Clinical Priority of Hand Hygiene-Free-Samples -Myassignmenthelp

Question: Formulate a PICOT Statement using the PICOT format Provided in the assigned readings. Answer: Clinical problem/ issue: Rise in nosocomial or hospital acquired infection is on the rise in health care setting. This issue is a major challenge for the health care system as it increases the sufferings of patients and creates extra workload for health care staff. It threatens safety of patient and lead to high mortality rate. It is also a financial burden for the health care system. The environment of hospital such as crowded wards and contact of nurses with different patients lead to transmission of several harmful pathogens (like Methicillin Resistant Staphylococcus Aureus (MRSA) and Clostridium difficile) inside patients body. Despite preventive strategies and infection control, about 1 in every 25 patients acquire nosocomial infection (HAI Data and Statistics | HAI | CDC, 2017). This is seen because majority of nurses in hospital do not comply with hand hygiene practices and contact patient without disinfecting hands (Martnez-Resndez et al., 2014). Evidence based solution to the problem or issue In relation to the clinical issue of non-compliance to hand hygience practices among nurse, (Teker et al., 2015) gives the evidence that increased workload, poor hygiene, increased priority to other clinical task and lack of awareness about the importance of hand hygiene has been the major reason for nurses for not complying to hand hygiene practice at the hospital. Evidence-based solution To reduce the rate of nosocomial infection, the clinical priority of hand hygiene will be important. The research by (Ellingson et al., 2014).) provides solution to the issue of nosocomial infection by stating that hand hygiene is the foundational component to infection prevention and control. Widespread use of alcohol based hand sanitizers by health care staffs improves hand hygiene practices, however the adherence to the same for longer time is low. Therefore, to reduce this, the study proposed strategies to measure hand hygiene according to WHOs 5 moments for hand hygiene. This include before touching patient, before asceptic procedure, after patient body fluid exposure, after touching patient and after touching patients surroundings. It also gave recommendation for routine hand hygiene by nurses and providing education to them regarding recommended indications and techniques for hand hygiene. Nursing intervention As nurses are the main career of infection, it is importance for nurse to engage in appropriate hand hygiene practices. The main action required by nurse is to follow the WHOs five moments of hand hygiene on a daily basis. The nursing intervention that can be implemented to increase compliance to hand hygiene includes use of alcohol based hand rubs with no touch dispensers in every patient room and staff workstation and using hand hygiene promotion posters in visible area of hospital to remind nurse about hand hygiene practice (Jacqueline Dyan, 2009). Improved health care in accordance with Health Care Agency and nursing practice Health Care Agencys role is important in preventing nosocomial infection by implementing appropriate infection control guideline and hand hygiene needs for nurses. They would serve to introduce system level change by establishing hand hygiene guidelines and measuring hand washing practices in hospital setting (Le Thi Anh Thu et al., 2015). PICOT statement Population or patient Problem (P)- Patient group who are at more risk of infection includes immunocompromized patient, patient using catheter, patient admitted to long term intensive care and older patients are at more risk of infection. It is proposed to mostly prevent infection in elderly because evidence show nosocomial infection increases mortality rate and length of stay in elderly people (Kaye et al. 2014).. Intervention (I)- Hand hygiene practice with the use of alcohol based hand rub is proposed before coming in contact with patient. A study comparing effectiveness of hand rubbing with alcohol based solution and hand washing with antiseptic soap revealed that alcohol rubbing is more efficient in reducing contamination than contamination soap (Birteksz-Tan, D?ler, tk, 2015). Comparison (C)- Teker et al., (2015) shows that half of the health care workers do comply with hand hygiene recommendations leading to increase in nosocomial infection. Hence, non-compliance is associated with negative outcome Outcome (O)- Reduction of nosocomial infection through the use of visual reminder in hospital and increasing accessibility to hand hygiene agents for nurse Time (T)- six months The PICOT question for the study is : Can risk of nosocomial infection in elderly (P) be reduced (O)by the use of alcohol based hand rub (I) among nurses compared to no hand rub (C) within six months (T)? References Birteksz-Tan, A. S., D?ler, S., tk, G. (2015). Determination and comparison of the antimicrobial efficacy of alcohol based hand hygiene products.Journal of Faculty Pharmacy of Istanbul University,45(2), 139-152. Ellingson, K., Haas, J. P., Aiello, A. E., Kusek, L., Maragakis, L. L., Olmsted, R. N., ... VanAmringe, M. (2014). Strategies to prevent healthcare-associated infections through hand hygiene.Infection Control Hospital Epidemiology,35(8), 937-960. HAI Data and Statistics | HAI | CDC. (2017). Cdc.gov. [online] Available at: https://www.cdc.gov/hai/surveillance/index.html [Accessed 25 Jun. 2017]. Jacqueline, M. S., Dyan, B. 2009. Infection control: Can nurses improve hand hygiene practices?..University of Calgary, Faculty of Nursing. Kaye, K. S., Marchaim, D., Chen, T. Y., Baures, T., Anderson, D. J., Choi, Y., ... Schmader, K. E. (2014). Effect of nosocomial bloodstream infections on mortality, length of stay, and hospital costs in older adults.Journal of the American Geriatrics Society,62(2), 306-311. Le Thi Anh Thu, M. D., Van Trang, D. T., Wertheim, H. F., Son, N. T. (2015). Cost-effectiveness of a hand hygiene program on health careeassociated infections in intensive care patients at a tertiary care hospital in Vietnam.American Journal of Infection Control,30, e1-e7. Martnez-Resndez, M. F., Garza-Gonzlez, E., Mendoza-Olazaran, S., Herrera-Guerra, A., Rodrguez-Lpez, J. M., Prez-Rodriguez, E., ... Camacho-Ortiz, A. (2014). Impact of daily chlorhexidine baths and hand hygiene compliance on nosocomial infection rates in critically ill patients.American journal of infection control,42(7), 713-717. Teker, B., Ogutlu, A., Gozdas, H. T., Ruayercan, S., Hacialioglu, G., Karabay, O. (2015). Factors Affecting Hand Hygiene Adherence at a Private Hospital in Turkey.The Eurasian journal of medicine,47(3), 208