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Rodríguez Aparicio S, Guitard Sein-Echaluce ML, Palomar Martínez M. Barreras y facilitadores en la adherencia al care bundle para prevenir complicaciones asociadas a dispositivos de acceso vascular. Metas Enferm feb 2019; 22(1):14-23.
Silvia Rodríguez Aparicio1, Mª Luisa Guitard Sein-Echaluce2, Mercedes Palomar Martínez3
1Máster en Enfermería. Hospital Universitario Arnau de Vilanova. Lleida 2Doctora por la Universidad de Lleida. Facultad de Enfermería y Fisioterapia. Universidad de Lleida. Institut de Recerca Biomédica (IRB). Lleida 3Doctora por la Universidad Autónoma de Barcelona. IRB Lleida
Silvia Rodríguez Aparicio. Avda. Germanies, 28. 25198 Lleida
Contact email: firstname.lastname@example.org
Objective: to identify the barriers and drivers for adherence to the care bundle in order to prevent complications associated with vascular access devices, and to describe them based on the sociodemographical and occupational characteristics of the healthcare professionals involved.
Method: a descriptive cross-sectional study. Population: physicians and nurses from the Hospital Universitario Arnau de Vilanova of Lleida. Instrument: A questionnaire formed by three blocks: 13 items on structure of the service, 16 items about leadership of the service, and 8 about recommendations from the hospital protocol. A bivariate analysis through Chi-Square and ANOVA.
Results: the study involved 150 professionals, most of them nurses (80%). In a statistically significant way (p< 0.05), ≥60-year-old persons obtained the lowest score in “applying the care bundle”, and ≤29-year-old persons considered that they were less educated and trained for its application; those with lower experience had a lower score in “protocol knowledge”, they considered they were less trained in the application of the care bundle, they felt less prepared and had lower knowledge of their own compliance, did not apply the care bundle adequately or regularly, and their opinion on training was that it did not modify their clinical practice.
Conclusions: the questionnaire identified aspects that can be improved in the hospital protocol regarding vascular access devices, factors that cause difficulty in the application of the bundle, and lack of continuous training for the staff, particularly those recently incorporated.
Catheter-related infections; patient care bundles; care bundle; vascular access devices; vascular access devices
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