東華大學圖書館 |

語系: 繁體中文

說明(常見問題)

回圖書館首頁

手機版館藏查詢

登入

回首頁

切換: 標籤 | MARC模式 | ISBD

FindBook

Google Book

Amazon

博客來

Blood Stream Infections related to Hemodialysis Catheter Use.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Blood Stream Infections related to Hemodialysis Catheter Use./
作者:	Goodman, Patricia.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2022,
面頁冊數:	43 p.
附註:	Source: Dissertations Abstracts International, Volume: 83-12, Section: B.
Contained By:	Dissertations Abstracts International83-12B.
標題:	Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29253064
ISBN:	9798834000204

Blood Stream Infections related to Hemodialysis Catheter Use.
Goodman, Patricia.

Blood Stream Infections related to Hemodialysis Catheter Use. - Ann Arbor : ProQuest Dissertations & Theses, 2022 - 43 p.

Source: Dissertations Abstracts International, Volume: 83-12, Section: B.

Thesis (D.N.P.)--Walden University, 2022.

This item must not be sold to any third party vendors.

Hemodialysis is a life-sustaining procedure for patients diagnosed with end-stage renal failure. Most of these patients initiate hemodialysis with a tunneled central venous catheter, with some depending on its use for long-term treatment due to poor vascularity. Catheter-related bloodstream infections in hemodialysis patients are a complication of hemodialysis catheter use with a high morbidity and mortality rate. A quality improvement (QI) project was conducted to answer the practice-focused question of whether the use of chlorhexidine swabs and caps for central venous catheter dressing changes decreased the rate of hemodialysis catheter-related bloodstream infections. Resolution to this problem would benefit the patient, the state-funded Medicare and Medicaid Services, and the hemodialysis facility. A retrospective analysis using Lewin's change theory was used to conduct the QI evaluation project. Three months of pre- and post chlorhexidine intervention data were analyzed. The analyzed data from 70 patients were obtained from the hemodialysis facility's infection control department and included a comparison to the standardized infection ratio. Three months prior to the implementation of chlorhexidine there were five infections, and three months post implementation of the chlorhexidine there was only one. The recommendation based on the evaluation findings is that a protocol including guidelines for chlorhexidine use be established, followed by the implementation of annual staff competencies. This will impact positive social change by decreasing the rate of hemodialysis catheter-related bloodstream infections and subsequent morbidity and mortality at this hemodialysis facility and can also be used at other facilities.

ISBN: 9798834000204Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Catheter infections

Blood Stream Infections related to Hemodialysis Catheter Use.
LDR:02928nmm a2200385 4500 001 2350961
005 20221028161102.5
008 241004s2022 ||||||||||||||||| ||eng d
020 $a 9798834000204
035 $a (MiAaPQ)AAI29253064
035 $a AAI29253064
040 $a MiAaPQ $c MiAaPQ
100 1 $a Goodman, Patricia. $3 3690500
245 1 0 $a Blood Stream Infections related to Hemodialysis Catheter Use.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2022
300 $a 43 p.
500 $a Source: Dissertations Abstracts International, Volume: 83-12, Section: B.
500 $a Advisor: Rouse, Melissa;Dennison, Hazel.
502 $a Thesis (D.N.P.)--Walden University, 2022.
506 $a This item must not be sold to any third party vendors.
520 $a Hemodialysis is a life-sustaining procedure for patients diagnosed with end-stage renal failure. Most of these patients initiate hemodialysis with a tunneled central venous catheter, with some depending on its use for long-term treatment due to poor vascularity. Catheter-related bloodstream infections in hemodialysis patients are a complication of hemodialysis catheter use with a high morbidity and mortality rate. A quality improvement (QI) project was conducted to answer the practice-focused question of whether the use of chlorhexidine swabs and caps for central venous catheter dressing changes decreased the rate of hemodialysis catheter-related bloodstream infections. Resolution to this problem would benefit the patient, the state-funded Medicare and Medicaid Services, and the hemodialysis facility. A retrospective analysis using Lewin's change theory was used to conduct the QI evaluation project. Three months of pre- and post chlorhexidine intervention data were analyzed. The analyzed data from 70 patients were obtained from the hemodialysis facility's infection control department and included a comparison to the standardized infection ratio. Three months prior to the implementation of chlorhexidine there were five infections, and three months post implementation of the chlorhexidine there was only one. The recommendation based on the evaluation findings is that a protocol including guidelines for chlorhexidine use be established, followed by the implementation of annual staff competencies. This will impact positive social change by decreasing the rate of hemodialysis catheter-related bloodstream infections and subsequent morbidity and mortality at this hemodialysis facility and can also be used at other facilities.
590 $a School code: 0543.
650 4 $a Nursing. $3 528444
650 4 $a Health care management. $3 2122906
650 4 $a Cellular biology. $3 3172791
650 4 $a Histology. $3 641250
650 4 $a Pathology. $3 643180
653 $a Catheter infections
653 $a Chlorohexidine
653 $a Hemodialysis catheter
653 $a Bloodstream infections
690 $a 0569
690 $a 0769
690 $a 0379
690 $a 0414
690 $a 0571
710 2 $a Walden University. $b Nursing. $3 3183204
773 0 $t Dissertations Abstracts International $g 83-12B.
790 $a 0543
791 $a D.N.P.
792 $a 2022
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29253064