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Implementing a Daily Maintenance Care Bundle to Prevent Central Line-Associated Bloodstream Infections in Pediatric

Elizabeth A Duffy1, Cheryl C Rodgers2, Leah L Shever3

  • 1The University of Michigan School of Nursing, Ann Arbor, MI, USA eaduffy@umich.edu.

Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses
|February 4, 2015
PubMed

Insights

Implementing a central venous catheter (CVC) daily maintenance care bundle significantly improved compliance and reduced central line-associated bloodstream infections (CLABSI) in pediatric oncology patients.

Area of Science:

  • Infection Control
  • Patient Safety
  • Pediatric Oncology Nursing

Background:

  • Central line-associated bloodstream infection (CLABSI) is a significant national healthcare concern.
  • Central venous catheters (CVCs) are essential for pediatric oncology patients but pose infection risks.
  • Care bundles are evidence-based interventions to mitigate CLABSI.

Purpose of the Study:

  • To implement and sustain a nurse-led CVC daily maintenance care bundle in pediatric oncology.
  • To evaluate the impact of the care bundle on nursing compliance and CLABSI rates.
  • To identify strategies for successful practice change and intervention sustainability.

Main Methods:

  • A quality improvement project utilizing a pre-post program design.
  • Implementation and six-month sustainment of a CVC daily maintenance care bundle by a multidisciplinary team.
  • Assessment of CVC daily maintenance care bundle compliance and CLABSI rates before and after intervention.

Main Results:

  • A statistically significant increase in CVC daily maintenance care bundle compliance was observed post-implementation.
  • CLABSI infection rates demonstrated a decrease during the intervention period.
  • The study highlights successful implementation and sustainment of the care bundle.

Conclusions:

  • Nurse-led implementation of a CVC daily maintenance care bundle is effective in improving compliance.
  • Sustained adherence to the care bundle contributes to a reduction in CLABSI rates.
  • Effective strategies for practice change and sustainability are crucial for infection prevention.

Keywords:
CLABSIcare bundleoncologypediatricsustainability

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