Becoming Parent and Nurse: High-Fidelity Simulation in Teaching Ambulatory Central Line Infection Prevention to Parents of Children with Cancer

Rosenberg, Carol; Terhaar, Mary; Ascenzi, Judith; Walbert, Anna; Kokoszka, K. Michelle; Perretta, Julianne S.; Miller, Marlene R.

doi:10.1016/j.jcjq.2017.02.007

Cited by 12 publications

(17 citation statements)

References 30 publications

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“…The consistent theme among evidence addressing caregiver learning is that implementation of standardized educational content, using structured, yet individualized methods, and tiered educational sessions are preferred. Furthermore, the use of checklists and repeat demonstrations has been shown to improve the competence of the caregiver (Drews et al, 2017;Heiser Rosenberg et al, 2017;Landier et al, 2016;Secola et al, 2012). Incorporating these recommendations into caregiver education programs ensures that best practices guide how parents are taught, thus optimizing their ability to learn.…”

Section: Caregiver Educationmentioning

confidence: 99%

Decreasing Central Line–Associated Bloodstream Infections Acquired in the Home Setting Among Pediatric Oncology Patients

Altounji

McClanahan

O'Brien

et al. 2020

J Pediatr Oncol Nurs

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Most children receiving cancer treatment require a central venous catheter (CVC), putting them at risk for central line–associated bloodstream infections (CLABSI). As patients are discharged home with a CVC in place, caregivers are expected to maintain the CVC following an in-hospital education session before their first discharge home. Following a review of the literature, the education process was modified to improve the quality of education for caregivers. While the existing step-by-step handbook was reviewed and deemed aligned with best practices, other materials were added for this project: a caregiver skills competency checklist, a handout reviewing oral care and hygiene in the home, and a guide for nurses on what materials to provide families at the time of diagnosis. Additionally, caregivers were required to receive two additional CVC care reinforcement sessions during subsequent admissions to the inpatient units, which involved redemonstrations of skills using the competency checklist. Home-acquired CLABSI in pre- and postintervention groups were compared, and compliance of reinforcement education was measured. Though no statistical significance was found, the odds of experiencing a CLABSI were found to be higher in the preintervention group for mucosal-barrier injury (odds ratio = 2.23; 95% confidence interval [0.43, 22.10]) and laboratory-confirmed bloodstream infections (odds ratio = 4.53; 95% confidence interval [0.59, 203.71]). The clinical significance of reducing home-acquired CLABSI has a positive impact on patient outcomes by decreasing morbidity and mortality, inpatient lengths of stay, and overall health care costs.

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Section: Caregiver Educationmentioning

confidence: 99%

Decreasing Central Line–Associated Bloodstream Infections Acquired in the Home Setting Among Pediatric Oncology Patients

Altounji

McClanahan

O'Brien

et al. 2020

J Pediatr Oncol Nurs

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“…SBE allows participants to practice using a realistic, hands-on platform that increases confidence and helps identify performance gaps that may be addressed and closed prior to their child's discharge. 12 Similar success has been seen with other types of technologies such as ventricular assist devices 13 and central lines 14 where SBE led to improved self-care skills and knowledge compared to traditional methods.…”

Section: Benefits Of Simulation To Home Caregiversmentioning

confidence: 72%

Advocating for Your Patients and Families: Simulation as an Educational Tool for Home Caregivers of Children with Chronic Conditions

Diaz¹,

Arnold²

2021

Pediatr Ann

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Simulation-based education for home caregivers of children with chronic conditions provides hands-on training set in a safe, confidential, supportive learning environment that is founded on the principles of patient-and family-centered care. This type of education and approach has been favored over traditional educational methods and may also improve caregivers' comfort, confidence, knowledge, skills, and ability to manage their child's routine and emergent care at home. Pediatricians play a vital role in this type of education as an advocate for their patients and families and as key stakeholders and collaborators in the process. Open collaboration and information sharing among home caregivers, simulation experts, pediatricians, and the rest of the medical team can lead to the development and implementation of successful simulation curricula. This in turn has the potential to lead to improved patient safety, quality of care, and patient outcomes. [Pediatr Ann. 2021;50(1):e39-e43.]

