Research utilization: development of a central venous catheter procedure

The Nursing Research Committee in a large, tertiary care teaching hospital used Horn model for research use to develop research-based practice guidelines for the care of patients with central venous catheters. Development of these guidelines was the outcome of a process for planned change including a critique of relevant literature, consultation with clinical experts, involvement and commitment of stakeholders, and the development of an educational plan. The recommendations focus on the technique for the central venous catheter procedure, cleansing of the site, use of ointments, and application of dressings. Used as clinical practice guidelines, they offer nurses a scientific basis for their practice.