Handwashing Study Essay

The draws are the most used body organ and are expose to pathogens at a higher level than any other part of our body. For humans to maintain a state of good health, we have to reduce the contagious disease to these pathogens. One proven method acting to interrupt the transmission is by maintaining hand hygienics. The objective of this integrative review was to examine the relationship amongst hand washables and incidence of health care associated infections (HCAIs) in health care settings and provide evidence based recommendations for the future directions for health care providers to prevent infections.Importance of maintaining hand hygienicsEvidence to support the importance of hand hygiene in infection prevention dates back to the early 1800s with Ignaz Semmelweis. The significance of limiting the spread of infections has been forceful from the days of Florence Nightingale. HCAIs acquired during hospital stays might affect up to 10% of patient roles in the USA. The World hea lth Organization (WHO) published national signposts for hand hygiene in healthcare to increase patient safety and limit the spread/exposure to organisms. Medical personnel frequently skip hand washing between patients either because they were not near a sink or they just didnt have the time. Compliance for hand hygiene by all healthcare workers on average is 50%. Literature reviewI reviewed five journals on hand washing. Makie et al. (2013) identifies 4 primary objectives to prevent infection that all neediness to be used in parallel (1) hand washing (2) protective barriers (3) decontamination of the environment, items and equipment used for patients and (4) antibiotic surveillance. One used with the other three will impersonate your patient at risk for exposure. Despite an extensive amount of research/data and evidence supporting these interpositions, healthcare workers translation into their insouciant practice is lacking. The generator promotes compliance and consistency of these objectives to control the spread of infections within their healthcare environment. According to Hiremath et al. (2012), hand washing is one of the most effective means of preventing infections. The author feels its a personal vaccine. To foster support of the hand washing initiative on a global level we must raise sentience of its importance. People need tobe educated and understand the risk of not washing their hand, when to wash their hand (after toilet use, diaper changes, food handling, or visibly soiled) and how others can become exposed to organisms.They also need to understand the proper technique. Beggs, Sheperd et al. (2008), study used the Ross-Mac simulateald model to apply hypothetical data to a medical exam ward. This model simulated the transmission of staphylococcal infection by contact from colonized hands of heath care workers. The aim was to evaluate the impact of imperfect tense hand hygiene on infection. The study concluded that hand hygiene was an eff ective control measure, but little benefit was found for high levels of hand washing (50% norm). 40% compliance was found to be enough to prevent an outbreak. Borges, Rocha et al. (2012), provides recommendations on improving hygiene inside the hospitals by promoting routine observation and feedback to healthcare workers. They promote implementation of a campaign (1) repeated monitoring of compliance, (2) performance competency, (3) education, (4) visual cues and compliance feedback. These procedures by hospital will have been highly embody effect/justified. Inamulhaq & Haq (2012) observed hand washing among medical and paramedical professional in clinics. These authors also felt that hand washing was valued as an intervention to prevent infection but was often skipped. They promote staff education/training and soap dispensing tools/washing station insertion. They also suggested that senior team appendage set an example for all staff on proper techniques.I feel that the articles by Borges et al. (2012) and Makic et al. (2013) well support hand washing initiatives weve found in research to be effective when implemented. As clinicians we find ourselves asking the 5 Ws when we are faced with evidence that will drive our daily practice. They pull together the WHAT hand washing it, WHY we do it, WHEN and WHERE it should be done and by WHOM. The other four articles also support the findings but dont have the complete package with all the elements need to support clinical compliance.The article Borges et al. (2012) had the best research design of all five. It was a duodecimal research study with meta-analysis synthesis over a 12 month period. It has well-defined hypotheses that the 2 observers were awareprior to the start of the data collection period. The method of data collection was observation only. The sample size was large enough (52 sessions and 119 opportunities) to provide statistical significant data for an effective conclusion to be made.As I compare the se five articles with the national guidelines review they all have the same element that hand washing is essential to the reduction of infection. The national guideline encouraged cleaning of patient environments, health care education, cueing for compliance, competency monitoring and documentation surrounding staff training. ConclusionEvidence-based nursing practice is essential to the pitching of high-quality care that optimizes patients outcomes. Hand hygiene is one self-care practice that can go a long way in keeping many ailments at alcove for both the healthcare worker and the patient. Healthcare workers should work relentlessly in promoting the self-care practices, holding their peers accountable if they arent compliant and hardwiring this practice into daily operations. This is a saucer-eyed task that has some many benefits. As me move forward with federal reimbursement, healthcare organizations will see a decline in their reimbursement for care if patient get infections while hospitalized. So it all starts with us as healthcare workers to break the mode and start setting a good example by adhering to these simple hygienic practices of hand washing.ReferencesBeggs, C.B, Sheperd, S. Kerr, K (2008). Increasing the frequency of hand washing by healthcare workers does not lead to commensurate reductions in staphylococcal infection in hospital ward. BMC Infectious Diseases 8(114) Hiremath RN, Kotwal A, Kunte R, Hiremath SV, Venkatesh (2012). Hand Washing with Soap The Most Effective Do-It-Yourself Vaccine? Natl J Community Med 3(3)551-4 Lizandra Ferreira de Almeida e Borges, Lilian Alves Rocha, mare Jose Nunes & Paulo Pino Gontijo Filho. (2012). Low Compliance to Handwashing Program and High Nosocomial Infection in a Brazilian Hospital. Interdisciplinary Perspectives on Infectious Disease Article 579781, 5 pages Makic RN, Martin, RN, Burns, RRT, Philbrick, RN & Rauen, RN (2013).Putting Evidence Into Nursing Practice Four Traditional Practices Not Suppor ted by Evidence. Critical Care Nurse 33(2)28-43 Mirza Inamulhaq, Azis S.A., Haq S.M. (2012). character reference of Hand Washing in Prevention of Communicable Diseases and Practices Adopted in Private Clinics. Canadian Journal of Applied Sciences 2(1) 196-201