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Review of literature on compliance of hand hygiene
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Recommended: Review of literature on compliance of hand hygiene
Each year the number of health care associated infections (HAI) increases and has been estimated to be in the hundreds of millions of people around the world. In the United States this accounts for approximately 1 in 25 patients ("Hand Hygiene Basics," 2014). Health care associated infections are considered to be the most persistant adverse event in health care. Hand washing is considered to be one of the best methods for preventing the spread of infection and that poor hand hygiene places patients at high risk ("The Evidence for Clean," n.d.). Patients receiving care in hospitals, long term care facilities, and nursing homes are especially at high risk for developing infections while being cared for. Most health care associated infections …show more content…
Numerous studies have reported that hand hygiene reduces health care associated infection rates. Compliance to proper hand hygiene guidelines continues to be low among health care workers. To improve hand hygiene performance and have continued compliance over time, the need to find out what the barriers are need to be sought out. These may include poor access to hand hygiene information, skin irritation, forgetfulness, time constraints, a perception that hand hygiene interferes with worker-patient relationships, lack of knowledge of hand hygiene guidelines, and poor habits learned early in life (KuKanich, Kaur, Freeman, & Powell, 2013, p. …show more content…
Are there differences in the adherence to washing hands at baseline and after a period of time?
3. Are there differences in the frequency of hand washing based on the worker’s gender, profession, and pre and post patient contact?
4. What preferences do health care workers have in the type of hygiene product?
5. Which interventional tools were motivating and influenced hand hygiene habits? The research used in this study was quantitative. The study used an interventional design, and performed observation to measure hand hygiene opportunities and attempts at baseline, after an intervention, and during a follow up period. A survey was also used at the follow up period to determine what the perceptions were to the campaign. Permission was obtained from the administration department of a large Midwestern health care system, and clinics gave consent to participate. The participants were mostly doctors and nurses. The intervention used of introducing an alcohol based gel sanitizer and informational posters to increase the workers awareness to take personal responsibility for reducing the spread of health care associated infections (KuKanich, Kaur, Freeman, & Powell, 2013, p.
Washing your hands properly with soap is one of the most important things you can do to reduce the number of germs, or infections you can spread. The issue that needs to be addressed, is how can we promote good hand washing habits efficiently, to prevent the spread of infectious diseases. For this reason, Kohler will be introducing the “Hygieia” in Q3 of 2016. The Hygieia is a hands free motion detecting sink that dispenses water, and soap simultaneously.
Health tips. Hand hygiene. (2009). Mayo Clinic Health Letter (English Ed.), 27(12), 3. Retrieved from
The medical assisting extern needed to wash her hands before preparing the room for a patient to prevent cross contamination.
“The CDC is the primary developer of national infection control and prevention guidelines, often in collaboration with its Healthcare Infection Control Practices Advisory Committee, which is responsible for research and dissemination of the latest information for preventing disease transmission” (Griffis, 2013, p. 175). Infection control will continue to be a topic of discussion as long as germ transmission is still happening. Among these studies is the concern the frequent nonadherence to contact precautions is a huge issue that many studies are still very concerned about (Jessee & Mion, 2013, p. 966). The writer is also concerned with the blatant disregard for hand hygiene that appears to be happening in the medical field. What about what is best for the patient. Do the people that do not use proper hand hygiene not understand how important it
Obviously soap and warm water for 20 seconds or hand sanitizer. I will admit I was one of those that didn’t classify “handwashing” as using hand sanitizer, to me washing is soap and water, but it is considered washing and sometimes much more convenient than to be at a sink. But with all that in mind, we also need to remember when it is appropriate to use hand sanitizer. Alcohol based sanitizer kills most of the bad germs, but it does not kill C. difficile, a common healthcare-associated infection that causes diarrhea (CDC, May 5, 2017). If you are caring for a patient with this illness, then you must wash your hands with the real soap and water, no shortcuts! As well as when our hands are visibly soiled. Who wants to walk around with dirty hands anyway? In 2009, Cambridge University did a study correlating on compliance and no compliance with handwashing hygiene and guidelines in hospital care. There were 96 empirical studies, most of which were done in ICU units. They found and overall compliance of 40%. Unadjusted compliance rates were lower in intensive care units (30%-40%0, than in other settings (50%-60%), lower among physicians (32%) than among nurses and before (21%) rather than after (47%) patient contact. The majority of the time, the situations that were associated with low compliance rates were those with a high activity level/or those in which the physician was involved. The majority of the time, the situations that were associated with a higher compliance rate were those having to do with dirty tasks, the introduction of alcohol-based hand rub or gel, performance feedback and accessibility of materials (Cambridge, March
This literature review will analyze and critically explore four studies that have been conducted on hand hygiene compliance rates by Healthcare workers (HCWs). Firstly, it will look at compliance rates for HCWs in the intensive care units (ICU) and then explore the different factors that contribute to low hand hygiene compliance. Hospital Acquired infections (HAI) or Nosocomial Infections appear worldwide, affecting both developed and poor countries. HAIs represent a major source of morbidity and mortality, especially for patients in the ICU (Hugonnet, Perneger, & Pittet, 2002). Hand hygiene can be defined as any method that destroys or removes microorganisms on hands (Centers for Disease Control and Prevention, 2009). According to the World Health Organization (2002), a HAI can be defined as an infection occurring in a patient in a hospital or other health care facility in whom the infection was not present or incubating at the time of admission. The hands of HCWs transmit majority of the endemic infections. As
The systematic review; Interventions to improve hand hygiene compliance in patient care, conducted by the Cochrane Collaboration investigated inventions to improve hand hygiene compliance within patient care. The review included 2 original studies with an additional two new studies (Gould & Moralejo et al., 2010). Throughout the review it was affirmed that among hand hygiene is an indispensable method in the prevention of hospital-acquired infections (HAI), the compliance among nurses’ is inadequate. Nurses are identified within the public as dependable and trustworthy in a time of vulnerability due to their specialised education and skills (Hughes, 2008). Thus, it is imperative that evidence based practice is cond...
