This study used a pre/post-intervention design. The
hospital leadership model includes a unit-based critical
care CNS in each ICU. The CNSs individually worked
with their unit-based physician leadership and infection
prevention staff. Additionally, a CNS in the hospital’s
research department collaborated with each CNS to
implement the protocol. A champion(s) was also identified
for each unit. Champions were typically staff nurses
and/or chairs of the units’ practice committees with the
support of the clinical nurse managers. The CNSs and
champions provided an educational overview both orally and in newsletters about the protocol and monitored for
implementation progress and supply needs. Before this
study, we did not have a standard bathing protocol aside
from the traditional use of a bath basin with soap and
water. The hospital’s institutional review board approved
this study as exempt from human subjects committee
review because it was minimal risk, the CHG bathing
intervention applied to all patients in the study units,
and only unit-level data would be collected