Action research of catheter related bloodstream infection control in the emergency intensive care unit
10.3760/cma.j.issn.1674-2907.2017.13.012
- VernacularTitle:急诊重症监护病房导管相关血行感染控制的行动研究
- Author:
Xiaoying LIU
1
;
Wenhua ZHOU
;
Donglei SHI
;
Xiuyu YAO
;
Jinping LI
;
Chen SONG
;
Zheng LI
Author Information
1. 100730,中国医学科学院北京协和医院急诊科
- Keywords:
Catheter related bloodstream infection;
Emergency intensive care;
Action research
- From:
Chinese Journal of Modern Nursing
2017;23(13):1757-1761
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo analyze the problems in the catheter related bloodstream infection (CRBSI) control for critically ill patients to reduce the incidence of CRBSI in emergency nursing practice.Methods An action research was performed to identify the problems causing high occurrence rate of CRBSI in emergency intensive care unit (EICU). According to the process of "plan-action-observation-reflection",doctors and nurses were surveyed on the knowledge-attitude-action successively. The preventive measures were determined in accordance with advices of emergency medical care specialist to improve the clinical practice of CRBSI control and control the incidence of CRBSI.Results An action group containing 19 EICU medical workers was built up. After the first round from June to July 2015,the incidence rate of CRBSI was 12.12‰. After the second round from August to September 2015,the incidence rate of CRBSI decreased to 8.90‰. Logistic regression analysis showed that the ductal indwelling time and gender of patients affected the occurrence of CRBSI.Conclusions In the study of decreasing the incidence of CRBSI,action research can improve the clinical nursing practice of CRBSI in EICU and is worth trying in the field of intensive care.
