Readiness of evidence-based practice for maintenance and removal of central venous catheters in Pediatric Intensive Care Unit: a multi-center survey
10.3760/cma.j.cn115682-20220124-00396
- VernacularTitle:儿童重症监护病房中心静脉导管维护与移除的循证实践准备度多中心现况调查
- Author:
Xiao CHUN
1
;
Jingxiang MA
;
Ying GU
;
Wenchao WANG
;
Yan HU
;
Yan LIN
;
Linjuan WANG
;
Yuyun SHI
;
Shuping ZHANG
;
Yaxun ZHAO
Author Information
1. 广州市妇女儿童医疗中心儿童重症监护室，广州 510623
- Keywords:
Intensive Care Units, Pediatric;
Evidence-based nursing;
Evidence-based practice readiness;
Central venous catheters;
Best practice project
- From:
Chinese Journal of Modern Nursing
2022;28(36):5051-5057
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the status quo of the readiness of evidence-based nursing practice for the maintenance and removal of children's central venous catheter (CVC) in 6 domestic medical institutions Pediatric Intensive Care Unit (PICU), analyze the obstacles faced by the application of CVC maintenance and removal evidence in PICU, so as to provide basis for formulating reform strategies.Methods:This study was a cross-sectional survey. In December 2019, 169 nurses from PICU of 6 medical institutions in Shanghai, Guangzhou, Shenzhen, Hangzhou, Xiamen and Hefei were selected by convenience sampling for investigation. The General Information Questionnaire and Clinic Readiness to Evidence-based Nursing Assessment (CREBNA) were used to evaluate the readiness of clinical nurses to evidence, organizational environment and promoting factors in the process of evidence-based practice. A total of 169 questionnaires were issued, and 169 valid questionnaires were recovered, with a valid recovery rate of 100%.Results:A total of 169 nurses were investigated in 6 evidence application sites. The total score of the multi center CREBNA was (136.96±15.33), which was 88.36% of the full score. The scores of the three dimensions were as follows: organizational environment (40.31±4.45), evidence dimension (53.43±6.14), and promoting factors (43.22±5.81). Four of the last five items in the score ranking were from the promoting factor, and the low score items in four places were all from the promoting factor.Conclusions:The best practice project of children's CVC maintenance in PICU is feasible. However, there are still some deficiencies in the preparation of various evidence application sites, especially in the promoting factors, which should be constantly improved to further promote and maintain the implementation of change.
