Clinical Patient and Family Education Specialist for the Center of Cancer and Blood Disorders and Health Literacy Program, Children's Hospital Colorado, United States of America.
Pediatric Hospitalist, Children's Hospital Colorado, United States of America.
J Pediatr Nurs. 2019 Mar-Apr;45:67-72. doi: 10.1016/j.pedn.2018.09.006. Epub 2018 Nov 30.
This study aimed to examine the impact of group-based central venous catheter education (CVC) on the knowledge, skill and comfort of caregivers, length of stay (LOS) related to initial CVC placement and 30-day return hospital visit for central line associated blood stream infections (CLABSI).
This pilot study employed a pretest-posttest design comparing retrospective data collected before implementation of the group-based education (GLAD Model). Data were collected from children's caregivers before and after taking the educational class through use of the Comfort Survey, and collected though the electronic medical record. The data were analyzed using SPSS 24, repeated measures analysis of variance, and t-test.
Pre-post difference with the Comfort Survey indicated significant increase (M = 0.49, SD = 0.79), t(92) = 6.05, p = 0.001, d = -0.62) for skill, knowledge and comfort for the pre- and the post 2 (1 month after) and 3 (2 months after). After GLAD Model implementation, LOS related to initial CVC placement during retrospective review declined from 29.7 days to 27.7 and 30-day return hospital visit declined from twelve to zero. Our results suggest that use of the GLAD Model educational program might be effective in improving caregiver knowledge, skill and comfort as well as LOS and 30-day return hospital visit.
This study suggests that group-based, education with use of the GLAD Model should to be considered as an effective educational intervention in providing caregivers CVC education. This may help care for their child at home while enhancing their hospital experience and decreasing unplanned hospital visits.
本研究旨在探讨基于小组的中心静脉导管教育（CVC）对护理人员的知识、技能和舒适度的影响，以及与初始 CVC 放置相关的住院时间（LOS）和 30 天内因中心静脉相关血流感染（CLABSI）返回医院就诊的情况。
本试点研究采用了预测试-后测试设计，比较了在实施基于小组的教育（GLAD 模型）之前收集的回顾性数据。通过使用舒适度调查，在参加教育课程前后从儿童护理人员那里收集数据，并通过电子病历收集数据。使用 SPSS 24 进行数据分析，重复测量方差分析和 t 检验。
舒适度调查的前后差异表明，技能、知识和舒适度都有显著增加（M=0.49，SD=0.79），t（92）=6.05，p=0.001，d=-0.62），为 2（1 个月后）和 3（2 个月后）次预-后和后测。在 GLAD 模型实施后，回顾性审查中与初始 CVC 放置相关的 LOS 从 29.7 天降至 27.7 天，30 天内返回医院就诊的次数从 12 次降至 0 次。我们的结果表明，使用 GLAD 模型教育计划可能会有效提高护理人员的知识、技能和舒适度，以及 LOS 和 30 天内返回医院就诊的情况。
本研究表明，基于小组的、使用 GLAD 模型的教育应该被视为向护理人员提供 CVC 教育的有效教育干预措施。这有助于他们在家照顾孩子，同时增强他们的医院体验并减少计划外的医院就诊次数。
