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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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Development and clinical application of nursing-sensitive indicators for midline catheterization care using
Wei Li1, Yandi Wen1, Yuluo Du1
1Department of Critical Care Medicine, Shenzhen People's Hospital, 2nd Clinical Medical College of Jinan University, 1st Affiliated Hospital of Southern University of Science and Technology, Shenzhen, China.
Annals of Palliative Medicine
|February 6, 2021
Summary
This study establishes nursing-sensitive indicators (NSIs) for midline catheter (MC) care, providing objective criteria to evaluate and enhance nursing quality. These evidence-based NSIs aim to improve patient outcomes and reduce healthcare costs associated with MC use.
Area of Science:
- Nursing Quality Improvement
- Evidence-Based Practice
- Healthcare Management
Background:
- Midline catheters (MCs) offer painless venous access, improving patient quality of life and reducing costs.
- Nursing-sensitive indicators (NSIs) are crucial for measuring and improving nursing care quality.
- Effective evaluation of MC nursing care requires standardized indicators.
Purpose of the Study:
- To establish evidence-based nursing-sensitive indicators (NSIs) for midline catheter (MC) care.
- To provide a framework for evaluating and monitoring the quality of nursing care for MCs.
- To enhance the quality control of nursing practices related to MC use.
Main Methods:
- A comprehensive electronic literature search was conducted across five major databases.
- Data extraction and risk of bias assessment were performed independently by two evaluators.
- The Donabedian structure-process-outcome model was utilized to categorize the developed NSIs.
Main Results:
- A total of 33 NSIs were established for MC care, categorized into structure, process, and outcome indicators.
- Structure indicators included 3 level-2 and 7 level-3 indicators.
- Process indicators comprised 2 level-2 and 9 level-3 indicators, while outcome indicators included 5 level-2 and 17 level-3 indicators.
Conclusions:
- The developed NSIs provide objective criteria for assessing nursing performance in MC care.
- Implementation of these NSIs can lead to improved nursing quality control and patient outcomes.
- This framework supports evidence-based evaluation of nursing interventions for patients with MCs.
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