护病房预防中心导管相关血流感染的效果。方法：本干预研究于2021年7月1日至2021年12月31日在土耳其一家培训和研究医院实施。算法创建后，研究分3个阶段进行。采用《护士描述特征表》、《患者描述与医学特征表》、《算法知识测试》和《算法参数随访表》收集数据。在获得必要的研究许可后，获得参与研究的护士的同意。本研究采用数字、百分比、Wilcoxon、Kruskal-Wallis和Mann-Whitney U检验值。结果：采用该算法后，重症监护病房的感染率明显降低。结论：根据循证临床指南制定的以护士为主导的中心导管相关血流感染预防算法，降低了感染发生率。因此，建议将算法研究作为重症监护病房的长期指导。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dimensions of Critical Care Nursing NURSING-

CiteScore

2.40

自引率

5.90%

发文量

102

期刊介绍： The primary purpose of Dimensions of Critical Care Nursing™ is to provide nurses with accurate, current, and relevant information and services to excel in critical care practice.