Hand Hygiene Essays and Research Papers

Instructions for Hand Hygiene College Essay Examples

Title: Consider a clinical environment working recently worked Identify a problem issue educational deficit build a proposal change THE IDENTIFIED PROBLEM OF MY CHOICE YOU WILL WRITE THE PAPER ON IS NON COMPLIANCE OF Hand HYGIENE IN A HEALTHCARE SETTING In a paper 500 words describe nature problem issue educational deficit

  • Total Pages: 2
  • Words: 537
  • Sources:4
  • Citation Style: APA
  • Document Type: Essay
Essay Instructions: Consider a clinical environment in which you are currently working or have recently worked. Identify a problem, issue, or educational deficit upon which to build a proposal for change.
THE IDENTIFIED PROBLEM OF MY CHOICE YOU WILL WRITE THE PAPER ON IS
NON-COMPLIANCE OF Hand HYGIENE IN A HEALTHCARE SETTING

In a paper of no more than 500 words, describe the nature of the problem, issue, or educational deficit. Include the following in your discussion:
1. The setting and/or context in which the problem, issue, or educational deficit can be observed.
2. Detailed description of the problem, issue, or educational deficit.
3. Impact of the problem, issue, or educational deficit on the work environment, the quality of care provided by staff, and patient outcomes.
4. Gravity of the problem, issue, or educational deficit and its significance to nursing.
5. Proposed solution to address the problem, issue, or educational deficit.
Prepare for the capstone project by listening to the audio interview, "Capstone: Planning Your Project" located at http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs441v_capstone.php.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

2 NRS 441v.11R.Module1_Checklist.docx
Module 1: Checklist
Identifying a Problem, Developing a Question, and Selecting Sources of Literature
Instructions:

This checklist is designed to help students organize the weekly exercises/assignments to be completed as preparation for the final, capstone project proposal. This checklist will also serve as a communication tool between students and faculty. Comments, feedback and grading for modules 1-4 will be documented using this checklist.

Topic

Task Completed Comments/Feedback Points
Identifying a
Problem
? Explains setting and/or context in which nursing problem is observed. _____ / 2
? Detailed description of problem, issue, or educational deficit provided. _____ / 2
? Impact of problem on work environment and patient outcomes described.
_____ / 2
? Significance to nursing profession discussed. _____ / 2
? Solution to the problem identified. _____ / 2
Developing a Question ? Identified components of PICOT:
P ? Population of Focus
I - Intervention
C - Comparison
O - Outcome
T-Time _____ / 8
? Developed PICO question/statement. _____ / 2
Selecting Sources of Literature ? Rapid Appraisal Performed (see below) on a minimum of 15 peer-reviewed articles. _____ / 20


TOTAL POINTS
_____ / 40

Rapid Appraisal
Perform a rapid appraisal of each article by answering the following questions (one to two sentences are sufficient to answer each question):
1) How does each article describe the nature of the problem, issue, or deficit you have identified?
2) Does each article provide statistical information to demonstrate the gravity of the issue, problem, or deficit?
3) Example(s): morbidity, mortality, rate of incidence or rate of occurrence in the general population.
4) Does each article support your proposed change?

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References

BC Patient Safety & Quality Council, (2013). Hand Hygiene: Hour Challenge. Retrieved December 7, 2013 from http://bcpsqc.ca/clinical-improvement/hand-hygiene/

CDC (2013). Hand Hygiene in Healthcare Settings. Retrieved December 7, 2013 from www.cdc.gov/handhygiene/download/hand_hygiene_core.ppt?

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Title: The Value of Hand Hygiene

  • Total Pages: 2
  • Words: 524
  • References:1
  • Citation Style: MLA
  • Document Type: Research Paper
Essay Instructions: The essay must be from the articles "Compliance with Hand Hygiene" from the American journal of nursing 108 (8) 40-44, August 2008.
The essay must address the following:
the most valuable information in the article.
what is in the article that is use in clinical practice.
what is the primary barrier to compliance with hand hygiene?

