Factors influencing nurse compliance in maintaining aseptic technique in the insertion of peripheral intravenous access in neonates |
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| Affiliation: | 1. Bachelor of Nursing Program, Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia;2. Pediatric Nursing Department, Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia;3. Neonatal Intensive Care Unit (NICU), Universitas Indonesia Hospital, Depok, West Java, Indonesia;4. Nursing Diploma Program, Mulawarman University, Samarinda, Indonesia;1. Pediatric Nursing Department, Faculty of Nursing, Alexandria University, Egypt;2. Pediatric Nursing Department, Faculty of Nursing, Matrouh University, Egypt;3. Pediatric Nursing Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Bahrain;4. Midwifery Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Bahrain;1. College of Nursing, All India Institute of Medical Sciences, New Delhi, India;2. Nursing Officer, AIIMS, New Delhi, India;3. College of Nursing, AIIMS, New Delhi, India;4. Department of Pediatrics, AIIMS, New Delhi, India;1. Aberdeen Maternity Hospital, NHS Scotland, UK;2. Caring Essentials Collaborative, LLC Boston, MA, USA;3. Way to Grow Paediatric Therapy, Inc, Galva, IL, USA;4. Infant Feeding Strategies, LLC Bettendorf, IA, USA;1. DeWitt School of Nursing, Stephen F. Austin State University, 5707 North St., Nacogdoches, TX, 75965, United States;2. Nacogdoches Medical Center, 4920 NE Stallings Dr., Nacogdoches, TX, 75965, United States;1. Department of Nursing, College of Medicine, National Cheng Kung University, No.1 University Road, Tainan, 701401, Taiwan;2. Bachelor Nursing Program, College of Health Science, University of Muhammadiyah Pekajangan Pekalongan, Jl. Raya Ambokembang No.8, Kedungwuni, Pekalongan, Jawa Tengah, 51172, Indonesia;3. Department of Nursing, National Tainan Junior College of Nursing, No. 78, Section 2, Minzu Road, West Central District, Tainan City, 700007, Taiwan;4. Ditmanson Medical Foundation Chiayi Christian Hospital, No.539 Zhongxiao Road, East District, Chiayi City, 600566, Taiwan |
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| Abstract: | BackgroundAseptic technique is the foundation for preventing bloodstream infections due to peripheral intravenous access insertion. This study aims at identifying the factors influencing nurse compliance in maintaining aseptic technique in the insertion of a peripheral intravenous catheter (PIVC).MethodologyThe research method is cross-sectional with 160 nurses. The related variables measured were repeated insertion, infant care (incubator or radiation warmer), age of nurse, working experience, level of education of nurses, level of knowledge, work schedule, and number of teams on duty. The nurse's knowledge was measured using a modified questionnaire, and the level of compliance was measured by an observation sheet.ResultsHigher age and education level of nurses were significantly associated with an increase in the level of nurse compliance (β = 0.053–1.22; p < 0.001; <0.015). Working experience, the number of insertions, the level of knowledge of nurses about PIVC, and the place of care in the radiant warmer were associated negatively with a decrease in the level of nurse compliance in the use of aseptic PIVC techniques (β = −0.011; - 0.152; p < 0.001).ConclusionAge and educational qualifications should be considered for the potential contributing to nurses' compliance with the aseptic protocol in the neonatal care unit. |
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| Keywords: | Peripheral intravenous catheter access Aseptic technique Nurse compliance Neonates |
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