The data in the video is evidence-based. All of the information provided is directly backed up by the CDC and various peer-reviewed journals, such as the New England Journal of Medicine. The article, "Prevention of central-line associated bloodstream infections" directly supports the video's statements to engage in hand hygiene and the use of chlorhexidine (O'Grady, 2023).

All of the information provided in the video can be used to improve public health and clinical decision-making. The information provided reinforces education for nurses to take appropriate actions when caring for a central line. It also improves public health by helping parents know how to care for central lines at home and reinforcing that collaboration with the healthcare team is necessary.

Diversity, equity, and inclusion are related to the video content because it includes children of all ages and mentions that chlorhexidine should only be used on babies older than 2 months.

The target audience is healthcare workers in acute-care hospitals. Specifically, it targets the healthcare workers responsible for determining the need for a central line and ordering the placement (doctors), the healthcare worker inserting the central line, and those managing it after placement. At my acute-care hospital, UPMC, IV team nurses and floor nurses are responsible for insertion and after-insertion care.

The journal article is based on information collected by SHEA, the Infectious Disease Society of America (IDSA), the Association for Professionals in Infection Control and Epidemiology (APIC), the American Hospital Association (AHA), the Joint Commission, and the CDC. Over 100 peer-reviewed sources were used as references for this journal article.

The data collected can be used to improve public health by decreasing infection rates based on best practices and identifying unresolved issues. Addressing unresolved issues, such as central line nonantimicrobial dressings and bacterial resistance to chlorhexidine, will improve public health and clinical decision-making because it opens the door to further research needs.

DEI is related to this content. The journal article includes preterm infants in their discussion, noting that an unresolved infection issue includes the "impact of silver zeolite-impregnated umbilical catheters in preterm infants" (Buetti, 2022).

Reference

Buetti, N., Marschall, J., Drees, M., Fakih, M. G., Hadaway, L., Maragakis, L. L., Monsees, E., Novosad, S., O'Grady, N. P., Rupp, M. E., Wolf, J., Yokoe, D., & Mermel, L. A. (2022). Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. Infection control and hospital epidemiology, 43(5), 553–569. https://doi.org/10.1017/ice.2022.87

The website provided is based on evidence-based practice. The CDC is an evidence-based public health center. Additionally, journal articles are provided as references for this website.

The content is important for improving public health because it encourages patients to collaborate with healthcare providers and be involved in their own care by asking questions and expressing concerns. It also provides patients with tips to prevent infection, such as avoiding frequent touching of the central line.

DEI is related to this information because it includes different types of central lines, which helps include people with different diagnoses. For example, a patient with cancer may have an implanted port, which can be used for chemotherapy and is usually used for longer-term management.

The target audience for this video on Instagram is nurses, as it goes over care management for central lines that nurses are responsible for.

Although no sources are cited, the information collected is based on evidence-based practice and peer-reviewed information. A journal article I found backs up the Instagram videos mention of dressing changes. In the study, "Improving maintenance of central line dressings to reduce risk of central line-associated bloodstream infections in acute-care settings", the dressings must stay clean, dry, and intact and should be changed every 7 days or when soiled (Gaskill, 2024).

This information will improve clinical decsion making because many nurses, especially new nurses, seek out education opportunites that are accessible, such as Instagram videos. This video provides education on how to prevent infections which will help the nurse adhere to best practices, which directly impacts infection rates. Public health will also benefit from nurses adhering to evidence-based practices concerning infection prevention, which decreases patient mortality and well-being.

DEI is related to the content because it is easily accessible for anyone to view. It is eseentially free education.

Reference

Gaskill, K., Wilder, K., Sneed, E., Pujals, A. J., & Newman, K. (2024). Improving Maintenance of Central Line Dressing to Reduce Risk of Central Line-Associated Bloodstream Infections in an Acute-Care Setting. HCA healthcare journal of medicine, 5(5), 569–576. https://doi.org/10.36518/2689-0216.2025

The target audience for the video is a wide array of those seeking education concerning CLABSI prevention and information on central lines in general. For example, the target could include students in various healthcare fields or a patient preparing to receive a central line who is looking for further education.

The information provided is evidence-based. The Agency for Healthcare Research and Quality published a safety program (https://www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/playbook_revised.pdf) that backs up the information provided in the video. For example, the video discusses weighing the benefits and risks of placing a central line, and the safety program discusses avoiding placement based on clinical indications. This safety program provides up to 43 peer-reviewed references.

