Central Line Bundle Practices & Central–Line Bloodstream Infections
Developing an Evaluation Plan
Using 800-1,000 words, discuss methods to evaluate the effectiveness of your proposed solution and variables to be assessed when evaluating project outcomes.
Example: If you are proposing a new staffing matrix that is intended to reduce nurse turnover, improve nursing staff satisfaction, and positively impact overall delivery of care, you may decide the following methods and variables are necessary to evaluate the effectiveness of your proposed solution:
Methods:
Survey of staff attitudes and contributors to job satisfaction and dissatisfaction before and after initiating change.
Obtain turnover rates before and after initiating change.
Compare patient discharge surveys before change and after initiation of change.
Variables:
Staff attitudes and perceptions.
Patient attitudes and perceptions.
Rate of nursing staff turnover.
Develop the tools necessary to educate project participants and to evaluate project outcomes (surveys, questionnaires, teaching materials, PowerPoint slides, etc.).
Refer to the "Topic 4: Checklist."
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
Developing an Evaluation Plan
NRS-441V: Capstone Project
Topic 4: Checklist
- Described methods used to evaluate effectiveness of proposed solution. ____/ 4
- Described variables to be assessed when evaluating project outcomes. ____/ 4
- Developed tools necessary to educate project participants. _____ / 14
- Developed assessment tool(s) necessary to evaluate project outcomes. _____ /14
PLEASE WRITE THIS ASSIGNMENT PERTAINING TO THIS SOLUTION BELOW This is my solution (PICO statment)
How do the central line bundle practices compared to universal precautions reduces the central line associated blood stream infections (CLABSIs) in patients with central venous catheter.
I attached one reference I hope it helps.
Furuya, E.Y., Dick, A., Perencevich, E.N., Pogorzelska, M., Goldmann D., & Stone, P.W. (2011). Central Line Bundle Implementation in US Intensive Care Units and Impact on Bloodstream Infections. Retrieved from http://www(dot)plosone(dot)org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0015452
Developing an evaluation plan: Central line bundle practices and central–line associated bloodstream infections
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Introduction
Central line bundles have been proposed to reduce central–line associated bloodstream infections (CLABSIs). Blood stream infections are a leading cause of increasing mortality and morbidity of preventable hospital acquired infections (Furuya et al., 2011). The Central line handle has been promoted, but the approach’s effectiveness is no clear. There is no guarantee that execution of the bundles will be succesful and even when adopted there are still many cases of CLABSIs infections. Nonetheless, studies suggest that adopting bundle policies reduces rates of CLABSIs, highlighting the need to improve culture of safety upon adopting the bundles (Furuya et al., 2011). This paper highlights that central line bundle practices are effective in reducing central line associated blood stream infections in comparison to universal precautions in patients with central venous catheter. The paper also focuses on methods to improve effectiveness of central bundle practices, including tools to educate participants, variables in project outcome, and tools to evaluate project outcomes.
Methods to evaluate the effectiveness of proposed solution
In order to evaluate project’s progress, it is necessary to educate nurses on how to reduce incidences of CLABSI, while focusing on lowering mortality and morbidity. Additionally, relying on evidence-based practice is likely to have a positive impact in reducing CLABSI rates by focusing on ensuring compliance to bundle practices and ensuring that there is proper hand hygiene (Houser & Oman, 2011). Furthermore, the education sessions should focus on how to ensure precautions in case of venous catheter insertion. Overall, maintaining hygiene and safety while also sterilizing lines, reduces rate of preventable CLABSIs. An education program that addresses infection prevention facilitates successful implementation of central line bundle.
Nurses’ perception
Even though, various interventions have reduced morbidity, mortality, and costs associated with CLABSI, the role of nursing perceptions should not be ignored in implementing changes. Nurses should ideally have a positive view about the need to use central line bundles in order to improve health outcomes. Even when nurses know about guidelines, lack of process standardization may impact negatively on their perceptions. Nurses are also more motivated to use central line bundles when there is better organization, where equipment to ensure that central lines are well stocked. Essentially, the education should align the needs of improving patient outcome, while highlighting on ways to reduce workflow complexity.
Clinical nurse specialists’ perceptions
Clinical nurse specialists play an important role, as they bring together a team of nurses to improve success rates in managing infections. Essentially, an interdisciplinary team that implements strategies is best suited to ensure that nurses make the most appropriate decisions by relying on evidence-based practice when utilizing central line bundles. Clinical nurse specialists will ...