Abstract Aims and objectives To compare the washing without water method with the water and soap ... more Abstract Aims and objectives To compare the washing without water method with the water and soap method regarding comfort perceptions of the bed bath. Background Bathing affects nurses’ and care recipients’ comfort. Bedridden care recipients can be bathed in bed with water and soap or with washing without water products. Little is known about the differences between these two bed bath methods regarding comfort perceptions among care recipients and nurses. Design Crossover randomised laboratory‐controlled trial, conducted from March 2018–November 2019, according to the CONSORT guidelines. Methods Nursing students were randomly allocated roles as a patient (who received both types of bed baths) or a nurse (who provided both types of bed baths). Also, the order in which the bed baths were received/provided was randomised. A total of 97 students were included in the analysis. Student patients filled out the Patient Evaluation of Emotional Comfort Experienced (PEECE) scale to measure emotional comfort and a single‐item question on physical comfort after each bed bath. Student nurses filled out the Physical Demands scale after each bed bath to measure their physical comfort perceptions. Results No differences were found between the two bed bathing methods regarding student patients’ emotional or physical comfort levels. Among student nurses, the washing without water method was less physically demanding than the water and soap method. Conclusions Taking into account time‐efficiency and physical comfort for nurses, washing without water seems to be a valuable alternative to water and soap from a care recipient comfort perspective, which should be assessed in a clinical setting in future research. Relevance to clinical practice The washing without water method is less physically demanding for nurses and takes less time. It does not have a detrimental effect on care recipients’ emotional and physical comfort. The trial is registered at www.trialregister.nl (ID = NL6787).
Search strategies used in PUBMED, MEDLINE, CINAHL and Embase. Search strategies used in different... more Search strategies used in PUBMED, MEDLINE, CINAHL and Embase. Search strategies used in different databases. (PDF 164Â kb)
People interested in the research are advised to contact the author for the final version of the ... more People interested in the research are advised to contact the author for the final version of the publication, or visit the DOI to the publisher's website. • The final author version and the galley proof are versions of the publication after peer review. • The final published version features the final layout of the paper including the volume, issue and page numbers. Link to publication General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights. • Users may download and print one copy of any publication from the public portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal. If the publication is distributed under the terms of Article 25fa of the Dutch Copyright Act, indicated by the "Taverne" license above, please follow below link for the End User Agreement:
Purpose This paper aims to explore how tensions and alignments between different actors’ needs in... more Purpose This paper aims to explore how tensions and alignments between different actors’ needs in a transformative services network affect balanced centricity, which is an indicator of well-being. Balanced centricity describes a situation in which all network actors’ interests and needs are fulfilled simultaneously. In such cases, all actors are better off, which increases both individual actors’ and overall actor-network well-being. Design/methodology/approach The empirical study takes place in nursing homes in which in-bed baths represent co-created service encounters that affect the well-being of focal actors (i.e. patients), frontline service employees (i.e. nurses) and transformative service mediators (i.e. family members), who have potentially competing needs. Using a qualitative, phenomenological approach, the study inductively explores and deductively categorizes actors’ personal experiences to gain deep, holistic insights into the service network and its complex web of acto...
Bathing is one of the most performed activities among nurses. Although care recipients experience... more Bathing is one of the most performed activities among nurses. Although care recipients experience bathing as an important activity in daily living, nurses often undervalue this care task. We developed a questionnaire to measure nurses’ opinions regarding 1) the importance of the bed bath, and 2) a bathing innovation known as Washing Without Water. Construction of the questionnaire items was based on literature and interviews with nursing home residents (n=8), their family (n=5) and nurses (n=6). After items construction, nurses and nursing students (n=124) completed the questionnaire to assess the questionnaire’s internal consistency (IC) and construct validity. Cronbach’s alpha coefficients were analyzed as an indicator for IC and items were deleted if this resulted in improved IC. To analyze the construct validity, a Principal Component Analyses (PCA) with Direct Oblimin Factor rotation was performed. The final scale consists of two subscales. The first subscale measures nurses’ o...
