CLABSI Reduction: Culture, Education and Evidence-Based Practice

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CLABSI Reduction: Culture, Education and Evidence Based Practice

June 29, 2014

Table of Contents
Abstract…………………………………………………………………………………………4
Introduction and Background…………………………………………………………………...5
Problem Statement………………………………………………………………………………5
Purpose Statement and Aims…………………………………………………………………….5
Research Questions and Hypothesis……………………………………………………………..6
Review of Literature with matrix………………………………………………………………………………………….6-12
Evidenced Based Practice Model…………………………………………………………………………………………….13
Study Design and Sampling Method…………………………………………………………….13 Setting and Study population…………………………………………………………….14 Sources of Data & Collection Method…………………………………………………...14 Data Analysis Plan……………………………………………………………………….14 Ethics and Human Subjects Protection…………………………………………………..14 Timeframe………………………………………………………………………………..14
Conclusion……………………………………………………………………………………….15
Personal Reflection………………………………………………………………………………15
References……………………………………………………………………………………….16

Abstract
Central venous catheters (CVCs) that are a result of central line blood stream infections (CLABSI) many times increase healthcare cost in regards to hospital hospital length of stay but most times result in poor patient outcomes. While CLABSI is one hundred percent preventable, it has been estimated that 250,000 cases of CLABSI are reported annually (Kusek 2012). The extended length of stay increases cost for each infection upwards of $36,000, totaling at least $9,000 annually (Clancy 2009). The key to CLABSI reduction does not involve a state of the art monitoring device, it is a very cost effective intervention/care process that is supported by evidence based practice (EBP). Prevention of CLABSI directly aligns with Patricia Brennar’s Novice to Expert Theory when implementing the use of central line bundle practices. The theory acknowledges that learning is based on the instructor’s awareness and planning of knowledge deficits and needs. The research



References: Clancy, C.M. (2009). Reducing Central Line-Related Infections. AORN-Association of perioperative Registered Nurses Journal, 89(6), 1123-1125. Retrieved from Kusek, L., MPH, RN, CIC. (2012). Preventing Central Line-Associated Bloodstream Infections. Journal of Nursing Care Quality, 27(4), 283-287. doi: 10.1097/NCQ.0b013e31825733d1 Richardson, J., MS, RN, CNS-BC, CCRN, CNRN; Tjoelker, R., MS, RN, CNS-BC, CIC. (2010). Beyond the Central Line-Associated Bloodstream Infection Bundle: The Value of the Clinical Nurse Specialist in Continuing Evidence-Based practice Changes. Clinical Nurse Specialist, 26(4), 205-211. doi: 10.1097/NUR.0b013e31825aebab Stevens, T.P., Schulman, J. (2012). Evidence-based approach to preventing central line-associated bloodstream infection in the NICU. ACTA PEDIATRICA, 11-16. doi: 10.111/j.1651-2227.2011.02547.x Schmidt, N. and Brown, J. (2012).  Evidence-based practice for nurses: Appraisal and application of research (2nd ed.). Sudbury, MA: Jones & Bartlett LEARNING. Cherifi., S, Gerard, M., Arias, S., Byl, B. (2013). A multi-center quasi-experimental study: impact of a central line infection control program using auditing and performance feedback in five Belgian intensive care units. Antimicrobial Resistance & Infection control. 2(33) doi: 10.1186/2047-2994-2-33. Retrieved from: http://aricjournal.com/content/2/1/33

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