The focus of health care is and has always been, practicing good hygiene, living a healthy lifestyle, and having a positive attitude reduces the chance of getting ill. Although there is not much prevention we can take for some of the diseases but we can certainly practice good hand hygiene to prevent infection and its ill effects. Research proves that hand washing is surely the most easy and effective way to prevent infection in health care. The question for this research: Is Hand washing an effective way to prevent infection in health care? It led to the conclusion that due to the high acuity, high patient: staff ratio, and lack of re evaluation certain units in the health care facilities cannot adhere to correct hand washing guidelines. Hand
This literature review will analyze and critically explore four studies that have been conducted on hand hygiene compliance rates by Healthcare workers (HCWs). Firstly, it will look at compliance rates for HCWs in the intensive care units (ICU) and then explore the different factors that contribute to low hand hygiene compliance. Hospital Acquired infections (HAI) or Nosocomial Infections appear worldwide, affecting both developed and poor countries. HAIs represent a major source of morbidity and mortality, especially for patients in the ICU (Hugonnet, Perneger, & Pittet, 2002). Hand hygiene can be defined as any method that destroys or removes microorganisms on hands (Centers for Disease Control and Prevention, 2009). According to the World Health Organization (2002), a HAI can be defined as an infection occurring in a patient in a hospital or other health care facility in whom the infection was not present or incubating at the time of admission. The hands of HCWs transmit majority of the endemic infections. As
As health care professionals it is necessary for us to take special precautions in protecting ourselves and others from infection. With increased risk of infection, it is even harder to protect ourselves. So knowing the proper steps of maintain good hygiene and sanitation is a must. Today Infection control is as important as knowing about the diseases, and conditions themselves.
In addition, healthcare workers’ handwashing technique differs from the one you use at home. It is “important that all surfaces of the hands are cleaned thoroughly to dislodge and wash away pathogens” (Burton & Ludwig, 2015, pg. 261). The spread of pathogens in a healthcare setting happens with high likelihood. Therefore, it is imperative to wash one’s hands in the following situations. First, upon entering the patient’s room, secondly, anytime your hands are visibly dirty, third, between caring for two patients in the same room, forth, immediately after removing your gloves, and finally after touching body fluids, secretions, excretions, or contaminated
“The CDC is the primary developer of national infection control and prevention guidelines, often in collaboration with its Healthcare Infection Control Practices Advisory Committee, which is responsible for research and dissemination of the latest information for preventing disease transmission” (Griffis, 2013, p. 175). Infection control will continue to be a topic of discussion as long as germ transmission is still happening. Among these studies is the concern the frequent nonadherence to contact precautions is a huge issue that many studies are still very concerned about (Jessee & Mion, 2013, p. 966). The writer is also concerned with the blatant disregard for hand hygiene that appears to be happening in the medical field. What about what is best for the patient. Do the people that do not use proper hand hygiene not understand how important it
The Center for Disease Control and Prevention (CDC) defines hand hygiene as, “a general term that applies to routine hand washing, antiseptic hand wash, antiseptic hand rub, or surgical hand antisepsis.” (Center for Disease Control and Prevention [CDC], 2013) The idea of hand washing has been around for centuries. In the mid-1800’s Ignaz Semmelweis established that hospital-acquired diseases were transmitted via the hands of health care workers. After Semmelweis observed physicians and health care workers in the obstetric setting and studied mortality rates he recommended that hands be scrubbed in a chlorinated lime solution before coming in contact with every patient. Following the implementation of Semmelweis’s recommendation mortality rates associated with childbirth fell from seven percent to three percent. Although Semmelweis observation and recommendations were significant fellow physicians and colleagues did not adopt them. The 1980’s posed as a crucial time for health care in the sense of hand hygiene. This was when the first national hand hygiene guidelines were published in the 1980s. In 1995 and 1996, the CDC/Healthcare Infection Control Practices Advisory Committee (HICPAC) in the USA suggested that either antimicrobial soap or a waterless antiseptic agent be use...
“Failure to attend to hand hygiene has serious consequences: it has a negative effect on patient safety and the quality of patients’ lives, as well as on their confidence in healthcare delivery. However, the prevalence of hand hygiene omission is still high” (Canadian Disease Control, 2016 p 1). Washing hands before and after patient contact seems like a simple solution to prevent the spread of bacteria between patients. But it is not as simple as it seems.According to new CDC data, “approximately one in 25 patients acquires a health care-associated infection during their hospital care, adding up to about 722,000 infections a year. Of these, 75,000 patients die from their infections ( CDC, 2016 p 1).” Leaving a finacial burden on Canada’s health care
Hand hygiene is one of the first skills in standard care of practice that is stressed in nursing school. Since the main source of cross-infection is the transmission of microorganisms from the hands of healthcare workers, this problem can be easily prevented by hand washing. However, despite the cheapness and effectiveness of hand hygiene, fewer than 50% of healthcare workers utilize these methods (Kelcikova, Skodova, & Straka, 2011, p. 152).
