Solution
Ishika answered on
Jun 10 2021
Nursing
Star Point 1: Discovery (Identify topic and practice issue)
Identify the topic and the nursing practice issue related to this topic. (This MUST involve a nursing practice issue.)
The topic is hand hygiene monitoring and it is an important element of hand hygiene campaigns. It is important to promote the safety culture in the hospital and reduce the e
ors. If hand hygiene is not properly monitored than it would have adverse effects. It would risk the health of many patients; they would be at risk of illness or even death. The nursing practice issue related to hand hygiene monitoring is skin i
itation from hand washing agents, understaffing, high intensity of patient care, lack of materials, and the cultural factors due to which there is poor compliance with the hand hygiene compliance.
Briefly describe your rationale for your topic selection. Include the scope of the issue/problem.
I have selected the hand hygiene monitoring topic because hand hygiene is the most important factor. It helps in the prevention of infections associated with health care. Poor hand hygiene a threat to the safety of the patients. If hand hygiene is not monitored it can cause mo
idity and mortality globally. The cost of healthcare associate infections is a lot, to deal with healthcare associate infection, the healthcare workers must comply with the hand hygiene compliance.
Star Point 2: Summary (Evidence to support the need for a change)
Describe the practice problem in your own words and formulate your PICOT question.
The poor compliance of healthcare workers related to hand hygiene guidelines is due to insufficient number os sinks, belief that the use of glove will avoid infection, low risk of acquiring infections from the patients, sinks are located inconveniently, and ignorance and disagreement with the guidelines and protocols. In the formulation of PICOT questions, the population is health care workers and patients, intervention is proper handwashing and personal protective equipment, the comparison is no proper hand washing and use of personal protective equipment, the outcome is decrease spread of health associate infections, time is during hospitalization. PICOT question: Does the monitoring of hand hygiene reduce the risk of spread of health associate infection for patients and healthcare workers?
List the systematic review chosen from the CCN Li
ary databases.
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List and
iefly describe other sources used for data and information.
WHO | Hand hygiene monitoring and feedback. (2013). Who.Int. https:
doi.org
entity/gpsc/5may/monitoring_feedback/en/index.html
WHO | Monitoring hygiene. (2016). Retrieved June 12, 2020, from WHO website: https:
www.who.int/water_sanitation_health/monitoring/coverage/monitoring-hygiene/en
The other sources used for data and information are research papers. Surveys were used to collect data and information for the hand hygiene monitoring topic.
Briefly summarize the main findings (in your own words) from the systematic review and the strength of the evidence.
From the systematic review and the strength of evidence, it is important to monitor hand hygiene. Monitoring hand hygiene will save a lot of costs and it will also reduce the risk of infections. The hand hygiene monitoring must start with creating awareness among the patients and health care ware. Training and education must be provided to explain to them the importance of hand hygiene. The healthcare workers and patients must comply with the guidelines of hand hygiene. The ba
iers in complying with the guidance of hand hygiene must be addressed. Some of these ba
iers are skin i
itation caused by hand hygiene agents, wearing gloves, and lack of active participation in promotion at the institutional level as well as individual level.
Outline one or two evidence-based solutions you will consider for the trial project.
Non-compliance with the hand hygiene recommendation is due to failure in removing the gloves after patient contact. Between patient contact, washing and reusing gloves is ineffective. The solution is after removing the gloves, the healthcare workers must wash their hands and disinfection must be encouraged strongly. In a study that involved artificial contamination, it was observed organisms were culture from 4 percent to 100 percent of the gloves. After glove removal, the counts were observed to be up to 4.7 logs on hands. To ensure compliance, a written policy must be communicated to all healthcare workers. The other solution is to train the staff of the hospital with the skills that...