使用Kamishibai卡来识别障碍,并显示遵守中央线相关的血液感染预防捆绑
Shelly L Brown1, Dori L Klemanski, Joni Tornwall
1Author Affiliations: Clinical Nurse Specialist, Leukemia (Dr Brown), Chief of Advanced Practice Providers (Dr Klemanski), and Associate Chief Nursing Officer for Inpatient (Dr Ross), The Ohio State University Comprehensive Cancer Center-Arthur G. James Cancer Hospital and Richard J. Solove Research Institute; Associate Clinical Professor (Dr Tornwall), and Clinical Professor (Dr Browning), The Ohio State University College of Nursing; and Nurse practitioner, Cancer Supportive Care (Dr Browning) The Ohio State University Comprehensive Cancer Center-Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, Columbus.
这项研究通过有针对性的干预措施,改善了护士对中央线路相关的血液感染 (CLABSI) 预防实践的遵守. 卡米西拜卡片提高了对关键的CLABSI预防要素的遵守和意识.
科学领域:
- 感染控制 感染控制
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 在学术综合癌症医院中,中央线相关的血液感染率 (CLABSI) 仍然很高.
- 护理实践对于CLABSI预防包至关重要,但坚持的障碍往往没有得到解决.
- 需要可持续的计划来提高护士的技能和CLABSI预防的文档.
研究的目的:
- 增加对护理实践的坚持,以预防CLABSI.
- 实施一个可持续的计划,以提高护士的技能和CLABSI预防捆绑组件的文档.
- 识别和解决影响遵守CLABSI预防协议的障碍.
主要方法:
- 一个为期9周的项目,涉及实施前后的图表审查和视觉审计.
- 项目后进行了护士调查,以收集有关障碍和干预措施的反.
- 卡米西拜卡 (K卡) 被用作基于证据的视觉审计工具来监控合规性.
主要成果:
- 每天氧化糖酸盐 (CHG) 洗的符合性文件增加到75%.
- 不一致的沟通和知识差距被确定为合规的重大障碍.
- 75%的护士报告说,K卡显示对他们的CLABSI预防实践产生了积极的影响.
结论:
- 该项目成功地提高了护士的知识和遵守CLABSI预防实践.
- 对常常错过的CLABSI预防捆绑组件的认识有了显著的改善.
- 该干预表明,有可能创建一个可持续的计划,以减少CLABSI率.
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