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“…52,53 Additionally, parental knowledge of IPC, and ability to recognise non-adherence to best practices by health care workers increased post home central-line care education. 54 Their study showed the greatest overall improvement in IPC practices, through the use of high-fidelity simulation with parents.…”

Section: Parents' Willingness To Take An Active Rolementioning

confidence: 98%

“…25,51 Five educational intervention studies related to this topic were included and summarised in Table (3b). [52][53][54][55][56] Two themes identified were: Consumer knowledge and attitudes to IPC and transmission-based precautions, and Parents' willingness to take an active role in infection prevention. Consumer knowledge and attitudes to IPC and transmission-based precautions Over half of the parents felt strongly about glove and mask use by health care workers when caring for patients 49 , identifying that appropriate use could help or inhibit the spread of infectious diseases.…”

Section: Consumers and Infection Prevention And Controlmentioning

confidence: 99%

Paediatric nurses’, children's and parents’ adherence to infection prevention and control and knowledge of antimicrobial stewardship: A systematic review

Kilpatrick

Hutchinson

Manias

et al. 2021

American Journal of Infection Control

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Introduction: Infection prevention and control precautions help to decrease microbial transmission, and through the appropriate use of antibiotics, Antimicrobial Stewardship programs aim to decrease the prevalence and emergence of Antimicrobial Resistance. Methods: A systematic review was undertaken to critically appraise and synthesise evidence for nurses', children's and parents' knowledge and understanding of antimicrobial stewardship, and of infection prevention and control in acute paediatric care settings. The Preferred Reporting Items for Systematic reviews and Meta-Analyses guided the review. Studies were included if they examined the factors that contributed to nurses' adherence to, or consumers' practice in relation to, antimicrobial stewardship and infection prevention and control. Results: Of the 16,957 papers identified, 50 studies conducted in acute paediatric settings met the eligibility criteria, and were included. Most studies were of low methodological quality. Fourteen studies evaluated nurses' knowledge and self-reported adherence to Infection Prevention and Control principles and identified consistent practice gaps by nurses. Six studies evaluating the effectiveness of education programs reported modest improvements in nurses' knowledge and adherence to infection prevention and control. There were 15 studies, that investigated consumers' involvement in infection prevention and control that identified the following themes: Consumer knowledge and attitudes to infection prevention and control and transmissionbased precautions, and parents' willingness to take an active role in infection prevention. Six studies focused on paediatric nurses' role in antimicrobial stewardship, exploring the following themes: (1) nurses' understanding and beliefs of antimicrobial stewardship roles, and (2) barriers to nurses taking a greater role in antimicrobial stewardship. Nine studies explored the role of consumers in antimicrobial stewardship and identified consumers' misconceptions about the benefits and downplayed concerns regarding antibiotic use. Discussion: Although consumers articulated a willingness to be actively involved in infection prevention, observed practice remained lower than that required to consistently prevent infection transmission. Conclusion: These findings highlight a critically important gap in current practice. In relation to optimal use of antimicrobials, although paediatric nurses were involved in supporting antimicrobial stewardship processes and educating consumers, they identified limited antimicrobial stewardship knowledge. Consumers appeared to lack understanding about the benefits of antibiotics and negated concerns regarding antibiotic use.

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Becoming Parent and Nurse: High-Fidelity Simulation in Teaching Ambulatory Central Line Infection Prevention to Parents of Children with Cancer

Cited by 12 publications

References 30 publications

Decreasing Central Line–Associated Bloodstream Infections Acquired in the Home Setting Among Pediatric Oncology Patients

Decreasing Central Line–Associated Bloodstream Infections Acquired in the Home Setting Among Pediatric Oncology Patients

Advocating for Your Patients and Families: Simulation as an Educational Tool for Home Caregivers of Children with Chronic Conditions

Paediatric nurses’, children's and parents’ adherence to infection prevention and control and knowledge of antimicrobial stewardship: A systematic review

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