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Importance of hand hygiene in hospitals
Importance of hand hygiene in hospitals
Review of literature studies related to handwashing
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Why is correct hand washing considered deviant? Hygiene education, for children in first world countries, is focused on proper procedure and how this protects them from germs and the spread of disease. It is ingrained into the minds of preschool children that the most important way they can prevent pathogen contamination is by washing their hands, with soap and water. Yet, even though this is an important habit, a large number of adults never continue with the hand washing techniques they learn in childhood. Through an analysis of the association of contamination in relation to hand washing techniques by female Australian university students, a reason for perceptions of deviance becomes evident. Variables such as social pressure and a strong …show more content…
The act of deviance in my fieldwork was not performed to determine what behaviours are abnormal but to establish how a behaviour, considered normal and socially required, becomes abnormal when performed according to guidelines.
For my fieldwork setting, I chose the female bathroom in the food court of Macquarie University during the period of 11-11.45 on a Monday morning. My reasoning was, as it was a busy time the bathrooms had a high turnover of users. The Centre for Disease Control (CDC) website provides a step by step guide informing the public on the correct way to wash their hands (Cdc.gov, 2015). The CDC guide has five steps; wet, lather your entire hands with soap, scrub your hands for 20 seconds or the time it takes for you to hum the “Happy Birthday” song twice, rinse and dry (ibid). When I entered the bathroom there were plenty of women using the facilities and I immediately went to one of the sinks and washed my hands, according to the CDC guidelines (ibid). After I had finished, I would either withdraw to a stall or exit outside. As there was such a high turnover of users I didn’t worry about women questioning me as to why I was repeating my actions. Before I entered the bathroom, I had decided that I would sing “Happy Birthday” out
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73), normal, is a concept of good. It is the expected behaviour by a society. What my research reveals it that, for Australian society, the expected behaviour is that there will be a risk assessment of the likelihood of contamination. However, there are some variables which influence hand washing. If analysed using the Social Learning Theory (SLT) the variables associated with hand washing can be identified. SLT is based around the idea that personal, behavioural, and environmental factors all influence actions in a particular context (Berry, Mitteer and Fournier, 2014, p. 925). Social norms surrounding gender influences hand washing. For women specifically, it is an expectation because their perceived ‘natural’ role as a stay-at-home mum and its strong association with cleanliness (ibid, p. 926). This reveals that gender stereotypes within the Australian society have an effect on perceptions of deviance. As can be surmised from the research, a woman who did not wash her hands would be considered deviant. From an environmental perspective, it was observed that bathrooms which have more hand to object contact have a higher rate of hand washing (ibid, p. 927). The studies prove our societies fascination with lowering the risk of contamination. This is not without warrant. Within hospitals, hand washing is a major issue, as when compliance levels are low, it allows for a higher risk of infection (Azim and McLaws, 2014; Branco, 2015; Lee,
Deviance is any behavior, belief, or condition that violates significant social norms in the society or group in which it occurs (Kendall, 2012). Our experiment will study the behavioral deviance of a social norm. Sociologists use symbolic interactionism to study face-to-face interactions. We are expected to follow these certain unwritten rules of behavior telling us the way that we should act in certain situations. The social norm or folkway I chose to break was that of invading an individual’s personal space. See Figure 1.0 showing the proximity generally utilized by Americans, according to Edward T.Hall. Personal space is the region surrounding a person, approximately 18 inches, which they regard as psychologically theirs. People value their personal space, and feel discomfort, anger, or anxiety when their personal space is encroached (Personal space, n.d.). We walked around to find the best scenario and individuals to interject our teammate in purposefully invading their comfort zone.
Deviant behavior is sociologically defined as, when someone departs from the “norms”. Most of the time when someone says deviance they think against the law or acting out in a negative behavior. To sociologists it can be both positive and negative. While most crimes are deviant, they are not always. Norms can be classified into two categories, mores and folkways. Mores are informal rules that are not written; when mores are broken, they can have serious punishments and sanctions. Folkways are informal rules that are just expected to be followed, but have no real repercussions.
“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
The Center for Disease Control and Prevention (CDC) defines hand hygiene as, “a general term that applies to routine hand washing, antiseptic hand wash, antiseptic hand rub, or surgical hand antisepsis.” (Center for Disease Control and Prevention [CDC], 2013) The idea of hand washing has been around for centuries. In the mid-1800’s Ignaz Semmelweis established that hospital-acquired diseases were transmitted via the hands of health care workers. After Semmelweis observed physicians and health care workers in the obstetric setting and studied mortality rates he recommended that hands be scrubbed in a chlorinated lime solution before coming in contact with every patient. Following the implementation of Semmelweis’s recommendation mortality rates associated with childbirth fell from seven percent to three percent. Although Semmelweis observation and recommendations were significant fellow physicians and colleagues did not adopt them. The 1980’s posed as a crucial time for health care in the sense of hand hygiene. This was when the first national hand hygiene guidelines were published in the 1980s. In 1995 and 1996, the CDC/Healthcare Infection Control Practices Advisory Committee (HICPAC) in the USA suggested that either antimicrobial soap or a waterless antiseptic agent be use...
