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Published on: July 13, 2019
ICU Nurses' Perspectives on Barriers and Interventions for Central-Line-Associated Bloodstream Infection Prevention
1Author Affiliations: Surgical/Transplant ICU, MedStar Georgetown University Hospital, Washington, District of Columbia (Mr Nguyen); and Department of Acute and Specialty Care, University of Virginia School of Nursing, Charlottesville, Virginia (Dr Craig).
Background:
Given an increase in central-line-associated bloodstream infections (CLABSIs) since the COVID-19 pandemic and low compliance with the CLABSI prevention bundle among intensive care unit (ICU) registered nurses (RNs), it is imperative to identify barriers to implementation in the critical care setting.
Purpose:
To explore ICU RNs' perceptions of barriers and interventions related to CLABSI prevention bundle compliance.
Methods:
A descriptive mixed-methods survey was used to assess ICU RNs' perceptions of barriers and interventions.
Results:
Of the 35 respondents, most were staff RNs (94%) in adult ICUs (97%). Over half of the respondents (65%) had not received feedback on CLABSI prevention bundle implementation. Barriers included busy unit workflow, nurse-to-patient ratios, and burnout. RNs suggested interventions such as staffing support, structured feedback, and workflow adjustments.
Conclusions:
ICU RNs perceive multiple barriers and suggest actionable strategies beyond education. Incorporating staff input into future quality improvement initiatives may improve bundle compliance and patient safety.
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