My research prompted me to ask the question, does hand washing occur frequently? Research led me to a study by the Minnesota
Medical asepsis plays an integral role in infection control within a health care facility. It includes procedures used to decrease and prevent direct contact with blood or bodily fluids and emphasizes keeping the environment clean on a regular basis (Curchoe, Astle, & Hobbs, 2014). In order to achieve optimal health, individuals depend on practices and techniques that control and ultimately prevent the transmission of infection. These practices and techniques can help avoid the transmission of infections by creating an environment that protects both health care workers and patients from communicable diseases. Good hand hygiene has been stressed as the single most important measure to prevent cross-infection to patients in health care facilities
This involves the physical removal of bacteria, dirt, and bodily fluids. Good hand hygiene is vital when working in a dental surgery. Failure to maintain good hand hygiene will result in cross contamination between patients, between staff, and also contaminating the work surfaces and equipment. We strive on a daily basis to ensure that a high standard in hand hygiene is maintained. Hands must be washed following the six step hand washing technique as demonstrated…
Reducing healthcare associated infections (HAI) or nosocomial infections is an ongoing challenge for healthcare facilities. As healthcare changes from a fee-for-service billing system to a value-based or outcome-based billing system, it will be essential for healthcare providers to minimize hospital acquired infections and hospital readmissions to maintain a healthy bottom line. Sifri, Burke and Enfield’s (2016) article asserts “despite important reduction in certain HAIs, the nation has not yet reached the goals for HAI reduction set by the Department of Health and Human Service’s 2009 National Action Plan to Prevent Healthcare associated infections” (p. 1565). Healthcare providers have known for years that pathogens such as Methicillin-resistant Staphylococcus Aureus (MRSA), B-lactamase producing Enterobacteriaceae (ESBL), and Vancomycin-resistant Enterococcus (VRE) are examples of pathogens that remain viable on surfaces for extended periods of time. Patients are consistently shedding bacteria, contaminating bed linens, gowns and hard surfaces. As a result, the bacteria can be transferred from patients to healthcare workers and medical equipment. Some of the pathogens can remain viable for days, weeks and even months on hard surfaces. Clostridium difficile can survive for months in an untreated environment.
“Researchers in London estimate that if everyone routinely washed their hands, a million deaths a year could be prevented” (“Hygiene Fast Facts”, 2013, p. 1). Hands are the number one mode of transmission of pathogens. Hands are also vital in patient interaction, and therefore should be kept clean to protect the safety of patients and the person caring for the patient. Hand hygiene is imperative to professional nursing practice because it prevents the spread of pathogens, decreases chances of hospital-acquired infections, and promotes patient safety. There is a substantial amount of evidence that shows why hand hygiene is important in healthcare
Why is correct handwashing considered deviant? Children in first world countries are taught from a young age that proper hand washing will protect them from germs and the spread of disease (Lather Up For Good Health, 2010; Handy Saves The Day In Your Pre-School, 2014; Scrubclub.org, 2007). It ingrained into the minds of preschool children that one of the most important ways they can prevent contamination is by washing their hands with soap and water. Handwashing is therefore considered to be one of the only forms of defence against disease. Yet, even though it is important many adults do not continue with the handwashing techniques they are taught in childhood. Especially in hospitals, handwashing compliance levels are low which allows for a higher risk of infection (Lee, 2014; Azim and McLaws, 2014). Studies have been performed to help understand handwashing
Target Population: The population might be providers delivering babies or caring for new born, caretakers of children under certain age requiring hand washing practices.
Aim: The aim of our hygiene and infection control policy is to ensure effective hygiene practices are promoted and implemented; steps are taken to control the spread of infectious disease; and ultimately that every child's health and wellbeing is actively safeguarded.