TY - JOUR AU - Ramos Ferreira Curan, Gabriela AU - Giovanini Rossetto, Edilaine AU - Corrêa Castral, Thaíla PY - 2017/06/27 Y2 - 2024/03/28 TI - Using the knowledge translation framework to change practical care of central catheters in a Brazilian neonatal unit JF - The Journal of Infection in Developing Countries JA - J Infect Dev Ctries VL - 11 IS - 06 SE - Original Articles DO - 10.3855/jidc.7916 UR - https://jidc.org/index.php/journal/article/view/30951505 SP - 445-452 AB - <p>Introduction: The use of central catheters in intensive care is essential, but exposes the patient to the risk of a bloodstream infection. Although there is evidence to improve the care for these patients, there is a gap between knowledge and healthcare practices. This study was designed to describe the bundle implementation for central catheters in light of the knowledge translation (KT) conceptual framework in a neonatal unit and assess its impact on care practices with catheters.</p><p>Methodology: A time-series quasi-experimental study design was conducted in a Brazilian neonatal unit, through 289 non-participant observations of professional practices before and after the implementation of the bundles.</p><p>Results: The deployment of two bundles was guided through the steps of a careful selection of adopting KT evidence and context-related and investment factors in the facilitation process. The implementation of the bundles was planned by a group manager, mediated by a facilitator, and guided by targets established by professionals. The biggest impact was on the maintenance of catheters; seven of eleven practices improved significantly (p &lt; 0.01). The insertion of catheters showed lesser impact of change, with high adequacy ratios before implementation, but also presented satisfactory adherence to recommendations.</p><p>Conclusions: This is the first Brazilian study using the KT conceptual framework to develop, implement, and evaluate the impact of central line bundles in a neonatal care environment, detailing the implementation process. It highlights the importance of accountability and staff involvement in all stages of the study.</p> ER -