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“Nurse—The Archer” Fighting Against the Hidden Enemy
BACKGROUND AND AIM: The coronavirus disease-2019 (COVID-19) pandemic is a global threat spreading like a wildfire and taking the world by its storm. It has challenged the healthcare delivery systems and disrupted them in a way no one ever imagined before. We at Apollo Hospitals, Chennai, Tamil Nadu,...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Jaypee Brothers Medical Publishers
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10291650/ https://www.ncbi.nlm.nih.gov/pubmed/37378041 http://dx.doi.org/10.5005/jp-journals-10071-24432 |
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author | Premkumar, Samundeeswari Ramanathan, Yamunadevi Varghese, Juliet Joji Morris, Basemath Nambi, Panchatcharam Senthur Ramakrishnan, Nagarajan Venkatasubramanian, Ramasubramanian |
author_facet | Premkumar, Samundeeswari Ramanathan, Yamunadevi Varghese, Juliet Joji Morris, Basemath Nambi, Panchatcharam Senthur Ramakrishnan, Nagarajan Venkatasubramanian, Ramasubramanian |
author_sort | Premkumar, Samundeeswari |
collection | PubMed |
description | BACKGROUND AND AIM: The coronavirus disease-2019 (COVID-19) pandemic is a global threat spreading like a wildfire and taking the world by its storm. It has challenged the healthcare delivery systems and disrupted them in a way no one ever imagined before. We at Apollo Hospitals, Chennai, Tamil Nadu, India received many patients in the COVID critical care unit (CCU) and found a gradual lack of bundle care compliance resulting in an upsurge of central line-associated bloodstream infection (CLABSI) amid the patients. MATERIALS AND METHODS: A qualitative research approach and quasi-experimental research design were selected to assess the knowledge of the 150 frontline COVID CCU nurses regarding the CLABSI bundle and its prevention strategies. RESULTS: This study revealed that 57% [mean (M) = 12.6; standard deviation (SD) = 2.37] of nurses had inadequate knowledge of the CLABSI bundle and its prevention strategies, in the pretest and scored 80% (M = 6.7; SD = 2.28) in the post-test, with “t” = 22.06 at p < 0.00001 after the hands-on training. The percentage of compliance to CLABSI bundle care increased to 83% and thereafter in an increasing trend. This was clearly evident through the reduction in the preventable CLABSI rate among critically ill COVID-19 patients. CONCLUSION: Nurses are on the frontline in preventing and controlling healthcare-associated infections (HAIs). Fighting with all the visible and invisible challenges, our research focused on hands-on training for frontline warriors to adhere to the CLABSI bundle care which drove us to the reduction in preventable CLABSI rate in our hospital through improved CLABSI bundle compliance. HOW TO CITE THIS ARTICLE: Premkumar S, Ramanathan Y, Varghese JJ, Morris B, Nambi PS, Ramakrishnan N, et al. “Nurse—The Archer” Fighting Against the Hidden Enemy. Indian J Crit Care Med 2023;27(4):246–253. |
format | Online Article Text |
id | pubmed-10291650 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Jaypee Brothers Medical Publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-102916502023-06-27 “Nurse—The Archer” Fighting Against the Hidden Enemy Premkumar, Samundeeswari Ramanathan, Yamunadevi Varghese, Juliet Joji Morris, Basemath Nambi, Panchatcharam Senthur Ramakrishnan, Nagarajan Venkatasubramanian, Ramasubramanian Indian J Crit Care Med Original Article BACKGROUND AND AIM: The coronavirus disease-2019 (COVID-19) pandemic is a global threat spreading like a wildfire and taking the world by its storm. It has challenged the healthcare delivery systems and disrupted them in a way no one ever imagined before. We at Apollo Hospitals, Chennai, Tamil Nadu, India received many patients in the COVID critical care unit (CCU) and found a gradual lack of bundle care compliance resulting in an upsurge of central line-associated bloodstream infection (CLABSI) amid the patients. MATERIALS AND METHODS: A qualitative research approach and quasi-experimental research design were selected to assess the knowledge of the 150 frontline COVID CCU nurses regarding the CLABSI bundle and its prevention strategies. RESULTS: This study revealed that 57% [mean (M) = 12.6; standard deviation (SD) = 2.37] of nurses had inadequate knowledge of the CLABSI bundle and its prevention strategies, in the pretest and scored 80% (M = 6.7; SD = 2.28) in the post-test, with “t” = 22.06 at p < 0.00001 after the hands-on training. The percentage of compliance to CLABSI bundle care increased to 83% and thereafter in an increasing trend. This was clearly evident through the reduction in the preventable CLABSI rate among critically ill COVID-19 patients. CONCLUSION: Nurses are on the frontline in preventing and controlling healthcare-associated infections (HAIs). Fighting with all the visible and invisible challenges, our research focused on hands-on training for frontline warriors to adhere to the CLABSI bundle care which drove us to the reduction in preventable CLABSI rate in our hospital through improved CLABSI bundle compliance. HOW TO CITE THIS ARTICLE: Premkumar S, Ramanathan Y, Varghese JJ, Morris B, Nambi PS, Ramakrishnan N, et al. “Nurse—The Archer” Fighting Against the Hidden Enemy. Indian J Crit Care Med 2023;27(4):246–253. Jaypee Brothers Medical Publishers 2023-04 /pmc/articles/PMC10291650/ /pubmed/37378041 http://dx.doi.org/10.5005/jp-journals-10071-24432 Text en Copyright © 2023; The Author(s). https://creativecommons.org/licenses/by-nc/4.0/© The Author(s). 2023 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Original Article Premkumar, Samundeeswari Ramanathan, Yamunadevi Varghese, Juliet Joji Morris, Basemath Nambi, Panchatcharam Senthur Ramakrishnan, Nagarajan Venkatasubramanian, Ramasubramanian “Nurse—The Archer” Fighting Against the Hidden Enemy |
title | “Nurse—The Archer” Fighting Against the Hidden Enemy |
title_full | “Nurse—The Archer” Fighting Against the Hidden Enemy |
title_fullStr | “Nurse—The Archer” Fighting Against the Hidden Enemy |
title_full_unstemmed | “Nurse—The Archer” Fighting Against the Hidden Enemy |
title_short | “Nurse—The Archer” Fighting Against the Hidden Enemy |
title_sort | “nurse—the archer” fighting against the hidden enemy |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10291650/ https://www.ncbi.nlm.nih.gov/pubmed/37378041 http://dx.doi.org/10.5005/jp-journals-10071-24432 |
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