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Importance of good hand hygiene practices and outline the steps of hand hygiene
Infection prevention at a hospital setting
Literature review of hand hygiene
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Hospital Acquired Infections
The objective for this project is for nurses from the ICU and medical-surgical units who attend the educational classes to correctly identify different signs of infection potential in the hospital, and using proper hand hygiene methods by scoring at 95% or higher on the post- tests that will be administered after each training session. The questions will be based on the training session handout titled Importance of Hand Hygiene, which will be given during the training sessions. The test will consist of twenty-five questions. Nine questions will be scale type questions in order to measure participant perceptions about the material, while the other ten questions will require true and false or write in answers.
The committees are experts on infection control prevention with additional educational training on infection control. The criteria they use to classify the result are based on the World Health Organization (WHO) concept of “My Five Moments for Hand Hygiene”. Therefore, this information is valid for staff knowledge on the topic at the end of each training session that is followed by a post-test exam. The outcome measure used is reliable for committee to evaluate an employee’s knowledge and understanding on the topic. They survey is another valid instrument the committee will gather information on staff compliance before implementation and after hand washing based on the EBP guideline and practice. A post-test design will be used to assess the program. The post-test evaluation will serve as a measure of reliability because the percent of nursing staff that score 95% or higher will determine how effective the educational program is to the staff, and help determine the knowledge, understanding, an...
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...e both tested for inter-rater reliability, which supports the validity and reliability of the study.
Limitations:
1. Funding and time issues.
2. The number of people involved in the study, because the researchers did not involve evening or night-shift staff in the study.
3. The timing of the posttest study.
4. This study was done in an ICU; there is some question of whether the findings can be generalized to the medical and surgical areas.
Reason for Including for Supporting your Proposed Evidenced-Based Solution This study demonstrated that improved hand hygiene practices have reduced the occurrence of hospital acquired infections and that the best way to help healthcare workers acquire this basic knowledge is to assess their interest in, and comprehension of, the topic and educate them about the topic using the interventional model applied in this study.
I should comfort the nurse and ask to do hand hygiene and taught advantages of hand hygiene. Marram (2009) stated that healthcare professional team needs to constant communicate to plan strategies, solve problems and evaluate progress (pg.28-30). I learn that health professional team needs excellent interaction to provide excellent care of resident. According to Smith (2015), “leadership can successful by fair conversation with healthcare provider, staff, p-patient, regulator and insurance company. Without conversation, there is no management, without management; there is no success in our healthcare system”.
Pseudomonas aeruginosa (P. aeruginosa) is a gram-negative, rod-shaped aerobic bacterium. It is a primary cause of hospital-acquired infections. P. aeruginosa is primarily a nosocomial pathogen. It also acts as an opportunistic pathogen, which can only infect a host that is immunocompromised, due to an underlying disease or medication. Although, P. aeruginosa can cause damage to virtually any tissue in the body, it almost never affects the tissues of healthy individuals. It is a problematic pathogen in hospitals; infecting individuals with cancer, burn wound, catheters and cystic fibrosis. P. aeruginosa is most recognized for its resistance to a wide range of antibiotics. In its planktonic form, P. aeruginosa has been found to have many virulence factors. However, P. aeruginosa within biofilms have been found to have a resistance to antibiotics 1,000 times greater than that of its planktonic counterparts [4]. Infections that are caused by bacterial biofilms are very persistent and very difficult to treat.
Hinkle, J., Cheever, K., & , (2012). Textbook of medical-surgical nursing. (13 ed., pp. 586-588). Philadelphia: Wolters Kluwer Health
The significant increase in antibiotic resistance amongst pathogens is making it very difficult to successfully treat infections, especially in intensive care units (ICU’s). Prevention of the spread of infection among patients within the hospitals is fast becoming amongst the most important methods for controlling infections. This requires the identification of the different acquisition routes, that is, routes by which bacterial colonization occurs. In this article, the authors analyzed the relative importance of various bacterial acquisition routes that resulted in colonization of the bacteria using data from individual patients.[1] This article was chosen because of the impact it can have on the healthcare system if the knowledge obtained from the algorithm regarding the most prevalent colonization routes in hospitals can help in the preventing spread of infections. Also the ability of the algorithm to incorporate specific patient characteristics makes it both novel and appealing.
“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
Healthcare-associates Infections (HAIs) are infections that patients acquire during the course of receiving healthcare treatment for other conditions and can be devastating or even deadly ("CDC - HAIs the Burden - HAI", 2013). An HAI was defined as a localized or systemic condition that (1) results from an adverse reaction to the pres¬ence of an infectious agent(s) or its toxin(s), (2) that occurs during a hospital admission, (3) for which there is no evidence the infection was present or incubating at admission, and (4) meets body site-specific criteria (Klevens et al., 2007, p.2).
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
The process varied from experiment to experiment, however, a few things were kept constant; there was an average of ten to twenty patients and all participants were abov...
“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
Hospital acquired infections are one of the most common complications of care in the hospital setting. Hospital acquired infections are infections that patients acquired during the stay in the hospital. These infections can cause an increase number of days the patients stay in the hospital. Hospital acquired infections makes the patients worse or even causes death. “In the USA alone, hospital acquired infections cause about 1.7 million infections and 99,000 deaths per year”(secondary).
Brunner, L.S. & Suddarth, D. S Textbook of Medical- Surgical Nursing, 1988 6th ed. J. B. Lippincott Company, Philadelphia
Whitby, M., Pessoa-Silva, C., Mclaws, M., Allegranzi, B., Sax, H., Larson, E., Seto, W., Donaldson, L. & Pittet, D. (2007). Behavioural considerations for hand hygiene practices: the basic building blocks. Journal Of Hospital Infection, 65 (1), pp. 113-114. 1--8.
Thus, for the purpose of this paper, I will be describing a scenario that I witnessed where a Registered Care Aide (RCA) provided care in an inappropriate manner by means of hand hygiene and highlight the importance of infection control as a way to minimize nosocomial infections and contamination of the surrounding
“Researchers in London estimate that if everyone routinely washed their hands, a million deaths a year could be prevented” (“Hygiene Fast Facts”, 2013, p. 1). Hands are the number one mode of transmission of pathogens. Hands are also vital in patient interaction, and therefore should be kept clean to protect the safety of patients and the person caring for the patient. Hand hygiene is imperative to professional nursing practice because it prevents the spread of pathogens, decreases chances of hospital-acquired infections, and promotes patient safety. There is a substantial amount of evidence that shows why hand hygiene is important in healthcare
Clinical Orientation was the concept of the week. Knowing what’s the importance of Hand washing or hang hygiene and knowing how to execute it well was the topic during the simulation day. It is about preventing to chain of infection from nurses to patients, family, friends and to the public. So nurses having a knowledge on how to execute hand washing properly makes the nurse to be aware of their own hygiene and the nurse would be able to provide individualised hygiene care. (Crisp et all, 2013) Knowing your way around to the hospital and knowing hand hygiene was the main focus of the clinical orientation.