Nurses’ Perceptions of Adherence to the Central Line Maintenance Bundle: Linkages to Thoughts, Emotions, and Behavior

Author:

Connor Linda12ORCID,Zadvinskis Inga M.2,Roberts Haley2,Melnyk Bernadette Mazurek23

Affiliation:

1. The Ohio State University College of Nursing, Columbus, OH, USA

2. Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing & Healthcare, The Ohio State University College of Nursing, Columbus, OH, USA

3. The Ohio State University College of Medicine, Columbus, OH, USA

Abstract

The U.S. Centers for Disease Control established the central line maintenance care bundle in 2011, yet nurses’ adherence to all seven components remains challenging. The specific aim of this study was to explore and understand intensive care nurses’ perceptions and beliefs regarding central line maintenance, bundle care elements, and associated adherence. This qualitative study used a phenomenological approach. Three main themes emerged as follows: (1) thoughts about the ability to adhere to the central line bundle created feelings about central line maintenance care, (2) feelings about the nurses’ ability to adhere to the central line bundle influenced behaviors, and (3) behaviors for central line bundle adherence reinforced thoughts. Each theme had several subthemes. Organizations must assess and mitigate the unique cognitive and behavioral factors that affect nurses’ adherence to the central line-associated bloodstream infection (CLABSI) maintenance bundle. In addition, nursing adherence requires knowledge of CLABSI rates and direct care nurse involvement in identifying solutions.

Publisher

SAGE Publications

Subject

General Nursing

Reference32 articles.

1. U. S. Center for Disease Control and Prevention. National Healthcare Safety Network Patient Safety Component Manual. 2022. https://www.cdc.gov/nhsn/pdfs/pscmanual/pcsmanual_current.pdf. Accessed December 8, 2022.

2. Attributable mortality of central line associated bloodstream infection: systematic review and meta-analysis

3. Agency for Healthcare Research and Quality. Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital-Acquired Conditions. The content was last reviewed in November 2017. https://www.ahrq.gov/hai/pfp/haccost2017-results.html. Accessed December 8, 2022.

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