Date of Graduation

Fall 12-18-2015

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

First Advisor

Karin Blais

Second Advisor

Elena Capella

Abstract

An evidence-based Central Venous Catheter (CVC) dressing change video was created to enhance patient independence, and to increase resource efficiency among nursing staff in an inpatient pediatric setting in which Central Line-Associated Bloodstream Infection (CLABSI) rates were rising. Pediatric oncology patients confer the highest risk of developing CLABSIs due to long-term CVC access, neutropenic effects of treatment regimens, and constant fluctuations between inpatient, outpatient clinic, and homecare settings. Use of video-assisted education is anticipated to standardize and improve patient care, decrease healthcare costs, and increase nurse productivity, and is widely supported by research. Qualitative data collection was conducted by surveying patients and nursing staff to identify the project’s need, obtain baseline competency levels, and evaluate the effectiveness of the video upon implementation. 71% of nurses identified time as the greatest barrier to education. 94% of nurses selected videos as being a resource that could assist them in providing patient education. 100% of patients stated that the video enhanced their overall understanding of the CVC dressing change process. Significant increases in confidence levels of independently performing CVC dressing changes were shown in over 62% of the patients surveyed. Inpatient nurses are often the first to initiate patient education, and this video provides supplemental resources to facilitate CVC teaching, and overcome some of the primary barriers faced in the inpatient setting during patient education processes.

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