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Nurses' Perceptions of Adherence to the Central Line Maintenance Bundle: Linkages to Thoughts, Emotions, and Behavior
Linda Connor1,2, Inga M Zadvinskis2, Haley Roberts2
1The Ohio State University College of Nursing, Columbus, OH, USA.
Western Journal of Nursing Research
|March 25, 2023
Summary
Nurses face challenges adhering to the central line maintenance care bundle. Understanding nurses
Area of Science:
- Healthcare Quality Improvement
- Nursing Practice
- Infection Prevention
Background:
- The central line maintenance care bundle was established by the U.S. Centers for Disease Control in 2011 to prevent central line-associated bloodstream infections (CLABSI).
- Despite its establishment, consistent nurses' adherence to all seven components of the bundle remains a significant challenge in clinical practice.
Purpose of the Study:
- To explore and understand intensive care nurses' perceptions and beliefs regarding central line maintenance.
- To investigate nurses' views on bundle care elements and their adherence to these protocols.
Main Methods:
- A qualitative study employing a phenomenological approach was utilized.
- Data were gathered to understand the lived experiences of intensive care nurses concerning the central line maintenance care bundle.
Main Results:
- Three overarching themes emerged: (1) cognitive factors influencing feelings about adherence, (2) affective factors impacting adherence behaviors, and (3) behavioral reinforcement of cognitive and affective states.
- These themes highlight the interplay between thoughts, feelings, and behaviors in relation to central line bundle adherence.
Conclusions:
- Organizations must identify and address cognitive and behavioral factors influencing nurses' adherence to the central line maintenance bundle.
- Enhancing adherence necessitates providing nurses with knowledge of CLABSI rates and involving them in solution-finding processes.
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