Date of Conferral
8-13-2026
Date of Award
August 2026
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Letha Thomas
Abstract
This quality improvement project evaluated whether weekly team validation rounding improved chlorhexidine gluconate (CHG) bath completion and documentation compliance among eligible adult inpatients, with particular attention to differences in compliance outcomes between Pod 5C and Pod 4B. Background. Hospital-acquired infections continue to increase morbidity, mortality, length of stay, and healthcare costs. Although CHG bathing is an evidence-based strategy for reducing infection risk and the transmission of multidrug-resistant organisms, inconsistent documentation at the practicum site limited accurate monitoring of compliance across validation data, electronic medical record documentation, and DOMO reports. Method. Participants included eligible adult inpatients admitted within the previous 24 hours to two medical-surgical units at a Level I nonprofit hospital. Senior staff and frontline team members conducted weekly team-validation rounding using a standardized checklist to verify completion of CHG baths, reinforce patient education, clarify expectations for staff documentation, and promote unit-level accountability. Pre- and post-intervention validation survey findings were compared with electronic medical record and DOMO documentation data to assess compliance. Results. Following the six-week study, CHG documentation compliance increased to 88% on Pod 5C, demonstrating meaningful improvement, whereas Pod 4B showed limited change, with compliance remaining at 67%. Conclusion. Weekly team validation rounding improved CHG bath completion and documentation compliance when implemented with consistent staff engagement, standardized communication, and accountability reinforcement. The limited improvement on Pod 4B suggests that leadership should prioritize addressing unit-specific barriers, sustaining validation processes, and monitoring performance to support long-term adherence to infection-prevention practices. Keywords: chlorhexidine gluconate, CHG bathing, hospital-acquired infections, documentation compliance, team validation rounding, quality improvement, medical-surgical nursing, infection prevention, patient safety
Recommended Citation
Fong, La-Toya Therese, "Weekly Team Validation Rounding Focused on Chlorhexidine Gluconate Bathing and Bath Completion and Documentation Compliance" (2026). Walden Dissertations and Doctoral Studies. 20675.
https://scholarworks.waldenu.edu/dissertations/20675
