NURS FPX 9100 Assessment 1 Obesity Topic Approval

NURS-FPX9100 Topic Approval Form

LEARNER INSTRUCTIONS 

This screening form is intended to help you and your faculty ensure the project topic and methods meet the requirements for the DNP final project. Include APA Citations where noted in this form. Please include an APA reference list at the end of the document. Links to relevant resources have been provided throughout the document. The Faculty/Reviewer will provide feedback directly on this form and record the decision to endorse or defer the topic.

WORKING PROJECT TITLE: 

Combatting Central Line-Associated Bloodstream Infections (CLABSI): A Training Initiative. 

Primary Investigator: (Please provide your full name and credentials here.)

Project Site: Baptist Health Louisville, KY

Sponsor: (Please add preceptor and at least one stakeholder’s name and credentials here.)

PROJECT DESCRIPTION

PICOT:

For nursing staff working in intensive care units (P), how does implementing a comprehensive training program on evidence-based infection prevention techniques (I) compared to no training influence adherence to infection control practices preventing CLABSI (O) over 12 weeks (T)?

Brief Summary:

Baptist Health Louisville has identified infection in the bloodstream, mainly due to central line, as a concern, indicating worse-than-average performance. The hospital’s score using the data is 1.065, higher than the average score of 0.687 (Leapfrog Hospital Safety Grade, 2024). The literature indicates that the mortality rate for CLABSIs is 12–15%, and the infections contribute to prolonged hospital stays, causing hospitalized patients to have up to 2.75 times higher odds of death.

Each case costs about $46,000, burdening financial resources for patients and facilities (Toor et al., 2022). Peer-reviewed literature presents that nurses have sufficient knowledge in CLABSI prevention but lack the implementation of best practices, so improved training and stricter compliance with infection prevention protocols are necessary (Shahbaz et al., 2024). The training program will include a 12-week training focused on reinforcing evidence-based central line care and infection prevention strategies.  

Primary Objective:

The project intends to give nursing staff knowledge and adherence to evidence-based central line care practices through a 12-week education and training program. The project emphasizes standardization of best practices and prevention of CLABSI by reinforcing proper insertion, maintenance, and infection prevention techniques (Odada et al., 2023). The initiative is designed to affect compliance with infection control protocols to create a culture of patient safety, combat complications of central line infections, and influence overall healthcare quality and patient outcomes.

Secondary Objective:

The other project objective is to develop hands-on training and real-time feedback to strengthen nursing staff competence in central line maintenance. Staff will follow standardized protocols due to improved knowledge of evidence-based infection prevention strategies, leading to more consistency in care. Regular audits and performance assessments of staff will affect staff accountability and sustain adherence to infection control practices (Braun et al., 2020). The initiative aims to enhance communication among the healthcare teams to help progress patient outcomes and sustain the prevention of CLABSI at Baptist Health Louisville.

Proposed Evidence-based Intervention(s):

The literature supports the evidence-based interventions of staff education and training on central line insertion and maintenance bundles, which positively affect CLABSI rates. For example, Shahbaz et al. (2024) state that proper staff training is needed for nurses to acquire knowledge regarding central line care and to impact the infection rates. Best practices will be adhered to through regular competency audits and feedback sessions (CDC, n.d.-a; CDC, n.d.-b). Proposed interventions will guide project implementation.

PROJECT DESIGN AND METHODS

Project Design: A Quality Improvement (QI) project using a prospective, quantitative design to evaluate the effect of a 12-week educational intervention on nursing staff adherence to evidence-based central line care practices and CLABSI rates at Baptist Health Louisville.

Model For Improvement: Plan-Do-Study-Act (PDSA).

Target Population Undergoing the Practice Change: The selected participants are nursing staff in intensive care units (ICUs) responsible for central line handling and directly involved in patient care. 

Inclusion Criteria: The project will include all registered nurses (RNs) (full-time workers, part-time workers, and contract-based staff), who insert, maintain, and care for patients on central lines in intensive care units (ICUs) at Baptist Health Louisville. Certified Infection prevention and control (IPAC) professionals are also included because they are acknowledged as essential in managing and supervising infection control practices (MacLean et al., 2025) and are therefore involved in staff education and training.

Exclusion Criteria: Participation of physicians, respiratory therapists, pharmacists, social workers, and administrative staff is excluded. Nursing staff who do not work in the ICU or are not directly involved in central line care will not be involved as well. 

