Browsing by Subject "Critical Care Nursing"
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Item Open Access Implementation Strategies to Improve Evidence-Based Bathing Practices in a Neuro ICU.(Journal of nursing care quality, 2019-04) Reynolds, Staci Sue; Sova, Chris; McNalty, Bridget; Lambert, Suzanne; Granger, BradiBackground
Evidence supports daily bathing using chlorhexidine gluconate (CHG) cloths to decrease preventable hospital-acquired central line-associated bloodstream infections (CLABSIs). However, implementation of this practice is inconsistent. Using multifaceted strategies to promote implementation is supported in the literature, yet there is a gap in knowing which strategies are most successful.Purpose
Using the Grol and Wensing Model of Implementation as a guide, the purpose of this study was to determine whether using tailored, multifaceted strategies would improve implementation of daily CHG bathing and decrease CLABSIs in a large neuro ICU.Methods
An observational pre-/postdesign was used.Results
Following implementation, infection rates decreased (P = .031). Statistically significant improvements were also seen across all process measures: bathing documentation, nursing knowledge, and perceived importance of CHG bathing.Conclusions
This study assists in closing the research-practice gap by using tailored, multifaceted implementation strategies to increase use of evidence-based nursing care for infection prevention practices.Item Open Access Patient and Family Partnerships in the ICU: History, Benefits, and Strategies for the Future(ICU Management & Practice, 2024-04-19) Neiman, Joseph; Arizmendez, Natalia; Abraham, Marie; Dokken, Deborah; Johnson, Beverley; Hirshberg, EliotteThe seamless integration of patient- and family-centred care in the critical care setting remains elusive. This review discusses the history and benefits of patient- and family-centred care, plus strategies for partnering with patients and families in the critical care setting.