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

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

doi:10.1097/JCN.0000000000000824

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

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^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

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.

Original language	English (US)
Pages (from-to)	289-295
Number of pages	7
Journal	Journal of Cardiovascular Nursing
Volume	37
Issue number	3
DOIs	https://doi.org/10.1097/JCN.0000000000000824
State	Published - May 1 2022

Funding

This work was supported by the National Institutes of Health, National Institute of Nursing Research (grant number 1R21NR016745-01).

Keywords

Infection
Patient simulation
Patient-centered care
Self-care
Ventricular assist device

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Advanced and Specialized Nursing

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10.1097/JCN.0000000000000824

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Wilcox, J. E., Harap, R. S., Stosor, V., Cohen, E. R., Grady, K. L., Cameron, K. A., Scholtens, D. M., Wayne, D. B., Shanklin, K. B., Nonog, G. P., Schulze, L. E., Jirak, A. M., Magliola, G. C., & Barsuk, J. H. (2022). Effect of Ventricular Assist Device Self-care Simulation-Based Mastery Learning on Driveline Exit Site Infections A Pilot Study. Journal of Cardiovascular Nursing, 37(3), 289-295. https://doi.org/10.1097/JCN.0000000000000824

@article{ce8889a65b214200b3f05ab9f1de65a3,

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

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.",

keywords = "Infection, Patient simulation, Patient-centered care, Self-care, Ventricular assist device",

author = "Wilcox, {Jane E} and Harap, {Rebecca S.} and Valentina Stosor and Cohen, {Elaine R.} and Grady, {Kathleen L.} and Cameron, {Kenzie A.} and Scholtens, {Denise M.} and Wayne, {Diane B.} and Shanklin, {Kerry B.} and Nonog, {Gretchen P.} and Schulze, {Lauren E.} and Jirak, {Alison M.} and Magliola, {Grace C.} and Barsuk, {Jeffrey H.}",

year = "2022",

month = may,

day = "1",

doi = "10.1097/JCN.0000000000000824",

language = "English (US)",

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journal = "Journal of Cardiovascular Nursing",

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Wilcox, JE, Harap, RS, Stosor, V, Cohen, ER, Grady, KL , Cameron, KA , Scholtens, DM , Wayne, DB, Shanklin, KB, Nonog, GP, Schulze, LE, Jirak, AM, Magliola, GC & Barsuk, JH 2022, 'Effect of Ventricular Assist Device Self-care Simulation-Based Mastery Learning on Driveline Exit Site Infections A Pilot Study', Journal of Cardiovascular Nursing, vol. 37, no. 3, pp. 289-295. https://doi.org/10.1097/JCN.0000000000000824

TY - JOUR

T1 - Effect of Ventricular Assist Device Self-care Simulation-Based Mastery Learning on Driveline Exit Site Infections A Pilot Study

AU - Wilcox, Jane E

AU - Harap, Rebecca S.

AU - Stosor, Valentina

AU - Cohen, Elaine R.

AU - Grady, Kathleen L.

AU - Cameron, Kenzie A.

AU - Scholtens, Denise M.

AU - Wayne, Diane B.

AU - Shanklin, Kerry B.

AU - Nonog, Gretchen P.

AU - Schulze, Lauren E.

AU - Jirak, Alison M.

AU - Magliola, Grace C.

AU - Barsuk, Jeffrey H.

PY - 2022/5/1

Y1 - 2022/5/1

N2 - 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.

AB - 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.

KW - Infection

KW - Patient simulation

KW - Patient-centered care

KW - Self-care

KW - Ventricular assist device

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SN - 0889-4655

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JO - Journal of Cardiovascular Nursing

JF - Journal of Cardiovascular Nursing

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ER -

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

Abstract

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