[Interventional Patient Hygiene Model. A critical reflection on basic nursing care in intensive care units]

Area of Science:

• Nursing Science
• Critical Care Medicine
• Patient Safety

Context:

• The shift in healthcare towards preventing iatrogenic complications (Hospital Acquired Conditions) over the last 15 years.
• Recognition of basic nursing care's role in preventing complications like falls, infections, and sepsis.
• The emergence of the 'get back to the basics' movement in critical care nursing.

Purpose:

• To introduce and describe Kathleen Vollman's Interventional Patient Hygiene (IPH) model.
• To outline a proactive nursing intervention plan for critical care settings.
• To emphasize the importance of evidence-based nursing care in preventing patient harm.

Summary:

• The Interventional Patient Hygiene (IPH) model integrates key components of basic nursing care, including oral hygiene, mobilization, catheter care, and skin antisepsis.
• It provides a structured framework for implementing evidence-based interventions to improve patient outcomes.
• The model's implementation follows the Deming cycle, promoting continuous quality improvement in nursing practices.

Impact:

• Strengthens patient outcomes by proactively preventing hospital-acquired conditions.
• Highlights the direct link between fundamental nursing practices and Nursing Sensitive Outcomes.
• Advocates for the integration of basic nursing principles into the education of future nurses.