The Power of Nurse Preceptors to Influence Practice Related to Central Line-Associated Bloodstream Infections
View File(s)
Author Information
- Author(s)
- Details
-
Judy Smith, RN, MSN, CRNI; Kenn M. Kirksey RN, PhD, ACNS-BC; Mary Viney RN, MSN, CPHQ
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Smith, Judy S. by View
Title | Page Views |
---|
Popular Works for Smith, Judy S. by Download
Title | Downloads |
---|
View Citations
Citations
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.
Item Information
Item Link - Use this link for citations and online mentions.
Abstract
(41st Biennial Convention) Background: The Joint Commission issued a National Patient Safety Goal for prevention of central line-associated bloodstream infections (CLABSI). The Centers for Disease Control and Prevention report 250,000 cases of CLABSI annually in the United States (US) with a cost of $25,000 per episode and a mortality rate of 12%. In our study examining behavioral intention to utilize best practice disinfection techniques when "scrubbing the hub," we found that nurse peers exerted the greatest influence over this crucial element in prevention of CLABSI.
Methods: Based upon these findings, conversations were conducted with 37 staff nurse preceptors. Goals included: 1) to appreciate their powerful influence over nursing practice; 2) to validate comprehension of hospital policies related to central line care and maintenance; and 3) to discover obstacles to best practice implementation.
Results: Complex patient care has placed myriad demands on nurses' time, often resulting in frustration with multi-tasking which can lead to sub-optimal best practice implementation. Inadequate time for retrieval, appraisal and translation of best practice information and delays in dissemination of policy updates were also perceived negatively. Positive perceptions included a desire to enhance patient outcomes through sharing of stories, and a willingness to offer and receive feedback as members of a high reliability organization. Preceptors expressed appreciation for having a voice in the organization.
Implications: Preceptors should have opportunities to develop skills in time management and priority setting for the prevention of CLABSI. Sharing patient stories about CLABSI creates a connection between data and real life persons with whom the nurse has developed therapeutic relationships. This capitalizes on the caring nature of the nurse-patient bond and produces a nursing value system based in the affective learning domain. Organizational leaders should explore opportunities for direct care providers to engage in meaningful discourse about optimal best practices for CLABSI prevention.
Funder(s)
Description
41st Biennial Convention - 29 October-2 November 2011. Theme: People and Knowledge: Connecting for Global Health. Held at the Gaylord Texan Resort & convention Center.
Repository Posting Date
2012-01-11T11:13:25Z
Notes
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.
Type Information
Type | Presentation |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Category Information
Evidence Level | |
Keywords | Central Venous Catheter; Influence; Preceptor |
Conference Information
Name | 41st Biennial Convention: People and Knowledge: Connecting for Global Health |
Host | Sigma Theta Tau International |
Location | Grapevine, Texas USA |
Date | 2011 |
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Effectiveness of Central Venous Catheter Needleless Connectors & Protective Caps in Reducing Central Line Associated Blood Stream Infections
Nelson, Susan K (2015-01-15)Session presented on Thursday, September 25, 2014: The Effectiveness of Central Venous Catheter Needleless Connectors and Protective Caps in Reducing Central Line Associated Blood Stream Infections. Abstract Background ... -
Data Analytics for Diagnosis and Prediction of Central Line-Associated Bloodstream Infections in Critical Care Units
Hooshmand, Mary A.; Moghaddass, Ramin; Toledo, Christine; Skordilis, ErotokritosCentral line-associated bloodstream infections (CLABSI) are among leading causes of in-hospital deaths in the US and are a significant factor for increased morbidity, mortality and health care costs. This study examined ... -
Reduced Central Line-Associated Bloodstream Infection by Application of Integrated Evidence-Based Care Bundle in Critically Ill Patients
Shiung, Tao-Fen; Lu, Shu-Fen; Chou, Shin-shang (2012-01-04)(41st Biennial Convention) Central venous catheter-associated bloodstream infections (CBI) are frequent causes of morbidity and mortality in intensive care units (ICU). The purpose of this study is to apply an integrated ... -
Creating a nursing scholarship strategic vision to transform nursing practice
Kirksey, Kenn M.; Mick, JoAnn M.; Keller-Unger, Jan; Moore, Lourdes R.; Waters, Phyllis Jean; McGlory, Gayle (2016-03-21)Session presented on Tuesday, November 10, 2015: Background: Nurse leaders at our academic safety net healthcare system have long been resolute in promoting an environment where high quality, patient-centered, fiscally ... -
Successful Institution-Wide Sustained Reduction in Central Line Associated Bloodstream Infection (CLABSI) Using a Multidisciplinary Approach
Pakieser-Reed, Katherine; Miller, Megan; Garcia-Houchins, Sylvia (2014-11-17)Session presented on Sunday, July 27, 2014: Purpose: Central Line Associated Bloodstream Infection (CLABSI), a significant cause of morbidity and mortality in hospitalized patients, has been identified as a never event ...