Reducing Hospital-Acquired Infections by Implementing Hand Hygiene Practices in Care Settings

Description Of The Problem Use a Different Problem Than The Problem You Used In Week One

Development Of a Picot Statement To Deal With This Problem.

Interventions For The Problem  Minimum Of Three.

Describe The Evidence That Was Used When Developing The Interventions. Describe The Internal And External Evidence. e. Evaluation Of The Interventions. Compose Your Assignment In 10-12 Slides.

Nosocomial infections are systematic Most  common are urinary tract infections Hospital contamination occurs through cross contamination.

The effect of hand washing techniques on hospitalized patients compared to the usage of hand gloves, alcohol sanitizers or not washing hands in reducing the occurrence of acquiring hospital-associated infections during the hospital stay among health care workers staff.  

Hand Hygiene Practices Hand Washing Practices in Care Settings 

Hand washing protocol in intensive care units was linked to reduced rates of acquired infections (Fox et al., 2015) Negative association was observed  between hand washing and bacterial spore formation (Sasahara et al., 2016). Despite , this there is low adherence rates of hand washing in care settings , (Eliana et al 2018) .

Internal evidence Increased rates of infections acquired at the facility . Longer hospital stay among patients Increase usage of health care costs External evidence  Increased rates of readmission among patients

WHO Five moments of hand washing None adherence among health care workers  has led to high rates of infections Hand hygiene is cheapest method of reducing infections rates among care workers to patients 

Observational methods Rates of infection over a two months of strict adherence of hand washing practices Rate of readmission and hospital stay between this period among patients. 

Improved adherence levels Reduction in rates of infections Reduced hospital stay Declined rate of hospital readmission. 

References  

Andersson, A. E., Bergh, I., Karlsson, J., & Nilsson, K. (2010). Patients' experiences of acquiring a deep surgical site infection: An interview study. American journal of infection control, 38(9), 711-717. Eliana Ofelia LLapa-Rodríguez, E., O., Albuquerque de Oliveira, J., K., Menezes, M., O., Silva, L., S., Marques de Almeida, D & Neto, D., L. (2018). Health professionals’ adhesion to hand hygiene. Journal of Nursing ISSN: 1981-8963. Permalink: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130259132&site=eds-live&scope=site  Fox, C., Wavra, T., drake, D., A., Mulligan, D., Benneth, y., P., Nelson, c., Kirkwood, P., Jones, L., Bader, M., K. (2015). Use of a paient hand washing protocol to reducehospitl hospital acquied infections ad improve nurses’ hand washing. American Association of Critical-Care Nurses doi: http://dx.doi.org/10.4037/ajcc2015898. Permalink: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103799805&site=eds-live&scope=site Sasahara, T., Ae, R., Watanabe, M., Kimura, Y., Yonekawa, C., Hayashi, S., Morisawa, Y. (2016). Contamination of healthcare workers’ hands with bacterial spores. Journal of infection and chemotherapy. Permalink: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=116653502&site=eds-live&scope=site  Shoaei, S., Sali, S., & Yousefi, H. (2017). Incidence and resistance patterns of nosocomial infections in labbafi nejad hospital admitted patients during 2012-2014. Infection, Epidemiology and Microbiology, 3(3), 78-81. Shobowale, E. O., Adegunle, B., & Onyedibe, K. (2016). An assessment of hand hygiene practices of healthcare workers of a semi-urban teaching hospital using the five moments of hand hygiene. Nigerian medical journal : journal of the Nigeria Medical Association, 57(3), 150–154. https://doi.org/10.4103/0300-1652.184058 Tolera, M., Abate, D., Dheresa, M., & Marami, D. (2018). Bacterial Nosocomial Infections and Antimicrobial Susceptibility Pattern among Patients Admitted at Hiwot Fana Specialized University Hospital, Eastern Ethiopia. Advances in medicine, 2018.