Hand Hygiene Compliance Case Study

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TITLE: The effects of hand hygiene compliance on the increase nosocomial infection rate

BRIEF DESCRIPTION: Hand hygiene is stressed heavily as a standard care of practice at the very beginning of nursing school. As we are experiencing clinical for the first time we are highly aware of hand hygiene practices among our colleagues, both good and bad practices. Even though health care workers know that hand hygiene is important I’ve seen a lack of compliance in various clinical settings. I’m curious to know if low compliance affects nosocomial infection rates. Therefore I wish to discuss this in my study.

QUESTION: Does hand hygiene compliance by health worker contribute to nosocomial infection compare to hand hygiene noncompliance by health
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T., & Robinson, M. (2010). A Lean Six Sigma Team Increases Hand Hygiene Compliance and Reduces Hospital-Acquired MRSA Infections by 51%. Journal For Healthcare Quality: Promoting Excellence In Healthcare, 32(4), 61-70. doi:10.1111/j.1945-1474.2009.00074.x
Hand hygiene compliance is defined as hand cleaning with soap and water or use of a waterless alcohol-based hand rub. According to the WHO—there are five moments when hand hygiene compliance is required (‘‘Guidelines on Hand Hygiene,’’ 2005):
1. before patient contact,
2. before performing an aseptic task,
3. after exposer to body fluid, risk (and after removing gloves),
4. after patient contact,
5. after contact with the patient’s surroundings.
According to the article this study was carried out at Presbytenan Health care services in Albuquerque, New Mexico which is a Case-control or cohort study. The main purpose of their study was to provide insight needed to overcome multifaceted barriers to noncompliance hand hygiene by health care workers. This article discuss that low hand hygiene compliance by healthcare workers increases hospital- acquired infection to patient. Healthcare workers’ unclean hands are the number one source of germ transmission and hospital-acquired infections (Carboneau, et al.,
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The article study was conducted in the NICU of Queen Mary Hospital, The University of Hong Kong, which is an observational study. The article mainly describe that, Health care–associated infections persist as a major problem in most neonatal intensive care units. Hand hygiene has been singled out as the most important measure in preventing hospital-acquired infection. However, hand hygiene compliance among health care workers remains low (Lam, et al., 2004). Neonates are susceptible to infection because their host defense mechanisms are not mature. They also occupy an environment in which frequently used antibiotics and invasive interventions often permit the invasion of common nosocomial pathogens, and the close proximity of patients in many NICUs facilitates transfer of organisms from patient to
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