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Year 2022, Volume: 12 Issue: 2, 376 - 382, 30.06.2022
https://doi.org/10.33808/clinexphealthsci.887853

Abstract

References

  • [1] Bates DW, Larizgoitia I, Prasopa-Plaizier N, Jha AK. Global priorities for patient safety research. BMJ. 2009;338:b1775.
  • [2] Burke JP. Infection control a problem for patient safety. The New England Journal of Medicine 2003;348:651-656.
  • [3] World Health Organization. Report on the Burden of Endemic Health Care-Associated Infection Worldwide; 2011.
  • [4] Evangelos IK, Flora K, Eirini A. Prevalence, incidence burden, and clinical impact of healthcare-associated infections and antimicrobial resistance: a national prevalent cohort study in acute care hospitals in Greece. Infection and Drug Resistance 2017;10:317–328.
  • [5] Kanerva M, Ollgren J, Virtanen MJ, Lyytikäinen O. Prevalence Survey Study Group. Estimating the annual burden of health care-associated infections in Finnish adult acute care hospitals. American Journal of Infection Control 2009;37(3):227–230.
  • [6] Koch AM, Nilsen RM, Eriksen HM, Cox RJ, Harthug S. Mortality related to hospital-associated infections in a tertiary hospital; repeated cross-sectional studies between 2004–2011. Antimicrobial Resistance & Infection Control 2015;4(1):57.
  • [7] Umscheid CA, Mitchell MD, Doshi JA, Agarwal R, Williams K, Brennan PJ. Estimating the proportion of healthcare associated infections that are reasonably preventable and the related mortality and costs. Infection Control & Hospital Epidemiology 2011;32(2):101-14.
  • [8] Vrijens F, Hulstaert F, Devriese S, van de Sande S. Hospital acquired infections in Belgian acute-care hospitals: an estimation of their global impact on mortality, length of stay and healthcare costs. Epidemiology & Infection 2012;140(1):126–136.
  • [9] Pittet D, Allegranzi B, Storr S, Bagheri N, Dziekan G, Leotsako A. Infection control as a major World Health Organization priority for developing countries. Journal of Hospital Infection 2008;68(4):285-292.
  • [10] Öztürk R. Nosocomial Infections: Problems, New Goals and Legal Responsibility. (First Edition). In S. N. Öztürk, R., Aygün, G. (Ed.), Nosocomial Infections. İstanbul: Aksu Publication, 2008;23-29.
  • [11] Healthcare Associated Infections. Turkey Ministry of Health General Directorate of Public Health Infectious Diseases Department. 2020 (cited 2020 May 16) Available from: https://hsgm.saglik.gov.tr/tr/bulasici-hastaliklar/shie/shieliste/shie.html
  • [12] Akbayrak N, Bağçivan G. Evidence Based Practice For Preventing Infection that Frequently Encountered in the Intensive Care Unit. Journal of Anatolia Nursing and Health Sciences 2010;13:4.
  • [13] Berenholtz SM, Pronovost PJ, Lipsett PA, Hobson D, Earsing K, Farley JE. Eliminating catheterrelated bloodstream infections in the intensive care unit. Critical Care Medicine 2004;32:2014- 2020.
  • [14] Cheema AA, Scott AM, Shambaugh KJ, Shaffer-Hartman JN, Dechert RE, Hieber SM. Rebound in ventilator-associated pneumonia rates during a prevention checklist wash outperiod. BMJ Quality & Safety 2011;20(9):811-817.
  • [15] Zingg W, Walder B, Didier P. Prevention of catheter-related infection: toward zero risk? Current Opinion in Infectious Diseases 2011;24:377–384.
  • [16] Helmick RA, Knofsky ML, Braxton CC, Subramanian A, Byers P, Lan KWC. Mandated Self-reporting of Ventilator-Associated Pneumonia Bundle and Catheter-Related Bloodstream Infection Bundle Compliance and Infection Rates. The Journal of the American Association Surgery 2014;1627.
  • [17] Eom JS, Lee MS, Chun HK, Choi HJ, Jung SY, Kim YS. The impact of a ventilator bundle on preventing ventilator-associated pneumonia: A multicenter study. American Journal of Infection Control 2014;42:34-37.
  • [18] Horner DL, Bellamy MC. Care Bundles in İntensive Care. Continuing Education in Anaesthesia. Critical Care & Pain 2012;12:4.
  • [19] Nolan T, Berwick DM. All-or-none measurement raises the bar on performance. JAMA 2006;295(10):1168-1170.
  • [20] Resar R, Griffin FA, Haraden C, Nolan TW. Using care bundles to improve health care quality. IHI innovation series white paper. Cambridge (MA): Institute for Healthcare Improvement; 2012 [cited 2020 Apr 19] Available from: http:// www.ihi.org/resources/Pages/IHIWhitePapers/ UsingCareBundles.aspx
