Washing Without Water: Cost-Effectiveness of a Rapidly Spreading Nursing Intervention in Care Dependent Patients
van Achterberg, Theo
Van Gaal, Betsie G. I.
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Session presented on: Friday, July 26, 2013: Purpose: Washing Without Water, using disposable cleaning and skin care materials, is increasingly implemented in nursing care. However, well performed studies on skin effects and related cost-effectiveness are lacking. Aim: To compare washing without water with traditional bed baths in care dependent nursing home patients on 1) skin integrity 2) patient and nurse satisfaction and 3) costs. Methods: Cluster randomised trial with randomisation at ward level, to either Washing Without Water or traditional soap & water bed baths. After informed consent, care dependent patients and their nurses participated in this study. For each patient, we observed for care associated skin damage at seven points in time, with one week between each assessment. In addition, we collected data on patient and nurse satisfaction and washing related costs. Data collection was concluded on 31 October 2012. Data are analysed using linear mixed models, while accounting for clustering of patients at the level of wards. Results: A total of 505 patients were included. At every intervention ward, nurses filled out the nurse questionnaire. At the 24th STTI International Nursing Research Conference, we will present key results on 1) skin effects, 2) patient and nurse satisfaction, and 3) costs for the both groups. Conclusion: This project will allow a first conclusion on the skin effects of washing without water in care dependent patients and will deliver key results to inform those interested in cost-effectiveness in basic nursing care and those who promote or question the implementation of Washing Without Water in patient care.