Preparation of Patients for Central Venous Catheter Care in the Home: Perspectives From Health Care Personnel

IF 1 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES American Journal of Medical Quality Pub Date : 2024-09-16 DOI:10.1097/jmq.0000000000000203
Sara C. Keller, Opeyemi Oladapo-Shittu, Lisa L. Maragakis, Alejandra B. Salinas, Taylor Helsel, Yea-Jen Hsu, Clare Rock, Sara E. Cosgrove, For the Centers for Disease Control and Prevention Epicenters Program
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Abstract

Patients managing central venous catheters (CVCs) outside of hospitals need training in CVC care. Using 3 focus groups, the study identified themes in how health care personnel (HCP) prepare patients and their caregivers for CVC care at home. Four major themes and 25 nested subthemes were identified: (1) providing the right amount of education at the right time, (2) tailoring education to patient needs, (3) developing patient education tools, and (4) managing differences in recommendations to patients. HCPs in the study ensured patients and caregivers learn what they need to know when they need to know it, using appropriate patient education tools. Patients and caregivers are largely responsible for CVC care and central line-associated bloodstream infection prevention outside of acute care hospitals and long-term care settings, and HCP take seriously their obligation to provide them with appropriate education and tools to best enhance their ability to keep themselves safe.

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患者在家中接受中心静脉导管护理的准备工作:医护人员的观点
在医院外管理中心静脉导管 (CVC) 的患者需要接受 CVC 护理培训。该研究通过 3 个焦点小组,确定了医护人员 (HCP) 如何为患者及其护理人员在家进行 CVC 护理做好准备的主题。研究确定了四大主题和 25 个嵌套子主题:(1) 在适当的时间提供适当的教育,(2) 根据患者的需求调整教育内容,(3) 开发患者教育工具,(4) 处理向患者提出的建议之间的差异。研究中的保健医生使用适当的患者教育工具,确保患者和护理人员在需要了解的时候了解他们需要了解的内容。在急症护理医院和长期护理机构之外,患者和护理人员在很大程度上负责 CVC 护理和中心静脉相关血流感染的预防工作,医疗保健人员应认真履行自己的义务,为他们提供适当的教育和工具,以最大限度地提高他们保护自身安全的能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.90
自引率
7.10%
发文量
124
审稿时长
6-12 weeks
期刊介绍: The American Journal of Medical Quality (AJMQ) is focused on keeping readers informed of the resources, processes, and perspectives contributing to quality health care services. This peer-reviewed journal presents a forum for the exchange of ideas, strategies, and methods in improving the delivery and management of health care.
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