ICU Nurses' Perspectives on Barriers and Interventions for Central-Line-Associated Bloodstream Infection Prevention.

Area of Science:

• Healthcare quality improvement
• Infection control
• Nursing practice

Background:

• Central-line-associated bloodstream infections (CLABSIs) have increased post-COVID-19.
• Compliance with CLABSI prevention bundles is low among intensive care unit (ICU) registered nurses (RNs).
• Identifying implementation barriers in critical care is crucial.

Purpose of the Study:

• To explore ICU RNs' perceptions of barriers to CLABSI prevention bundle compliance.
• To identify potential interventions for improving CLABSI prevention bundle adherence.

Main Methods:

• A descriptive mixed-methods survey was employed.
• Assessed ICU RNs' perceptions regarding barriers and interventions for CLABSI prevention.

Main Results:

• 35 RNs responded, primarily staff nurses in adult ICUs.
• 65% of respondents had not received feedback on CLABSI prevention bundle implementation.
• Key barriers identified: busy unit workflow, nurse-to-patient ratios, and burnout.
• Suggested interventions: staffing support, structured feedback, and workflow adjustments.

Conclusions:

• ICU RNs perceive significant barriers to CLABSI prevention bundle compliance.
• Actionable strategies beyond education are needed, including staff input.
• Future quality improvement initiatives should incorporate staff suggestions to enhance bundle compliance and patient safety.