Hand Hygiene Essays (Examples)

Hand Hygiene

Nosocomial Infections and Hand Hygiene

Kampf and colleagues (2009) assert that the regular use of hand sanitizers has a better antimicrobial effect than regular hand washing and they suggest that this practice -- in conjunction with improved availability of sanitizers, regular compliance education, reminders, and monitoring -- is best practice for hospital hand hygiene in the prevention of nosocomial infections. This recommendation is based on a review of the literature, which included studies forming the evidence-based foundation for the 2006 orld Health Organization (HO) hand hygiene recommendations, together with more recent recommendations by several authoritative bodies, including: (1) the Commission for Hospital Hygiene and Prevention of Infection, Robert Koch Institute (RKI), (2) the Association of the Scientific Medical Societies in Germany (AMF), (3) HO's final recommendation, and (4) the Centers for Disease Control and Prevention (CDC) (Kampf, Loffler, & Gastmeier, 2009, p. 649).

Apart from the reference list for the…… [Read More]

Hand Hygiene Slipping in Hospitals

Nursing-Sensitive Quality Indicators

Nurse Sensitive Quality Indicators

Nursing-Sensitive Quality Indicator: Standard Technique Hand Washing

eports of incidences of superbug infections in hospitals and highly infectious diseases in underdeveloped countries heightens the importance of standard sanitation techniques. Moreover, increasingly reimbursement rates for hospitals are tied to achievement of specific patient care outcomes, a change that has made healthcare quality more important for all stakeholders. Standard technique in hand washing, skin preparation, and wound dressing is core to quality patient care, yet the literature and the media point to an increasingly pervasive degradation in this area (Szilagy, 2013). Standard sanitation technique is definitely a nursing-sensitive quality indicator as nurses are universally engaged in these processes and procedures in some capacity.

The literature indicates that improper hand hygiene of clinicians is one of the major contributors to healthcare-associated infections (HAIs), and that 7.1% of admissions to the hospital in developed countries involve HAIs.…… [Read More]

Change Non-Compliance of Hand Hygiene in Healthcare

Change

Non-Compliance of Hand Hygiene in Healthcare Setting

Hand hygiene is once of the fundamental areas that are often ignored and not well covered in inspections or standardizations, yet it is on area that almost all patients can be affected by or infected through within the healthcare facilities. Though there are recommended hand hygiene practices within the healthcare institutions and in particular the sensitive sections or departments like the obstetrics section, there has been a lot of non-compliance, total negligence of these practices or in most cases use of the wrong detergents to clean hands hence passing infections to the patients.

According to CDC (2013), in their study conducted in General Hospital of Vienna, the rates of mortality among mothers who gave birth in the hospital went down when the staff in the hospital used antiseptic agents as compared to when they used plain soap. CDC also notes that in…… [Read More]

How to Have Good Hand Hygiene

Hand Hygiene
PICOT
The revised PICOT statement for this proposal is: For hospital patients (P), how does the use of a visual cue to stimulate hand hygiene compliance (I) compared to no visual cue usage to stimulate compliance (C) affect hospital acquired infection (O) during their hospital stay while the patient hand hygiene protocol implementation process is ongoing (T)?
Research Critiques
The quantitative study by Doyle et al. (2017) focused on testing whether co-washing could be accepted by patients as a concept to help reduce the risk of infection among hospital patients. The researchers used the survey method to see if patients embraced the concept. Doyle et al. (2017) found that the overwhelming majority of patients approved of co-washing. The findings of the study could be applied in nursing practice in a number of ways. First, co-washing could be adopted by nurses whenever they are treating patients in order to…… [Read More]

Critical Appraisal of Practice Guidelines

Guideline Evaluation According to Agree II
Guideline In Question: WHO Guidelines on Hand Hygiene in Health Care. Geneva: WHO, 2009.
DOMAIN 1. SCOPE AND PURPOSE
The overall objective(s) of the guideline is (are) specifically described.
Strongly Disagree 12 3 4 5 6 7 Strongly Agree
Comments: Numerous sources and studies have demonstrated the importance of cleanliness of the hands, and that when hand hygiene is complete, patient outcomes are more positive and surgeries are safer. (Grol et al., 2003) (Sax et al., 2007) (O’Boyle, 2001)
2. The health question(s) covered by the guideline is (are) specifically described.
Strongly Disagree 2 3 4 5 6 7 Strongly Agree
Comments:
This guideline could be more specific in detailing all specific health questions this pertains to, though perhaps their lack of specificity was directly connected to the fact that hand hygiene impacts nearly every health condition.
3. The population (patients, public, etc.) to…… [Read More]

Epidemiological Study Proposal Nursing Hand

These are questions dealing with attitude and are the most important questions when doing qualitative social science research to gauge relationships among events. In addition to construction questions about attitudes, it is important to have the questions drafted in the correct format (Nachmias, 2008).

