Central Line-Associated Bloodstream Infections and Improvement

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Table of Contents

Introduction
Gap Analysis and Learning Needs Assessment
Writing Outcomes and Objectives to Plan Activities
Using the Bloom’s Taxonomy for Each Learning Objective
Evaluation for Nurse Educators
Summary
References

Introduction

Central line-associated bloodstream infections (CLABSI) are common occurrences in many hospitals. CLABSI involve a series of infection occurring when germs enter the bloodstream through the central line. This condition often presents an immense challenge to human health and may hinder progressive and sustainable management of in-patients in various facilities. Technically, it requires an effective understanding of the aseptic technics, monitoring, and proper management strategies within these centers. In practice, patients undergoing central line placements should be closely monitored, ensuring all possible infection points are sterile. Although there are studies on the prevalence of this condition in hospitals, there is a need to understand the gaps in the impacts of CLABSI among different populations. This paper will delve into understanding the principles and values.

Gap Analysis and Learning Needs Assessment

As a learner, one needs to develop strategic focus and objectives to help evaluate the existing gaps within a healthcare setting. Technically, this study will involve procedural evaluation and understanding of CLABSI as a major concern in modern hospitals. As a result, the main objective for the study will involve:

To understand the attributes of central line-associated bloodstream infections, including causes, prevalence, treatment, and management.

Specific objectives for the study

By the end of this study, the learner should be able:

To understand the causes of CLABSI in a hospital situation
To evaluate the etiology and epidemiology of CLABSI among different sample populations.
To examine the management and treatment of CLABSI

The Current State

CLABSI is a pertinent factor in health setting which require fundamental understanding to ensure comprehensive analogy. One of the major gaps to consider in the study of CLABSI includes the desire to understand the various aspects of etiology, epidemiology, the pathophysiology, treatment, and management of this condition in different hospital environments. Primarily, it is also important to evaluate the history, prevalence, and implications of this condition among various populations. This gap presents a potential learning opportunity that will help in developing a critical educational plan for this course.

The Potential Learning Needs

Successful healthcare career development requires a comprehensive understanding of all the prevailing conditions as experienced by the different populations. CLABSI often exist in many hospitals as a result of negligence and lack of professional understanding among the physicians and other caregivers. This study will explore the contextual value of the infections as they occur both in surgical and clinical environments. The need to explore the different aspects of these infections needs fundamental integration of both first-hand information and critical analogy of the existing data. This study will be an opportunity to cross-examine the various attributes of CLABSI.

Approach to Study

The study of CLABSI will include both qualitative and practical approaches to hospital cases. For the qualitative evaluations, the study will focus on existing literature based on previous studies and hospital databases for different centers. At the same time, there will be consultations among professional medics to help understand further the implications of this disease in various environmental conditions. Ideally, secondary research is fundamental in examining different conditions in hospitals as well as planning for treatment and sustainable care practice cultures in health facilities.

Writing Outcomes and Objectives to Plan Activities

For this study, a critical learning outcome path will be developed to help meet the expectations. In essence, some of the topics which will be taught include some of the things health providers do to prevent CLABSI among their patients. At the same time, the study will explore the values of critical care, hygiene, and standard procedures in managing infections.

Objective 1
To understand the causes of CLABSI in a hospital situation

Sub-topics
The key courses of CLABSI:

Contaminated central line operations
Host factors: chronic conditions
Femoral central venous catheters

Desired Outcome

Comprehensive understanding of how these infections occur in hospitals

Strategy

Review the existing literature materials and engage the hospitals

Objective 2
To evaluate the etiology and epidemiology of CLABSI among different sample populations.

Sub-topics

Prolonged hospital stay
Operation practices
Central venous catheters

Understand the prevalence of the infection cases in sampled hospitals.

Participate in the handling of first-hand cases in a hospital

Objective 3
To examine the management and treatment of CLABSI

Sub-topic

Medication choice
Self-care practices
Therapeutic practices

Establish effective mechanisms of managing the infection in different operation setups.

Conduct a cohort study on a sample population based on the use of different drugs.

Using the Bloom’s Taxonomy for Each Learning Objective

The outlined learning objectives will seek to explore the fundamental components of CLABSI as a major health care concern. Understanding the history of these infections as an instrumental aspect of nursing practice is vital in the education platform. Ideally, the study design will involve a comprehensive analogy of the nursing roles and self-care practices as witnessed in the hospitals. The study will involve maximum engagement with the nursing educators and student exchange services to help learners develop a dynamic approach to the treatment and management of CLABSI conditions prevalent in various hospitals around the world. According to Bell and O’Grady (2017), CLABSI can be prevented by effective sanitation, awareness on sterilization, and the application critical care principles among the nurses and physicians. Thus, there is a need to establish the correlation between dirt and the rate of infection among the patients who take longer in hospitals.

