Abstract
Clinical staff perspectives on the implementation of a national care bundle for care of Central venous catheters for haemodialysis
Infection, Disease & Health, Vol.26(Supplement 1), pp.S8-S8
International Australasian College for Infection Prevention and Control (ACIPC) online conference (07-Nov-2021 - 10-Nov-2021)
2021
Abstract
Central Venous Catheters (CVC) are essential to providing haemodialysis topatients with chronic renal failure. Guidelines for CVC insertion and care aim toreduce infection rates. In Australia, evidence suggests there is considerablevariation in dialysis catheter practices. The National Reducing the burden ofdialysis catheter complications study involved implementation of a care bundleto standardise practice. Care bundle success is influenced by implementationprocesses and behaviour change. This study evaluated the implementation of acare bundle for CVC insertion, maintenance, and removal.Semi-structured face-to-face interviews were conducted with Australianrenal health professionals pre- and post-implementation of the care bundle.Participants were recruited from eight of the 37 renal units in Australiaparticipating in the larger study. A qualitative content analysis approach wasused, based on a priori categories.Key enablers of care bundle uptake included site identified bundlechampions driving practice change. Most sites were practicing the majorityof the care bundle directives prior to implementation, perceiving minimalneed for practice change. Additionally, knowledge of low infection rates, atmany sites, justified staff perceptions that change was not required. Barriersto successful care bundle uptake arose from silos of practice, decreasingcoordination of the teams involved. The standardised information sheet forconsumers led to deviation from the bundle at most sites.Practice change through national standardisation of care is challenging.Existing evidence-based catheter guidelines belie high acceptance of evi-dence driven practice. Perspectives of health professionals involved in suchchanges are critical to informing sustainability of this evidence-based care bundle.
Details
- Title
- Clinical staff perspectives on the implementation of a national care bundle for care of Central venous catheters for haemodialysis
- Authors
- Alison Craswell (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - LegacyDebbie Massey (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - LegacyMarianne Wallis (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - LegacyDeepa Sriram (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - LegacyNicholas Gray (Author) - Sunshine Coast Hospital and Health ServiceSradha Kotwal (Author) - The George Institute for Global Health
- Publication details
- Infection, Disease & Health, Vol.26(Supplement 1), pp.S8-S8
- Conference details
- International Australasian College for Infection Prevention and Control (ACIPC) online conference (07-Nov-2021 - 10-Nov-2021)
- Publisher
- Elsevier BV
- DOI
- 10.1016/j.idh.2021.09.029
- ISSN
- 2468-0869
- Organisation Unit
- UniSC Clinical Trials Centre; School of Health and Behavioural Sciences - Legacy; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy; School of Health - Nursing
- Language
- English
- Record Identifier
- 99585108802621
- Output Type
- Abstract
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