Effect of Ventricular Assist Device Self-care Simulation-Based Mastery Learning on Driveline Exit Site Infections: A Pilot Study

Overview

Journal J Cardiovasc Nurs

Specialties Cardiology & Vascular Diseases
Nursing

Date 2021 Jun 6

PMID 34091567

Citations 1

Authors

Jane E Wilcox

Rebecca S Harap

Valentina Stosor

Elaine R Cohen

Kathleen L Grady

Kenzie A Cameron

Denise M Scholtens

Diane B Wayne

Kerry B Shanklin

Gretchen P Nonog

Lauren E Schulze

Alison M Jirak

Grace C Magliola

Jeffrey H Barsuk

Affiliations

Soon will be listed here.

Abstract

Background: Ventricular assist device simulation-based mastery learning (SBML) results in better patient and caregiver self-care skills compared with usual training.

Objective: The aim of this study was to evaluate the effect of SBML on driveline exit site infections.

Methods: We compared the probability of remaining infection free at 3 and 12 months between patients randomized to SBML or usual training.

Results: The SBML-training group had no infections at 3 months and 2 infections at 12 months, yielding a Kaplan-Meier estimate of the probability of remaining infection free of 0.857 (95% confidence interval [CI], 0.692-1.00) at 12 months. The usual-training group had 6 infections at 3 months with no additional infections by 12 months. Kaplan-Meier estimates of remaining infection free at 3 and 12 months were 0.878 (95% CI, 0.758-1.00) and 0.748 (95% CI, 0.591-0.946), respectively. Time-to-infection distributions for SBML versus usual training showed a difference in 12-month infection rates of 0.109 (P = .07).

Conclusions: Ventricular assist device self-care SBML resulted in fewer 12-month infections.

Citing Articles

Use of an ultrasound-guided intravenous catheter insertion simulation-based mastery learning curriculum to improve paediatric anaesthesia care.

Ballard H, Rivera A, Tsao M, Phillips M, Robles A, Hajduk J BJA Open. 2023; 4:100101.

PMID: 37588791 PMC: 10430828. DOI: 10.1016/j.bjao.2022.100101.

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