Knowledge, Attitudes, and Behaviors of Intensive Care Unit Healthcare Workers in Preventing Central Line-Associated Blood Stream Infections in Selected Hospitals of Zhejiang Province, China

High incidence of central venous catheter-associated bloodstream infections, high morbidity and mortality, and prolonged hospital stays are the main challenges faced by healthcare workers in ICUs, and the knowledge, attitudes, and level of prevention of central venous catheter-associated bloodstream infections among healthcare workers have not yet been adequately assessed. The aim of this study was to find out the current status of knowledge, attitude and behavior of healthcare workers in intensive care unit in preventing central venous catheter-associated bloodstream infections. In this study, a questionnaire was administered to 288 healthcare workers in six hospitals using a cross-sectional survey. Completed all the statistical analyses in the SPSS 20.0 software. A total of 178 nurses and 110 doctors participated in this study and the return rate of the questionnaire was 95.36%. ICU medical staff had a lack of knowledge related to CLABSI prevention guidelines and moderate attitudes and behaviors. There is a difference in knowledge related to compliance with CLABSI prevention guidelines among ICU healthcare workers between age, Nurse position level, years of practice, professional role, and Accessibility of training. There is a difference in the attitude of ICU health care workers to comply with CLABSI prevention guidelines between age, nurse position level, years of practice, and Accessibility of training. There is a difference in the behavioral of ICU health care workers to comply with CLABSI prevention guidelines between nurse position level, years of practice, and Accessibility of training. Positive correlations were found between knowledge and attitudes, knowledge and behaviors, and attitudes and behaviors of intensive care unit healthcare workers in preventing CLABSI. Hospitals should regularly assess the knowledge, attitudes and behaviours of healthcare professionals in the intensive care unit regarding the CLABSI prevention guidelines, and enhance structured education to improve healthcare professionals' adherence to the guidelines in order to ensure patient safety.