Related Experiment Video

Updated: Jan 26, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
09:57

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

Published on: July 13, 2019

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Using the knowledge translation framework to change practical care of central catheters in a Brazilian neonatal unit

Gabriela Ramos Ferreira Curan1, Edilaine Giovanini Rossetto2, Thaíla Corrêa Castral3

  • 1State University of Londrina, Londrina, Brazil. gabi_ramosf@hotmail.com.

Journal of Infection in Developing Countries
|April 6, 2019
PubMed

Insights

Implementing central line bundles in a neonatal unit improved catheter maintenance practices significantly. This study highlights the impact of knowledge translation frameworks on healthcare quality and staff involvement in patient safety initiatives.

Area of Science:

  • Neonatal Intensive Care
  • Infection Prevention
  • Healthcare Quality Improvement

Background:

  • Central catheters are vital in intensive care but increase bloodstream infection risk.
  • A knowledge-practice gap exists in optimal care for patients with central catheters.
  • This study addresses this gap by implementing and evaluating central line bundles in a neonatal unit.

Purpose of the Study:

  • To describe the implementation of central line bundles using a knowledge translation (KT) framework.
  • To assess the impact of these bundles on care practices in a neonatal unit.
  • To detail the implementation process in a Brazilian neonatal care setting.

Main Methods:

  • A time-series quasi-experimental study design was employed.
  • 289 non-participant observations of professional practices were conducted before and after bundle implementation.
  • The study was conducted in a Brazilian neonatal unit.

Main Results:

  • Bundle implementation focused on KT evidence, context, and facilitation.
  • Catheter maintenance practices showed significant improvement (7/11 practices, p < 0.01).
  • Catheter insertion practices had high initial adherence and satisfactory post-implementation results.

Conclusions:

  • This is the first Brazilian study to use a KT framework for central line bundle implementation and evaluation in neonates.
  • The study details the implementation process, emphasizing accountability and staff involvement.
  • Effective implementation strategies are crucial for improving patient care and reducing infections.
Abstract

Keywords:
Catheter-related infectionshealth careinfection controlneonatal intensive care unitspracticepreventive actions

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