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dc.creatorPatton, Lindsey J.
dc.creatorMorris, Angelica
dc.creatorNash, Amanda
dc.creatorRichards, Kendel
dc.creatorHuntington, Leslie
dc.creatorBatchelor, Lori
dc.creatorHarris, Jenna
dc.creatorYoung, Virginia
dc.creatorHowe, Carol J.
dc.date.accessioned2024-09-25T21:35:58Z
dc.date.available2024-09-25T21:35:58Z
dc.date.issued3/1/2024
dc.identifier.urihttps://doi.org/10.1097/pq9.0000000000000719
dc.identifier.urihttps://repository.tcu.edu/handle/116099117/65988
dc.descriptionBackground: 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.
dc.languageen
dc.publisherOvid Technologies (Wolters Kluwer Health)
dc.sourcePEDIATRIC QUALITY AND SAFETY
dc.titleFormative Evaluation of CLABSI Adoption and Sustainment Interventions in a Pediatric Intensive Care Unit
dc.typeArticle
dc.rights.licenseCC BY 4.0
local.collegeHarris College of Nursing and Health Sciences
local.departmentNursing
local.personsHowe (NURS)


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