Harnessing implementation science to optimize harm prevention in critically ill children: A pilot study of bedside nurse CLABSI bundle performance in the pediatric intensive care unit.

ABSTRACT:

Objective

Central-line associated bloodstream infection (CLABSI) is associated with increased mortality, morbidity, and cost in hospitalized children. An evidence-based bundle of care can decrease CLABSI, but bundle compliance is imperfect. We explored factors impacting bundle performance in the pediatric intensive care unit (PICU) by bedside nurses.

Methods

Single-center cross-sectional electronic survey of PICU bedside nurses in an academic tertiary care center; using the COM-B (capability, opportunity, motivation) and TDF (theoretical domains framework) behavioral models to explore CLABSI bundle performance and identify barriers to compliance.

Results

We analyzed 160 completed surveys from 226 nurses (71% response rate). CLABSI knowledge was strong (capability). Ho

SUBMITTER: Woods-Hill CZ 

PROVIDER: S-EPMC7889766 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature