141st APHA Annual Meeting and Exposition

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Online Program

282561
Assessing the experience of Florida NICU centers participating in the ncabsi project


Wednesday, November 6, 2013 : 12:50 p.m. - 1:10 p.m.

Pamela C. Guevara, MPH, Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL
Linda A. Detman, PhD, Department of Community & Family Health, The Lawton and Rhea Chiles Center for Healthy Mothers and Babies, University of South Florida, College of Public Health, Tampa, FL
  
     
Background: Catheter associated blood stream infection (CABSI) is a significant contributor to morbidity and mortality for infants receiving NICU care. The NCABSI Project is an eight state collaborative of NICU centers working to reduce infections in neonates by following a checklist protocol on line insertion and maintenance.

Methods: A 40-item survey was administered to the team leader in each of the 16 participating Florida NICUs to assess their experience in carrying out the activities of the project, examining data outcomes, and soliciting input on the successes and challenges of the project and feasibility of expanding it to other NICUs in the state. The online survey information was compiled using the Qualtrics Survey Software, and the responses and hospital specific data was downloaded into an Excel spreadsheet.

Results: Fourteen Florida NICUs participated in the survey, of which 57% rated the helpfulness of the monthly NCABSI team check-up tool for assessing their progress either helpful or very helpful. For most centers (75%), the nurse and the neonatologist were very active in driving the current NCABSI Project. Some of the team leaders (35%) found that the NCABSI project workload was heavy, but they did find benefits for their NICU, such as implementation of standard processes that have brought improvement and success in lowering their central line-associated bloodstream infection rate.

Conclusions: The participating NICU centers plan to sustain the positive results of the NCABSI project. The feedback data gathered will aid in making improvements for the project to be implemented throughout the state.

Learning Areas:

Advocacy for health and health education
Clinical medicine applied in public health
Planning of health education strategies, interventions, and programs
Public health or related research

Learning Objectives:
Assess the experience of Florida neonatal intensive care unit centers. Discuss the benefits and challenges experienced with the implementation of the neonatal catheter-associated blood stream infection project.

Keyword(s): Perinatal Health, Challenges and Opportunities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was involved in this research project and participated in the planning, data collection, and analysis. I have a master’s degree in public health (MPH) and have experience with disseminating research findings at national conferences. My MPH is in global health practice, and I am currently a PhD student with a concentration in health education in the Department of Community and Family Health at the College of Public Health at the University of South Florida.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 5180.0: Policy & finance of obstetric and newborn care programs