Abstract

The growing concern for hospital-acquired infections in healthcare has stimulated the development of evidence based practice guidelines. Healthcare institutions across the United States are increasing their focus on the implementation of clinical practice guidelines using current evidence based practice. Adherence to these guidelines by healthcare professionals is expected to improve the quality, equity, and efficiency of patient care. The implementation of a bundle for catheter related blood stream infections (CRBSI) based on the clinical guidelines from the Center for Disease Control and Prevention was initiated in a university hospital's intensive care unit in 2007. Despite the bundle there was a subsequent increase in the incidence of infections in the later part of 2008. A multidisciplinary evaluation of the process included reevaluation and revision of the current unit application of the clinical guidelines based on review of the literature. This study implemented an education program targeted at the staff nurses in the ICU, evaluating the current literature and evidence based practice approach including a "scrub the hub" component, and it's impact on the incidence of CRBSI. Ongoing tracking of the unit incidence of central line infections 60 days after implementation has revealed a decrease from 4.1 to 2.6/1000 catheter days and no incidence of infection for those 60 days. This is the lowest rate of infection in over 20 months, suggesting a significant response to the intervention.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3421844; ProQuest document ID: 752061948. The author still retains copyright.

Author Details

Paula S. McCauley, DNP, APRN, ACNP-BC, CMC, CSC, FAANP

Sigma Membership

Mu

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Quantitative Research

Keywords:

Hospital Acquired Infections, Best Practices, Intensive Care Patients

Advisor

Rhea Sanford

Degree

DNP

Degree Grantor

University of Connecticut

Degree Year

2010

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2021-01-04

Full Text of Presentation

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