Hand hygiene compliance

Hand hygiene compliance

Hygiene is a very crucial factor in prevention of infection in any health care facility. Also, compliance of handwashing ensures patients safety, aids in the treatment and recovery of hospitalized patients. Hand hygiene is important action performed by healthcare works to prevent transmission of healthcare associated infection (Smiddy, O’Connell & Creedon, 2015). Health care professionals such as doctors, nurses, physical therapist and laboratory technicians, take the responsibility of providing efficient, effective and quality care that will improve the health of their patients. Hand hygiene compliance

The purpose of this paper is to discuss the change proposal project components the author has been working on throughout the course. The goal of health care works rendering a quality, effective and efficient care to their patient in the health care setting will be difficult to achieve if the rate handwashing adherence is below expectation. Unclean healthcare environments harbor germs that can cause disease, thereby placing the patient at risk of developing infection instead of recovering from their present health condition. Healthcare providers inability to comply with hand hygiene is one the main reason patient develop hospital acquired infections (HAIs). Healthcare employees have the lives of patient in their hands therefore, hand hygiene should not by any means be neglected or dominated out in any healthcare facility Hand hygiene compliance

Approximately 250 health care specialists in a Metro Detroit facility happened to be watched and assessed directly; prior to the start of the exercise, participants were selected based on their hand washing comprehension and compliance. Partakers expresses that they observed improvement on handwashing practices and that most nurses complied to hand washing guidelines evidenced by some significant reductions in the rate of transmission of HAIs within the healthcare facility. HAIs are the infections a patient acquire during the period of hospitalization. The result of the research showed a huge decrease in the spread of nosocomial infections due to progress of hand hygiene training and nurses’ compliance to handwashing protocols. These infections mostly manifest during or after 48 hours of admission or thirty days after discharge from the hospital or health-care facility. The author of this research study sees HAIs as a dangerous disease with many complications. Because inadequate handwashing practices by healthcare workers are the main cause of spread of hospital acquire infections, it is important to educate staff members on proper hand hygiene, implement plan to encourage hand hygiene compliance in the healthcare settings. Blood-stream, ulcers / surgical wounds, CAUTI and respiratory infections are the most common types of HAI Hand hygiene compliance

Problem Statement

Good hand hygiene practice is one of the essential factors in planting an end to cross infections and HAIs. However inadequate handwashing among healthcare providers leads to transmission of infection from one patient to another and they end up contacting the infection and it keeps spreading. (Hinz, McGee, Huitema, Dickinson, & Van Enk, 2014). The necessity of handwashing and adherence in the hospital setting is to facilitate the reduction of HAIs. Some healthcare corporations that are known to be very compliant with handwashing guidelines maintains the high hygiene level and generally have a good treatment that guarantees powerful healthcare system that assist with the standard health and wellbeing of patients. In order to secure patient safety, all health care environment should be kept clean at any given time. When health care facilities are clean, micro organism have no place to grow which will prevent or reduce the extent at which nosocomial infections spreads. Hand hygiene compliance

Healthcare workers in Detroit Medical Center were examined for a reduction in nosocomial infections via hand hygiene teaching and adherence monitoring. The writer noted that most healthcare workers do not adhere to handwashing because of lack of education. Some of them complained that they don’t have time to practice hand hygiene as a result of lack of handwashing equipment, high patient ratio, skin irritation and lack of hand hygiene monitoring. Nosocomial infection is defined as infection a patient contracted during their stay in the hospital (Thoa et al., 2015). This infection is very harmful and can jeopardize patient safety. Nosocomial infection is very common and occurs everyday in the hospital, while it can be avoided if the healthcare workers are compliant with hand hygiene protocols within the facility and when providing patient care. Evidence has shown that facilities where caregivers do not practice adequate hand hygiene results to distribution of nosocomial infections. Hand hygiene compliance

When healthcare workers neglect handwashing, they pose dangers of acquiring infection to patients and others. Nurses are the closest to patients and their hands are always on the patient when providing care therefore, inadequate hand hygiene is the leading cause of spread of nosocomial infection. This problem is the reason why the researcher wants to know if in an acute care setting healthcare providers(P) will implement hand hygiene education and compliance (I) on hand hygiene practice(C) to decrease nosocomial infections (O) within four weeks period(T). Hand hygiene compliance


Purpose of the Change Proposal

It is the responsibility of all healthcare providers to advocate for every patient to make sure that each person obtains safe, efficient, effective and quality healthcare services. Also, healthcare providers should endeavor to work as a team to provide solution that will improve the overall well-being of the patient. Moreover, it will be difficult to accomplish this aim if the healthcare environment increases the chance of contracting the infection as a result of noncompliance of hand hygiene practices. Handwashing practice is the cheapest and simple precaution that prevents spread of nosocomial infections in the hospital and healthcare workers must observe adequate handwashing while rendering patient care. There are so many explanations for noncompliance of handwashing among healthcare workers such as, unawareness, working overtime which may cause burnout. Additionally, laying emphasis on the change proposal which targets to encourage compliance of hand hygiene and education will inspire healthcare workers to observe hygiene at its peak, therefore reducing the rate at which nosocomial infection is being transmitted. Reducing expenses and medical cost utilized to treat complication developed from nosocomial infection is one of the objectives for the proposed change. The hand hygiene program is an effective strategy in reducing the incidence of hospital-acquired infections and is cost-effective (Thoa et al., 2015).

Nosocomial infection delays treatment in the hospital but when the rate of spread is reduced, the hospital will have brief length of stay patient are hospitalized because the process of treatment will be faster and not delayed. This will make bed available for other patient who need it for critical conditions. With few ill patients in the healthcare settings nurses, doctors, lab technicians and other healthcare providers will pay attention and take them serious thereby achieving the aim of providing safe, effective, efficient and quality healthcare services. World Health Organization published guidance on a standardized multistep technique to promote coverage of all surfaces of the hands with hand hygiene product, estimating 20–30 seconds for hand rubbing, Wash hands with warm or cold water. “There is no evidence that warm water is superior to cold water, although tepid water may be better tolerated” (Ellignson et al.2014). Hand hygiene compliance


Many researchers use this acronym PICOT to expand their research question(s). P- signifies problem/population/patents, I- represent intervention to fix the problem, C- denotes comparison or opposite of the intervention. O- means the outcome and finally T symbolizes the timeframe used to achieve the desired outcome(s). utilizing the project change proposal, the recognized population provided in this research comprises of healthcare workers in the acute care setting. Intervention in the study is the implementation of education on hand hygiene. Comparison is the hand hygiene practice compliance. The study’s outcome is the decrease in spread of nosocomial infection and the time to achieve this is four weeks. The PICOT used for the change proposal identified is for healthcare workers in the acute care setting(P), hand hygiene education implementation(I) and compliance to hand hygiene practices(C) decreasing nosocomial infections (O) for the period of four weeks (T) Hand hygiene compliance

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