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
…show more content…
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.,
…show more content…
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
Better (2007), by Atul Gawande begins with the story of Dr.Gawande as a surgeon in his final year in medical school. The first struck me because of the patient’s story. It was an elderly patient who nearly died from septic shock had it not been for a senior resident who checked on the patient twice each time making a life altering intervention to prevent the patient with pneumonia from going septic shock from resistant, fulminant pneumonia. Dr.Gawande discusses the importance of handwashing. In my own practice, this is something that I can incorporate in my own practice.
Researchers used nursing theories to help guide research on complicated phenomena(Connelly, 2014). After reviewing evidences collected on the topic "Antibiotic therapy and Clostridium difficile infection (CDI)", the most common theories that have been cited are, exposure to antibiotic, especiallyin patients that have been previously diagnosed with bacterial infections(respiratory, urinary and osteoarticular infections) are significanly at risk for acquiring CDI and theory for prevention cited was implementation of an Antibiotic stewardship program. Inaddition,hand hygiene, contact precaution and environmental cleaning protocols where other interventions listed. Concept Definitions Exposure to antibiotic- is operationally defined as the last time within 30 days a hospitalized patients received antibiotic therapy before the current hospital
3. Describe three recommended contact measures that Health care providers (HCPs) can use during an outbreak of food–borne illness, and the benefits of following these measures during an outbreak? 4. Discuss three control measures for MRSA in the healthcare setting and why these measures are important? Session 13: 1.
Children can be supported in handwashing and maintaining good hygiene by being taught by practitioners, the correct way to wash
I wash my hands regularly, keep my patient’s rooms clean and organized and make sure that my patients have baths daily to prevent infections. F.
The primary prevention is the best way to eliminate the potential for exposure. Since hand washing is the most effective mean of spread of infection, it would be my primary goal to increase the compliance of hand hygiene among healthcare workers, but also an extensive education of patients and family members on hand washing before and after touching the patient as well as afar any contact with any potentially contaminated materials (surface, body fluids or respiratory secretions). Mandatory education of patients, visitors and healthcare workers, across the system as well as cross department compliance practices are single best mean of preventing the spread of infection. For example, every patient and family member can be educated about hand hygiene, use of PPE-personal protective equipment (face mask, gowns and gloves). Although, the practices are already being utilized, I believe the compliance is poorly monitored.
I am employed at Borgess Hospital and in our office bathroom there is a sign to remind employees to wash their hands properly. This topic gets brought up frequently during staff meetings and we even have a few posters around the office. The instructions include 1. Wet hands with warm water 2. Apply soap 3.
If you don’t wash your hand you don’t know what kind of bacteria got in your hands. You can eventually die if you get a bad bacteria. That was one reason why many colonist
Department of Health and Human Services established an objective for Healthy People 2020 to prevent HCAIs, this reflects that the U.S. health care system is committed to and serious about solving this issue. These objectives address two extremely important topics, central line-associated bloodstream infections, and methicillin-resistant Staphylococcus aureus (MRSA) infections. Also, there are other major causes of HCAIs that Health and Human Services is working on their prevention such as urinary tract infections (UTIs) associated with catheters, infections of surgical wounds and sites, C. difficile infections, and ventilator-associated Pneumonia. Researches done on HCAIs shown that we can prevent many of these infections by implementing effective strategies to eradicate it, adapting some advanced prevention tools, and following new prevention approaches. There should be a more focus on HCAIs prevention in acute care settings.
Employees working in pediatrics hospital are supposed to take precautions to protect their patients and staff from exposure to potentially infectious materials. A fundamental component of standard infection prevention measures are a system of barrier precautions to be used by all personnel
Through the learning from week 1 and week 2, I have learnt that the most frequent adverse event in health-care delivery is health care-associated infections. It is essential for us to follow the infection control practices that both patients and us are at a risk of being infected. Standard Precautions involve the use of safe work practices and protective barriers, for example, the use of personal protective equipment(PPE). At first, I think Standard Precautions are very easy. Everyone knows PPE can protect us from infections and hand hygiene is important throughout the process.
Hand washing or isolation of the sick persons with infections in the prevention of hospital acquired infections. 5. Does the use of hand washing, and antisepsis lower the rate of hospital acquired infections? The fifth PICOT question is selected because of the reported low compliance percentage among medical caregivers.
1. A study by the university of Pennsylvania State found that, “using public restrooms on a university campus indicated that 61% of women observed washed their hands with soap” (Johnson) (expert) 2. Don’t was their hands before making a meal infecting the food with any bacteria present on their hands. TRANSITION: Now that we have looked in to some of the groups of people that don’t wash their hands you might still be think okay they don’t wash their hands big deal.
In all areas of healthcare, particularly in acute care settings, patients may be unable to care for their nutritional and/or hygienic needs properly. One area that is especially important to address is the perineal care of patients who are incapacitated, or otherwise unable to care for their hygienic needs independently. Normal bacterial flora can develop into an opportunistic infection if the bacteria reaches certain areas of the body. For example, a common cause of urinary tract infections (UTI) is due to Escherichia coli from the colon coming into contact with the urethra (Copstead & Banasik, 2013). If the patient is immunocompromised, elderly, sedentary, or otherwise compromised in their abilities to void, this can predispose the patient
The main reasons for developing a HCAI are poor hand hygiene by healthcare staff, medical device related infections such as intravenous lines and urinary catheters and the overuse or improper use antimicrobials. Hand hygiene is the cornerstone measure to prevent healthcare associated infection (HCAI) and it has been shown that MRSA is primarily transmitted from patient to patient via the hands of healthcare professionals (Donskey, 2009). Although hand hygiene is the simplest, most effective and most cost effective way to prevent the spread of HCAIs (Pratt et al. 2007) (Kilpatrick et al. 2013), adherence to hand hygiene among health care professionals remains low worldwide (WHO, 2009).