EBP in Nursing - The Importance of Chlorhexidine Solution in Cleaning Catheter Insertion Sites

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Evidence-Based Project Name Institution Date

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Introduction  Nurses determine and implement interventions that address the health needs and interests of patients.  They participate in infection prevention and control activities to improve patient care outcomes (Abd Elbaky et al. 2020).  However, they may get used to their work and overlook important infection control activities.  Nurses may fail to observe hand hygiene and clean catheter insertion sites appropriately leading to infections

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Purpose statement  The current project investigates the importance of chlorhexidine solution in cleaning catheter insertion sites.

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Description of health organization and culture Noncompliance with hygiene practices is a serious problem within the hospital. Nurses do not comply with infection control and prevention practices Noncompliance jeopardizes patient care and outcomes

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Opportunity for change Many care providers do not wash their hands frequently They also do not clean insertion sites on patients frequently.

Nurses assume their hands are clean if they are not soiled. Most of them just use plain water or soap and water (Sarani et al. 2020). The contact between nurses and patients during care increases the risk of spreading infections. The infection’s risk is greater if the nurse does not observe hygiene practices

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Scope of issue  Failure to wash hands creates a culture of noncompliance in the hospital.  Junior nurses emulate their seniors who do comply with hand hygiene protocols.  Overlooking hand hygiene procedures leads to CAUTIs.  CAUTIs cause suffering among patients.  They increase the cost of care and financial burden for family members.

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EBP recommendation The recommended EBP practice is hand washing with chlorhexidine 2% solution before and after serving patients with catheters. Nurses need to wash their hands with chlorhexidine if they get soiled while attending to the target patient population.

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Knowledge Dissemination

Organizational-wide education forums will be carried out to increase awareness and knowledge among nurses  Chlorhexidine solutions will be placed on all hand washing sites in the hospital Nurse leaders will encourage other nurses to comply with hand hygiene

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Measurable outcomes oThe change in incidences of hospital-acquired infections. oThe increase in nurses using chlorhexidine gluconate as a handwashing agent.

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Lessons learned Noncompliance with infection control protocols has a detrimental impact on patient outcomes. Nurses should never overlook simple infection prevention practices. Hospitals should provide sufficient resources to support hand hygiene and other CAUTI interventions.

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Conclusion CAUTIs affect the outcome of care, patient satisfaction and organizational reputation. They also increase patient suffering and prolong hospital stay. Hand hygiene is a reliable infection control intervention. many care providers do not comply. Hand washing with chlorhexidine, before attending to patients who require catheterization, reduces the risk of infections

References

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 Abd Elbaky, M. M., Eldien, N. G., Ahmed, N. A., & Mohammed, E. F. (2020).

Comparative Study of Different Disinfectant Solutions on Reducing CatheterAssociated Urinary Tract Infections among Critical Patients. Journal of Health, Medicine and Nursing, 73, 107-114. http://DOI:10.7176/JHMN/73-14  Musuuza JS, Roberts TJ, Hundt AS, Carayon P, Zimbric ML, Schuetz V, et al.

(2020) Implementing daily chlorhexidine gluconate treatment the prevention of healthcare-associated infections in non-intensive care settings: A multiple case analysis. PLoS ONE 15(4), e0232062. https://doi.org/10.1371/journal.pone.0232062  Pallotto, C., Fiorio, M., De Angelis, V., Ripoli, A., Franciosini, E., Girolamo, L. Q., ... & Baldelli, F. (2019). Daily bathing with 4% chlorhexidine gluconate in intensive care settings: a randomized controlled trial. Clinical Microbiology and Infection, 25(6), 705-710. https://doi.org/10.1016/j.cmi.2018.09.012  Sarani, H., Pishkar Mofrad, Z., Faghihi, H., & Ghabimi, M. (2020). Comparison of the Effect of Perineal Care with Normal Saline and 2% Chlorhexidine Solution on the Rate of Catheter-Associated Urinary Tract Infection in Women Hospitalized in Intensive Care Units: A Quasi-Experimental Study. MedicalSurgical Nursing Journal, 9(2). e106739 https://dx.doi.org/10.5812/msnj.106739