ROUNDS THAT MATTER: NURSE LEADER VISIBILITY AS A STRATEGY TO REDUCE ONCOLOGY CLABSIS.
Significance & Background: Central line-associated bloodstream infections (CLABSIs) are a serious and preventable complication in oncology patients, often resulting in extended hospitalization, increased cost of care, and adverse clinical outcomes. In 2024, inpatient oncology units accounted for 63%...
| Publicado en: | Oncology Nursing Forum Vol. 53; no. 2; pp. 23 - 25 |
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| Autores principales: | , , , , |
| Formato: | Journal Article |
| Publicado: |
Oncology Nursing Society
Mar2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194211164&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194211164 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0190535X 4F0 jtl: Oncology Nursing Forum issn: 0190535X maglogo: N pubinfo: dt: Mar2026 vid: 53 iid: 2 pid: 12496 pub: Oncology Nursing Society place: Pittsburgh, Pennsylvania artinfo: ui: 194211164 10.1188/26.ONF.e26535271 194211164 ppf: 23 ppct: 2 formats: fmt: @attributes: type: P tig: atl: ROUNDS THAT MATTER: NURSE LEADER VISIBILITY AS A STRATEGY TO REDUCE ONCOLOGY CLABSIS. aug: au: Baitt, Edward Hanchett, Sharon Pegher, Lindsay Olivieri, Kristin McLane, Natalie affil: BSN, UPMC Shadyside, Pittsburgh, PA sug: ab: Significance & Background: Central line-associated bloodstream infections (CLABSIs) are a serious and preventable complication in oncology patients, often resulting in extended hospitalization, increased cost of care, and adverse clinical outcomes. In 2024, inpatient oncology units accounted for 63% of total hospital CLABSIs. Audits revealed inconsistent evidence-based interventions related to chlorhexidine gluconate (CHG) bathing and central line care and maintenance. Staff identified competing priorities and lack of real-time feedback as barriers to consistent practice and ownership. Purpose: To decrease CLABSI rates by 20% on inpatient oncology units through targeted nurse leader rounding, interdisciplinary coaching, and improved maintenance bundle compliance. Interventions: In January 2025, a structured nurse leader rounding process was implemented by a collaborative team consisting of IV therapy leadership, unit nursing leaders, infection prevention, and nursing education. Weekly interdisciplinary rounds focused on assessing dressing integrity and CHG bathing compliance. Rounding emphasized real-time coaching, supportive feedback, and direct engagement with bedside nurses and patients. Trends were monitored and shared with unit leadership to reinforce accountability and promote visibility of practice improvements. Results: From January to June 2025, CLABSI rates decreased by 38.46%, dropping from 1.23 infections per 1,000 central line days in 2024 to 0.76 year-to-date in 2025. Device utilization decreased by 9.5% from January to May 2025. CHG bathing compliance improved by 36.73% compared to 2024 averages and rose by 19.5% between January and June 2025. Line maintenance compliance improved by 27.79% compared to 2024 averages and increased 7% from January to June 2025, with a total gain of 19.8% since November 2024. Frontline staff reported increased awareness, confidence, and ownership in line care practices as a result of frequent leadership presence and non-punitive, in-the-moment guidance. Discussion: This quality improvement initiative highlights the impact of collaborative nurse leader rounding in reducing CLABSI rates and reinforcing central line care standards in oncology settings. The visibility of leadership, real-time coaching, and direct engagement with frontline nurses fostered accountability and culture change. This model offers a scalable, relationship-based strategy to improve infection prevention practices and patient outcomes across high-risk units. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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