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Title: Hygiene Capstone Project

  • Total Pages: 2
  • Words: 540
  • Works Cited:0
  • Citation Style: APA
  • Document Type: Essay
Essay Instructions: Hand washing is one of the most important tasks that can be done to prevent infection. Infection control is one of the major initiatives that the Centers for Medicare and Medicaid Services (CMS) are placing as a top priority and plan to make unannounced visits to facilities to inspect their infection control processes (Brooks, 2013). The need for increased infection control practices stems from the high importance of decreasing hospital acquired infections. These HAI?s will cost hospital facilities a great deal of money. The CMS will be authorized to hold moneys for services if there is a hospital acquired infection (Brooks, 2013). It has been noted that the break in infection prevention is that of basic practice: hand hygiene. One must investigate whether the break is due to an uneducated staff or those that refuse to follow protocols.
Change Model Overview
A Model for Change to Evidence-Based Practice is an article written by Mary Ann Rosswurm RN, EdD, CS, FAAN and June H. Larrabee RN, PhD, that ?guides nurses and other healthcare professionals through a systematic process for the change to evidence-based practice? (Rosswurm & Larrabee, 1999). In this day and age it is not sufficient enough to rely on clinical experience, opinion-based processes, and pathophysiologic rationale (Rosswurm & Larrabee, 1999). One must use critical thinking and evidence-based practices to determine if current processes are the most cost-effective and highest quality care. This article gives practitioners the tools to research systemically evidence-based research and determine the best process for high quality care.
Step 1: Assess the Need for Change
The first step is to ?collect internal data and compare it with external data? (Rosswurm & Larrabee, 1999). Surveys that question proper hand hygiene technique and compliance to hand hygiene would be one tool to use to collect internal data. Another way to collect internal data would be random swabbing of personnel?s hands for certain bacteria, or anonymous surveyors of personnel?s practice with hand hygiene. Are the nursing and hospital personnel using proper hand hygiene, and are they compliant with hand hygiene practices? Do they know what the proper technique is? Do they know the importance of being compliant with hand hygiene?
Step 2: Link the problem, interventions, and outcomes
The next step is to define the problem using language that is standardized then link it with classification of interventions and outcomes (Rosswurm & Larrabee, 1999). Link hand hygiene and compliance with teaching proper hand hygiene techniques and the importance of compliance in regards to decrease in hospital acquired infections. Provide instruction regarding proper technique, educational material such as posters, health stream videos, and demonstration. Identify outcomes by improved correct responses on surveys, and increased compliance data by anonymous surveyors.
Step 3: Synthesize the Best Evidence
Synthesize best evidence includes refining the selected interventions and outcomes in order to research literature that is specific to the said problem. Literature to be reviewed regarding hand hygiene include the article Prepare for enhanced scrutiny on infection control as regulators clamp down on unsafe practices related to health care-associated infections (Brooks, 2013) and Series 2: Infection prevention and control. 2:2 Hand Hygiene (Jones, 2014) which both discuss the importance of hand hygiene and compliance in order to decrease hospital acquired infections. Systemic review such as Interventions to improve hand hygiene compliance in patient care (Gould, Moralejo, Drey, & Chudleigh, 2011) is a review that discusses different interventions to utilize to improve compliance with hand hygiene in the patient care facility. Hand Hygiene (Schub & Caple, 2014), Hand hygiene and the use of personal protective equipment (Wyeth, 2013), and Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities (Allergranzi, Conway, Larson, & Pittet, 2014) all discuss interventions and strategies regarding proper hand hygiene technique. These articles would be reviewed and critiqued by registered nurses assigned to a committee in charge of researching this issue.
Step 4: Design practice change
After synthesizing the research, registered nurses would be assigned to formulate a process or protocol regarding a standard in hand hygiene. This process or protocol would then be implemented in a pilot study on, most likely, the smallest unit in the said health care facility, which in this case is the surgical unit.
Step 5: Implement and Evaluate the Change in Practice
The coordinator of the committee in charge of designing the process or protocol for proper hand hygiene technique and improved compliance will then oversee the implementation of the said process/protocol. The coordinator will personally be available to staff in the pilot study to answer questions and further instruct in the implementation of the process/protocol. Follow up reinforcement in the pilot program is also important in order to ensure success of the new intervention, and this will also be overseen by the coordinator while continually evaluating the practice change.
Step 6: Integrate and Maintain the Change in Practice
The final step will be to integrate the process/protocol of proper hand hygiene and compliance into standard of care. Any change will be disruptive and will need to be continually reinforced in order to become to the new culture (Rosswurm & Larrabee, 1999). It is important for the stakeholders to be active and maintain participation in order to change the environment into the new standard of care.
Summary
In order to make a change in practice or protocol for compliance and proper hand hygiene there needs to be several steps taken. Assess the need for the change by gathering internal data and comparing it to external data. Link the problem with interventions and outcomes that are desired to become the new norm. Synthesize the best evidence in order to have solid research to back the need for the change. Appoint stakeholders to design a practice change. Implement and evaluated to practice change in a pilot study and be available for further questions and instructions regarding the practice change. Lastly, integrate and maintain the practice change in order for it to become the standard of care.





