Central line bundle maintenance among adults in a university hospital intensive care unit in São Paulo, Brazil: a best practice implementation project (2018)
- Authors:
- USP affiliated authors: SICHIERI, KARINA - HU ; IIDA, LUCIANA INABA SENYER - HU ; MENEZES, ISA RODRIGUES DA SILVEIRA CABRAL DE - HU ; GARCIA, PAULO CARLOS - HU ; SANTOS, TALITA RAQUEL DOS - HU ; PERES, EMILIA CRISTINA - HU ; SHIMODA, GILCÉRIA TOCHIKA - HU ; MAIA, FLAVIA DE OLIVEIRA MOTTA - HU ; SECOLI, SILVIA REGINA - EE ; PÜSCHEL, VILANICE ALVES DE ARAUJO - EE
- Unidades: HU; EE
- Sigla do Departamento: ENC
- DOI: 10.11124/JBISRIR-2017-003561
- Subjects: CATÉTERES DE DEMORA; INFECÇÕES BACTERIANAS; AUDITORIA EM ENFERMAGEM; ENFERMAGEM BASEADA EM EVIDÊNCIAS; CUIDADOS DE ENFERMAGEM
- Language: Inglês
- Abstract: 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
- Imprenta:
- Source:
- Título do periódico: JBI Database of Systematic Reviews and Implementation Reports
- ISSN: 2202-4433
- Volume/Número/Paginação/Ano: v. 16, n. 6, p. 1454–1473, Jun. 2018
- Este periódico é de assinatura
- Este artigo NÃO é de acesso aberto
- Cor do Acesso Aberto: closed
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ABNT
SICHIERI, Karina et al. Central line bundle maintenance among adults in a university hospital intensive care unit in São Paulo, Brazil: a best practice implementation project. JBI Database of Systematic Reviews and Implementation Reports, v. 16, n. Ju 2018, p. 1454–1473, 2018Tradução . . Disponível em: https://doi.org/10.11124/JBISRIR-2017-003561. Acesso em: 19 abr. 2024. -
APA
Sichieri, K., Iida, L. I. S., Menezes, I. R. da S. C. de, Garcia, P. C., Santos, T. R., Peres, E., et al. (2018). Central line bundle maintenance among adults in a university hospital intensive care unit in São Paulo, Brazil: a best practice implementation project. JBI Database of Systematic Reviews and Implementation Reports, 16( Ju 2018), 1454–1473. doi:10.11124/JBISRIR-2017-003561 -
NLM
Sichieri K, Iida LIS, Menezes IR da SC de, Garcia PC, Santos TR, Peres E, Shimoda GT, Maia F de OM, Secoli SR, Püschel VA de A. Central line bundle maintenance among adults in a university hospital intensive care unit in São Paulo, Brazil: a best practice implementation project [Internet]. JBI Database of Systematic Reviews and Implementation Reports. 2018 ; 16( Ju 2018): 1454–1473.[citado 2024 abr. 19 ] Available from: https://doi.org/10.11124/JBISRIR-2017-003561 -
Vancouver
Sichieri K, Iida LIS, Menezes IR da SC de, Garcia PC, Santos TR, Peres E, Shimoda GT, Maia F de OM, Secoli SR, Püschel VA de A. Central line bundle maintenance among adults in a university hospital intensive care unit in São Paulo, Brazil: a best practice implementation project [Internet]. JBI Database of Systematic Reviews and Implementation Reports. 2018 ; 16( Ju 2018): 1454–1473.[citado 2024 abr. 19 ] Available from: https://doi.org/10.11124/JBISRIR-2017-003561 - Diagnósticos, resultados e intervenções de enfermagem para paciente em pós-operatório de abdomem agudo perfurativo: relato de caso
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Informações sobre o DOI: 10.11124/JBISRIR-2017-003561 (Fonte: oaDOI API)
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