Background The traditional bed bath with water and soap often leads to emotional and physical dis... more Background The traditional bed bath with water and soap often leads to emotional and physical discomfort among bedridden patients. In addition, the traditional bed bath is physically demanding for nurses. The washing without water concept is increasingly used in healthcare to bathe bedridden patients and is likely to affect emotional and physical comfort dimensions. This protocol describes a study that will assess how washing without water performs compared to the traditional bed bath regarding emotional and physical comfort experienced by the bathed bedridden person and regarding physical demands for the provider of the bed bath.Methods This study uses a randomized cross-over design in which nursing students will simulate the bed baths of patients in a laboratory setting. Students will be randomly allocated to a patient or a nurse group and consequently will respectively receive or provide two bed baths: the traditional bed bath and a washing without water bed bath. The order of th...
Background: For immobile patients, a body wash in bed is sometimes the only bathing option. Tradi... more Background: For immobile patients, a body wash in bed is sometimes the only bathing option. Traditionally, the bed bath is performed with water and soap. However, alternatives are increasingly used in health care. Washing without water is one such alternative that has been claimed to offer several advantages, such as improved hygiene and skin condition. This systematic review aims to provide a comprehensive overview of the evidence on outcomes of the washing without water concept compared to the traditional bed bath. Methods: Controlled trials about washing without water outcomes published after 1994 were collected by means of a systematic literature search in CINAHL, Embase, MEDLINE, and PUBMED at the 25th of February, 2016. Additionally, references and citations were searched and experts contacted. Studies were eligible if (1) the study designs included outcomes of washing without water products developed for the full body wash compared to the traditional bed bath, and (2) they were controlled trials. Two researchers independently used a standardized quality checklist to assess the methodological quality of the eligible studies. Finally, outcomes were categorized in (1) physiological outcomes related to hygiene and skin condition, (2) stakeholder-related outcomes, and (3) organizational outcomes in the data synthesis. Results: Out of 33 potentially relevant articles subjected to full text screening, six studies met the eligibility criteria. Only two studies (of the same research group) were considered of high quality. The results of these high quality studies show that washing without water performed better than the traditional bed bath regarding skin abnormalities and bathing completeness. No differences between washing without water and the traditional bed bath were found for outcomes related to significant skin lesions, resistance during bathing and costs in the studies of high quality. Conclusions: There is limited moderate to high quality evidence that washing without water is not inferior to the traditional bed bath. Future research on washing without water is needed and should pay special attention to costs, hygiene, and to stakeholder-related outcomes, such as experiences and value perceptions of patients, nursing staff and family.
Abstract Aims and objectives To compare the washing without water method with the water and soap ... more Abstract Aims and objectives To compare the washing without water method with the water and soap method regarding comfort perceptions of the bed bath. Background Bathing affects nurses’ and care recipients’ comfort. Bedridden care recipients can be bathed in bed with water and soap or with washing without water products. Little is known about the differences between these two bed bath methods regarding comfort perceptions among care recipients and nurses. Design Crossover randomised laboratory‐controlled trial, conducted from March 2018–November 2019, according to the CONSORT guidelines. Methods Nursing students were randomly allocated roles as a patient (who received both types of bed baths) or a nurse (who provided both types of bed baths). Also, the order in which the bed baths were received/provided was randomised. A total of 97 students were included in the analysis. Student patients filled out the Patient Evaluation of Emotional Comfort Experienced (PEECE) scale to measure emotional comfort and a single‐item question on physical comfort after each bed bath. Student nurses filled out the Physical Demands scale after each bed bath to measure their physical comfort perceptions. Results No differences were found between the two bed bathing methods regarding student patients’ emotional or physical comfort levels. Among student nurses, the washing without water method was less physically demanding than the water and soap method. Conclusions Taking into account time‐efficiency and physical comfort for nurses, washing without water seems to be a valuable alternative to water and soap from a care recipient comfort perspective, which should be assessed in a clinical setting in future research. Relevance to clinical practice The washing without water method is less physically demanding for nurses and takes less time. It does not have a detrimental effect on care recipients’ emotional and physical comfort. The trial is registered at www.trialregister.nl (ID = NL6787).