Estimated Project Length (weeks): The project will span 12 weeks. Two weeks for the phase before implementation, which will involve staff training sessions on evidence-based central line care practices, infection prevention strategies, and competency assessments. The implementation phase will be over 8 weeks, during which ICU nursing staff will apply what they have learned in clinical practice, with monitoring, audits, and feedback. The next two weeks will be used for data collection and analysis to assess staff adherence to CLABSI prevention protocols and infection rates. Through this structured timeline, all training, implementation, and evaluation should be complete to create meaningful quality improvement outcomes.

OUTCOME MEASURES AND ANALYSIS

Primary Outcome Measures: The major outcome is nursing staff adherence to evidence-based central line care practices using direct observation, audits, and self-reported infection prevention protocols. Changes in the rate of CLABSI will be measured within the 12-week project time frame to determine the total impact of the education and training intervention.

Secondary Outcome Measures: Secondary measures would include the staff participation rate in training sessions, competency evaluation score, and staff feedback on the educational program’s efficiency. Qualitative feedback will be used to evaluate proxy measures of improved communication and collaboration among ICU nurses to prevent CLABSI.

Data Analysis and Results Reporting:  

NURS FPX 9100 Assessment 1 Obesity Topic Approval

The effectiveness of the CLABSI prevention training will be analyzed using inferential statistics, comparing pre- and post-intervention data. The staff compliance scores and competency evaluations will be evaluated with a paired t-test and a parametric test to determine differences in staff compliance scores and competency evaluations before and after training. This test is appropriate since it compares means within the same group over time.

A chi-square test will test the association between training participation and adherence to central line care protocols. If the p-value is <0.05, then it is statistically significant. Inferential statistics allows generalization of findings and guides future training investments. Baptist Health Louisville may allocate more resources for ongoing education, competency validation, and infection prevention measures if the intervention significantly affects CLABSI rates, thus improving patient safety and decreasing healthcare-associated costs of CLABSI treatment.

References

Braun, B. I., Chitavi, S. O., Suzuki, H., Soyemi, C. A., & Puig-Asensio, M. (2020). Culture of safety: Impact on improvement in infection prevention process and outcomes. Current Infectious Disease Reports, 22(12). https://doi.org/10.1007/s11908-020-00741-y 

CDC. (n.d.-a). Giving infection prevention feedback. cdc.gov. https://www.cdc.gov/infection-control/media/pdfs/Strive-CBT103-508.pdf 

CDC. (n.d.-b). Using audits to monitor infection prevention practices. cdc.gov. https://www.cdc.gov/infection-control/media/pdfs/Strive-CBT102-508.pdf 

Leapfrog Hospital Safety Grade. (2024). Baptist Health Louisville – KY. Hospitalsafetygrade.org. https://www.hospitalsafetygrade.org/h/baptist-health-louisville

MacLean, R., Durepos, P., Keeping-Burke, L., Witherspoon, R., Morris, P., Gibbons, C., Taylor, N., & McCloskey, R. (2025). Education and training on infection prevention and control provided by long-term care homes to visitors: A scoping review. Nursing Reports, 15(1), 17–17. https://doi.org/10.3390/nursrep15010017 

NURS FPX 9100 Assessment 1 Obesity Topic Approval

Odada, D., Munyi, H., Gatuiku, J., Thuku, R., Nyandigisi, J., Wangui, A., Ashihundu, E., Nyakiringa, B., Kimeu, J., Musumbi, M., & Adam, R. D. (2023). Reducing the rate of central line-associated bloodstream infections; A quality improvement project. BMC Infectious Diseases, 23(1). https://doi.org/10.1186/s12879-023-08744-5 

Shahbaz, K., Sarwar, B., Hayat, U., & Sarwar, M. (2024). Knowledge & practice of nurses regarding central line-associated bloodstream infection & prevention. Journal of Health and Rehabilitation Research, 4(2), 1462–1466. https://doi.org/10.61919/jhrr.v4i2.1117 

Toor, H., Farr, S., Savla, P., Kashyap, S., Wang, S., & Miulli, D. E. (2022). Prevalence of central line-associated bloodstream infections (CLABSI) in intensive care and medical-surgical units. Cureus, 14(3). https://doi.org/10.7759/cureus.22809