Device-Specific Factors Associated With Device-Related Infection Prevention and Control Practices in Long-Term Care...

Area of Science:

• Healthcare-associated infections
• Infection prevention and control
• Nursing practice in long-term care

Background:

• Long-term care hospitals (LTCHs) face high risks of device-related infections.
• Limited evidence exists on factors influencing infection prevention and control (IPC) practices for devices in LTCHs.
• Understanding multilevel factors is crucial for mitigating these infections.

Purpose of the Study:

• To investigate multilevel factors affecting Foley catheter and central venous catheter (CVC) IPC practices among nursing staff in LTCHs.
• To determine if resource support mediates the link between organizational culture and IPC practices.
• To identify device-specific strategies for enhancing IPC.

Main Methods:

• A multicenter cross-sectional study surveyed 197 nursing staff in 11 South Korean LTCHs.
• Foley catheter and CVC IPC practice scores were primary outcomes.
• Linear mixed models and bootstrap mediation analysis were used to assess associations and mediation effects.

Main Results:

• Resource support strongly correlated with both Foley and CVC IPC practices.
• Organizational culture impacted Foley catheter IPC but not CVC IPC.
• Mediation analysis showed resource support partially mediated the culture-IPC link for Foley catheters and nearly completely for CVCs.

Conclusions:

• The pathways linking organizational factors to IPC practices differ by device type.
• A one-size-fits-all strategy is inadequate for improving device-related IPC in LTCHs.
• Targeted interventions for CVC and Foley catheter care are recommended.