References
Allergranzi, B., Conway, L., Larson, E., & Pittet, D. (2014). Status of the implemenatation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities. American Journal of Infection Control, 224-230.
Brooks, D. (2013). Prepare for enhanced scrutiny on infection control as regulators clamp down on unsafe practices related to health care-associated infections. ED Management, 1-2.
Farrelly, R. (2014). NHS nurses' fight against infection. British Journal of Nursing, 121.
Gould, D., Moralejo, D., Drey, N., & Chudleigh, J. (2011). Interventions to improve hand hygiene compliance in patient care. Cochrane Database of Systemic Reviews.
Jones, M. L. (2014). Series 2: Infection prevention and control. 2:2 Hand hygiene. British Journal of Healthcare Assistants, 9-12.
Rosswurm, M. A., & Larrabee, J. H. (1999). A Model for Change to Evidence-Based Practice. Image, 31, 317-322.
Schub, T., & Caple, C. (2014, February 28). Hand Hygiene. Cinhal Information System. Glendale, California, United States of America.
Wyeth, J. (2013). Hand hygiene and the use of personal protective equipment. British Journal of Nursing, 920-925.

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Prior research has already shown that enhanced scrutiny over hand hygiene can help keep risks of spreading bacteria to a minimum. Jones (2014) illustrated the correlation between hand hygiene and reducing risks of spreading infections within hospitals. Brooks (2013) illustrated the need for external regulators to step in to healthcare settings in order to increase adherence to health and safety codes. This intervention is successful, however, it must be followed up with proper staff education and training (Schub & Caple, 2014). Staff should also understand how to handle hand hygiene when working with various equipment as well (Wyeth, 2013). Using stricter adherence to regulations followed by staff certification is thus a successful intervention for the primary problem.

This intervention could come in the form of a training and certification process that is tailored to each department within the hospital setting. Different aspects of staff activity can dictate what type of training would be needed for what positions in the facility. Certification classes can be held for all levels of hospital staff in order to ensure that everyone within the healthcare facility has an in-depth knowledge of hand hygiene practices as well as reasons for proper adherence to reduce the risk of spreading infections. A two hour course would help provide hospital staff with tools they can actually use in the field.

This would ultimately provide a model for healthcare facilities to follow in regards to how to increase levels of hand hygiene to fight future risks of bacteria spreading to patients. Certification allows for education to be dispersed to hospital staff, thus ultimately increasing their accountability as well. With the certification, no staff can claim they did not understand the importance of hand hygiene. Such a model can then be translated into international health practices, as developing nations can emulate the combination of regulations and certification to help reduce risks worldwide. Healthcare facilities all over the globe could adopt similar certification practices, thus reducing risks of infection for patients all over the world.

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Title: I Username Philipj paper REMEMBER MY TOPIC FOR THIS PROJECT IS THE IMPORTANCE OF HAND WASHING HAND HYGIENE IN A HEALTH CARE SETTING Please topic answer questions paper Thanks Identify a theory support proposed solution

  • Total Pages: 2
  • Words: 514
  • Bibliography:2
  • Citation Style: MLA
  • Document Type: Research Paper
Essay Instructions: I want Username Philipj to do this paper.
REMEMBER MY TOPIC FOR THIS PROJECT IS THE IMPORTANCE OF HAND WASHING(HAND HYGIENE) IN A HEALTH CARE SETTING. Please use this topic to answer the questions below to the paper. Thanks

Identify a theory that can be used to support your proposed solution.

Write a summary (250-500 words) in which you:

1. Describe the theory and your rationale for selecting the theory.

2. Discuss how the theory works to support your proposed solution.

3. Explain how you will incorporate the theory into your project.

Refer to the "Module 2: Checklist."

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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Works Cited:

O'Boyle, C.A.; Henly, S.J. & Larson, E. (2001). Understanding Adherence to Hand Hygiene Recommendations: The Theory of Planned Behavior. American Journal of Infectious Control, 29(6), 352-360.

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