  • [21] Marwick C, Davey P. Care bundles: the holy grail of infectious risk management in hospital Current Opinion in Infectious Diseases 2009;22(4):364-373.
  • [22] Institute for Healthcare Improvement. What is a Bundle; 2020 [cited 2020 Apr 19]. Available from: http://www.ihi.org/ resources/Pages/ImprovementStories/WhatIsaBundle.aspx Accessed
  • [23] Rello J, Afonso E, Lisboa T, Ricart M, Balsera B, Rovira A. A care bundle approach for prevention of ventilator associated pneumonia. Clinical Microbiology and Infection 2013;19(4):363-369.
  • [24] Borgert MJ, Goossens A, Dongelmans DA. What are effective strategies for the implementation of care bundles on ICUs: a systematic review. Implementation Science 2015;10:119.
  • [25] Raad NC. The Cost effective management of central line associated bloodstream infections (Clabsis) Comparing the central line bundle to antimicrobial coated central Venous Catheters: A Systematıc Revıew. Theses of Master, The Unıversıty Of Texas school of public health, Houston, Texas, 2012.
  • [26] Yazıcı G, Bulut H. Efficacy of a care bundle to prevent multiple infections in the intensive care unit: A quasi-experimental pretest-posttest design study. Applied Nursing Research 2018;39:4-10.
  • [27] Yüceer S, Demir SG. Prevention of nosocomial infections in intensive care unit and nursing practices. Dicle Medical Journal 2009;36(3):226-232.
  • [28] Polit D, Beck CT, Hungler B. Essentials of Nursing Research: Methods, Appraisal and Utilization, Philadelphia: Lippincott, 2001.
  • [29] Alcan AO, Korkmaz FD. Prevention of ventilator associated pneumonia: Care bundle approach. Izmir University Medical Journal 2015;3:38-47.
  • [30] Kölgelier S, Küçük A, Aktuğ NA, Özçimen S, Demir LS. Nosocomial infections in intensive care units: Etiology and predisposing factors. Kafkas Journal of Medicine Science. 2012;2(1):1–5.
  • [31] Gilhooly D, Green SA, McCann C, Black N, Moonesinghe SR. Barriers and facilitators to the successful development, implementation and evaluation of care bundles in acute care in hospital: a scoping review. Implementation Science 2019;14(1):47.
  • [32] Chaboyer W, Gillespie BM. Understanding nurses’ views on a pressure ulcer prevention care bundle: a first step towards successful implementation. Journal of Clinical Nursing 2014;23: 3415–3423.
  • [33] Dampliang J, Considine J, Kent B, Street M, Eval GDD. Nurses’ perceptions of using an evidence-based care bundle for initial emergency nursing management of patients with severe traumatic brain injury: A qualitative study. International Emergency Nursing 2015;23:299–305.
  • [34] Ladbrook E, Bouchoucha SL, Hutchinson A. Lessons learned from a rapid implementation of a ventilator-associated pneumonia prevention bundle. Journal of Infection Prevention 2019;20(6):274–280.
  • [35] Bower W. Quality care bundles in paediatric continence management. Australian and New Zealand Continence J. 2009;15:46–8.
  • [36] Hopkinson NS, Englebretsen C, Cooley N, Kennie K, Lim M, Woodcock T. Designing and implementing a COPD discharge care bundle. Thorax 2012;67:90–92.
  • [37] Provonost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S. An Intervention to Decrease Catheter-related Bloodstream Infections in the ICU. The New England Journal of Medicine. 2006;355(26):2725-32.
  • [38] Madhuvu A, Endacott R, Plummer V, Morphet J. Healthcare professional views on barriers to implementation of evidence based practice in prevention of ventilator-associated events: A qualitative descriptive study. Intensive & Critical Care Nursing https://doi.org/10.1016/j.iccn.2021.103133
  • [39] Çetinkaya Şardan Y. Bundles in Infection Control. Journal of Intensive Care 2010;9(4):188-192
  • [40] Youngquist P, Carroll M, Farber M, Macy D, Madrid P, Ronning J. Implementing a ventilator bundle in a community hospital. The Joint Commission Journal on Quality and Patient Safety 2007;33(4):219-225.
  • [41] Robert S, Mclnnes E, Wallis M, Bucknall T, Banks M, Chaboyer W. Nurses’ perceptions of a pressure ulcer prevention care bundle: a qualitative descriptive study. BMC Nursing 2016;21(15):64