Each learning objective will be conducted alongside the pre-determined philosophical background based on the instructions of the nursing educators and other pivotal health care professionals. The study will involve fundamental exploration of various literature materials and various tools. Each learning objective will have a specified target sub-topic to help understand how this condition is transferred from one patient to the next, as well as the key features in the transmission chain (Harper & Maloney, 2016). Notably, several elements of transmission need to be evaluated to break the chain and manage the prevailing cases without prejudice and decisions as a learner.

Learning objectives help develop specific topics to evaluate the study gaps and generate the key variables to be studied. Based on the current objectives, nursing educators will have a fundamental role in shaping the outcomes of the study system and affecting the behavioral aspects of the learner. The paramount level of Bloom’s taxonomy in this study will include knowledge, comprehension, application, analysis, synthesis and evaluation.

Desired Learning Outcome	Domain of Learning	Bloom’s Level	Topics to Teach
			Role of nurses
Learning Objectives			Patient rights and behavior
To understand the causes of CLABSI in a hospital situation.	Cognitive	Evaluation Knowledge	Sterilization practices Medical adherence
To evaluate the etiology and epidemiology of CLABSI among different sample populations.	Affective	Comprehension Analysis	The value of effective management and clinical practices
To examine the management and treatment of CLABSI	Psychomotor	Synthesis Analysis Application	Role of sanitation and sterilization procedures

Evaluation for Nurse Educators

The main components of Kirkpatrick’s levels of evaluation will include the following elements;

Noting down the reactions from learners on the training outcomes
Presence of increased knowledge and awareness about the key training experiences
Behavior change and the emergence of improvement in healthcare settings, which include application of knowledge learned during the study.
The results of the learning outcome, including improved lifestyle and health practices in any healthcare and social settings

Evaluation Methods

Test
Participation
Performance reports
Qualitative techniques

Effects on each level of evaluation

Understand the roles of each nursing educator
Consider the value of nurses in patient care
Examine the benefits of individual-based care practice
Evaluate the values of effective communication

Key objectives

To evaluate the etiology and epidemiology of CLABSI among different sample populations.
To examine the management and treatment of CLABSI.

The following evaluation tool will be used to establish the outcome status for each learning objective. The program will critically evaluate the existing information alongside the data collected from nursing practice participation to understand the implications of these infections in the nursing environment for week 7.

Level 1 Evaluation: Process (Align to objective 1)	Level 2 Evaluation: Learning (Align to objective 1and 2)	Level 3 Evaluation: Behavior (objective 2 and 3)	Level 4 Evaluation: Results (Objective 1)
Establish cases of CLABSI in the hospital	Discussions	Lifestyle audit	Behavior change
Interrogate nurses	Literature review	Sanitation and hygiene	Improved reporting
Ask about symptoms	Lifestyle audit	Sterilization practices	Improved sanitation and hygiene levels
Ask about the understanding of patients and physicians	Monitoring and evaluation	Self-awareness	Comprehensive awareness and self-care culture
			Patient engagements

Summary

The study of CLABSI presents a major gap in healthcare practices and requires the fundamental input of both the students and nurse educators. This educational plan provides a self-approach framework to help enhance the actualization of self within the healthcare framework. The study will utilize both qualitative and quantitative values to help the learners explore the principles of learning in a nursing environment. The key learning objectives for this education program will be focusing on central line-associated bloodstream infections, which have become very influential in the healthcare field of study. Each variable will bear critical role in the outcome of the study and influence the conclusions of findings. Using Kirkpatrick’s levels of evaluation and Bloom’s taxonomy, the learner will be able to explore the implications of CLABSI in different environments. One of the main ways to achieve this objective is to engage in practicum sessions with nursing educators. At the same time, the nurse needs to know every patient’s position and rights while undertaking care services within the hospitals. Therefore, the procedures will involve weekly engagement with the nurses to ensure a comprehensive understanding of the key aspects of this disease within the clinical care environments and hospitals. Each of the identified objectives will establish a crucial link between the nursing practices and patient-centered approaches used by different hospitals.

References

Bell, T., & O’Grady, N. P. (2017). Prevention of central line–associated bloodstream infections. Infectious Disease Clinics, 31(3), 551-559.

Harper, M. G., & Maloney, P. (2016). Nursing professional development scope & standards of practice (3rd ed., pp. 30–41). Chicago, IL: Association for Nursing Professional Development.

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