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Binding communication to improve peripheral venous catheter monitoring

Abstract : Background Optimizing the monitoring of peripheral venous catheters is essential. We developed a nursing record system at bedside (Patient Smart Reader) to track peripheral venous catheter acts. Aims The aim of the present study was to improve peripheral venous catheter monitoring. To improve the quality of monitoring, we aimed to increase the usage of the nursing record system at the bedside. Methods We developed a ‘commitment intervention’ course based on a binding communication paradigm. The corresponding effect on monitoring was analysed using a p-chart and time series analysis. Findings Nurses observed a significant improvement in compliance with catheter monitoring over time (shifts after shifts), ranging from 27.6% (CI = [25.3; 30.0]) compliance before the commitment intervention to 47.4% (CI = [45.0; 49.9]) compliance after training. The commitment intervention increased the chances of carrying out monitoring through the tool for acts related to peripheral venous catheters by a factor of 2.42 (odds ratio) (CI = [1.88; 3.11]). Conclusion Binding communication provides an effective method for changing nurses' behaviours in terms of safe care. The determinants of engagement (individual vs collective) can be indicators for defining future communication and training strategies in care centers for all health care workers.
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https://hal.archives-ouvertes.fr/hal-03352842
Contributor : Olga Florea Connect in order to contact the contributor
Submitted on : Friday, September 24, 2021 - 9:17:47 AM
Last modification on : Tuesday, October 19, 2021 - 10:51:00 PM

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Albertini Thibaut, Olga Florea, Huang Fanyu, Gonin Jeremy, Gaudart Jean, et al.. Binding communication to improve peripheral venous catheter monitoring. Journal of Evaluation in Clinical Practice, Wiley, 2021, ⟨10.1111/jep.13602⟩. ⟨hal-03352842⟩

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