Guided imagery: replication study using coronary artery bypass graft patients.

Replication of a guided imagery study, based on the work of D. Tusek and colleagues, was initiated for coronary artery bypass graft patients, using the Center for Advanced Nursing Practice's Evidence-Based Practice Model. Through the leadership of clinical nurse specialists and the support of perioperative and postoperative bedside clinicians, this initiative offered benefits to patients and served as a template for program expansion to other patient populations.

Selection and implementation of a transparent dressing for central vascular access devices.

The selection of new central venous access devices (CVADs), line dressing, and nursing clinical practices was guided by the Center for Advanced Nursing Practice's Evidence-Based Practice Model. The model's evidence-triggered, evidence-supported, evidence-observed, and evidence-based phases provided structure that guided a systematic process in which best practice was incorporated into the clinical setting, based on clinician insights, evaluation of authoritative literature, and examination of three CVAD dressings as an intervention using various study methods. This article discusses study findings, recommendations, and implications for nursing practice.

Peripherally inserted central catheter program.

The peripherally inserted central catheter (PICC) is a safe and less costly option to centrally inserted, tunneled, or implanted central vascular access devices. Support for PICC services and reports of results vary among organizations. A comprehensive PICC Program, guided by the Center for Advanced Nursing Practice's Evidence-Based Practice Model, was designed and implemented with successful outcomes.