The focus of health care is and has always been, practicing good hygiene, living a healthy lifestyle, and having a positive attitude reduces the chance of getting ill. Although there is not much prevention we can take for some of the diseases but we can certainly practice good hand hygiene to prevent infection and its ill effects. Research proves that hand washing is surely the most easy and effective way to prevent infection in health care. The question for this research: Is Hand washing an effective way to prevent infection in health care? It led to the conclusion that due to the high acuity, high patient: staff ratio, and lack of re evaluation certain units in the health care facilities cannot adhere to correct hand washing guidelines. Hand
Interestingly, two studies of the four compared the compliance rates of HCWs in particular nurses and physicians. Sharma, Puri, Sharma, & Whig (2011) found in their study that compliance rates for hand hygiene protocols was significantly higher for physicians (50.8%) as a opposed to nurses (41.3%). In contrast, Mathai, George, & Abraham (2011) had conflicting findings in which higher compliance rates were associated with nurses (45%) in comparison to physicians (17%). Both studies had similar sample sizes and were investigated in developing countries India and Pakistan; nonetheless, language barriers and varying educational levels of different staff groups, may have influenced the understanding of the need for effective hand hygiene (Mathai et al., 2011). Of four studies, three were observational studies, which provide opportunity to question the rigour of the
“Failure to attend to hand hygiene has serious consequences: it has a negative effect on patient safety and the quality of patients’ lives, as well as on their confidence in healthcare delivery. However, the prevalence of hand hygiene omission is still high” (Canadian Disease Control, 2016 p 1). Washing hands before and after patient contact seems like a simple solution to prevent the spread of bacteria between patients. But it is not as simple as it seems.According to new CDC data, “approximately one in 25 patients acquires a health care-associated infection during their hospital care, adding up to about 722,000 infections a year. Of these, 75,000 patients die from their infections ( CDC, 2016 p 1).” Leaving a finacial burden on Canada’s health care
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...
Social norm is a way of dressing, talking, beliefs, attitudes and behaviors. Most people in this world define themselves through their clothing, hairstyles, and experiences. Each person has a different behavior, which is due to the differences in traditions, cultures, education and experiences. The environment and social norms directly affect the person’s behavior. The way we behave is not right or wrong, but only what our society allows us to. In our society, we have a number of society norms that we accept. For example, the way we should behave in public, it is important for us to move away from strangers, and respect our elders. The family is one of the first avenues by which children begin to form their understanding of social norms. Parents are constantly teaching their children what is appropriate and what is not appropriate.
Deviance is defined as actions or behaviors that violate socials norms. In turn the concept of deviance is dependent on the social observation and perception. “By it’s very nature, the constructionism through which people define and interpret actions or appearances is always “social.” ”(Henry, 2009 , p. 6) One’s perception of a situation may be completely different from another depending on cultural and social factors. The way someone talks, walks, dresses, and holds themselves are all factors that attribute to how someone perceives another. In some cases what is socially or normally acceptable to one person is deviant in another’s eyes. For this reason there is a lot of gray area involving the topic of deviance because actions and behaviors are so diversely interpreted.
He continues with clarification of deviance by helping of main three points. Firstly, he claims that there is no close relationship between deviance and statistical rarity. He exemplifies that jogging before the breakfast can be unusual statistically but not a reason for deviance. However, Robertson then states that some norms can be modified or abandoned time to time. He makes clear it with an example that premarital sex was prohibited in American society several years ago. However, nowadays the majority of American society admits this event normally. As a result, Robertson declares firmly that norms can lose their force or influence as time passes. Secondly, Robertson argues about division of “normals” and “deviants”. He explains briefly that there is no class between normals and deviants. He illustrates that if we divide people as thieves, patients (mental disordered) or drug users, we will have a few “normal” people. In addition to them, Robertson says, “deviance is relative”(25).
daily practice of washing their bacteria laden hands in water intended for a batch of
...ng pathogens due to their close proximity to the home. In some cultures, adults believe that a child’s fecal matter is less hazardous than an adult’s, which results in adults handling the child’s feces more freely.7In order to dispel these myths, it is imperative to teach residents, particularly those in rural areas, about the importance of hand-washing. There are several marketing strategies that can be used to promote hand-washing, including pictorial stories, dramas, games, posters, group discussion, and radio and television campaigns.
These results did not take into account the amount of people who came into contact with the door handle. There are roughly 300 students that use the senior bathrooms daily, this is the predominant reason that the bacteria count was so excessive. Less than 100 students use the early learning centre bathrooms and less than 50 staff members circulate through the staff bathrooms. Although if circulation numbers were in proportion to student use, there would be at least ten times the bacteria found on the door handles in the early learning centre. Although the low bacterial count could be contributed to the fact that
In the health care setting, health care workers need to depend on the situation for choosing hand hygiene method. According to the result, using alcohol-based hand rub is an efficacious hand hygiene method. But they may stain their hand during providing services. And this method cannot remove the debris and dirt. Also, it needs to confirm their hand without any dirt before and after working hours for avoiding spread out. In these situations, they choose hand washing better. However, hand washing takes more time and most of the health care workers have heavy workload. Also, there are some conditions which are not feasible for hand washing. In these situations, if their hand without visibly soiled, they choose alcohol-based hand rub better. Therefore, health care workers need to depend on their needed and situation to choose