research article Assessing the sustainability of daily chlorhexidine bathing in

Research article assessing the sustainability of

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research article, “Assessing the sustainability of daily chlorhexidine bathing in the intensive care unit of a Veteran's Hospital by examining nurses' perspectives and experiences,” was part of a quality improvement project that evaluated the nursing staff’s perspectives regarding CHG bathing, description of daily CHG bathing process, and analyzing barriers that impact its adoption and sustainability in the ICU of a Veterans hospital in Wisconsin (Musuuza, Roberts, Carayon, & Safdar, 2017). The open-ended research questions designed for this study was “How do you communicate with the other nursing staff that a chlorhexidine bath for a given patient wasdone?” and “Please tell me what you know about the chlorhexidine bathing policy.” (Musuuza, Roberts, Carayon, & Safdar, 2017). Another question I felt was important to study was “What arethe views about adding CHG bathing to order set as an intervention?” The purpose and research questions were related to problem because it led researchers to find found out why there was lownoncompliance rate of daily CHG bathing based off the nursing staff’s perceptions.The second article, “Chlorhexidine Gluconate Baths: Supporting daily use to reduce central line- associated bloodstream infections affecting immunocompromised patients,the aim was a reduction of CLABSIs as result of staff adherence to CHG protocol and identification of barriers that led to noncompliance of CHG bathing on a hematology-oncology unit at Emory
QUALITATIVE RESEARCH CRITIQUE4University Hospital. This study used a mixed method of quantitative and qualitative methods as evidenced by the project’s research question “In immunosuppressed patients with central lines onan acute hematology-oncology unit, will increasing adherence to CHG baths bring the CLABSI rate from 5.28 per 1,000 central line days to 1 per 1,000 central line days within a 10-week period?” (Jusin-Leon, Matheson, & Forsythe, 2019). For the purpose of this paper I will focus onthe qualitative part of study. The purpose and research question were related to the problem as evidenced by the project findings of identification of knowledge gap of patient and staff adherence of institution’s CHG protocol and rationale that EBP and preventive actions are valid in reducing the incidence of CLABSIs if followed (Jusin-Leon, Matheson, & Forsythe, 2019). Literature SupportDo adult patients across inpatient units (P), who bathe daily with chlorhexidine gluconate(I) compared to not bathing (C) reduce the rate of healthcare-associated infections (O) during their hospital stay (T)? The following two articles show that there is an association with incidence of HAIs when chlorhexidine bathing is not implemented. One study showed that when CHG bathing was not implemented on a hematology-oncology unit 3 HAIs occurred and after

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