Premkumar Samundeeswari, Ramanathan Yamunadevi, Varghese Juliet Joji, Morris Basemath, Nambi Panchatcharam Senthur, Ramakrishnan Nagarajan, Venkatasubramanian Ramasubramanian
Department of Nursing, Apollo Hospitals, Chennai, Tamil Nadu, India.
Department of Infectious Disease, Apollo Hospitals, Chennai, Tamil Nadu, India.
Indian J Crit Care Med. 2023 Apr;27(4):246-253. doi: 10.5005/jp-journals-10071-24432.
The coronavirus disease-2019 (COVID-19) pandemic is a global threat spreading like a wildfire and taking the world by its storm. It has challenged the healthcare delivery systems and disrupted them in a way no one ever imagined before. We at Apollo Hospitals, Chennai, Tamil Nadu, India received many patients in the COVID critical care unit (CCU) and found a gradual lack of bundle care compliance resulting in an upsurge of central line-associated bloodstream infection (CLABSI) amid the patients.
A qualitative research approach and quasi-experimental research design were selected to assess the knowledge of the 150 frontline COVID CCU nurses regarding the CLABSI bundle and its prevention strategies.
This study revealed that 57% [mean (M) = 12.6; standard deviation (SD) = 2.37] of nurses had inadequate knowledge of the CLABSI bundle and its prevention strategies, in the pretest and scored 80% (M = 6.7; SD = 2.28) in the post-test, with "" = 22.06 at < 0.00001 after the hands-on training. The percentage of compliance to CLABSI bundle care increased to 83% and thereafter in an increasing trend. This was clearly evident through the reduction in the preventable CLABSI rate among critically ill COVID-19 patients.
Nurses are on the frontline in preventing and controlling healthcare-associated infections (HAIs). Fighting with all the visible and invisible challenges, our research focused on hands-on training for frontline warriors to adhere to the CLABSI bundle care which drove us to the reduction in preventable CLABSI rate in our hospital through improved CLABSI bundle compliance.
Premkumar S, Ramanathan Y, Varghese JJ, Morris B, Nambi PS, Ramakrishnan N, . "Nurse-The Archer" Fighting Against the Hidden Enemy. Indian J Crit Care Med 2023;27(4):246-253.
2019冠状病毒病（COVID-19）大流行是一场如野火般蔓延、席卷全球的威胁。它给医疗服务系统带来了挑战，并以前所未有的方式使其陷入混乱。我们印度泰米尔纳德邦金奈的阿波罗医院在COVID重症监护病房（CCU）接收了许多患者，发现捆绑式护理的依从性逐渐下降，导致患者中中心静脉导管相关血流感染（CLABSI）激增。
选择定性研究方法和准实验研究设计，以评估150名COVID CCU一线护士对CLABSI捆绑措施及其预防策略的了解程度。
本研究显示，在预测试中，57%[均值（M）=12.6；标准差（SD）=2.37]的护士对CLABSI捆绑措施及其预防策略的知识掌握不足，在实践培训后，后测试得分80%（M = 6.7；SD = 2.28），在<0.00001时，t = 22.06。CLABSI捆绑式护理的依从率提高到83%，此后呈上升趋势。这在重症COVID-19患者中可预防的CLABSI发生率降低方面表现得很明显。
护士处于预防和控制医疗相关感染（HAIs）的前沿。面对所有可见和不可见的挑战，我们的研究专注于对一线战士进行实践培训，以坚持CLABSI捆绑式护理，这促使我们医院通过提高CLABSI捆绑措施的依从性降低了可预防的CLABSI发生率。
Premkumar S, Ramanathan Y, Varghese JJ, Morris B, Nambi PS, Ramakrishnan N,. “护士——弓箭手”对抗隐藏的敌人。《印度重症监护医学杂志》2023；27（4）：246 - 253。
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