Use of Care Bundles to Prevent Healthcare-Associated Infections in Intensive Care Units: Nurses' Views

Year 2022, Volume: 12 Issue: 2, 376 - 382, 30.06.2022
https://doi.org/10.33808/clinexphealthsci.887853

Abstract

Objective: The purpose of this study was to determine the views of nurses working in intensive care units regarding the use of care bundles in preventing healthcare-associated infections.
Methods: This study used the focus-group interview method, which is one of the qualitative methods. Two focus-group interviews, each lasting about half an hour, were conducted with 14 intensive care unit nurses. Qualitative data obtained from the interviews were recorded on tape and in note form. The interviews were then transcribed and analyzed. The transcribed data from the focus-group discussions were grouped by theme and concept, and the statements of the participants were coded numerically according to these groupings. Three themes and six subthemes emerged in analyzing the qualitative data.
Results: The nurses defined care bundles as "materials that provide integrated care for patients". They also stated that their benefits included providing a tool for self-monitoring, support and guidance for both patients and nurses. When whether they had experienced any difficulties while using care bundles, they stated that they had not experienced any. Furthermore, nurses stated that care bundles improved their perspectives, and that they were must-have items in intensive care units providing reminders rather than a waste of time.
Conclusion: It is that the participation of nurses is important so that care bundles are used more widespread in order to prevent healthcare-associated infections in intensive care units.

