Systematic Review and Cross Cultural Adaptation of Clinical Guidelines for the Prevention of Intravascular Catheter-Related Bloodstream Infections in Taiwan

2.50
Hdl Handle:
http://hdl.handle.net/10755/150566
Type:
Presentation
Title:
Systematic Review and Cross Cultural Adaptation of Clinical Guidelines for the Prevention of Intravascular Catheter-Related Bloodstream Infections in Taiwan
Abstract:
Systematic Review and Cross Cultural Adaptation of Clinical Guidelines for the Prevention of Intravascular Catheter-Related Bloodstream Infections in Taiwan
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Huang, Yi-Chen, RN, MSN
P.I. Institution Name:Taipei Veterans General Hospital
Title:RN
Co-Authors:Shin-shang Chou RN, MSN, MBA, DNSc, Nursing Supervisor
Shin-Hsin Hung RN, MS, Nursing Supervisor
Tao-Fen Shiung BS, Head nurse
Shu-Fen Lu RN, MSN, Assistant Head Nurse
Ji-Han Chen RN, MSN, Assistant Head Nurse
[22nd International Nursing Research Congress - Evidence-based Practice Presentation] The objectives of this review were to determine the best available evidence and cross cultural adaptation in clinical settings on the intravascular catheters care in preventing of catheter related bloodstream infection (CR-BSI) for adult patients in Taiwan.
The search process identified 58 systematic reviews and clinical guidelines that met the inclusion criteria from 7 major databanks. Critical Appraisal Tool and Appraisal of Guidelines for Research & Evaluation were used for data extraction. After the rigorous appraisal by two independent reviewers, 24 articles were considered to be eligible for the present review. The data from eligible articles were formed the guideline proposal which including 18 preventing interventions and 36 daily care interventions.
Two Doctors, 1 infection control specialist and 14 experienced nurses from nationwide formed two focus groups and reviewed the proposed guidelines to evaluate feasibility of each intervention. The guideline proposal was modified based on the experts' opinions. Only two interventions were not accepted by the experts due to different human races and supply. Which were; heparin 2500U subcutaneous injection daily for patient using CVP to prevent thrombus and 2% chlorhexidine for skin disinfection.
Then a questionnaire survey was conduct to investigate the difference between current practice and proposed guidelines, 300 questionnaires were disseminated nationwide and 240 participants responded. Four of 52 interventions, the average agreement rate were below 70%; 2 preventive intervention and 2 daily care interventions, which were the puncture site and catheter types, frequency of changing dressing and tubing.
According to the evidence levels and recommendation grades, in those 52 interventions, 12 interventions were in IA level of evidence, 9 were IB, 2 were II, and 1 were IIA level, 11 interventions were graded as recommendation A, 9 graded as B and 8 graded as C. The guideline was built into hospital policy and standard handbook.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleSystematic Review and Cross Cultural Adaptation of Clinical Guidelines for the Prevention of Intravascular Catheter-Related Bloodstream Infections in Taiwanen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150566-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Systematic Review and Cross Cultural Adaptation of Clinical Guidelines for the Prevention of Intravascular Catheter-Related Bloodstream Infections in Taiwan</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Huang, Yi-Chen, RN, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Taipei Veterans General Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">RN</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">echuang@vghtpe.gov.tw</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Shin-shang Chou RN, MSN, MBA, DNSc, Nursing Supervisor<br/>Shin-Hsin Hung RN, MS, Nursing Supervisor<br/>Tao-Fen Shiung BS, Head nurse<br/>Shu-Fen Lu RN, MSN, Assistant Head Nurse<br/>Ji-Han Chen RN, MSN, Assistant Head Nurse</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Evidence-based Practice Presentation] The objectives of this review were to determine the best available evidence and cross cultural adaptation in clinical settings on the intravascular catheters care in preventing of catheter related bloodstream infection (CR-BSI) for adult patients in Taiwan. <br/>The search process identified 58 systematic reviews and clinical guidelines that met the inclusion criteria from 7 major databanks. Critical Appraisal Tool and Appraisal of Guidelines for Research &amp; Evaluation were used for data extraction. After the rigorous appraisal by two independent reviewers, 24 articles were considered to be eligible for the present review. The data from eligible articles were formed the guideline proposal which including 18 preventing interventions and 36 daily care interventions. <br/>Two Doctors, 1 infection control specialist and 14 experienced nurses from nationwide formed two focus groups and reviewed the proposed guidelines to evaluate feasibility of each intervention. The guideline proposal was modified based on the experts' opinions. Only two interventions were not accepted by the experts due to different human races and supply. Which were; heparin 2500U subcutaneous injection daily for patient using CVP to prevent thrombus and 2% chlorhexidine for skin disinfection. <br/>Then a questionnaire survey was conduct to investigate the difference between current practice and proposed guidelines, 300 questionnaires were disseminated nationwide and 240 participants responded. Four of 52 interventions, the average agreement rate were below 70%; 2 preventive intervention and 2 daily care interventions, which were the puncture site and catheter types, frequency of changing dressing and tubing. <br/>According to the evidence levels and recommendation grades, in those 52 interventions, 12 interventions were in IA level of evidence, 9 were IB, 2 were II, and 1 were IIA level, 11 interventions were graded as recommendation A, 9 graded as B and 8 graded as C. The guideline was built into hospital policy and standard handbook.</td></tr></table>en_GB
dc.date.available2011-10-26T10:36:42Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:36:42Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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