Research Proposal to Limit Stream Infection in Central Venous Catheters Research Proposal by scribbler

Research Proposal to Limit Stream Infection in Central Venous Catheters
A research proposal to explore if education is the key factor in the management of antimicrobial-impregnated catheters (A-CVCs) as well as in standard CVCs and catheter line associated bloodstream infection (CLABSI) rate reduction.
# 153197 | 3,545 words | 15 sources | APA | 2013 | US
Published on May 06, 2013 in Medical and Health (Medical Studies) , Medical and Health (Nursing)


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Description:

In this research proposal, the author investigates and advises on the efficacy of education in the use of antimicrobial- impregnated central venous catheters (A-CVCs). The paper explains that significant controversy surrounds the effectiveness and usefulness of A-CVCs regarding the prevention of catheter-related bloodstream infections (CRBSIs); this nursing research proposal examines if better education in the use of all the available equipment will ameliorate the mediocre CLABSI reduction rates with A-CVCs. The paper goes on to outline the development, implementation, and evaluation of an evidence-based educational program that aims to engender core competencies to all health care providers and educators in the safe deployment of standard CVCs as well as antimicrobial-impregnated catheters. The paper finds that this infection prevention regimen has proven to be successful in reducing CLABSIs and improving clinical practice which in turn promotes greater patient outcomes. The paper predicts that the design of the nurse utilization review proposal should drop the CLABSI rates significantly as well as provide unexpected cost savings.

Outline:
Abstract
Problem Identification and Description
Literature Review
Methodology of Intervention
Structure Training Module
Evaluation
Hypothesis
Implementation
Detailed Implementation Budget Per Unit Costs
Planned Theory of Change
Conclusion

From the Paper:

"Initially, in the mid-1990s when A-CVCs first came into use, the results seemed universally satisfactory. Then, in the early 2000s, contradictory information appeared that seemed to counter these results. In a New England Journal of Medicine article, the authors seemed to eulogize A-CVCs when they remarked that "The emergence of resistant organisms resulting from the use of antimicrobial-impregnated catheters remains a potentially important concern. Continued surveillance will certainly be needed as the use of antimicrobial-impregnated catheters increases," (McGee, & Gould, 2003, p. 1123). The authors then indicated an increased success rate in the use of different types of interventions to treat infectious, mechanical, and thrombotic issues (McGee, & Gould, 2003, p. 1124). With this information, it would indicate again that A-CVCs were very effective in ameliorating CLABSIs and in reducing their rates in patients if they were used correctly. The emergence of resistant organisms would indicate a lack of knowledge of the medical personnel deploying the A-CVC equipment rather than the equipment itself as the reason for failure. This is why the author concludes that education is crucially important to this issue.
"A very interesting study in the Nephrology Nursing Journal suggested using ExSept(r) in patient skin cleansing. Although the results were inconclusive, the study's conclusion was that further study of the antiseptic's use should be conducted. Because central venous catheters (CVCs) impregnated with chlorhexidine are available, this author proposes that both be used in the research study in the experimental control group."

Sample of Sources Used:

  • Arrow international.com. (2006). Retrieved from http://www.arrowintl.com/documents/pdf/literature/agbp-s0606.pdf .
  • Astle, C.M., & Jensen, L. (2005). A trial of Exsept(r) for hemodialysis central venous catheters. Nephrology Nursing Journal, 32(4), 517-525.
  • Bach, A., et al. (1996). Retention of antibacterial activity and bacterial colonization of antiseptic-bonded central venous catheters. Journal of Antimicrobial Chemotherapy, 37, 315-322. Retrieved from, British Society for Antimicrobial Chemotherapy 2011: http://jac.oxfordjournals.org/content/37/2/315.abstract.
  • Casey, A. L., Mermel, L. A., Nightingale, P., & Elliott, T. S. J. (2008). Antimicrobial central venous catheters in adults: a systematic review and meta-analysis. Lancet, 8, 763- 776.
  • Central line bundle education. (2009). Retrieved from http://www.nuh.nhs.uk/nch/antibiotics/Line%2520infections/Line%2520-%2520main.htm.

Cite this Research Proposal:

APA Format

Research Proposal to Limit Stream Infection in Central Venous Catheters (2013, May 06) Retrieved August 18, 2022, from https://www.academon.com/research-proposal/research-proposal-to-limit-stream-infection-in-central-venous-catheters-153197/

MLA Format

"Research Proposal to Limit Stream Infection in Central Venous Catheters" 06 May 2013. Web. 18 August. 2022. <https://www.academon.com/research-proposal/research-proposal-to-limit-stream-infection-in-central-venous-catheters-153197/>

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