Knowledge of Catheter-Related Bloodstream Infections Prevention among Staff Nurses in Dialysis Centre
Background: Patients with end-stage renal disease initially starting haemodialysis treatment require reliable arteriovenous access to perform the procedure. However, using a Central Venous Catheter (CVC) for haemodialysis poses risks, including the potential for life-threatening Catheter-Related Bloodstream Infections (CRBSIs). These infections raise mortality rates and treatment costs. Safer alternatives must be prioritised in order to improve patient outcomes and reduce expenses. Alarmingly, only 42% of nurses have an intermediate understanding of CRBSIs, highlighting the need for comprehensive training and adherence to updated practices among dialysis nurses and healthcare personnel. Objective: This study aimed to assess dialysis nurses' understanding of preventing catheter-related bloodstream infections (CRBSI) to pinpoint knowledge gaps and strengthen infection control measures. Addressing these gaps will improve training programmes, promote best practices, and ultimately reduce the risk of CRBSIs in dialysis settings. Methods: A cross-sectional study was conducted with 100 nurses in the dialysis centre. A purposive sampling method was used. The tool for data collection was a questionnaire consisting of participants' sociodemographic data and the level of knowledge of dialysis nurses regarding the prevention of CRBSI. The data were analysed using IBM Statistical Package for Social Science (SPSS) version 27. Results: The survey findings indicate the following percentages: 42.0% (n=42) of the participants had an intermediate level of knowledge, while 21.0% (n=21) had low knowledge, and only 37.0% (n=37) had a high level of knowledge. Conclusion: The study results suggest that the majority of dialysis nurses possess an intermediate level of knowledge regarding CRBSI prevention. Organisations can improve CVC care by using simulation training, competency workshops, and case-based learning. Bundle training, audits, e-learning, shadowing, and drills reinforce best practices, boost staff skills, and enhance patient safety.
Authors
- Fariz Yahya (ORCID: https://orcid.org/0000-0001-8139-7764)
- Jeanny John
- Santhna Letchmi Pandurajan
Institutions
- Universiti of Malaysia Sabah (MY)
- Lincoln University College (MY)
Publication Details
- Journal
- The Malaysian Journal of Nursing
- Published
- 2025-01-01
- DOI
- https://doi.org/10.31674/mjn.2025.v16i04.019
- Primary Topic
- Central Venous Catheters and Hemodialysis
- Type
- article
- Field-Weighted Citation Impact
- 0.00