Impact of Kamishibai Card Process on Compliance With the Central Venous Line Maintenance Bundle.
Journal
Journal of nursing care quality
ISSN: 1550-5065
Titre abrégé: J Nurs Care Qual
Pays: United States
ID NLM: 9200672
Informations de publication
Date de publication:
Historique:
pubmed:
19
4
2019
medline:
28
4
2020
entrez:
19
4
2019
Statut:
ppublish
Résumé
The Kamishibai Card (K-Card) process is a storytelling methodology designed to help identify barriers and remove or redesign them. 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. A retrospective evaluation of the implementation of the K-Card process was performed using a pretest and posttest design. 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). The K-Card process had a positive impact on CVL maintenance bundle compliance in the study setting.
Sections du résumé
BACKGROUND
BACKGROUND
The Kamishibai Card (K-Card) process is a storytelling methodology designed to help identify barriers and remove or redesign them.
PURPOSE
OBJECTIVE
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
METHODS
A retrospective evaluation of the implementation of the K-Card process was performed using a pretest and posttest design.
RESULTS
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
CONCLUSIONS
The K-Card process had a positive impact on CVL maintenance bundle compliance in the study setting.
Identifiants
pubmed: 30998558
doi: 10.1097/NCQ.0000000000000405
pii: 00001786-202001000-00006
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
34-39Références
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