After reviewing the research articles and finding that hospital-acquired CLABSIs are a problem in many areas of nursing, it is evident that nurses need more education on this subject. It would also be beneficial to establish a quality assurance change plan and establish guidelines for staff to follow when introducing and caring for CLs. Continuing education is always an advantage in nursing. Keeping up to date with evidence-based practices and research ensures that nurses are up to date with current literature, allowing them to provide safe, quality patient care. The research conducted in these articles highlighted that staff training led to better patient outcomes regarding hospital-acquired CLABSIs. This is a small change that can have a huge impact and would be beneficial in providing quality patient care by reducing the risk of developing CLABSIs in patients across all areas of nursing practice. Change comes with drawbacks and challenges that can be difficult to overcome. People are creatures of habit and often have difficulty adapting to new ways of doing things. Implementing a new change also requires time to research the best policy, time to train staff, costs to retrain staff, and possibly costs for new equipment needed to implement the change. In medicine, things are constantly changing and evolving as research and technology bring new ways of providing care. How leaders and staff accept change determines its advantages and disadvantages in health care delivery. If implementing a quality assurance change plan leads to safe and positive patient outcomes, then the benefits far outweigh the harms. There are many possible areas in nursing practice where implementing a quality plan...... middle of paper ...... Although further research is needed to establish the cause of CLABSIs and best practices for CL care, some quality assurance improvement changes can be implemented now. Using evidence-based research, a quality assurance change plan can be implemented to reduce the risk of hospital-acquired CLABSIs. Nursing staff must be properly informed of the new standard of care, adequate training must be provided to staff, appropriate devices must be available, and evaluation of the procedure is necessary to ensure the best outcome for the patient. Nursing leaders will play a major role in promoting these changes. With the proper guidance, training and tools, nurses will be able to implement the defined quality assurance change plan. This will lead to a positive outcome for patients, reducing morbidity, mortality and healthcare costs associated with nosocomial CLABSI..