References

  • [1] Bates DW, Larizgoitia I, Prasopa-Plaizier N, Jha AK. Global priorities for patient safety research. BMJ. 2009;338:b1775.
  • [2] Burke JP. Infection control a problem for patient safety. The New England Journal of Medicine 2003;348:651-656.
  • [3] World Health Organization. Report on the Burden of Endemic Health Care-Associated Infection Worldwide; 2011.
  • [4] Evangelos IK, Flora K, Eirini A. Prevalence, incidence burden, and clinical impact of healthcare-associated infections and antimicrobial resistance: a national prevalent cohort study in acute care hospitals in Greece. Infection and Drug Resistance 2017;10:317–328.
  • [5] Kanerva M, Ollgren J, Virtanen MJ, Lyytikäinen O. Prevalence Survey Study Group. Estimating the annual burden of health care-associated infections in Finnish adult acute care hospitals. American Journal of Infection Control 2009;37(3):227–230.
  • [6] Koch AM, Nilsen RM, Eriksen HM, Cox RJ, Harthug S. Mortality related to hospital-associated infections in a tertiary hospital; repeated cross-sectional studies between 2004–2011. Antimicrobial Resistance & Infection Control 2015;4(1):57.
  • [7] Umscheid CA, Mitchell MD, Doshi JA, Agarwal R, Williams K, Brennan PJ. Estimating the proportion of healthcare associated infections that are reasonably preventable and the related mortality and costs. Infection Control & Hospital Epidemiology 2011;32(2):101-14.
  • [8] Vrijens F, Hulstaert F, Devriese S, van de Sande S. Hospital acquired infections in Belgian acute-care hospitals: an estimation of their global impact on mortality, length of stay and healthcare costs. Epidemiology & Infection 2012;140(1):126–136.
  • [9] Pittet D, Allegranzi B, Storr S, Bagheri N, Dziekan G, Leotsako A. Infection control as a major World Health Organization priority for developing countries. Journal of Hospital Infection 2008;68(4):285-292.
  • [10] Öztürk R. Nosocomial Infections: Problems, New Goals and Legal Responsibility. (First Edition). In S. N. Öztürk, R., Aygün, G. (Ed.), Nosocomial Infections. İstanbul: Aksu Publication, 2008;23-29.
  • [11] Healthcare Associated Infections. Turkey Ministry of Health General Directorate of Public Health Infectious Diseases Department. 2020 (cited 2020 May 16) Available from: https://hsgm.saglik.gov.tr/tr/bulasici-hastaliklar/shie/shieliste/shie.html
  • [12] Akbayrak N, Bağçivan G. Evidence Based Practice For Preventing Infection that Frequently Encountered in the Intensive Care Unit. Journal of Anatolia Nursing and Health Sciences 2010;13:4.
  • [13] Berenholtz SM, Pronovost PJ, Lipsett PA, Hobson D, Earsing K, Farley JE. Eliminating catheterrelated bloodstream infections in the intensive care unit. Critical Care Medicine 2004;32:2014- 2020.
  • [14] Cheema AA, Scott AM, Shambaugh KJ, Shaffer-Hartman JN, Dechert RE, Hieber SM. Rebound in ventilator-associated pneumonia rates during a prevention checklist wash outperiod. BMJ Quality & Safety 2011;20(9):811-817.
  • [15] Zingg W, Walder B, Didier P. Prevention of catheter-related infection: toward zero risk? Current Opinion in Infectious Diseases 2011;24:377–384.
  • [16] Helmick RA, Knofsky ML, Braxton CC, Subramanian A, Byers P, Lan KWC. Mandated Self-reporting of Ventilator-Associated Pneumonia Bundle and Catheter-Related Bloodstream Infection Bundle Compliance and Infection Rates. The Journal of the American Association Surgery 2014;1627.
  • [17] Eom JS, Lee MS, Chun HK, Choi HJ, Jung SY, Kim YS. The impact of a ventilator bundle on preventing ventilator-associated pneumonia: A multicenter study. American Journal of Infection Control 2014;42:34-37.
  • [18] Horner DL, Bellamy MC. Care Bundles in İntensive Care. Continuing Education in Anaesthesia. Critical Care & Pain 2012;12:4.
  • [19] Nolan T, Berwick DM. All-or-none measurement raises the bar on performance. JAMA 2006;295(10):1168-1170.
  • [20] Resar R, Griffin FA, Haraden C, Nolan TW. Using care bundles to improve health care quality. IHI innovation series white paper. Cambridge (MA): Institute for Healthcare Improvement; 2012 [cited 2020 Apr 19] Available from: http:// www.ihi.org/resources/Pages/IHIWhitePapers/ UsingCareBundles.aspx
  • [21] Marwick C, Davey P. Care bundles: the holy grail of infectious risk management in hospital Current Opinion in Infectious Diseases 2009;22(4):364-373.
  • [22] Institute for Healthcare Improvement. What is a Bundle; 2020 [cited 2020 Apr 19]. Available from: http://www.ihi.org/ resources/Pages/ImprovementStories/WhatIsaBundle.aspx Accessed
  • [23] Rello J, Afonso E, Lisboa T, Ricart M, Balsera B, Rovira A. A care bundle approach for prevention of ventilator associated pneumonia. Clinical Microbiology and Infection 2013;19(4):363-369.
  • [24] Borgert MJ, Goossens A, Dongelmans DA. What are effective strategies for the implementation of care bundles on ICUs: a systematic review. Implementation Science 2015;10:119.
  • [25] Raad NC. The Cost effective management of central line associated bloodstream infections (Clabsis) Comparing the central line bundle to antimicrobial coated central Venous Catheters: A Systematıc Revıew. Theses of Master, The Unıversıty Of Texas school of public health, Houston, Texas, 2012.
  • [26] Yazıcı G, Bulut H. Efficacy of a care bundle to prevent multiple infections in the intensive care unit: A quasi-experimental pretest-posttest design study. Applied Nursing Research 2018;39:4-10.
  • [27] Yüceer S, Demir SG. Prevention of nosocomial infections in intensive care unit and nursing practices. Dicle Medical Journal 2009;36(3):226-232.
  • [28] Polit D, Beck CT, Hungler B. Essentials of Nursing Research: Methods, Appraisal and Utilization, Philadelphia: Lippincott, 2001.
  • [29] Alcan AO, Korkmaz FD. Prevention of ventilator associated pneumonia: Care bundle approach. Izmir University Medical Journal 2015;3:38-47.
  • [30] Kölgelier S, Küçük A, Aktuğ NA, Özçimen S, Demir LS. Nosocomial infections in intensive care units: Etiology and predisposing factors. Kafkas Journal of Medicine Science. 2012;2(1):1–5.
  • [31] Gilhooly D, Green SA, McCann C, Black N, Moonesinghe SR. Barriers and facilitators to the successful development, implementation and evaluation of care bundles in acute care in hospital: a scoping review. Implementation Science 2019;14(1):47.
  • [32] Chaboyer W, Gillespie BM. Understanding nurses’ views on a pressure ulcer prevention care bundle: a first step towards successful implementation. Journal of Clinical Nursing 2014;23: 3415–3423.
  • [33] Dampliang J, Considine J, Kent B, Street M, Eval GDD. Nurses’ perceptions of using an evidence-based care bundle for initial emergency nursing management of patients with severe traumatic brain injury: A qualitative study. International Emergency Nursing 2015;23:299–305.
  • [34] Ladbrook E, Bouchoucha SL, Hutchinson A. Lessons learned from a rapid implementation of a ventilator-associated pneumonia prevention bundle. Journal of Infection Prevention 2019;20(6):274–280.
  • [35] Bower W. Quality care bundles in paediatric continence management. Australian and New Zealand Continence J. 2009;15:46–8.
  • [36] Hopkinson NS, Englebretsen C, Cooley N, Kennie K, Lim M, Woodcock T. Designing and implementing a COPD discharge care bundle. Thorax 2012;67:90–92.
  • [37] Provonost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S. An Intervention to Decrease Catheter-related Bloodstream Infections in the ICU. The New England Journal of Medicine. 2006;355(26):2725-32.
  • [38] Madhuvu A, Endacott R, Plummer V, Morphet J. Healthcare professional views on barriers to implementation of evidence based practice in prevention of ventilator-associated events: A qualitative descriptive study. Intensive & Critical Care Nursing https://doi.org/10.1016/j.iccn.2021.103133
  • [39] Çetinkaya Şardan Y. Bundles in Infection Control. Journal of Intensive Care 2010;9(4):188-192
  • [40] Youngquist P, Carroll M, Farber M, Macy D, Madrid P, Ronning J. Implementing a ventilator bundle in a community hospital. The Joint Commission Journal on Quality and Patient Safety 2007;33(4):219-225.
  • [41] Robert S, Mclnnes E, Wallis M, Bucknall T, Banks M, Chaboyer W. Nurses’ perceptions of a pressure ulcer prevention care bundle: a qualitative descriptive study. BMC Nursing 2016;21(15):64
There are 41 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Gülay Yazıcı 0000-0001-8195-3791

