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Simulation-Based Central Venous Line Maintenance Bundle Education

NCT ID: NCT01960556

Last Updated: 2013-10-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

80 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-12-31

Study Completion Date

2012-01-31

Brief Summary

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Catheter associated blood stream infections (CA-BSI) remain a source of significant morbidity and mortality in adult and pediatric critical care units. While it has been established that CVL maintenance bundles are pivotal to achieving and maintaining low CA-BSI rates, training and retention of proper bundle compliance remains a challenge.

The investigators prospectively compared this simulation-based program to a standard educational approach.

The investigators hypothesized that implementation of bedside simulation-based training of CVL dressing changes by registered nurses would improve CVL maintenance bundle compliance.

Detailed Description

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The 2006 NACHRI Quality Transformation Effort demonstrated that additional reduction in pediatric catheter associated blood stream infection (CA-BSI) rates could be achieved through improving compliance with maintenance bundle care for central lines. The investigators objective was to improve maintenance bundle compliance rates and nursing competency surrounding central venous line (CVL) care in their pediatric intensive care unit (PICU).

A multidisciplinary team developed a bedside simulation-based training program to improve compliance with standard PICU CVL maintenance bundle. The investigators then performed a randomized comparison study comparing a standard CVL bundle education process for bedside PICU nurses in a control group (CG) to an intervention group (IG) receiving bedside training to simulate a CVL dressing change and maintenance bundle followed by intermittent educational refresh. Groups were assessed for compliance with prescribed components of the CVL bundle maintenance (CVL score).

CVL scores will be compared between groups

Conditions

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Central Line Infection

Keywords

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simulation

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Simulation

Simulation Training part of education

Simulation Training

Intervention Type OTHER

Simulation training provided to one group

Non-Simulation Based Education

Did not receive simulation based education

No interventions assigned to this group

Interventions

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Simulation Training

Simulation training provided to one group

Intervention Type OTHER

Other Intervention Names

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Education

Eligibility Criteria

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Inclusion Criteria

* Any nurse assigned to the PICU on a regular basis was eligible to participate in the study, including full-time, part-time, and occasional (prn) PICU nursing staff, as well as central staffing office (ICU float nurses) and traveler nurses contracted to the PICU for a minimum of 12 weeks

Exclusion Criteria

* Nurses floating from other units, agency nursing personnel, or traveler nurse contract of \< 12 week period were excluded. Nurses on orientation were excluded until completion of introductory 6-month probation period
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Children's Healthcare of Atlanta

OTHER

Sponsor Role lead

Responsible Party

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Kiran Hebbar

Medical Director, Pediatric Simulation Center

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kiran B Hebbar, MD

Role: PRINCIPAL_INVESTIGATOR

Children's Healthcare of Atlanta

References

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Hebbar KB, Cunningham C, McCracken C, Kamat P, Fortenberry JD. Simulation-based paediatric intensive care unit central venous line maintenance bundle training. Intensive Crit Care Nurs. 2015 Feb;31(1):44-50. doi: 10.1016/j.iccn.2014.10.003. Epub 2014 Nov 22.

Reference Type DERIVED
PMID: 25468293 (View on PubMed)

Other Identifiers

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CA-BSI and Simulation

Identifier Type: -

Identifier Source: org_study_id