NURS 480: Senior Practicum Evidence-Based Practice Clinical Project
Crystal N. DeBeary
Patricia Murray
Faith Ojay Idakwoji
Angela Owusu
Ikeia Salley
Aboubakar Sylla
Coppin State University
There are numerous evidence-based practice interventions that have become standard nursing practices across the country. Hand hygiene is a nursing practice intervention that is currently evidence (research) based. It is one of, if not the most, important interventions practiced in providing standardized care. The rationale behind that statement refers to the high percentage of hospital acquired infections; hand hygiene practices are measures used for maximum effectiveness in reducing the spread of these infections. Compared to the various health care professionals who come in contact with patients when providing care, nurses are by far the largest faction that implements the highest quantity of direct patient care in health care. That said, of all the asepsis precautions, techniques, and interventions that are currently in place, hand hygiene is the single most effective intervention used by nurse to prevent themselves from infection and the cross-infection to their patients. Although this evidence-based intervention is of utmost importance to implement at all times, research shows the difficulty in influencing nurses and other health care professionals to practice hand hygiene as often as recommended. It is for this reason why health care facilities across the country have
Hand hygiene practices are important thing to infection prevention and control practice. As health provider especially ED staff or front liner, to follow hand washing protocols is necessary in any situation. According Practice Standard (2009) four major elements to preventing practice; hand washing, protective barriers, care of equipment and health practice of nurse. Cite from Health Promotion Agency for Northern Ireland, scientists has found around 45% of infections can be prevented by washing hands regularly. MOH (2010) increasing in hand-washing compliance by
The dirtiest thing you own maybe your cell phone. Imagine what touches your phone the most, probably your hands and face. Since cell phones are everywhere and have become one of the most helpful tools of our generation, they have their drawbacks. The use of cell phones happens everywhere today, one place being the hospital. From a study of phones and spreading of bacteria associated with health care associated infections, Karabay states, “Our study reveals that mobile phones may get contaminated by bacteria (such as Escherichia coli, Pseudomonas aeruginosa and Klebsiella pneumoniae), which cause hospital infections, and may serve as a vehicle for the spread of nosocomial pathogens” (Karabay, 2007). Touching contaminated
OBJECTIVE The objective for Rabie and Curtis (2006) was to determine the influence of hand washing on the risk of respiratory infection. METHOD The method adopted by Rabie and Curtis (2006) was to study a number of primary and review articles from five diverse databases before June 2004 in differing languages, to create a systematic review. Included in the review were studies which identified the impact of an intervention to promote hand cleansing on respiratory infections. Studies regarding hospital-acquired infections, long-term care facilities and the elderly were excluded. All studies were then evaluated where a conclusive decision was reached by consensus. Interestingly, from a primary list of 410 articles, only eight interventional studies reached the eligibility criteria. RESULTS The eight eligible studies disclosed that hand washing with antiseptic soap lowered risks of respiratory infection; the risk reduction identified as being from 6% to 44% and this range figures implied that hand washing can indeed reduce the risk of respiratory infection by 16% (Rabie and Curtis 2006). CONCLUSION Rabie and Curtis (2006) concluded that the studies collected were of insufficient quality and only one of the studies related to severe disease as well as none of the studies related
Hospital acquired infections (HAIs) affect over 1.7 million patients each year, causing almost 100,000 deaths annually in the United States alone (Johnson, 2010). According to the World Health Organization, HAIs are the most frequent adverse event in the healthcare industry. Fortunately, most of these infections can be prevented with one single intervention, proper hand hygiene (“The Evidence,” n.d.). Four out of five pathogens that cause illness are spread by direct contact. Proper hand hygiene eliminates these pathogens and helps to prevent cross-contamination and HAIs (Linton, 2015; “Hand Hygiene,” n.d.). Reduction of cross-contamination and HAIs improves patient outcomes, increases employee wellness, and lowers health care costs. Adherence to proper hand hygiene is the single most important safety measure in the health care setting. However, for many years compliance to proper hand hygiene in the healthcare industry has been dismally low. New and inventive measures must be implemented to increase compliance to proper hand hygiene and lower the rate of hospital-acquired infections.
Keeping our hands clean is one of the most effcient and important steps we can do as humans to avoid getting sick or spreading germs to other people. Unwashed hands spread many diseases such as the flue, E. coli, and salmonella. Unfortunately, hand hygiene is still one of today’s most leading causes of infection in health care facilities. The risk of clinicians, patients, and visitors not complying with hand hygiene protocols creates a practice problem for nurses and their patient care. The cause of health care infections, also known as, health care-associated infections (HAIs) are increasing along with the rise of the inability to control or treat infections that are multi-drug resistant. Lack of proper hand hygiene is a major problem in clinical settings sourcing from critical care divisions where the most contaminations are prevalent. This paper will discuss how hand hygiene affects the nursing process and solutions of how to better prevent HAIs within the nursing scope of practice.
