Effectiveness of a training program in compliance with recommendations for XXXX care.

@entity1 @entity281 @entity1211
BACKGROUND: The impact of training programs on the care and maintenance of @entity1211 ( @entity1211 ) has been assessed mainly in @entity1 admitted to the intensive care unit (ICU). Data on the impact of such programs in a whole general hospital are scarce. The objective of this study was to assess compliance with @entity1211 care after an extensive training program aimed at nurses caring for adult ICU and non-ICU @entity1 . METHODS: We performed 2 point prevalence studies in a general hospital. A specialized nurse visited all hospitalized adult @entity1 , performed a bedside inspection, and reviewed the nursing records for @entity1 with a @entity1211 before and after a 1-year training program. The program included an interactive on-line teaching component and distribution of pocket leaflets and posters with recommendations on @entity1211 care. RESULTS: Data recorded for the first and second prevalence studies were as follows: number of @entity1 visited, 753 vs. 682; total number of @entity1 with   >=    1 @entity1211 implanted on the visit day, 653 (86.7%) vs 585 (85.8%); catheters considered unnecessary on the study day, 183 (22.9%) vs 48 (7.1%) (p   <   0.001); number of catheters with local clinical evidence of @entity281 on the study day, 18 (2.2%) vs 12 (1.8%) (p   =   0.52); registration of insertion day (42.3% vs 50.1%; p   =   0.003); and registration of day of dressing change (41.2% vs 49.1%; p   =   0.003). Maintenance parameters improved more in non-ICU than in ICU @entity1 . CONCLUSION: A multidisciplinary teaching program to improve @entity1211 care and compliance with recommendations is effective. Point prevalence studies are easy to carry out and effective at demonstrating increases in compliance, mainly in non-ICU @entity1 .
