Abstract

Patients' safety outcomes are a reliable measure of how well a unit performs within any hospital. One of the most impactful patient safety factors is bloodline infections within the hospital. Blood line infections are associated with over 28,000 fatalities in the United States. The cost of central line bloodstream infection (CLABSI) in the United States is over $2 billion annually. Therefore, there is a need for a way to reduce CLABSI rates within care facilities. Considering the possible interventions, this program evaluation chose chlorhexidine gluconate (CHG) bathing to reduce infections. To establish the efficacy of the proposed solution, the program evaluation collected and analyzed data from 2015 to 2021. The data analysis suggested an association between CHG baths and reduced CLABSI rates. The program evaluation also surveyed nurses involved in the CHG program. The analysis suggested that nurses supported the protocol but expressed concerns about the support provided by the organization. This program evaluation made a report to the stakeholders, including management, nurses, and patients. The program evaluation featured quantitative and qualitative analysis contextualized by extant literature on patient safety, CLABSI within different units, and CHG bathing. The program evaluation concluded by restating the potential efficacy of CHG baths and recommending the adoption of the protocol within the entire project site. That stated, the program evaluation recommended that a program evaluation with an experimental set-up, better findings, and more robust data collection be conducted on the efficacy of CHG baths within different units in a hospital to justify the value of CHG baths further.

Yavesh Crawford

Author Details

Yavesh Crawford, DNP-FNP, BSN

Sigma Membership

Non-member

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Other

Keywords:

Central Line Bloodstream Infection, Laboratory-Confirmed Bloodstream Infections, Chlorhexidine Gluconate, CHG Bathing, CHG Protocol

Advisor

Leigh Hart

Degree

DNP

Degree Grantor

Jacksonville University

Degree Year

2022

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2022-03-01

Full Text of Presentation

wf_yes

Download

Share

COinS