Search strategies used in PUBMED, MEDLINE, CINAHL and Embase. Search strategies used in different... more Search strategies used in PUBMED, MEDLINE, CINAHL and Embase. Search strategies used in different databases. (PDF 164Â kb)
People interested in the research are advised to contact the author for the final version of the ... more People interested in the research are advised to contact the author for the final version of the publication, or visit the DOI to the publisher's website. • The final author version and the galley proof are versions of the publication after peer review. • The final published version features the final layout of the paper including the volume, issue and page numbers. Link to publication General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights. • Users may download and print one copy of any publication from the public portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal. If the publication is distributed under the terms of Article 25fa of the Dutch Copyright Act, indicated by the "Taverne" license above, please follow below link for the End User Agreement:
Purpose This paper aims to explore how tensions and alignments between different actors’ needs in... more Purpose This paper aims to explore how tensions and alignments between different actors’ needs in a transformative services network affect balanced centricity, which is an indicator of well-being. Balanced centricity describes a situation in which all network actors’ interests and needs are fulfilled simultaneously. In such cases, all actors are better off, which increases both individual actors’ and overall actor-network well-being. Design/methodology/approach The empirical study takes place in nursing homes in which in-bed baths represent co-created service encounters that affect the well-being of focal actors (i.e. patients), frontline service employees (i.e. nurses) and transformative service mediators (i.e. family members), who have potentially competing needs. Using a qualitative, phenomenological approach, the study inductively explores and deductively categorizes actors’ personal experiences to gain deep, holistic insights into the service network and its complex web of acto...
Bathing is one of the most performed activities among nurses. Although care recipients experience... more Bathing is one of the most performed activities among nurses. Although care recipients experience bathing as an important activity in daily living, nurses often undervalue this care task. We developed a questionnaire to measure nurses’ opinions regarding 1) the importance of the bed bath, and 2) a bathing innovation known as Washing Without Water. Construction of the questionnaire items was based on literature and interviews with nursing home residents (n=8), their family (n=5) and nurses (n=6). After items construction, nurses and nursing students (n=124) completed the questionnaire to assess the questionnaire’s internal consistency (IC) and construct validity. Cronbach’s alpha coefficients were analyzed as an indicator for IC and items were deleted if this resulted in improved IC. To analyze the construct validity, a Principal Component Analyses (PCA) with Direct Oblimin Factor rotation was performed. The final scale consists of two subscales. The first subscale measures nurses’ o...
Background The traditional bed bath with water and soap often leads to emotional and physical dis... more Background The traditional bed bath with water and soap often leads to emotional and physical discomfort among bedridden patients. In addition, the traditional bed bath is physically demanding for nurses. The washing without water concept is increasingly used in healthcare to bathe bedridden patients and is likely to affect emotional and physical comfort dimensions. This protocol describes a study that will assess how washing without water performs compared to the traditional bed bath regarding emotional and physical comfort experienced by the bathed bedridden person and regarding physical demands for the provider of the bed bath.Methods This study uses a randomized cross-over design in which nursing students will simulate the bed baths of patients in a laboratory setting. Students will be randomly allocated to a patient or a nurse group and consequently will respectively receive or provide two bed baths: the traditional bed bath and a washing without water bed bath. The order of th...
Background: For immobile patients, a body wash in bed is sometimes the only bathing option. Tradi... more Background: For immobile patients, a body wash in bed is sometimes the only bathing option. Traditionally, the bed bath is performed with water and soap. However, alternatives are increasingly used in health care. Washing without water is one such alternative that has been claimed to offer several advantages, such as improved hygiene and skin condition. This systematic review aims to provide a comprehensive overview of the evidence on outcomes of the washing without water concept compared to the traditional bed bath. Methods: Controlled trials about washing without water outcomes published after 1994 were collected by means of a systematic literature search in CINAHL, Embase, MEDLINE, and PUBMED at the 25th of February, 2016. Additionally, references and citations were searched and experts contacted. Studies were eligible if (1) the study designs included outcomes of washing without water products developed for the full body wash compared to the traditional bed bath, and (2) they were controlled trials. Two researchers independently used a standardized quality checklist to assess the methodological quality of the eligible studies. Finally, outcomes were categorized in (1) physiological outcomes related to hygiene and skin condition, (2) stakeholder-related outcomes, and (3) organizational outcomes in the data synthesis. Results: Out of 33 potentially relevant articles subjected to full text screening, six studies met the eligibility criteria. Only two studies (of the same research group) were considered of high quality. The results of these high quality studies show that washing without water performed better than the traditional bed bath regarding skin abnormalities and bathing completeness. No differences between washing without water and the traditional bed bath were found for outcomes related to significant skin lesions, resistance during bathing and costs in the studies of high quality. Conclusions: There is limited moderate to high quality evidence that washing without water is not inferior to the traditional bed bath. Future research on washing without water is needed and should pay special attention to costs, hygiene, and to stakeholder-related outcomes, such as experiences and value perceptions of patients, nursing staff and family.
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