Hand Hygiene Research Paper

Germs and many other diseases spread primarily through airborne particles, skin to skin contact, and or touching objects such as door handles, hospital buttons, or by sharing patient possessions. Nurses and other health care clinicians are constantly in physical contact with many different patients, who all have varying illness’ and diseases themselves. Many may also carry a

BackgroundInformation|This study examines the implementation of the Center for Disease Control and Prevention (CDC) hand hygiene guidelines and analyzes whether compliance impacts patient outcomes, especially hospital acquired infections (HAI). The correlation of hand hygiene (HH) and HAI is very well described in this study. Rates for HAI were determined both pre and post

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.

(Douglas Scott II, R. March 2009. The Direct Medical Costs of Healthcare-Associated Infections in U.S. Hospitals and the Benefits of Prevention. Date Retrieved: December 30, 2015, http://www.cdc.gov/HAI/pdfs/hai/Scott_CostPaper.pdf)

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

Recent studies have indicated that healthcare workers do not sufficiently recognize the importance of hand hygiene and compliance with

This assignment shall be identifying the evidence underpinning the skills and professional approach required in patient care. Hand hygiene is seen as a form of action that is done by using your hands to prevent the spread of harmful germs and infections, this action is performed by both healthcare workers (HCWs) and patients before assisting with personal care involving touching. There are many different types of hand hygiene actions taken in the UK, these include Surgical Antisepsis, wearing gloves, washing your hands with a soap or alcohol-based formulation hand wash. It is important to always remain protected when touching a patient, their surroundings or body fluid.

One the main roles healthcare workers (HCWs) can do is to provide patients with a safe environment whilst they are in the healthcare setting. In providing clinical safety to patients HCWs are ensuring that the patient will be safe from preventable adverse events occurring to them whilst they are in the hospital setting. Patient safety should be a of high priority to the healthcare setting and HCWs. Nursing staff are the main providers of care to patients whilst in the healthcare setting and have many responsibilities in delivering safe patient care. Whilst in the healthcare setting patients are vulnerable and at the hand of healthcare workers, thus it is extremely important for healthcare workers to maintain hand hygiene. To maintain a

One of the commonest modes of transmission for infection is our hands. As care assistants, our hands come into contact with many possible infectious agents such as body excretions and secretions for example blood, urine, faeces, vomit and sputum. If good hand hygiene isn’t practiced, micro-organisms will be passed from one individual to another. General cleanliness, including general, environmental, equipment and materials reduce the sources of infection within the care home.

Microorganisms such as bacteria, viruses, fungi, parasites can be transmitted to patients via poor quality cross infection control measures e.g. inadequate cleaning, disinfecting and sterilising of instruments, equipments and surfaces around the hospital

There are multiple reasons that play into patients acquiring these infections. One of those reasons being the characteristics of the patients. For example infants, the elderly, people with compromised immune systems, and patients that have devices inserted for therapeutic purposes are all at greater risk to contract an infection (Feasey & Molyneux, 2011). The devices that are inserted for therapeutic purposes are a huge factor related to hospital acquired infections. Urinary catheters are the top device to cause an infection; in fact 97% of urinary tract infections are due to catheterization. 87% of people that obtain a bloodstream infection receive the infection from a central line. Lastly 83% of pneumonia acquired in the hospital is linked to the use of mechanical ventilation (Chang et al., 2011). Then there is the health care worker side that plays into effect. One of the number one reasons an infection is created or spread is because a health care worker did not properly wash his or her hands or their patient’s hands. This seems like an obvious way to prevent an infection but yet it still remains one of the top factors that leads to a hospital acquired infection. Hand hygiene is not the only hygienic issue. Health care workers do not always follow proper personal protective equipment guidelines. They may not always don gloves when

Healthcare associated infections have an impact on patients - how? Can be prevented greatly with compliance to hand hygiene protocols (REF).

Contaminated surfaces in healthcare facilities are the main source of pathogens associated with HAIs. Pathogens can survive on the surfaces for several weeks facilitating their transmission through person-person contact 1,2. Surface contamination occurs by direct transfer through touching from an infected or colonized patient, or from healthcare staff carrying the pathogenic microbe on their hands. When a surface has become contaminated, a cyclical problem occurs because the microorganisms can be transferred to other surfaces and patients in the vicinity. While appropriate hand washing by healthcare staff can reduce the further spread of pathogens through hand-surface transmission,3 it cannot prevent surface contamination by the patient and

Active surveillance testing screening of patients to detect colonization even if no evidence of infection because, when clinical culture results alone are used to identify MRSA carriers, more than half of all MRSA colonized patients remain unrecognized. The rationale for active surveillance testing is to identify all colonized patients so that additional precautions can be applied for example; contact precautions. Real-time or near-real-time sharing of hand hygiene data broken down by unit and by type of health care worker is a great way to ensure success in improving hand hygiene and to diminish certain types of hospital-acquired infections. Having the ability to compare the hand hygiene data of various teams within the same institution and

Infectious diseases that are commonly spread through hand to hand contact include the common cold, and several gastrointestinal disorders such as diarrhoea (WaterAid, 2006). Human hands usually harbour microorganisms both as part of a person’snormal microbial flora as well as transient microbes acquired from the environment (Lindberg et al, 2004).