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Learning Objective 1: The learner will be able to identify factors that influence nursing practice related to central line-associated bloodstream infections (CLABSI).
Learning Objective 2: The learner will be able to delineate the importance of sharing patient stories about CLABSI.
Methods: Based upon these findings, conversations were conducted with 37 staff nurse preceptors. Goals included: 1) to appreciate their powerful influence over nursing practice; 2) to validate comprehension of hospital policies related to central line care and maintenance; and 3) to discover obstacles to best practice implementation.
Results: Complex patient care has placed myriad demands on nurses’ time, often resulting in frustration with multi-tasking which can lead to sub-optimal best practice implementation. Inadequate time for retrieval, appraisal and translation of best practice information and delays in dissemination of policy updates were also perceived negatively. Positive perceptions included a desire to enhance patient outcomes through sharing of stories, and a willingness to offer and receive feedback as members of a high reliability organization. Preceptors expressed appreciation for having a voice in the organization.
Implications: Preceptors should have opportunities to develop skills in time management and priority setting for the prevention of CLABSI. Sharing patient stories about CLABSI creates a connection between data and real life persons with whom the nurse has developed therapeutic relationships. This capitalizes on the caring nature of the nurse-patient bond and produces a nursing value system based in the affective learning domain. Organizational leaders should explore opportunities for direct care providers to engage in meaningful discourse about optimal best practices for CLABSI prevention.
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