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OpenTrials
Completed

NCT Number: NCT01960556

Simulation-Based Central Venous Line Maintenance Bundle Education

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.

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Key information

Conditions

Central Line Infection

Sex eligibility

All sexes

Study type

Observational

About this study

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

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Simulation Training

Other

Simulation training provided to one group

Other names: Education

Primary outcomes

  1. CVL scores

    Time frame: 12 months

    Change in CVL scores with and without simulation based education

Sponsors and collaborators

Lead sponsor

Children's Healthcare of Atlanta

Other

Registry information

Official study title

Simulation-Based Pediatric Intensive Care Unit Central Venous Line Maintenance Bundle Education

Acronym: CA-BSI

Important dates

Study start
2010
Primary completion
2011
Study completion
2012
First posted
Oct 10, 2013
Registry last updated
Oct 10, 2013

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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