Once the charge nurses have been selected, the next step will be to train these nurses using the methods proposed by the World Health Organization (WHO), which recently developed a concept called “My Five Moment for Hand Hygiene” (World Health Organization, 2012). An instructor’s manual with handouts that focuses on infection prevention information from WHO, and a copy of the hospital policy on hand hygiene will be made available for each training session, staff nurses with receive copies during their training sessions. The nurse educator committee will assign charge nurses from the ICU and medical surgical units to attend one of the training sessions held at the fourth floor auditorium from June 2014 onwards. The nurse educator and the infection control nurse committee will need to ensure that the auditorium is available every Wednesday from 8am to 5pm during the training period.
Obviously soap and warm water for 20 seconds or hand sanitizer. I will admit I was one of those that didn’t classify “handwashing” as using hand sanitizer, to me washing is soap and water, but it is considered washing and sometimes much more convenient than to be at a sink. But with all that in mind, we also need to remember when it is appropriate to use hand sanitizer. Alcohol based sanitizer kills most of the bad germs, but it does not kill C. difficile, a common healthcare-associated infection that causes diarrhea (CDC, May 5, 2017). If you are caring for a patient with this illness, then you must wash your hands with the real soap and water, no shortcuts! As well as when our hands are visibly soiled. Who wants to walk around with dirty hands anyway? In 2009, Cambridge University did a study correlating on compliance and no compliance with handwashing hygiene and guidelines in hospital care. There were 96 empirical studies, most of which were done in ICU units. They found and overall compliance of 40%. Unadjusted compliance rates were lower in intensive care units (30%-40%0, than in other settings (50%-60%), lower among physicians (32%) than among nurses and before (21%) rather than after (47%) patient contact. The majority of the time, the situations that were associated with low compliance rates were those with a high activity level/or those in which the physician was involved. The majority of the time, the situations that were associated with a higher compliance rate were those having to do with dirty tasks, the introduction of alcohol-based hand rub or gel, performance feedback and accessibility of materials (Cambridge, March
The studies provided in the literature review prove that. It is believed that hand washing is the best thing to do to kill bacteria but as study show hand sanitizing is more efficient (Michaels, 2014). The experiment mentioned before done at the University College of Health Studies proves that hand sanitizing is the best way to kill bacteria in hands (2015). The best way to prevent hospital acquired infections is to wash hands in situations where it is necessary, like when hands are visibly soiled, and use hand sanitizer in situations that are appropriate. In other words use your judgment. Because studies also show that washing hands too often can have damaging effects to hands it is not recommended to use hand washing only (Michaels, 2014). It takes about 20 seconds to wash your hands and 5 seconds to use hand sanitizer. Such a big difference can be made in the prevention of hospital acquired infections by just performing that very simple task that doesn’t take very long to do and so many lives can be saved as
Many studies are done on the causes of the spread of infectious disease, and their conclusion has been due to the transfer of germs, bacteria or viruses from one person to another. All the studies come down to the fact that proper hand washing technique can prevent the spread of those diseases. “Every year, lives are lost because of the spread of infections in hospitals. Health care workers can take steps to prevent the spread of infectious diseases. These steps are part of infection control” (Medline Plus). People feel sick or even lose their life because of infectious diseases that are passed by germs from one to another. When it comes to health care providers they have to be really careful because they can become the transferring agent of diseases. When they go from one ill patient to another, they can bring one patient’s germs to another. They need to take the simple precaution of hand washing in between patients to stop diseases from spreading. Health care providers have to be cautious about germs not just for their patients, but also for their own families. Because they can ta...
Hand washing is the first line of defense used to prevent or reduce the opportunity for infection. When, bacteria enters through breaks in the skin a patient chances of infection are increased. Therefore, the goal is to ensure the operating room is a pathogen-free environment. Pathogens are bacterium, virus and other microorganisms that cause illness. Doctors have discovered hand washing reduces the rate of infection in patient populations.
The systematic review; Interventions to improve hand hygiene compliance in patient care, conducted by the Cochrane Collaboration investigated inventions to improve hand hygiene compliance within patient care. The review included 2 original studies with an additional two new studies (Gould & Moralejo et al., 2010). Throughout the review it was affirmed that among hand hygiene is an indispensable method in the prevention of hospital-acquired infections (HAI), the compliance among nurses’ is inadequate. Nurses are identified within the public as dependable and trustworthy in a time of vulnerability due to their specialised education and skills (Hughes, 2008). Thus, it is imperative that evidence based practice is cond...