15 Nov SUMMARY OF CLINICAL ISSUES Essay SUMMARY OF CLINICAL ISSUES Essay Hand Hygiene is one action that is most effective in reducing infections associated with healt
SUMMARY OF CLINICAL ISSUES Essay
SUMMARY OF CLINICAL ISSUES Essay
Hand Hygiene is one action that is most effective in reducing infections associated with healthcare such as Hospital Acquired Infections (HAIs). It is therefore a key activity for health care workers. Poor hand hygiene is detrimental to the health and safety of a patient and cause them to acquire more diseases to the detriment of their health, in addition to the one that brought them to the hospital. In fact, health workers have been revealed to be the chief carriers of hospital acquired infections. As revealed by many studies carried out to ascertain the adherence to hand hygiene and its effectiveness, a greater number of health workers fail to consistently adhere to hand hygiene practices. Apart from the international standard guidelines for hand hygiene, most health works fail to carry out common hand hygiene practices before and after contact with a patient. It has resulted in high morbidity and mortality cases caused by poor hand hygiene of health workers. There is need for more sensitization of health workers on the need for effective hand hygiene practices for quality healthcare. It is also important to know that the basic method used for hand hygiene like the entry and exit methods are insufficient. Healthcare institutions need to see it as their duty to introduce and foster various hand hygiene techniques for their hospitals for quality healthcare and patient safety, in addition to the guidelines of relevant international bodies such as World Health Organization.
PICOT Question: Does improvement in hand hygiene among healthcare workers lower the rate hospital-associated infections?
| Criteria | Article 1 | Article 2
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Article 3
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| APA-Formatted Article Citation with Permalink |
Lehotsky, A., Szilagyi, L. , Szeremy, P., Weber, G., Haidegger, T. (2017). Towards objective hand hygiene technique assessment: validation of the ultraviolet-dye-based hand-rubbing quality assessment procedure.Journal of Hospital infection 97 (2017) 26-29 Permalink: https://www.ncbi.nlm.nih.gov/pubmed/28579470
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Garus-Pakowska, A., Sobala, W., Szatko. F. (2013). Observance of hand washing procedures performed by the medical personnel before patient contact part 1 Retrieved from international journal of occupational medicine and environmental health 2013
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Sadule-Rios, N., Aguilera, G. (2017). Nurses’ perception of reasons for persistent low rates in hand hygiene compliance. Intensive and Critical Care Nursing 42 (2017) 17-21
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| How Does the Article Relate to the PICOT Question? | The article validates hand hygiene quality assessment technique, which consequently improves the hand hygiene rates. | The study in this article was carried out to ascertain the effectiveness of health workers’ hand hygiene before they make contact with patient. | The article explains nurses’ view on the reasons for low hand hygiene compliance rates. This helps to improve hand hygiene compliance. |
| Quantitative, Qualitative (How do you know?) | Qualitative: The study validates the quality of a hand hygiene assessment technique | Quantitative: Health workers and hand hygiene data was collected and observed for the study. | Quantitative: The study quantified opinions of critical care nurses. |
| Purpose Statement | Microbiological validation of the ultraviolet-dye-based hand-rubbing quality assessment procedure SUMMARY OF CLINICAL ISSUES Essay | Effectiveness of health workers’ hand hygiene before they make contact with patients | To explore nurses’ perceptions of reasons for persistent low rates in hand hygiene compliance in the Critical Care Unit and their recommendations for improvement |
| Research Question | How microbiologically effective is ultra-violet-dye-based hand-rubbing technique on hand hygiene quality assessment? | Does hand hygiene among health workers lower the rate of hospital acquired infections? | (1) What are nurses’ perceptions of the reasons for the persistent low rating in hand hygiene compliance in the critical care unit?
(2) What are nurses’ suggestions to improve hand hygiene compliance in the critical care unit? |
| Outcome | Ultraviolet-dye-based hand-rubbing hand hygiene quality assessment technique is effective with 95.05% sensitivity and 98.01% specificity | Hand hygiene compliance level among health workers before patient contact appears to be greatly and shockingly below the expectations | 51% chose high workload and under- staffing as the main reason for scoring low-ranking in hand hygiene compliance, 47% chose difficulty donning gloves when hands are damp and difficulty accessing sink locations, 43% chose products placed in inconvenient locations (item # 4) as the third main reason for low-ranking in hand hygiene compliance among critical care nurses. 38% chose Skin irritation. Finally 36% selected lack of appropriate hand hygiene products available at the point of care |
| Setting
(Where did the study take place?) |
Institute of Medical Microbiology, Sem- melweis University (Budapest, Hungary) | Data collection and observation was carried out in three selected hospitals. | A 452 beds Magnet hospital |
| Sample | 25 Artificial hand models | Health workers, including nurses, doctors and other medical staff of not less than 180. | 47 critical care nurses |
| Method | Systematic qualitative research | Hand hygiene observed for over 1500 hours | Exploratory, descriptive survey design |
| Key Findings of the Study | UV-dye based hand hygiene assessment method is a true and reliable indicator of correctly disinfected and pathogen-free areas on the hand surface | Hand hygiene compliance level among health workers before patient contact appears to be greatly and shockingly below the expectations. | High workload and understaffing are the most important barriers to hand hygiene compliance |
| Recommendations of the Researcher | Infection prevention experts to continue assessing the performance of their staff the UV-dyed based method.
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Following the WHO and CDC guidelines health workers should as a matter of obligation disinfect their hands before contact with each patient | Having the adequate nurse-patient ratios and consequently, more time, cleanser products available at the point of care, and easy accessible sink locations for hand hygiene. |
SUMMARY OF CLINICAL ISSUES Essay
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