CLABSI Prevention: Concept Analysis

Background

The Central Line-Associated Blood Stream Infections (CLABSI) happens when germs and bacteria enter into the central line of a patient and to the bloodstream (McCurdy, 2020). Actions such as good hand hygiene before insertion, using precautions on the maximal sterile barrier, and adhering to aseptic techniques have helped in the prevention of infections (McCurdy, 2020). The Central Line-Associated Blood Stream Infections have proven to be harmful to the patient and the hospitals altogether (Hanson, 2017). A study was done about quality improvement training projects affecting rates of CLABSI for an environment caring healing in the intensive care unit of cardiac hence contributing to a patient safety culture that empowers the staff to speak anytime a protocol is breached (Hanson, 2017). This caring environment has motivated the staff to be precautious towards the prevention of infections in their patients hence creating great healthcare for the latter. The project proved that a comprehensive training project is good for use to attain success in other institutions as it helped in minimizing the high rates of CLABSIs in the cardiac intensive care units.

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CLABSIs cost the institutions of healthcare approximately$4500 in each infection hence an 18.1% mortality rate being the most severe infections acquired in hospitals (Hanson, 2017).7 days’ average hospitalization extensions are made and initiations of antibodies when patients acquire CLABSI according to the institute of healthcare improvement. Over four thousand, one hundred infections that can be prevented occur in the united states alone according to the disease control and prevention (Helder, 2016). The motivation to nurses is towards optimizing care quality and promoting wellness of patients to decrease the CABSI rates (Hanson, 2017). The study was done to investigate a design or intervention to achieve the above objective.

Purpose

This study’s main purpose was in order to determine if a training program that was comprehensive that also promoted the patient safety culture, and an environment that is caring to heal would facilitate the reduction the 3.4 inventions rate in a thousand central line day of 2014 to no infections in the intensive care unit dealing with cardiac (Hanson, 2017). Though it is a threat to the patient's lives, the CLABSIs are avoidable. The threat is expensive to an institution because it affects the financial reimbursement while also putting the hospital in a compromising reputation. Actions that reduce the CLABSIs are viewed as of high importance (Hanson, 2017).

Methods

Jean Watson’s theory of human caring was the theoretical framework of the study. The practice in this theory entails equanimity, love, and kindness, own spiritual practice cultivation towards wholeness, allowing the occurrence of miracles and being part of a caring and healing environment (Hanson, 2017). This allows the nurse to talk when there is a breach of protocol, and the infection prevention relied on the authentic nurse’s presence with patients and also and also the will of taking extra steps towards preventing the infections of bloodstreams from happening (Hanson, 2017). This theory docks the ethical commitment that enhances and protects human dignity while respecting the needs of the patients, which is a very crucial thing to the patient in the intensive care unit (Hanson, 2017). A caring healing environment was created by the project because the health practitioners were present with the patients authentically hence the provision of an environment of care that is safe through human dignity enhancement (Hanson, 2017).

Data Sources

The data of CLABSI rates were collected between June and August, while the posttest got administered the following month (Hanson, 2017). After the collection of all posttests, the data analysis was completed. Augmented knowledge of the infection rates through the competence training tool was demonstrated by the evaluation methods Hanson, 2017).

Implication for Practices

The results that were achieved from the study showed that their positive overall relationship between the decrease of the infection rate and the educational intervention implementation (Hanson, 2017). From the study, it can be assumed that policy baseline acquiescence and other procedures related to PICCS before the intervention was done were poor because after education was received, there was an increase in compliance that contributed to the infection rate decrease (Hanson, 2017).

Conclusions

In 2014 there was the unacceptability of the CLABSI rates in the cardiac intensive care units with 3.4 infections in every thousand central line days (Hanson, 2017). Through the CLABSI reducing training program that was comprehensively driven by the philosophy of caring-healing in the following year, the reduction dropped to 1.2 to every 1000 central line days throughout the period that observation was going on. The Watson caring theory was very effective, and through the addressing of health practitioners on their technical skills, teamwork, and effectiveness was achieved (Hanson, 2017).

Summary

Decreasing Central Line-Associated Bloodstream Infection Rates in the Context of a Caring-Healing Environment is effective (Hanson, 2017). A Patient Safety Program Evaluation was conducted in order to analyze ways in which the CLABSIs could be reduced (Hanson, 2017). A training program with competence training tools was implemented through Watson's theory, which proved effective by helping the rates of infection to drop from 3.4 in 1000 central line day to 1.2 in a span of one year (Hanson, 2017). Better care was attained and also good performances in the cardiac intensive care unit.

References

Hanson, D. (2017). Reducing central line-associated bloodstream infection rates in the context of a caring-healing environment. Journal of Infusion Nursing, 40(2), 101-110. https://www.ingentaconnect.com/content/wk/nan/2017/00000040/00000002/art00005

https://www.sciencedirect.com/science/article/pii/S0196655319310843

Ista, E., van der Hoven, B., Kornelisse, R. F., van der Starre, C., Vos, M. C., Boersma, E., & Helder, O. K. (2016). Effectiveness of insertion and maintenance bundles to prevent central-line-associated bloodstream infections in critically ill patients of all ages: a systematic review and meta-analysis. The Lancet Infectious Diseases, 16(6), 724-734. https://www.sciencedirect.com/science/article/pii/S1473309915004090

Stroever, S., Boston, K., Ellsworth, M., Cuccaro, P., & McCurdy, S. (2020). Qualitative process evaluation of a central line-associated bloodstream infection (CLABSI) prevention team in the neonatal intensive care unit. American Journal of Infection Control. https://www.sciencedirect.com/science/article/pii/S0196655319310843