Direct care nurses on the shared governance journey towards positive patient outcomes

Journal of Clinical Nursing
Nicole KneflinJennifer Munafo

Abstract

To describe shared governance in action through the example of one paediatric institution's decision to institute daily chlorhexidine bathing. Shared governance processes are discussed extensively in the literature; however, implementation of the processes can be challenging. Recently nurses at one paediatric hospital were involved in a hospital-wide practice change where the theoretical approach of shared governance was actualised. Several questions arose from direct care nurses about unwarranted variations in bathing practices across settings and whether bathing standardisation could address the recent increase in central line-associated bloodstream infections. Shared governance council members identified daily chlorhexidine bathing as a potential intervention to standardise bathing across the hospital and to decrease infection rates. At this time, chlorhexidine bathing had been widely adopted in adult hospitals but was less commonly practiced in paediatric institutions. This is a position paper describing the use of shared governance to make a house-wide practice decision and positively impact patient outcomes. Inquiry Council members conducted a systematic evidence search on best practices around chlorhexidine bathing. This...Continue Reading

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Citations

Nov 1, 2018·The Journal of Nursing Administration·Tina Di FioreNancy M Albert
Feb 20, 2021·Journal of Nursing Management·Adelaide Maria Ansah Ofei, Yennuten Paarima

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