"Central Line Associated Bloodstream Infection Prevention in Medical In" by Linet Angir

Date of Conferral

1-24-2025

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Cara Krulewitch

Abstract

. The doctoral project was a collaborative endeavor focused on central line dressing sites at a state university hospital in the northeastern United States. The aim was to reduce the current central line-associated infections (CLABSIs) rate. Through audits, it was discovered that most central line dressings needed to be completely sealed, some required insertion site clipping to ensure a complete seal, and some dressings were saturated. To uphold a commitment to quality care, clinical excellence, patient care, and superior outcomes, the Doctor of Nursing Practice (DNP) project recognized the importance of implementing the recommendations to reduce CLABSIs by maintaining central venous catheter (CVC) line dressing adherence and proper dressing management. The results of the DNP project highlighted the importance of maintaining CVC dressing adherence as part of the CVC maintenance bundle (i.e., appropriate hand hygiene, sterility during line insertion, skin cleaning with chlorhexidine gluconate wipes, use of alcohol caps on infusible and access port, and early CVC removal) and the significant impact of evidence-based practice in reducing CLABSIs. Staff education, which involved power point presentations, a competency checklist, posters, and pre- and posttests, was instrumental in this success. The data collected from the pre- and posttests showed a mean pretest score of 78.40 and a posttest score of 88.80, and the calculated p value was less than 0.001, indicating an improvement in staff understanding of the importance of maintaining the CVC maintenance bundle. The daily audit results also demonstrated a significant improvement in central line dressing adherence and maintenance, with only three dressings out of 523 audits not meeting the requirements. No CLABSIs were reported after the project take-up, and the CLABSIs rate was reduced.

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