Factors influencing nurse compliance in maintaining aseptic technique in the insertion of peripheral intravenous access in neonates

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.