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How Does Proper Hand Hygiene Affect Nursing

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Proper Hand Hygiene and its Effect on Nursing
Melinda R. Smith
Montgomery College Proper Hand Hygiene and its Effect on Nursing The first and foremost item of importance incoming Nursing Students learn is how to practice proper hand hygiene and specific techniques to attain it. It makes one wonder, while it is common sense information today, what lead to the discovery that unclean hands spread disease? When did proper hand hygiene finally take root as a standard practice? While Florence Nightingale first identified the relationship between nursing and infection control (Smith, 2009), it was a by-chance discovery, which was then studied and tested by Dr. Ignaz Semmelweis (Hardy) that lead to the conclusion that proper hand washing …show more content…

It had two maternity clinics: the first was attended by medical students and the second was attended by midwives. He was puzzled because the medical students’ clinic had a mortality rate of 10 percent due to puerperal fever , a condition that occurs when a new mom experiences an infection related to giving birth (Nall, 2014), and the midwives’ clinic had a mortality rate of 2 percent. In 1847, he had a breatkthrough, following the death of a colleague, where upon autopsy he discovered a pathological condition which was similar to the women dying from puerperal fever. He concluded that when the medical students went straight from the autopsy room to the delivery room, there was some “unknown cadaverous material” which caused the fever. He then instituted a handwashing policy that called for the use of chlorinate d lime upon leaving the autopsy room. The result: maternal mortality dropped in the medical students’ clinic ten-fold (Mathur, …show more content…

It wasn’t until the 1980s , 140 years after Semmelweis’ discovery, that a landmark in the evolution of concepts of hand hygiene in healthcare was represented . The first national hand hygiene guidelines were published, and were essentially issued in countries in the Northern Hemisphere – USA, Canada, and some European countries (World Health Organization, 2006). The WHO expresses it was only twenty years ago that the CDC recommended antimicrobial soap orwaterless antiseptic agents (alcohol based solutions such as the Purell Sanitizer) be used in more clinical settings and especially upon leaving the rooms of patients with multi-drug resistant pathogens. When thinking of the numerous outbreaks and increased prevalence of various diseases over my lifetime – the flu, pneumonia, VRE, MRSA, C. dificile – I cannot help but be extremely grateful that healthcare workers practice proper hand hygiene. Without their extreme conscientiousness and precautions, those diseases could be a infinitely more trouble for the world population. Today, Semmelweis is considered a pioneer of antiseptic procedures, due to his discovery of the value of handwashing (Hardy). Today, I am relieved that his discovery keeps our world optimally

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