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Central line bundle maintenance among adults in a university hospital intensive care unit in São Paulo, Brazil a best practice implementation project

Karina Sichieri Luciana Inaba Senyer Iida; Isa Rodrigues da Silveira Cabral de Menezes; Paulo Carlos Garcia; Talita Raquel Santos; Emília Peres; Gilcéria Tochika Shimoda; Flávia de Oliveira Motta Maia; Silvia Regina Secoli; Vilanice Alves de Araújo Püschel

JBI Database of Systematic Reviews and Implementation Reports Sydney v. 16, n. 6, p. 1454–1473, Jun. 2018

Sydney 2018

Localização: EE - Escola de Enfermagem    (SECOLI, S. R. doc 102 )(Acessar)

  • Título:
    Central line bundle maintenance among adults in a university hospital intensive care unit in São Paulo, Brazil a best practice implementation project
  • Autor: Karina Sichieri
  • Luciana Inaba Senyer Iida; Isa Rodrigues da Silveira Cabral de Menezes; Paulo Carlos Garcia; Talita Raquel Santos; Emília Peres; Gilcéria Tochika Shimoda; Flávia de Oliveira Motta Maia; Silvia Regina Secoli; Vilanice Alves de Araújo Püschel
  • Assuntos: CATÉTERES DE DEMORA; INFECÇÕES BACTERIANAS; AUDITORIA EM ENFERMAGEM; ENFERMAGEM BASEADA EM EVIDÊNCIAS; CUIDADOS DE ENFERMAGEM
  • É parte de: JBI Database of Systematic Reviews and Implementation Reports Sydney v. 16, n. 6, p. 1454–1473, Jun. 2018
  • Descrição: Objectives: This implementation project aimed to identify the current practice in regards to central venous catheters (CVCs) maintenance to improve knowledge amongst nursing staff and to assess increased compliance with evidence-based best practice. Introduction: Central venous catheters are considered an important therapeutic resource for the administration of fluids, drugs, blood, collection of blood samples and hemodynamic monitoring. Despite the benefits, catheter use is associated with complications such as primary infection of the catheter-related bloodstream. Methods: This project utilized the audit and feedback model using the Joanna Briggs Institute Practical Application of Clinical Evidence System. Nine of 10 criteria were audited through direct observation of nursing professionals or patient records in relation to CVC maintenance, and one criterion involved direct questioning of nursing staff. Baseline and follow-up audits were conducted in a 12-bed adult intensive care unit in a university hospital. Results: The baseline audit revealed deficits between current practice and best practice in some criteria. Barriers to implementation of CVC maintenance best practice criteria were identified, and the strategies were implemented. The post-implementation (follow-up) audit showed improvement in compliance to best practice guidelines in all of the audit criteria, except in one criterion: the use of sterile gloves or surgical tweezers during the execution of the dressing. Conclusions: Best practice in CVC care was achieved in the hospital, strengthening and guiding nursing care, as well as highlighting the importance of nursing records throughout the care process. However, this project highlighted the need to improve compliance through follow-up audits and periodic training to support best practice
  • Editor: Sydney
  • Data de criação/publicação: 2018
  • Formato: p. 1454-1473.
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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