Nurses compliance with central line associated blood stream infection prevention guidelines

Objectives: To assess nurses? compliance with central line associated bloodstream infection (CLABSI) prevention guidelines related to maintenance of the central line and the predictors of compliance. Method: This was an observational study that used a descriptive cross-sectional design. A sample of 171 intensive care unit (ICU) nurses were observed and their compliance was recorded on a structured observational sheet. The study was conducted in the ICUs of 15 hospitals located in 5 cities in Jordan. Data were collected over a 5-month period from March to July 2017. Central lines were all inserted by physicians inside the ICUs. Results: One hundred and twenty participants (70%) showed sufficient compliance. The mean compliance scores were 14.2?4.7 (min= 8, max= 20); however, the rate of CLABSI was variable across the participating ICUs. Logistic regression with 4 independent variables (years of experience, previous education with CLABSI, nurse-patient ratio and the ICU?s bed capacity) was conducted to investigate predictors of sufficient compliance. The model was significant (? 2 (4)= 133.773, p= 0.00). The nurse-patient ratio was the only significant predictor. Nurses with a 1: 1 nurse: patient ratio demonstrated superior compliance over their counterparts with a 1: 2 ratio.