(2014). Hand hygiene compliance among healthcare workers in an accredited tertiary care hospital. Indian Journal Of Critical Care Medicine, 18(10), 689-693. doi:10.4103/0972-5229.142179.
The researcher gave the background information…
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It seeks to provide evidence on how hand hygiene contributes to the reduction of bacteria numbers on hands.
In hospitals, Healthcare-associated infections (HAIs) are a major concern. The focus on HAIs is on the rise due to its responsibility for the high rates of mobility and morbidity of patients increasing the cost medication. The case of HAIs is true in most countries across the world. The sources used in the research report are current and highly reliable. An example is the health Organization (WHO) publication on the guidelines on hand hygiene in health in 2009. Publications by the Centre for Disease Control (CDC) are present in the bibliography. Multi Drug Resistant Organisms (MDROs) are very dangerous and need viable strategies to limit their adverse effects. The research proposes hand hygiene among HCW as one of the methods to counter the spread of MDROs.
Its aim is demonstrating how the populations of microbes contribute to HAIs and the effect washing hands with alcohol-based liquids would have on such infections. The number of people used in the study is 60, which is relatively low. All workers within the hospital environments should participate in the study as this gives a clear picture. The target of the study is in line with the objectives as the HCW are the major casualties in cases revolving around HAIs and in particular MDRO and microbial infections.
The researcher presented the data from the study in form of numbers in a table. Each group of subjects’ classification was in terms of the years of experience. Numbers and not percentages used in the result enhanced the accuracy giving the real picture. Use of percentages usually alludes to generalization, which may be inconsistent. Involvement of subjects with uniform experience would add to the appropriateness of the study
In line with the results of the research, the conclusion presented by the researcher is in line. Continued education is
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Furthermore, using antibacterial soap may even lead gene mutation of the bacteria leading to growth of resistant species that persist even after the use of the product making it harder to kill disease pathogens. Further the research suggests that alcohol based hand sanitizers which do not require water are an acceptable alternative when soap and water are not available (Kinnula 2009).
Hand hygiene prevents infections associated with healthcare by lowering the incidence across infections. Although it is a simple measure, healthcare hygiene is often poorly carried out and compliance with its recommendations is usually a problem for most healthcare professionals (NHS, 2008).
In the current case, the change program will use the evidence collected from research studies, towards identifying areas of change and implementing the proposed changes in the area of nursing care. During the planning and the implementation of the change, the practitioners covered by the program will use the findings of previous research studies and other evidence-bases towards improving nursing practice (Stetler, 2010).
For example, nurse assisted euthanasia is a practice which has been termed by critics as nurse assisted suicide whereby patients look forward to taking their lives as a remedy to their long and intense suffering. In such a situation, evidence-based practice would allow the nurse to identify whether the pain of the patient is intense enough to warrant the assistance.
Therefore research knowledge that examines a clinical problem becomes important in guiding practice (Milton, Evidence-Based Practice: Ethical Questions for Nursing, 2007). Care delivery in this context is based on evidence, not on outdated knowledge, personal opinions, or tradition in the care setting.
The incidence of surgical site infection is also linked with poor adherence to hand hygiene recommendations. Investigations of the effect of frequent soap use and skin changes revealed marked damage of skin for several days, suggesting that persons in healthcare who require frequent hand washing, and thereby long-term changes in skin flora, will have 'chronic damage, irritant contact dermatitis and eczema, and concomitant changes in flora'.
Among the most significant changes that were described in the essay are shift in disease patterns, advanced technology, increased consumer expectations and high costs of health care. The researcher states that these factors have redefined medical practices to fit into the changing modern health delivery system.
Its goal is to eliminate unsound or excessively risky practices in favour of those that have better outcomes.
"Evidence-Based Practice (EBP) is a thoughtful integration of the best available evidence, coupled with clinical expertise. As such it enables health practitioners of all varieties to address healthcare questions with an evaluative and qualitative approach.
It is the responsibility of a nurse to wash his/her hands before and after giving care of any kind.
In the case of a community nursing, it unavoidable that the nurse would be caught in a situation where
In this way, the practice of medicine and patient care is continually updated and subject to evaluation by accepted research standards. It is important to evaluate research pertinent to one’s area of clinical practice as the findings
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