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Implementing a Daily Maintenance Care Bundle to Prevent Central Line-Associated Bloodstream Infections in Pediatric Oncology Patients.

Publication ,  Journal Article
Duffy, EA; Rodgers, CC; Shever, LL; Hockenberry, MJ
Published in: Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses
November 2015

Eliminating central line-associated bloodstream infection (CLABSI) is a national priority. Central venous catheter (CVC) care bundles are composed of a series of interventions that, when used together, are effective in preventing CLABSI. A CVC daily maintenance care bundle includes procedural guidelines for hygiene, dressing changes, and access as well as specific timeframes. Failure to complete one of the components of the care bundle predisposes the patient to a bloodstream infection. A nurse-led multidisciplinary team implemented and, for six months, sustained a daily maintenance care bundle for pediatric oncology patients. This quality improvement project focused on nursing staffs' implementation of the daily maintenance care bundle and the sustainment of the intervention. The project used a pre-post program design to evaluate outcomes of CVC daily maintenance care bundle compliancy and CLABSI. A statistically significant increase between the pre- and post-assessments of the compliance was noted with the CVC daily maintenance care bundle. CLABSI infection rates decreased during the intervention. Strategies to implement practice change and promote sustainability are discussed.

Duke Scholars

Published In

Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses

DOI

EISSN

1532-8457

ISSN

1043-4542

Publication Date

November 2015

Volume

32

Issue

6

Start / End Page

394 / 400

Related Subject Headings

  • United States
  • Quality Improvement
  • Pediatric Nursing
  • Patient Care Bundles
  • Oncology Nursing
  • Nursing Process
  • Nursing
  • Male
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Duffy, E. A., Rodgers, C. C., Shever, L. L., & Hockenberry, M. J. (2015). Implementing a Daily Maintenance Care Bundle to Prevent Central Line-Associated Bloodstream Infections in Pediatric Oncology Patients. Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses, 32(6), 394–400. https://doi.org/10.1177/1043454214563756
Duffy, Elizabeth A., Cheryl C. Rodgers, Leah L. Shever, and Marilyn J. Hockenberry. “Implementing a Daily Maintenance Care Bundle to Prevent Central Line-Associated Bloodstream Infections in Pediatric Oncology Patients.Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses 32, no. 6 (November 2015): 394–400. https://doi.org/10.1177/1043454214563756.
Duffy EA, Rodgers CC, Shever LL, Hockenberry MJ. Implementing a Daily Maintenance Care Bundle to Prevent Central Line-Associated Bloodstream Infections in Pediatric Oncology Patients. Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses. 2015 Nov;32(6):394–400.
Duffy, Elizabeth A., et al. “Implementing a Daily Maintenance Care Bundle to Prevent Central Line-Associated Bloodstream Infections in Pediatric Oncology Patients.Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses, vol. 32, no. 6, Nov. 2015, pp. 394–400. Epmc, doi:10.1177/1043454214563756.
Duffy EA, Rodgers CC, Shever LL, Hockenberry MJ. Implementing a Daily Maintenance Care Bundle to Prevent Central Line-Associated Bloodstream Infections in Pediatric Oncology Patients. Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses. 2015 Nov;32(6):394–400.
Journal cover image

Published In

Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses

DOI

EISSN

1532-8457

ISSN

1043-4542

Publication Date

November 2015

Volume

32

Issue

6

Start / End Page

394 / 400

Related Subject Headings

  • United States
  • Quality Improvement
  • Pediatric Nursing
  • Patient Care Bundles
  • Oncology Nursing
  • Nursing Process
  • Nursing
  • Male
  • Humans
  • Female