Abstract
In the maintenance of an intravascular catheter, a large children's hospital used a needleless valve device. After frequent observations of stagnant blood around the valve, the clinical nurse specialist (CNS) organized a multidisciplinary team to determine how to provide better care and maintenance for the intravascular device and the child. To guide the process, the lowa Model for Research-Based Practice to Promote Quality Care was selected for the study, and Havelock's Theory of Planned Change was used. The CNS roles of educator, researcher, and collaborator enabled the CNS to be an effective change agent.

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