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  • Reducing Central Venous Access Device (CVAD) Complications in Acute Care Paediatrics

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    Ullman, Amanda_thesis_redacted.pdf (5.502Mb)
    Author(s)
    Ullman, Amanda J.
    Primary Supervisor
    Cooke, Marie
    Rickard, Claire
    Year published
    2016
    Metadata
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    Abstract
    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 ...
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    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
    DOI
    https://doi.org/10.25904/1912/370
    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
    Publication URI
    http://hdl.handle.net/10072/365364
    Collection
    • Theses - Higher Degree by Research

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