Adherence to the central line bundle in intensive care: An integrative review

Burke, Cherie; Jakub, Karen; Kellar, Ian

doi:10.1016/j.ajic.2020.11.014

Cited by 14 publications

(16 citation statements)

References 35 publications

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“…Despite its importance, adherence to this practice remains low in health services, as observed in this study. A systematic review that included 65 studies carried out in an ICU showed an average adherence rate of 40%, and an ideal percentage above 70% is considered for adherence (15) .…”

Section: Discussionmentioning

confidence: 99%

Adherence to central venous catheter maintenance bundle in an intensive care unit

Quadros

Stocco

Cristoff

et al. 2022

Rev. esc. enferm. USP

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Objective: To check adherence to the Central Venous Catheter maintenance bundle in an Intensive Care Unit, after an educational intervention to the professionals who provide care to patients using this catheter. Method: Descriptive-exploratory study, carried out in two stages: stage 1 – educational intervention and stage 2 – verification/observation of adherence. Data were organized in the Microsoft Excel® and analyzed through the Stata®. Results: Sixty three workers participated in stage 1 and 44 in stage 2. The sample consisted of 64 observation opportunities. Among the domains observed, the recording of indication of permanence had an 8% compliance rate; aseptic technique in catheter handling, 3%; maintenance of the infusion system, 15%; and care with the central venous catheter dressing, 17%. The domains represent unwanted care according to the Positivity Index for assessing the quality of care. Conclusion: The findings show the need for discussions, training, and investments in constant strategies for the prevention of primary bloodstream infections related to the central venous catheter.

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Section: Discussionmentioning

confidence: 99%

Adherence to central venous catheter maintenance bundle in an intensive care unit

Quadros

Stocco

Cristoff

et al. 2022

Rev. esc. enferm. USP

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“…Apesar da sua importância, a adesão a essa prática permanece baixa nos serviços de saúde, assim como verificado neste estudo. Uma revisão sistemática que incluiu 65 estudos realizados em uma UTI evidenciou a taxa média de adesão de 40%, sendo que, para a adesão, um percentual é considerado ideal se acima de 70% (15) . Entre as estratégias para melhorar a adesão à higiene de mãos está a realização da fricção com álcool gel, quando na ausência de fluídos corporais nas mãos.…”

Section: Discussionunclassified

Adesão ao bundle de manutenção de Cateter Venoso Central em uma Unidade de Terapia Intensiva

Quadros

Stocco

Cristoff

et al. 2022

Rev. esc. enferm. USP

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RESUMO Objetivo: Verificar a adesão ao bundle de manutenção do Cateter Venoso Central em uma Unidade de Terapia Intensiva, após intervenção educativa aos profissionais que realizam o cuidado aos pacientes em uso desse cateter. Method: Estudo descritivo-exploratório, realizado em duas fases, fase 1 – intervenção educativa, e fase 2 – verificação/observação da adesão. Os dados foram organizados no Microsoft Excel ® e analisados por meio do Stata®. Resultados: Participaram da fase 1 63 profissionais e da fase 2, 44. A amostra foi constituída de 64 oportunidades de observações. Entre os domínios observados, o registro de indicação de permanência apresentou 8% de taxa de conformidade; a técnica asséptica no manuseio do cateter, 3%; a manutenção do sistema de infusão, 15%; e os cuidados com o curativo do cateter venoso central, 17%. Os domínios representam uma assistência indesejada, conforme o Índice de Positividade de avaliação da qualidade da assistência. Conclusion: Os achados mostram a necessidade de discussões, treinamentos e investimentos em estratégias constantes para a prevenção de infecções primárias de corrente sanguínea relacionadas ao cateter venoso central.

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“…An integrative review of 19 studies found no studies reported complete adherence to all bundle elements. 8 Current evidence does not reveal a rigorous, well-tested, standardized intervention for improving CLABSI bundle adherence among nurses. Organizations try to prevent CLABSI with quality improvement (QI) strategies, including interventions to improve adherence through education, feedback, clinical reminders, bundles, and surveillance.…”

mentioning

confidence: 99%

“…However, adherence to bundles remains challenging, and there is little evidence for determining which interventions are most effective for changing professional behavior toward adherence. [8][9] The actual average rate of maintenance CLABSI bundle adherence for adult patients is not known. Statistics regarding adherence to the CL maintenance bundle are underreported and difficult to find.…”

mentioning

confidence: 99%

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Nurses’ Perceptions of Adherence to the Central Line Maintenance Bundle: Linkages to Thoughts, Emotions, and Behavior

et al. 2023

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The U.S. Centers for Disease Control established the central line maintenance care bundle in 2011, yet nurses’ adherence to all seven components remains challenging. The specific aim of this study was to explore and understand intensive care nurses’ perceptions and beliefs regarding central line maintenance, bundle care elements, and associated adherence. This qualitative study used a phenomenological approach. Three main themes emerged as follows: (1) thoughts about the ability to adhere to the central line bundle created feelings about central line maintenance care, (2) feelings about the nurses’ ability to adhere to the central line bundle influenced behaviors, and (3) behaviors for central line bundle adherence reinforced thoughts. Each theme had several subthemes. Organizations must assess and mitigate the unique cognitive and behavioral factors that affect nurses’ adherence to the central line-associated bloodstream infection (CLABSI) maintenance bundle. In addition, nursing adherence requires knowledge of CLABSI rates and direct care nurse involvement in identifying solutions.

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Adherence to the central line bundle in intensive care: An integrative review

Cited by 14 publications

References 35 publications

Adherence to central venous catheter maintenance bundle in an intensive care unit

Adherence to central venous catheter maintenance bundle in an intensive care unit

Adesão ao bundle de manutenção de Cateter Venoso Central em uma Unidade de Terapia Intensiva

Nurses’ Perceptions of Adherence to the Central Line Maintenance Bundle: Linkages to Thoughts, Emotions, and Behavior

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