Hygiene care – bath: meanings and perspectives of nurses

Abstract

Background: As direct care to the person, the bath, in its performance or supervision, is emphasised as a space/time of interaction and knowledge between the nurse and the person. However, it is sometimes regarded as merely the task of keeping a person clean. Objectives: To understand the meaning assigned by nurses to hygiene care-bath; identify Nursing foci, related to the provision of Nursing care to the person as a whole, considered during hygiene care-bath; and describe the care provided during the bath. Methodology: Qualitative. A descriptive-exploratory, cross-sectional study was conducted with 18 participants using interviews and observation. Results: The results indicate that the provision of health care-bath is a type of nursing care essential to body cleanliness and comfort, and offers an opportunity for communication, presence and relationship with the person. Different foci may be taken into account to guide the provision of care with a view to meeting the person's needs. Conclusion: A type of care that promotes a space directed to the person and that must be provided by the nurse, who should encourage the person to have an active role in the care plan.

Bed-Bath: The Care-Omitting Behavior of the Nursing Team / Banho no Leito: Cuidados Omitidos pela Equipe de Enfermagem

“…The correct cleaning and disinfection of tables, screens, and chairs promote the control of microorganisms in the environment and, if they are associated to other measures such as hand hygiene, they can be effective in reducing HAI. 4,9,22,29 The risk of device displacement and risk of infection was also verified. These risks may be associated mainly with work overload and the unavailability of technical staff to assist colleagues, being requested only for patient mobilization.…”

“…15 This fact reaffirms the predilection of nursing by biological care, ignoring needs related to human interaction during such care. 4,21 The patient's privacy must be maintained, either with the protection of the environment (curtains, partitions, screens) or directly to him, 23 keeping discoveries only the manipulated part and also, prior guidance to the bath, to ensure a better quality of the procedure. 14 Professionals associate the organizational environment, the structure of the ICU and the way they deal with the protection of patients' privacy and report that the reduced level of awareness justifies the achievement of less protection of privacy, 23 which is reinforced by the fact that the bath in the bed increases in working hours.…”

“…The degree of dependence for care related to personal hygiene is directly related to the severity of the patients. [1][2][3][4] In the Intensive Care Unit (ICU) individuals may present the deficit in self-care and need assistance from the nursing team for various activities due to physical or pathological restriction, and the bed-bath is an example.1 Patients with high dependence are often diagnosed by nurses with "Selfcare deficit for bathing (00108)" and "Self-care deficit for intimate hygiene (00110)." 5 Bed-Bath (BB) can be performed in a traditional way with soap and water or with disposable towels, the latter being more efficient and less harmful to the skin, from the perspective of professionals and patients, although both have similar costs.…”

“…[8][9][10] Nonetheless, the team does not seem to take advantage of BB, either because of overwork, because it is exhausting due to physical effort, structural and organizational problems of the unit, or simply because the BB is considered a minor care. 4,11 The BB accomplishment is associated with improvisation, lack of maintenance of patient's privacy, and generally low satisfaction for patients and nursing staff. [11][12][13] Loss of privacy is considered an additional condition of stress and suffering during hospitalization.…”

Humanitarian Intervention, Health Behavior and Health Outcomes in Conflict Affected North East Nigeria: A Cross Sectional Survey Study

“…bathing) and (4) health outcomes (becoming sick and having diarrhea), for children who are internally displaced due to con ict in rural communities. Bathing in this study is the washing of the body with soap for body cleanliness to provide general personal hygiene, comfort and relief (30).We hypothesise that (1) the WASH intervention would improve bathing frequency among children and that (2) Bathing frequency will negatively affect the frequency of sickness and occurrence of diarrhea among the children.…”