Implementation Processes: The retrospective data of hand hygiene compliance among healthcare workers from 2014-2015 were analyzed. Then, integrating the essence data of non-compliance with hand hygiene from fish bones analysis to develop patient engagement intervention—Hand Hygiene Compliance Process Flow Chart—for improving hand hygiene compliance. The PDSA development cycles, and WHO measures hand hygiene compliance were conducted to test the feasibility of the intervention within 10 days. The staff members working in the oncology unit were a target; 20-30 members were tested for daily hand hygiene compliance. The processes were: PDSA cycle 1: the pilot test by educating two patients about hand hygiene. As a result of this cycle, we adapted
One of the main problems is hand hygiene and evidence suggests that healthcare staff including nurses do not perform this task as often as they should nor do they use the proper procedure. Even though it is
This study was intended to prove that hand hygiene practiced according to the CDC guidelines will decrease the incidence of hospital acquired infections. This could not really be proved in this study since the hospitals were not able to maintain improvement in hand hygiene. Health care workers were familiar with guidelines but significant practice changes were not maintained. Some of the infection rates did improve during this time but the correlation with hand hygiene is not consistent. There were other practice changes occurring during this same time and those changes may be responsible for the decreased infection rates.
CDCs clean hands count campaign aim to improve healthcare provide adherence to hand hygiene recommendations, address, myths and misperceptions about hand hygiene and empower patients to play a role in their care by asking or reminding healthcare providers to clean their hands and the most germs that cause serious infections in healthcare are spread by people’s action, every patient is at risk of getting an infection while they are being treated for something else, hand hygiene is a great way to prevent infections and healthcare providers clean their hands less than half of the time they should, good hand washing is the first line of defense against the spread of many illness.
Generations of people have considered handwashing a measure of personal hygiene. In 1847, Dr. Semmelweis insisted that healthcare providers wash their hands with disinfecting agents between patients. This early hand hygiene practice resulted in a decrease in mortality rates among hospital patients (CDC, 2002). The CDC’s Healthcare Infection Control Practices Advisory Committee published the Guideline for Hand Hygiene in Health-Care Settings in 2002 that is based on hand hygiene foundations developed in generation past. In 2014, this guideline is still available online and used as a reference
The purpose of this study is to evaluate the impact of hand hygiene and how it decreases the transmission of infection throughout (Bloomfield, Aiello, Cookson, O'Boyle, & Larson, 2007). Handwashing can include alcohol based hygiene items and handwashing with soap and water. This study main focus was on North American and Europe. There is plenty of supporting rationale to backup why this study was conducted. Some of the few things this study wanted to achieve are hand hygiene is key to staying healthy and reducing infection. This needs to be followed both in the workplace and around the community to abstain from infections. Handwashing can be achieved by soap and water or hand sanitizers that removes or eliminates many microorganisms on the surface of the hand (de Oliveira Dourado, da Costa Barros, Diogo de Vasconcelos, & da Silva Santos, 2017). This can impact many individuals by using this technique to keep foreign germs off of the hands. The importance of washing hands
In other to be successful in improving adherence with hand hygiene policies and procedures at the hospital, the system of change strategy will be multimodal and comprise staff education and motivation, the use of performance indicators, and hospital management support (Troy, n.d.). Effective campaigns will bring about lessened contamination rates, antimicrobial resistance spread, and improve patient safety. The multidisciplinary strategy will include: (British Columbia Ministry of Health, 2012)
The priority nursing diagnosis of hospital acquired infection is risk for any kind of infection. One of the main goals for each patient in the hospital is the patient will remain free of infection as evidence by absence of heat, pain, redness, or swelling in any area of the patient’s body during each nurse’s shift. (care plan book). Frequently hand washing is the best intervention for preventing infection. Hand washing reduces the risk of transmission of pathogens by inhibiting the growth of or killing the microorganisms. (cb)Proper sterile technique during urinary
Healthcare associated infections have an impact on patients - how? Can be prevented greatly with compliance to hand hygiene protocols (REF).
Research shows that Surgical site infections are preventable. According to the CDC, hand hygiene is the simplest approach to preventing the spread of infections and needs to be incorporated into the culture of the organization. Ensuring the use of infection control prevention is an important component of nursing care. Infection control prevention policies must be communicated undoubtedly to all employees. Staffers who do not comply must be re-educated to ensure that all are complying. Speaking up and pointing out that a nurse forgot to wash his or her hands, or notifying the surgical team that surgical instruments were not adequately cleaned may seem like small issues; but at the same time, not acknowledging a break in a sterile technique could mean the difference between life and death for a patient. One hospital that was struggling with high levels of infection related to surgical procedures, implemented a pre-procedure huddle as a team. This innovate way decreased the spread of infection and was a great way to improve the quality of care for patients. As mandated by the Joint commission, infection prevention personnel should provide multidisciplinary education on SSI prevention, to all team members, including