The Quantitative methodologies will be the statistical tests designed for the overall model to incorporate the information provided through one, two or all of the Qualitative data analysis methodologies. The tests used to determine the relationship between these "qualitative" factors and increases in Infection rates, will be the Chi-Square, Student's T-Test, ANOVA (to test for variations among the data), the construction of a Linear Regression Model and the calculation of the Pearson Correlation Coefficient, otherwise known as "R-Squared" (Nachmias, 2008).

These tests will be utilized in conjunction with a predetermined level of significance, or alpha. Since these tests will all be measuring the means and relationships…… [Read More]

Handed to Ten Coffee Drinkers Visiting Panera

handed to ten coffee dinkes visiting Panea Bead on a Satuday moning to analyze the habits of this paticula population.

Please ate the quality of Panea Bead coffee in the scale of 10 (whee 1 is unacceptable low quality and 10 is pleasantly high quality)

Please ate the hygiene of the Panea Bead in the scale of 10 (1 stands fo extemely dity and 10 is high standads of hygiene.

Please ate the Panea cews appoach to the customes in the scale of 10 (1 is extemely unfiendly and 10 is pleasantly fiendly)

Please compae the impotance of following items to be pesented at the Coffee stand in the ank of 10 (whee 10 is vey impotant to have and 1 is not impotant).

Half and Half Milk

Skim Milk

2% Milk

Milk Powde

Honey

Suga

Low Cal Suga

Heat Holde

Cup Lid

Tissue

What should be pesented at the…… [Read More]

Employee Satisfaction Hygiene Factors and

Motivation of workers is posing very big challenges to organizations. Herzberg ensures that an organization rewards its employees depending on the behaviors that the management would like to encourage.One of the widely known writers on motivation of workers is Frederick Herzberg. He is widely known for the two-factor theory that he came up with. The two factor theory is widely referred to as the hygiene motivation theory. As stated above, motivation of employees is a challenge. Nobody has brought evidence refuting the theories of Herzberg. Therefore, the ideas that are put forward by him may still be looked at.

Hygiene Factors and Dissatisfaction at Work

The hygiene factor in job satisfaction can best be explained using Herzberg's (1966) two factor theory (Motivation-Hygiene Theory).The hygiene factors refer to the factors that are majorly concerned with the work conditions. The factors are contextual features of conditions of work. They are however not…… [Read More]

Becoming Influential

Hygiene in Medical Settings

My message will be on hand hygiene for everyone that comes to the hospital.

Hand hygiene for hospital guests is just as important as it is for hospital personnel. Everyday interactions and activities can lead to exposure to a variety of bacteria that can create illness. In a hospital setting, this means that guests with good intentions towards loved ones can inadvertently make an illness worse or introduce new germs into clinically sanitized environments. Bacteria and other illness causing agents are often picked up from external environments and surfaces and then transported through body parts such as the nose, throat, skin, and hair. Because the hands are one of the most active parts of the body, we also carry germs between our fingers and underneath fingernails. Therefore, it becomes important that everyone wash their hands properly and frequently to decrease the transmission of bacteria and other…… [Read More]

Washing Haas Janet P And

Naturally, any problem that results in 1.7 instances of illness and 100,000 preventable deaths is automatically extremely clinically significant. What makes this topic especially clinically significant is that nosocomial infections are largely a function of behaviors that violate established principles of standard hygiene and antisepsis in clinical settings. If the information can be used to publicize the importance of reducing hospital acquired infections and to increase healthcare worker compliance with antiseptic protocols, it could greatly improve the safety and quality of the American healthcare system.

Primary Barriers to Hand Washing Compliance

The main barriers reported in connection with the low rate of hand washing compliance in U.S. hospitals include ignorance, laziness, habit, and convenience. Ignorance comes into play when healthcare providers fail to consider how vulnerable hospitalized patients are to infection and how easily bacterial infections can be caused by hand-to-hand or hand-to surface contamination. Laziness is an issue because…… [Read More]

Caglar S Yildiz S Savaser S 2010

Caglar S; Yildiz S; Savaser S. (2010). Observation results of hand-washing by health-care workers in a neonatal intensive care unit. International Journal of Nursing Practice, 16(2), 132-137.

