卡片式健康教育法对中心静脉导管维护集束依从性的影响
Impact of Kamishibai Card Process on Compliance With the Central Venous Line Maintenance Bundle.
作者信息
Frith Julia, Hampton Debbie, Pendleton Michelle, Montgomery Vicki L, Isaacs Pam
机构信息
Norton Healthcare, Louisville, Kentucky (Drs Frith and Pendleton and Ms Isaacs); University of Kentucky College of Nursing, Lexington (Dr Hampton); and Pediatric Critical Care Medicine, University of Louisville, and Division of CARE Innovation at Norton Children's Hospital, Louisville, Kentucky (Dr Montgomery).
出版信息
J Nurs Care Qual. 2020 Jan/Mar;35(1):34-39. doi: 10.1097/NCQ.0000000000000405.
BACKGROUND
The Kamishibai Card (K-Card) process is a storytelling methodology designed to help identify barriers and remove or redesign them.
PURPOSE
The purpose of this study was to evaluate the effectiveness of the K-Card process for central venous line (CVL) maintenance bundle compliance in a pediatric intensive care unit.
METHODS
A retrospective evaluation of the implementation of the K-Card process was performed using a pretest and posttest design.
RESULTS
A total of 1003 central venous catheter maintenance observations were completed during the study period. A statistically significant change was noted in one element of the CVL maintenance bundle, tubing timed and dated. The most frequent cause for noncompliance with the CVL maintenance bundle was incomplete communication during handoff, followed by device associated factors (failure of device, use of device, and availability of device).
CONCLUSIONS
The K-Card process had a positive impact on CVL maintenance bundle compliance in the study setting.
背景
绘本卡片流程是一种故事讲述方法，旨在帮助识别障碍并消除或重新设计这些障碍。
目的
本研究的目的是评估绘本卡片流程对儿科重症监护病房中心静脉导管维护集束依从性的有效性。
方法
采用前后测试设计对绘本卡片流程的实施进行回顾性评估。
结果
在研究期间共完成了1003次中心静脉导管维护观察。中心静脉导管维护集束的一个要素（管路标注时间和日期）出现了具有统计学意义的变化。中心静脉导管维护集束不依从的最常见原因是交接班时沟通不完整，其次是与设备相关的因素（设备故障、设备使用和设备可用性）。
结论
在本研究环境中，绘本卡片流程对中心静脉导管维护集束依从性产生了积极影响。
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