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Nursing Topi: Catheter Infection with Evidence Based Practice - Research Paper Example

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Nursing Topi: Catheter Infection with Evidence Based Practice

Catheter related bloodstream infections (CRBSIs) contribute to 2,400–20,000 deaths per year, with an estimated cost of $296 million to $2.30 billion (Hu, Veenstra, Lipsky, & Saint, 2004). CRBSIs can be reduced dramatically with maximal barrier precautions, chlorhexidine gluconate skin preparatory agents, and strict hand hygiene (Brungs & Render, 2006, p. 723). Cherry, M., Brown, J. M., Neal, T., & Ben Shaw, N. (2010). What features of educational interventions lead to competence in aseptic insertion and maintenance of CV catheters in acute care? BEME Guide No. 15. Medical Teacher, 32(3), 198-218. doi:10.3109/01421591003596600 Abstract: Background: Up to 6000 patients per year in England acquire a central venous catheter (CVC)-related bloodstream infection (Shapey et al. 2008). Implementation of Department of Health guidelines through educational interventions has resulted in significant and sustained reductions in CVC-related blood stream infections (Pronovost et al. 2002), and cost (Hu et al. 2004). Aim: This review aimed to determine the features of structured educational interventions that impact on competence in aseptic insertion technique and maintenance of CV catheters by healthcare workers. ...
prolonged and profound effect when used in conjunction with audit, feedback, and availability of new clinical supplies consistent with the content of the education provided. Second, educational interventions will have a greater impact if baseline compliance to best practice is low. Third, repeated sessions, fed into daily practice, using practical participation appear to have a small, additional effect on practice change when compared to education alone. Active involvement from healthcare staff, in conjunction with the provision of formal responsibilities and motivation for change, may change healthcare worker practice (Cherry, Brown, Neal, & Shaw, 2010, p. 198). Goeschel, C. (2011). Nursing leadership at the crossroads: evidence-based practice 'Matching Michigan-minimizing catheter related blood stream infections'. Nursing In Critical Care, 16(1), 36-43. doi:10.1111/j.1478-5153.2010.00400.x Abstract: Aims and objectives: A highly successful intervention to reduce infections in intensive care units (ICUs) is now being widely replicated and involved significant nursing leadership. The objective of this manuscript is to describe briefly the intervention, and more explicitly the implications for nursing leadership as quality improvement and patient safety become global healthcare priorities. Design: Collaborative cohort study in over 100 ICUs in the United States to implement and evaluate interventions to improve patients’ safety. Methods: Conceptual model aimed at improving clinicians’ use of five evidence-based recommendations to reduce rates of catheter-related bloodstream infections rates, with measurement and feedback of infection rates. Results: One hundred and three ICUs contributed 1981 ICU-months of data representing 375,757 catheter-days. The median rate of ...Show more


Running Head: NURSING RESEARCH TOPIC Nursing Research 1 Nursing Research Topic: Catheter infection with Evidence Based Practice Literature Search for Review Name Class Date Nursing Research Topic: Catheter infection with Evidence Based Practice Literature Search for Review Brungs, S…
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Nursing Research Topi: Catheter Infection with Evidence Based Practice
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