Hülya Bulut 0000-0001-8241-989X

Publication Date June 30, 2022
Submission Date February 27, 2021
Published in Issue Year 2022 Volume: 12 Issue: 2

Cite

APA Yazıcı, G., & Bulut, H. (2022). Use of Care Bundles to Prevent Healthcare-Associated Infections in Intensive Care Units: Nurses’ Views. Clinical and Experimental Health Sciences, 12(2), 376-382. https://doi.org/10.33808/clinexphealthsci.887853
AMA Yazıcı G, Bulut H. Use of Care Bundles to Prevent Healthcare-Associated Infections in Intensive Care Units: Nurses’ Views. Clinical and Experimental Health Sciences. June 2022;12(2):376-382. doi:10.33808/clinexphealthsci.887853
Chicago Yazıcı, Gülay, and Hülya Bulut. “Use of Care Bundles to Prevent Healthcare-Associated Infections in Intensive Care Units: Nurses’ Views”. Clinical and Experimental Health Sciences 12, no. 2 (June 2022): 376-82. https://doi.org/10.33808/clinexphealthsci.887853.
EndNote Yazıcı G, Bulut H (June 1, 2022) Use of Care Bundles to Prevent Healthcare-Associated Infections in Intensive Care Units: Nurses’ Views. Clinical and Experimental Health Sciences 12 2 376–382.
IEEE G. Yazıcı and H. Bulut, “Use of Care Bundles to Prevent Healthcare-Associated Infections in Intensive Care Units: Nurses’ Views”, Clinical and Experimental Health Sciences, vol. 12, no. 2, pp. 376–382, 2022, doi: 10.33808/clinexphealthsci.887853.
ISNAD Yazıcı, Gülay - Bulut, Hülya. “Use of Care Bundles to Prevent Healthcare-Associated Infections in Intensive Care Units: Nurses’ Views”. Clinical and Experimental Health Sciences 12/2 (June 2022), 376-382. https://doi.org/10.33808/clinexphealthsci.887853.
JAMA Yazıcı G, Bulut H. Use of Care Bundles to Prevent Healthcare-Associated Infections in Intensive Care Units: Nurses’ Views. Clinical and Experimental Health Sciences. 2022;12:376–382.
MLA Yazıcı, Gülay and Hülya Bulut. “Use of Care Bundles to Prevent Healthcare-Associated Infections in Intensive Care Units: Nurses’ Views”. Clinical and Experimental Health Sciences, vol. 12, no. 2, 2022, pp. 376-82, doi:10.33808/clinexphealthsci.887853.
Vancouver Yazıcı G, Bulut H. Use of Care Bundles to Prevent Healthcare-Associated Infections in Intensive Care Units: Nurses’ Views. Clinical and Experimental Health Sciences. 2022;12(2):376-82.

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