the effect of Knowledge Management Program of nurses for practice on Pediatric Patient with Central Venous Catheters Care guidelines at Pediatric’s surgical Ward

Authors

  • Sudprasert C, Promchot P, Porntheerapat N, Pisittakarn N

Keywords:

Knowledge management, Central venous catheter care, Blood stream infection

Abstract

Background: A treatment of pediatric patient with central venous catheterscan lead to complications. The importance of knowledge management program of nurses for practice on pediatric patient with central venous catheters care guidelinesaffects to the safety on patient outcomes. Objectives: The purpose is to study and compare means the effect of knowledge management program of nurses for practice on pediatric patient with central venous catheters care guidelines at pediatric’s surgical ward. Methods: This is a quasi-experimental research. Sample was 11 nurses of pediatric’s surgical ward at Queen Sirikit National Institute of Child Health. Instruments used in this study were 1. Knowledge management program on Dr. Wichan Phanit’s conceptual flamework. 2. Guidelines for the care of patients with central venous catheters 3. Another instrument used to gather data were observational follow-up guidelines for patients with central venous catheters. 11 nurses were recruited as experimental group before and after using the knowledge management program by the researcher and nurses from the Prevention and Control Unit of Queen Sirikit National Institute of Child Health. The tools used to collect data have been tested for reliability Cronbach’s alpha coefficients of 1 were analyzed using Wilcoxon Signed Rank Test comparing scores of practice on pediatric patient with central venous catheters care guidelines before and after giving intervention. Results: 1. Means of practice on pediatric patient with central venous catheters care guidelines after using the knowledge management program was very good level 2. Comparison of practice on pediatric patient with central venous catheters care guidelines after the use of knowledge management program was significantly higher than those in before experiment except for step change intravenous sets and the blood components sets. Conclusion: The knowledge management program helps nurses to follow the guidelines better.

References

Macías AE, Ponce-de-León S. Infection control: old problems and new challenges. Arch Med Res 2005; 36: 637-45.

Apibunyopas Y. Central venous catheterization. Thammasat Medical Journal 2014; 14: 79-92.

Bishop L, Dougherty L, Bodenham A, Mansi J, Crowe P, Kibbler C, et al. Guideline on the insertion and management of central venous access devices in adult. Int J Lab Hematol 2007; 29: 261-78.

Pronovost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S, et al. An Intervention to decrease catheterrelated bloodstream infections in the ICU. N Engl J Med 2006; 28: 2725-32.

Infectious Diseases and Infection Prevention at Queen Sirikit National Institute of Child Health. Infection Prevention Control Surveillance Assessment in the Infant and Child Crisis Ward at Queen Sirikit National Institute of Child Health 2013-2015. Bangkok: Queen Sirikit national institute of child health; 2015.

Miller MR, Griswold M, Harris JM, Yenokyan G, Huskins WC, Moss M, et al. Decreasing PICU catheter-association bloodstream infections: NACHRI’s quality transformation efforts. Pediatrics 2010; 125: 206-13.

Warren DK, Zack JE, Cox MJ, Cohen MM, Fraser VJ. An educational intervention to prevent catheter-associated bloodstream infections in a nonteaching, community medical center. Crit Care Med 2003; 31: 1959-63.

Panich V. What is the knowledge management? [Internet]. [cited 2017 Nov 23]. Available from: http://www.kmi.or.th/ kmiarticles/prof-vicharn-panich/28-0001-intro-to-km.html.

Mermel LA, Farr BM, Sherertz RJ, Raad II, O’Grady N, Harris JS, Craven DE. Guidelines for the management of intravascular catheter-related infections. Clin Infect Dis 2001; 32: 1249-72.

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Published

01-06-2019

How to Cite

1.
Sudprasert C, Promchot P, Porntheerapat N, Pisittakarn N. the effect of Knowledge Management Program of nurses for practice on Pediatric Patient with Central Venous Catheters Care guidelines at Pediatric’s surgical Ward. J DMS [Internet]. 2019 Jun. 1 [cited 2024 Nov. 17];44(3):47-51. Available from: https://he02.tci-thaijo.org/index.php/JDMS/article/view/246767

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Original Article