In this article the authors wanted to determine whether healthcare professionals were washing their hands and if they were doing so effectively. The researchers observed 344 incidents in which hand washing was warranted and found that nurses were 63% compliant and physicians were 53% compliant. However, when it came to making sure that the job was done thoroughly, physicians were able to do a better job than nurses at a 24% to 13% rate of success. Since hand washing has been proven to be the most effective and simplest method for preventing infection, it is imperative that healthcare professionals perform it as often as needed and thoroughly.

amos M.M., Schrader, ., Trujillo, ., Blea, M., & Greenberg, C. (2011). School nurse inspections improve…… [Read More]

Best Practice Instructional Strategy

ationalism Politics Impacts Public's View

Web Article eview

The principle best-practice strategy elucidated within Louis DePaola's article entitled "Infection control in the dental office" is for practitioners to adhere to sanitary and hygiene mandates as noted within a pair of documents produced by the Centers for Disease Control. The first document is the Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care (which was published in 2011), and the companion Infection Prevention Checklist for Outpatient Settings: Minimum Expectations for Safe Care. These documents have a number of specific measures for those working in dental offices to follow to reduce the incidence of healthcare associated infections (HAI).

In addition to denoting several of the key guidelines for practitioners to adhere to in order to ensure safety and reduce the rate of infection transmission, the author also reinforces several key facets of this literature that apply to dental office…… [Read More]

Self-Efficacy Theory Describe Theory Rationale Selecting Theory

Self-Efficacy Theory

Describe theory rationale selecting theory. 2. Discuss theory works support proposed solution. 3. Explain incorporate theory project.

Self-efficacy theory and the promotion of hand-washing

According to the Centers for Disease Control, hand-washing is one of the most important ways in which to curtail the spread of a wide range of infections and bacteria. Hand-washing can reduce the risks of contracting the common cold, influenza, and other viruses (Wash your hands, 2012, CDC). It can also lessen the chances that bacteria such as E.coli and salmonella will be transmitted from the preparer of food to the diner, or that contaminants from raw poultry and other meats will be spread to fruits, vegetables, and other components of the meal. Hands should be washed thoroughly after preparing food, using the toilet, dealing with animals or children, or handling garbage. But many people fail to take this simple step.

Hand-washing is one…… [Read More]

Nurse Lit Review Type of Research Study

Nurse Lit eview

TYPE OF ESEACH STUDY - Quantitative or qualitative

Descriptive, correlational, experimental, quasi-experimental, phenomenological, grounded theory ethnographic, historical

SAMPLE METHOD & SAMPLE SIZE

Knoll, Lautenschlager & Lipp (2009). British Journal of Nursing.

Impact of workload on hygiene practices.

Quantitative.

Experimental.

trials of nursing staff.

Statistical.

Enforcing hygiene practices has practical healing benefits for nurses.

Souweine, B. et al. (2009). Intensive Care Medical Journal.

Compared hygiene practices. Hand rubbing vs. hand washing.

Quantitative.

Experimental.

person nursing staff.

Workers completed self report questionnaires.

Hand rubbing with alcohol is preferred to handwashing in some instances.

Creedon, S. (2006). International Journal of Nursing Technologies and Classifications.

Observe health worker compliance in handwashing guidelines.

Quantitative.

Quasi-experimental.

73 doctors and nurses in an Irish ICU.

Questionnaire responses.

Knowledge of handwashing guidelines can lead to positive outcomes.

Allen, L. et al. (2014). Nevada Nformation.

Compared hand washing with hand sanitizer.

Quantitative.

Descriptive.

Literature review.

Statistical.…… [Read More]

Clinical Auditing and Governance

Clinical Governance and Auditing

Throughout this paper, an attempt has been made to demonstrate an understanding of the procedure of Clinical Audit (CA). The focus of this CA is the high risk area of patient safety, and with regard to how this is linked to patient safety, hand hygiene has been selected. The findings and the recommendations that follow combined with the CA tool and the selection criteria will be outlined in form of a Clinical Audit. For the purposes of improving clinical practice, CAs forms an integral aspect of clinical governance. It is indeed notable that CAs encapsulates practice which through analysis can result to quality enhancement, particularly for the patients. Various definitions of the term which are invariably the same and which tend towards verbosity exist, but a terse and precise definition is given by Coffey (2009) who puts forth that a CA is a systematic evaluation of…… [Read More]

Nurse Implementation Plan Implementation Plan it Is

Nurse Implementation Plan

Implementation Plan

It is important to understand that plans do not simply manifest themselves into existence and a specific implementation effort is needed to ensure that the evidence presented in research efforts can be used to practical ends. Although the solution appears to be clear and succinct, putting into this plan into action requires a plan of its own. To do this effectively, Lewin's model of change theory can assist in describing "how" this plan will be put into action and significantly complement "what" needs to be done in order to realize success.

