The authors used several qualitative resources that

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The authors used several qualitative resources that were cited throughout the article, and were dated from 1985-2015. Although some resources are older than five years, the articles were relevant to this study. It was clearly stated that there has been evidence about nursing interventions to prevent HAIs, however a substantial gap remains between the evidence and the implementation of practice for HAI prevention. Some limitations to the study included that the data was not analyzed by the professional titles of RNs, NMs, or HCTs, therefore findings were not separated. The researchers determined that the experiences with patient bathing would not vary by much as all three professionals spent a considerable amount of time on the unit. Another limitation mentioned was that the study was conducted at one hospital and it made it difficult to determine the results to the general population across the United States. However, all members of the research team reviewedthe findings and reported that it may be transferrable to other ICU settings in other hospitals. The last limitation that was mentioned was that there could have been possible bias due to the convenience sampling, however the researchers minimized this limitation by reporting that the results were presented by all nursing staff on the unit (Musuuza, Roberts, Carayon, & Safdar, 2017).Results of StudyThe research team was able to identify the bathing process in five steps which included: the decision to give a bath, ability to give a bath, assistance for baths, delegation of baths, and
RESEARCH CRITIQUES AND PICOT6decision on which type of soap. As a result, they found that the bathing process had one out of three outcomes that could have been an interrupted bath, bath not being done, or a completed bath. The nursing staff did not find a distinction between bathing with soap and water compared to CHG bathing as an infection prevention measure. The staff also considered bathing the patients a low-priority intervention as they considered it more of a comfort measure amongst the other nursing tasks that needed to be carried out. The ability to give patients a bath became a challenge as it was influenced by staffing shortages, finding the time out of the busy day, and the heavy workload of critical patients. Getting assistance for bathing patients also became a challenge because other staff may have been busy with other patients. The delegation of baths mainly was given to clinically stable patients and at other times were not delegated at all based on the RN's perception of the importance of the bath. When the nursing staff had to choose which type of soap to use for the baths, they could choose either CHG or ordinary soap and water. There were different perceptions from the nursing staff on the use of CHG soap as some believed that the soap was beneficial for HAI prevention meanwhile the other nursing staff believed that CHG soap destroyed the normal microbial flora and increased the risk of infections. Other reasons that the nursing staff did not

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