Date of Conferral

2021

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Edna Hull

Abstract

AbstractCentral venous catheters (CVC) are essential in both critical and noncritical care settings. Despite benefits such as the administration of medications, blood products, and parenteral nutrition, CVCs are also associated with infections known as central–line associated blood stream infections (CLABSI). Linked to knowledge deficit and noncompliance in following evidence-based care bundles by nurses, it is important that nurses are empowered through education to provide quality care to reduce CLABSI rates. Thus, a staff education program was developed to answer the practice-focus question: if an organized education program increases the knowledge of medical-surgical nurses on central line care and management procedures for reducing CLABSI. The project was guided by Rogers’ theory of diffusion, adult learning theory, and the John Hopkins evidence-base practice model. Following a literature review to identify current, best practices for managing CVCs, the staff education program was implemented on the target nursing unit using a 10-item pretest/posttest exam to answer the practice-focused question. With a participant group of 40 staff nurses attending the program, a t test showed a statistically significant increase in pretest mean score from 64.19 to a posttest mean of 81.38. The program supports the education needs of nurses working with and managing CVCs. The potential for positive social change includes promoting advocacy in nurses who aspire to make a difference in achieving positive patient outcomes. Last, results can also be added to the existing body of knowledge on translating project findings to clinical practice.

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