Journal article
Clinical staff perspectives on the implementation of a national care bundle for care of Central venous catheters for haemodialysis
Infection, Disease & Health, Vol.26, 74
11/2021
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Abstract
Central Venous Catheters (CVC) are essential to providing haemodialysis to patients with chronic renal failure. Guidelines for CVC insertion and care aim to reduce infection rates. In Australia, evidence suggests there is considerable variation in dialysis catheter practices. The National Reducing the burden of dialysis catheter complications study involved implementation of a care bundle to standardise practice. Care bundle success is influenced by implementation processes and behaviour change. This study evaluated the implementation of a care bundle for CVC insertion, maintenance, and removal. Semi-structured face-to-face interviews were conducted with Australian renal health professionals pre- and post-implementation of the care bundle. Participants were recruited from eight of the 37 renal units in Australia participating in the larger study. A qualitative content analysis approach was used, based on a priori categories. Key enablers of care bundle uptake included site identified bundle champions driving practice change. Most sites were practicing the majority of the care bundle directives prior to implementation, perceiving minimal need for practice change. Additionally, knowledge of low infection rates, at many sites, justified staff perceptions that change was not required. Barriers to successful care bundle uptake arose from silos of practice, decreasing coordination of the teams involved. The standardised information sheet for consumers 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 evidence driven practice. Perspectives of health professionals involved in such changes 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
- Creators
- Alison Craswell - University of the Sunshine CoastDebbie Massey - University of the Sunshine CoastMarianne Wallis - University of the Sunshine CoastDeepa Sriram - University of the Sunshine CoastNicholas Gray - Sunshine Coast Hospital and Health ServiceSradha Kotwal - The George Institute for Global Health
- Publication Details
- Infection, Disease & Health, Vol.26, 74
- Comment
- Abstract from the 9th International Australasian College for Infection and Control (ACIPC) online conference, 7-10 November 2021
- Publisher
- Elsevier B.V
- Identifiers
- 991012978038402368
- Academic Unit
- Nursing; Faculty of Health
- Language
- English
- Resource Type
- Journal article