Evaluation of an online staff training package for parenteral nutrition administration and occurrence of central line associated bloodstream infections.

Abstract

Background: Parenteral nutrition (PN) is indicated for those with intestinal failure and is often administered via a central line, carrying risk of central line associated bloodstream infection (CLABSI). There is limited evidence regarding the use of an online training package for staff training in the administration of PN.

Aim: Evaluate the effectiveness of an online staff training package for PN administration measured by staff feedback and incidence of CLABSI.

Method: An online training package was developed using Moodle Workplace. Participants completed a tutorial, an instructional video demonstrating Standard Aseptic Non-Touch Technique (Standard-ANTT®) and an assessment. Feedback was collected anonymously via the Moodle programme and analysed using thematic analysis. CLABSI data were collected during 1/4/2024-31/3/2025. Approval was obtained via the organisation's clinical governance process.

Results: Of 192 staff, 31% (n = 60) provided feedback; 75% reported high levels of knowledge improvement. Thematic analysis highlighted strengths of the package, including a clear instructional video and clinical relevance. Participants reported planned changes in practice, including improved hand hygiene, strict adherence to the principles of Standard-ANTT and greater confidence in PN administration. CLABSI rates reduced to 0.8/1000 catheter days compared to 1.6/1000 days in the year prior to the online training packaged.

Conclusion: The online staff training package for PN was well received with staff finding it engaging, informative and practical. Course completion led to intended positive behaviour changes in clinical practice reported by participants, particularly regarding infection prevention and Standard-ANTT compliance.