The plan itself is simple and revolves around and addresses Lewin's trinity of components in his change Model. Lewin essentially proposed that change occurs in three distinct stages where an old idea is "unfrozen," then processed and eventually "refrozen." This simple model of understanding the mental processes apply both at a collective level and…… [Read More]

Reducing Nosocomial Infection Rates

hygiene techniques with traditional soaps may or may not be more effective than using alcohol-based solutions concerning reduction in nosocomial infection rates in acute hospitals. With recent usage of alcohol-based solutions, use of traditional antibacterial soaps may be outdated and take longer. Nosocomial infections present as a major issue for acute care hospitals and require research in identifying the most effective way to sterilize hands to avoid increasing infection rates. While traditional handwashing with antibacterial soaps have been done for years, water availability and time taken to perform handwashing may not promote efficiency among hospital staff. Alcohol-based solutions require no water and additional washing or scrubbing. This research paper will focus on recent articles and studies that highlight which method works best.

Integration and Synthesis of the Evidence

Many articles and studies the past and in recent years attest to the effectiveness and efficiency of alcohol-based solutions. One 2012 studied…… [Read More]

Preventing VRE All Measures to

For its versatility in eluding new antibiotics, it can be life-threatening. One of these "superbugs" is VRE, which is transmissible by direct hand contact or through surfaces and equipment by anyone, including the health care worker (Capriotti, 2007). VRE has recently spread to the community and the health care sector.

New antibiotics continue to be synthesized to cope with the rapid mutation of the VRE bacteria, but the organisms continue to overtake the drugs (Akins & Haase, 2005). A study conducted on a series of VRE outbreaks in Germany revealed that an estimate of 1 million Euros could be saved with adequate prevention and control of the infection. The use of newer antibiotics is not as cost-effective as prevention. These antibiotics have to be administered with precision and require complementary hygienic precautions on the part of the health care worker. The rising incidence of and serious threats posed by the…… [Read More]

Team D Agreed to Focus

Foreign key fields (i.e. The key that represents the value of a primary key in a related table) may exist in the case of CLEBSI speciment: date of diagnosis, date and time of specimen (where latter may replicate). Under 'Patient', CLEBSI line is a foreign key, too.

V. Atomic-level data

Atomic data would be the most reducible element of information (without elaboration). So for instance for hand hygiene it would be Chlorhexidine Skin Antisepsis Antimicrobial Dressing Placement

VI. Schemas of the database will be:

Patient with the attributes of name, age, medical record number (MN), diagnosis, central line; Central line with the attributes of medical record number, date of insertion, insertion site, date of removal, line days, inserting provider, the components Central Line Bundle compliance, antimicrobial dressing placement; and CLABSI infections with attributes of MN, date of diagnosis, date and time of specimen, organism detected. Central Line Bundle compliance will…… [Read More]

Nicu Nosocomial Infections Preventing Nicu Nosocomial Infections

NICU Nosocomial Infections

Preventing NICU Nosocomial Infections

hine (2006) writes an editorial to appeal to clinicians staffing neonatal intensive care units (NICUs) to increase their awareness of patient safety measures because a large number of studies have shown that educating and training clinicians on how to prevent nosocomial infections (NI) can have a significant positive impact on patient outcomes. The author was motivated to write this editorial because of the findings from a NICU study completed at the University of Alabama in Birmingham (UAB). The main findings of this study were clinician education, especially concerning hand hygiene, together with NICU culture, can significantly reduce NIs in the NICU over the long-term.

The UAB NICU intervention capturing the attention of hine (2006) involved a number of steps, but it was unclear which ones were individually the most effective. The author admits this, while at the same time suggesting that a systematic…… [Read More]

Reducing Nosocomial Infections through Planned Behavior Theory

Applying the Theory of Planned Behaviors to Nosocomial Infections

Identify a public health theory you will use to support the implementation of your prevention and health promotion activities. Provide evidence that supports the use of this theory within the program you designed

According to the tenets of the theory of planned behavior, individuals first think about a behavior (e.g., the intent to act) and only then proceed to act (Chambers & Benibo, 2011). The dependent variables of intent to act in the theory of planned behavior include individual attitudes, perceived behavioral control, self-efficacy, and behavioral norms which are in turn dependent variables to the actual behavior demonstrated (Chambers & Benibo, 2011). The theory of planned behavior has been applied in a number of different settings, including in the context of nosocomial infections (Hughes, 2008).

