DescriptionPurpose of Project: The purpose of this project was to perform a program evaluation on a vascular access management program that is used to assess a hospital’s current state program for their vascular access process, products, and policies.
Methodology: Stufflebeam's Context, Input, Process and Product methodology was used to perform this program evaluation. The CIPP Model is used to guide an evaluation of a program, specifically programs that are aimed at effecting long-term sustainable improvements.
Results: When the current vascular access management program was evaluated using the CIPP Model it was noted that there were deficiencies within the Context and Process sections. The Context section scored a 71% with areas of improvement noted to be around change management practices and improvement was needed in identifying internal and external beneficiaries. For the Process section it was noted to be 40% compliant with improvements needed in the archiving of changes to the program, deficient in identifying customer feedback and a lack of an up-to-date profile. The identification of these issues was uncovered by using this methodology in a systematic approach to program management.
Implications for Practice: Vascular access is the most common procedure that occurs in an acute-care facility. Ensuring that there is a sound vascular access program, and that program is reviewed and modified on an ongoing basis benefits several parties within a hospital. First and foremost, it benefits the patient. When the right device is selected for the prescribed therapy, the clinician is versed on how to insert the device as well as care for the device and medications and therapies are delivered timely and without complication, the patient receives their treatment without delay and without risk of an extended stay due to vascular access challenges. For the clinician, when they are versed in device selection, principles of insertion as well as care and maintenance, they can be more efficient and effective. For the hospital, better patient outcomes, better clinician efficiency make for positive interactions which can translate into great patient satisfaction while also seeing cost improvements.