Reducing Central Venous Access Device (CVAD) Complications in Acute Care Paediatrics
Author(s)
Primary Supervisor
Cooke, Marie
Rickard, Claire
Year published
2016
Metadata
Show full item recordAbstract
Objective
Central venous access devices (CVADs) are an integral component of modern paediatric healthcare; however, the insertion and use of these devices are associated with serious complications. CVAD management strategies, including their dressing and securement, have been developed to reduce CVAD-associated complications. Nurses are key managers in promoting paediatric CVAD function, through the consistent use of effective management strategies.
The aims of this PhD study were to: (1) identify current clinical management for CVADs within Australian paediatric facilities; (2) evaluate the feasibility of launching a ...
View more >Objective Central venous access devices (CVADs) are an integral component of modern paediatric healthcare; however, the insertion and use of these devices are associated with serious complications. CVAD management strategies, including their dressing and securement, have been developed to reduce CVAD-associated complications. Nurses are key managers in promoting paediatric CVAD function, through the consistent use of effective management strategies. The aims of this PhD study were to: (1) identify current clinical management for CVADs within Australian paediatric facilities; (2) evaluate the feasibility of launching a full-scale efficacy trial of tunnelled cuffed CVAD securement and dressing products within acute care paediatrics; and (3) provide baseline estimates of the effectiveness of four dressings and securement products on tunnelled cuffed CVAD complication and failure, within a pilot study. Design A two-phased study was undertaken: a point prevalence audit and cross-sectional survey of paediatric CVAD management practices; and a four-armed, pilot randomised controlled trial (RCT) of innovative tunnelled, cuffed CVAD dressing and securement products to prevent complication and failure within paediatric acute care.
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View more >Objective Central venous access devices (CVADs) are an integral component of modern paediatric healthcare; however, the insertion and use of these devices are associated with serious complications. CVAD management strategies, including their dressing and securement, have been developed to reduce CVAD-associated complications. Nurses are key managers in promoting paediatric CVAD function, through the consistent use of effective management strategies. The aims of this PhD study were to: (1) identify current clinical management for CVADs within Australian paediatric facilities; (2) evaluate the feasibility of launching a full-scale efficacy trial of tunnelled cuffed CVAD securement and dressing products within acute care paediatrics; and (3) provide baseline estimates of the effectiveness of four dressings and securement products on tunnelled cuffed CVAD complication and failure, within a pilot study. Design A two-phased study was undertaken: a point prevalence audit and cross-sectional survey of paediatric CVAD management practices; and a four-armed, pilot randomised controlled trial (RCT) of innovative tunnelled, cuffed CVAD dressing and securement products to prevent complication and failure within paediatric acute care.
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Thesis Type
Thesis (PhD Doctorate)
Degree Program
Doctor of Philosophy (PhD)
School
School of Nursing and Midwifery
Copyright Statement
The author owns the copyright in this thesis, unless stated otherwise.
Subject
Central venous access devices (CVADs)
Paediatric healthcare
Paediatric CVAD management practices