Vascular access devices are one of the most important causes of healthcare acquired infection. Millions of vascular catheters are used each year, putting large numbers of patients at risk of phlebitis and catheter-related blood stream infection, Aim this study aimed to evaluate the effect of implementing an education program on the nurses' performance regarding vascular access infection prevention. Tool of the study, three tools for data collection were used as follow: (1)Nurses Structured Questionnaire. (2) Vascular access infection control practices observational checklist. (3)Assessment sheet to assess the incidence of blood stream infection related to vascular access. Research design used aquasi experimental. Composed of a convenience sample of nurses in the Critical Care Units who are working Hemodialysis (44 nurses), Intensive Care Units (54 nurses), Coronary Care Unit (24 nurses)and114 patients from critical care (44 from dialysis, 54
from intensive care unit and 24 from coronary care unit). They are willing to participate in the study. The result of present study show that, Concerning nurses’ characteristics, the majority of them were female (%2.28), as regard to age nearly half of them (42.38) their age was from 1% - > 34 old years and 21.%8 are married . Concerning to patient ’ characteristic at ICU and CCU department, one third of them (3%.68) their age ranged from 34 - < 54 years and 62.28 of them were female, also more than half of them had CVC insertion.. Concerning to patient ’ characteristic at dialysis unit, approximately more than one third of them (42.58 ) felt at age group between 54 - 64 years, an Concerning to patient assessment for sign and symptom on infection ,there there were highly statistically significant differences between mean scores of the pre and post tests . The conclusion, There were negative relations between nurses ' knowledge, practice and patient assessment for sign and symptom of infection. There were positive correlation between nurses` practice and nurses' knowledge about vascular access infection prevention pre program intervention while negative correlation post program intervention. Recommended that, Nursing managers and the infection control team should plan for periodic educational and training programs. |
