The Occurrence And Undesirable Complications From Healthcare Associated Infections ( Hais )

2017 Words9 Pages
The occurrence and undesirable complications from healthcare associated infections (HAIs) have been well documented in the literature over the last thirty years. Although HAIs are preventable, they continue to occur at an alarming rate. There is a plethora of evidence related to various aspects of the chain of infection in general. There is also a wealth of evidence with regard to the efficacy of healthcare provider (HCP) hand hygiene (HH) in reducing HAIs. However, there is a paucity of research related to the role of the patient’s HH in preventing HAIs. Because there are few previously published studies using this specific intervention, a feasibility study is indicated. Synthesis of Literature A literature search related to patient and hand hygiene was conducted using the Mercer University Georgia Library Learning Online (GALILEO) database. The initial search returned 28,690 studies. The search was refined to include healthcare associated infections in peer reviewed journals in the last five years, resulting in a final sample of twenty seven studies written in English. References were searched for pertinent studies, resulting in 53 additional studies. International and national infection control guidelines and textbooks were also consulted. Eighty studies spanning 32 years (1983-2015) were reviewed. The studies included several different countries, healthcare systems, and settings (hospitals, long term care facilities, and the community), with hospitals being the most frequent setting. Studies differed in focus, design, and methods. Study foci included the HCPs’ HH, patients’ comfort in asking the HCP to perform HH, or patients’ HH. Study designs included qualitative, quantitative, and mixed methods. Practical ... ... middle of paper ... ...port. Inaccessibility included a lack of adequate numbers of conveniently placed sinks in the work environment (Pittet et al., 2000). In contrast, AHRs require less time than hand washing and may be attached to the bedside or equipment or carried by the individual (WHO, 2009). However, a wearable AHR dispenser did not improve AHR use (Haas & Larson, 2008) and anesthesia HCPs’ HH non-adherence continued after body fluid exposure despite AHR dispensers mounted on anesthesia equipment in the operating room (Munoz-Price et al., 2014). The safety of AHR in this oxygen-rich environment must be examined. These researchers questioned if the Five Moments may be inappropriate in the operating room setting. Megeus, Nilsson, Karlsson, Eriksson, and Andersson (2015) strongly refuted that position, recalling guidelines are specific to the situation rather than the setting.

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