Using Kamishibai Cards to Identify Barriers and Display Adherence to the Central Line-Associated Bloodstream Infection Prevention Bundle.

IF 1.1 4区医学 Q3 NURSING

Clinical Nurse Specialist Pub Date : 2025-03-01 DOI:10.1097/NUR.0000000000000879

Shelly L Brown, Dori L Klemanski, Joni Tornwall, Michelle M Ross, Kristine K Browning

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引用次数: 0

Abstract

Purpose: Central line-associated bloodstream infection (CLABSI) rates have been consistently high at an academic comprehensive cancer hospital. CLABSI prevention bundles can mitigate central line infections, and many components focus on nursing practice. Identification of barriers to maintaining adherence to these elements is not always assessed or addressed. The purpose of this project was to increase adherence to CLABSI prevention nursing practices and to implement a sustainable program to elevate nurses' skills and documentation of CLABSI prevention bundle components.

Description: Pre-implementation/post-implementation chart reviews, post-implementation visual audits, and a survey for nurses post project were completed over a 9-week period. This project identified and addressed barriers to CLABSI prevention bundle compliance. Audits assessed nursing practice elements of the CLABSI prevention bundle. Evidence-based Kamishibai cards (K-cards) were used as a visual audit tool to display compliance of CLABSI bundle elements.

Outcomes: Compliant documentation of daily chlorhexidine gluconate (CHG) bathing increased to 75%. Inconsistent communication practices and knowledge gaps were frequent barriers to compliance. Seventy-five percent of nurses reported the K-card display changed their own CLABSI prevention practices.

Conclusion: This project increased knowledge, adherence to CLABSI prevention practices, and awareness of components most often missed.

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使用Kamishibai卡片识别障碍并显示对中心线相关血流感染预防束的依从性。

目的：中心静脉相关血流感染（CLABSI）率一直居高不下的学术综合性肿瘤医院。CLABSI预防包可以减轻中心静脉感染，许多组件侧重于护理实践。对维持遵守这些要素的障碍的识别并不总是得到评估或处理。该项目的目的是提高对CLABSI预防护理实践的依从性，并实施一项可持续的计划，以提高护士的技能，并记录CLABSI预防包的组成部分。描述：在9周的时间内完成了实施前/实施后图表审查、实施后视觉审计和护士岗位项目调查。该项目确定并解决了CLABSI预防包遵从性的障碍。审计评估了CLABSI预防包的护理实践要素。基于证据的Kamishibai卡片（K-cards）被用作可视化审计工具来显示CLABSI束元素的遵从性。结果：每日葡萄糖酸氯己定（CHG）沐浴的合规记录增加到75%。不一致的沟通实践和知识差距是合规的常见障碍。75%的护士报告说，k卡显示改变了他们自己的CLABSI预防措施。结论：该项目增加了对CLABSI预防实践的知识、依从性以及对最常被遗漏的组件的认识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Nurse Specialist 医学-护理

CiteScore

1.50

自引率

16.70%

发文量

审稿时长

>12 weeks

期刊介绍： The purpose of Clinical Nurse Specialist™: The International Journal for Advanced Nursing Practice is to disseminate outcomes of clinical nurse specialist practice, to foster continued development o fthe clinical nurse specialist role, and to highlight clinical nurse specialist contributions to advancing nursing practice and health policy globally. Objectives of the journal are: 1. Disseminate knowledge about clinical nurse specialist competencies and the education and regulation of practice; 2. Communicate outcomes of clinical nurse specialist practice on quality, safety, and cost of nursing and health services across the continuum of care; 3. Promote evidence-based practice and innovation in the transformation of nursing and health policy for the betterment of the public welfare; 4. Foster intra-professional and interdisciplinary dialogue addressing nursing and health services for specialty populations in diverse care settings adn cultures.