Formative Evaluation of CLABSI Adoption and Sustainment Interventions in a Pediatric Intensive Care UnitShow full item record

Title	Formative Evaluation of CLABSI Adoption and Sustainment Interventions in a Pediatric Intensive Care Unit
Author	Patton, Lindsey J.; Morris, Angelica; Nash, Amanda; Richards, Kendel; Huntington, Leslie; Batchelor, Lori; Harris, Jenna; Young, Virginia; Howe, Carol J.
Date	3/1/2024
Description	Background: Pediatric patients require central venous catheters to maintain adequate hydration, nutritional status, and delivery of life-saving medications in the pediatric intensive care unit. Although central venous catheters provide critical medical therapies, their use increases the risk of severe infection, morbidity, and mortality. Adopting an evidence-based central line-associated bloodstream infection (CLABSI) bundle to guide nursing practice can decrease and sustain low CLABSI rates, but reliable and consistent implementation is challenging. This study aimed to conduct a mixed-methods formative evaluation to explore CLABSI bundle implementation strategies in a PICU.Methods:The team used The Consolidated Framework for Implementation Research to develop the interview guide and data analysis plan.Results:Facilitators and barriers for the CLABSI bundle occurred in four domains: inner setting, process, characteristics of individuals, and innovation characteristics in each cycle that led to recommended implementation strategy opportunities. The champion role was a major implementation strategy that facilitated the adoption and sustainment of the CLABSI bundle.Conclusions:Implementation Science Frameworks, such as Consolidated Framework for Implementation Research (CFIR), can be a beneficial framework to guide quality improvement efforts for evidence-based practices such as the CLABSI bundle. Using a champion role in the critical care setting may be an important implementation strategy for CLABSI bundle adoption and sustainment efforts.
Link	https://doi.org/10.1097/pq9.0000000000000719 https://repository.tcu.edu/handle/116099117/65988
Department	Nursing