Program Evaluation of Implementation Science Outcomes From an Intervention to Improve Compliance With Chlorhexidine Gluconate Bathing: A Qualitative Study.

Background and Objectives: Evaluation of implementation science research is warranted to better understand and determine the success of translating evidence-based infection prevention practices at the bedside. The purpose of this program evaluation was to evaluate implementation outcomes from the pe...

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Published in:Dimensions of Critical Care Nursing Vol. 41; no. 4; pp. 200 - 209
Main Authors: Reynolds, Staci S., Woltz, Patricia, Keating, Edward, Neff, Janice, Elliott, Jennifer, Granger, Bradi B.
Format: research tables/charts Journal Article
Published: Lippincott Williams & Wilkins Jul/Aug2022
Online Access:View this record in EBSCOhost
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      dt: Jul/Aug2022
      vid: 41
      iid: 4
      pid: 5086
      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Program Evaluation of Implementation Science Outcomes From an Intervention to Improve Compliance With Chlorhexidine Gluconate Bathing: A Qualitative Study.
      aug:
        au:
          Reynolds, Staci S.
          Woltz, Patricia
          Keating, Edward
          Neff, Janice
          Elliott, Jennifer
          Granger, Bradi B.
        affil: Staci S. Reynolds, PhD, RN, ACNS-BC, CCRN, CNRN, SCRN, CPHQ, is currently employed at Duke University School of Nursing as an associate professor and at Duke University Hospital in the Infection Prevention and Hospital Epidemiology department as a clinical nurse specialist.
      sug:
        subj:
          Program Evaluation
          Implementation Science
          Chlorhexidine Therapeutic Use
          Bathing and Baths
          Medication Compliance
          Outcome Assessment
          Catheter-Related Bloodstream Infections
          Human
          Qualitative Studies
          Focus Groups
          Nurses
          Nursing Leaders
          Interviews
          Medical Practice, Evidence-Based
      ab: Background and Objectives: Evaluation of implementation science research is warranted to better understand and determine the success of translating evidence-based infection prevention practices at the bedside. The purpose of this program evaluation was to evaluate implementation outcomes from the perspectives of nurses and nursing leaders regarding a previously conducted chlorhexidine gluconate (CHG) bathing implementation science study among 14 critical care units. Methods: Focus groups and interviews, using semistructured interview questions, were conducted to examine the perceptions of nurses who participated in a CHG bathing implementation science study. A deductive qualitative analysis using Proctor and colleagues' implementation outcomes framework was used. Transcripts were analyzed and categorized using the framework as a predetermined code list to structure the implementation outcomes of acceptability, appropriateness, adoption, feasibility, and sustainability. Findings: A total of 19 nurses and nurse leaders participated in a focus group or interview. Participants noted that both implementation strategies used in the initial study (educational outreach and audit and feedback) were acceptable and appropriate and expressed that the evidence-based CHG bathing practice was feasible to integrate into practice and was being adopted. Discussion: The program evaluation identified strengths and opportunities for improvement related to the implementation strategies and evidence-based CHG bathing protocol. Findings can inform future studies that seek to implement CHG bathing protocols in the critical care setting using audit and feedback and educational outreach strategies.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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