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CVAD Homecare Management: Investigating the Use of a Digital Education Tool During Nurse-Delivered Instruction to Parents for New Central Lines in Children With Cancer

Jennifer L. Raybin
Suhong Tong
Nancy King
Wanda Simms
Roger Giller
Kathleen Montgomery
Verna L. Hendricks-Ferguson
CJON 2019, 23(3), 295-300 DOI: 10.1188/19.CJON.295-300

Background: Research on parent understanding of homecare management of external central venous access devices (CVADs) for children with cancer is limited.

Objectives: The goal was to investigate whether the use of a DVD education intervention reduced adverse complications and improved parent education for homecare management of CVADs for pediatric patients with cancer.

Methods: Participants were randomized to an experimental group (DVD and nurse teaching) or a control group (nurse teaching). Postintervention evaluation included parent satisfaction and CVAD knowledge proficiency, blood infection rates, use of alteplase, and CVAD replacement.

Findings: Fifty-four enrolled caregiver–patient dyads completed the study measures, with 21 dyads assigned to the control group and 33 assigned to the experimental group. Alteplase was ordered significantly less often in the experimental group. No other findings were significant.

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