Implementation Strategies to Improve Evidence-Based Bathing Practices in a Neuro ICU.

Journal Article (Journal Article)


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.


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.


An observational pre-/postdesign was used.


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.


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.

Full Text

Duke Authors

Cited Authors

  • Reynolds, SS; Sova, C; McNalty, B; Lambert, S; Granger, B

Published Date

  • April 2019

Published In

Volume / Issue

  • 34 / 2

Start / End Page

  • 133 - 138

PubMed ID

  • 29975217

Electronic International Standard Serial Number (EISSN)

  • 1550-5065

International Standard Serial Number (ISSN)

  • 1057-3631

Digital Object Identifier (DOI)

  • 10.1097/ncq.0000000000000347


  • eng