Document Detail


Maintenance of patency of central venous access devices by registered nurses in an acute ambulatory setting: an evidence utilisation project.
MedLine Citation:
PMID:  23448326     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
AIM: The aim of the project was to implement the best practice for the maintenance of patency for central venous access devices by registered nurses in an acute ambulatory setting.
METHOD: This project utilised the Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research into Practice programs to facilitate a process of change using an audit, feedback and re-audit cycle as a strategy to improve clinical practice. The team conducted the project in three phases over a 5-month period (July to November 2011). It involved a sample size of 29 registered nurses.
RESULTS: The compliance rate for both criteria increased post-implementation, demonstrating a positive improvement in compliance to the best practice. The pulsated flushing technique improved from 25% (baseline) to 93% (post-implementation) compliance rate. This showed a statistically significant improvement of 68% (χ  = 29.375, P = 0.000). The second criterion, the use of sterile normal saline to flush and lock the catheter, improved from 68% compliance in the baseline audit to 100% compliance rate in the post-implementation audit (χ  = 14.215, P = 0.005).
CONCLUSION: This project utilised the process of audit, feedback and re-audit cycle as a strategy to improve clinical practice. It demonstrated the feasibility of translating evidence-based practice into the clinical setting, with remarkable improvement in maintaining patency of central venous access devices for patient with cancer. Finally, it is evidenced that the commitment and enthusiasm of team members and all the registered nurses in maintaining the patency of central venous access devices were the crucial factors for the success of this project. The support and assistance provided by the stakeholders also played an important role in the sustainment of the project.
Authors:
Lee Moy Chong; Ying Leng Chow; Shu Shya Catherine Kong; Emily Ang
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of evidence-based healthcare     Volume:  11     ISSN:  1744-1609     ISO Abbreviation:  Int J Evid Based Healthc     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-03-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101247063     Medline TA:  Int J Evid Based Healthc     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  20-5     Citation Subset:  IM    
Copyright Information:
© 2013 The Authors. International Journal of Evidence-Based Healthcare © 2013 The Joanna Briggs Institute.
Affiliation:
National University Cancer Institute, National University Health System, Singapore.
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