The content can be used to improve public health and clinical decision-making because it educates patients and healthcare providers on the importance of taking into consideration the downsides and risks of placing a central line. The content helps nurses collaborate with doctors to advocate for the safety of patients, as they are always observing and assessing.

Outweighing the risks of central lines and preventing infection are related to DEI because all individuals must receive the same level of resources and care, regardless of their differences. Additionally, different individuals have different risk factors that must be taken into consideration.

The information presented in the journal is peer-reviewed and evidence-based. In the introduction of the journal, there are various evidence-based resources referenced. For example, it states that central line-associated bloodstream infections are a source for increased morbidity, mortality, and economic impact, which is information provided by an additional journal article titled "Central line-associated blood stream infections" (Haddadin, 2022).

Public health and clinical decision-making can be improved with this research because nurses were able to identify perceived barriers to implementing infection prevention interventions. By identifying these barriers, for example, a lack of infection prevention education and workshops, solutions can be implemented. With further education, nurses are more likely to adhere to prevention methods, which will result in a decrease in infections.

DEI is related to the content because the participants of the study include individuals of different ages and sexes. Additionally, the participants had different levels of education.

References

Alqalah T. A. H. (2024). Mitigating risks in central line-associated bloodstream infection: a comprehensive insight into critical care nurses' knowledge, attitudes, barriers, and compliance. BMC nursing, 23(1), 497. https://doi.org/10.1186/s12912-024-02168-5

Haddadin, Y., Annamaraju, P., & Regunath, H. (2022). Central Line–Associated Blood Stream Infections. In StatPearls. StatPearls Publishing.

The information provided is evidence-based. Many up-to-date, peer-reviewed research articles support the information provided on the website. For example, before using the central line, it is necessary to confirm the catheter position with imaging, like an X-ray. In a journal article, "Central line placement", central line placement techniques include confirming catheter positioning with an X-ray before use (Tse & Schick, 2022).

The website's information will improve public health and clinical decision-making. If the care providers and patient are unaware that X-ray confirmation is required before use of the central line, the line may be used before it is known to be in the correct position. Incorrect positioning of the catheter tip can lead to poor outcomes, impacting patient safety and treatment efficacy. Some patient safety consequences of using a line with improper placement can include heart arrhythmias, clots, and blood/air in the lungs. The catheter could also perforate the heart vessel wall.

The content is related to DEI because it includes special population considerations for children of various ages. It identifies ways to help prevent babies and toddlers from pulling out their central line. It also provides education for parents of school-aged children with central lines who want to engage in sports and other activities.

Reference

Tse, A., & Schick, M. A. (2022). Central Line Placement(Archived). In StatPearls. StatPearls Publishing.

The target audience could include infection prevention committees, as it is a systematic review that combines various studies that help identify risk factors for CLABSIs and ways to help prevent them. Additionally, all healthcare workers involved in the care of central lines could be a targeted audience for this content.

The information presented is evidence-based as it was gathered from 15 journal articles based on peer-reviewed research. The articles were included based on specific inclusion criteria, most importantly, the CDC and NHSN criteria for defining catheter-associated infections. Additionally, the studies included had to be within the last 13 years to ensure relevance. One of the resources used for this article was another article titled "Anatomic site-specific complication rates for central venous catheter insertions", which used research collected over 9 months from Georgetown University Hospital and Washington Hospital Center (Bell, 2018).

The article identifies the most common risk factors associated with CLABSIs, which can improve public health by educating healthcare professionals and aiding in them outweighing risks over benefits to line insertion. Overall, this information will help decrease infection rates among patients, which will directly impact mortality, length of stay, and hospital costs.

The journal article was related to diversity, equity, and inclusion because the participants of the study were selected from a large sample size from various countries and of different ages and sexes. Countries included were the USA, Spain, South Korea, Brazil, Australia, Egypt, Germany, and Thailand.

Reference

Blanchard, A. C., Fortin, E., Rocher, I., Moore, D. L., Frenette, C., Tremblay, C., & Quach, C. (2013). Central line-associated bloodstream infection in neonatal intensive care units. Infection control and hospital epidemiology, 34(11), 1167–1173. https://doi.org/10.1086/673464