In this context, the planned behavior theory conceptualizes individuals' intent to engage in handwashing as involving…… [Read More]

Evidence-Based Project Proposal

Urinary tract infections (UTIs) are typically the most prevailing healthcare-associated infection (HAI) in acute care facilities in the U.S. The Centers for Disease Control and Prevention (CDC) has estimated that up to 150,000 hospital-onset, symptomatic catheter-associated UTIs (CAUTIs) occurred in 2013, resulting in as much as $161 million in excess direct medical costs (Kuntz, 2010, p. 319). Current research examines the reason for such a high occurrence of infection. oughly 75% of healthcare-associated UTIs are connected to improper use of indwelling urinary catheters, to which up to a quarter of hospitalized patients are exposed. Adult ICUs have the highest exposure rate for catheter use and reveal over 95% of UTIs related to catheter use.

In the last twenty years, various strategies have been implemented to aid in reducing the risk of CAUTI in healthcare settings. One of which includes identifying proper times to use catheters and proper care and insertion…… [Read More]

Motivation and Morale Police administration

Abstract

The current study aims to examine the effect of the lack of supervision and detachment between administration and low-level supervisors and beat officers and how this leads to low morale and motivation. Imperatively, low level of morale and motivation results in low productivity, which might give rise to absenteeism and poor watch, adversely affecting the society through increased level of crime. A questionnaire will be designed to achieve the purpose of this research study and will be distributed to selected beat officers working in different police precincts. The number of questionnaires analyzed will be to different police precincts. Data collected will be analyzed through SPSS using both descriptive statistics, correlation and regression data.

Problem Statement

Organizations endeavor to have more productive personnel, who are deemed the most significant resources and a determining factor for success. Low levels of productivity can be linked to poor employee morale and motivation. The…… [Read More]

Evidence-Based Practice in Nursing and Health Care

Methicillin-esistant Staphylococci (MSA), most common Healthcare Associated Infections

The PICOT question to be discussed is: For adult patients using catheters, does the use of sterilization practices reduce the future risk of health associated infections like MSA compared with standard procedure in one week?

The answer is yes.

The support given to answer the question will be based on peer-reviewed journals and scientific literature. A summary of the evidence will be availed in a chart plus a conclusion that summarizes evidence used will also be given.

Methicillin-resistant Staphylococcus aureus (MSA) bacteria is resistant to several antibiotics. A significant proportion of MSA infections in the community are on the skin. It results in alarming infections of the bloodstream, surgical site infections and pneumonia in health facilities. Studies have revealed that one person in every three individuals have staph in the nose - most of the time they don't show any illnesses (General…… [Read More]

Nursing Is a Rewarding but

he Neuman Model is appropriate for senior care.

Studies necessary with other models.

Penrod, et.al.; Reframing Person Centered Care for Persons with Dementia

Research and heory for Nursing Practice

2007

Lit. Review, discussion

Lit. Review

Research shows individual personhood approach has positive effects on care.

Biomedical and psychological models must be merged for persons with dementia.

Integration models

Further study using different integration modeling.

Rajapaksa and Rothstein; Factors hat Influence the Decisions of Men and Women Nurses to Leave Nursing.

Nursing Forum

2009

Case Study

Qualitative, some quantitative analysis

For men, compensation largest barrier to remaining in nursing; for women dissatisfaction with career goals

Barriers to entry in profession for men and still social stigma

It is possible for hospitals and care centers to develop program to retain more nurses

Needs more demographic and psychographic variation.

Gillespie and Peterson; Helping Novice Nurses Make Effective Clinical Decisions

Nursing Education

2009

Case…… [Read More]

Nurse's Knowledge Migrating Catheters Washing

As to catheter straps, if fastened too tightly they can act as tourniquets, cutting off the needed flow of blood and presenting. And at least theoretically, use of straps brings about a risk of increasing the complications such as "…deep vein thrombosis and pulmonary embolism" in those patients with "impaired lower extremity circulation" (Billington 504). Research presented in this article shows that the problem of infection due to poorly attached catheters can be reduced significantly through the use of a product called "Bard StatLock" -- which, the authors insist, is an effective stabilization device because it allows movement (through a swivel clip), because it is a "sterile latex-free, tug-resistant product" (Billington 504). An article in the journal RN, incidentally, states that treating "hemodialysis catheter-related bacteremia" can cost a hospital up to $45,000.

ashing "Bloody Hands": An article in the Australian Nursing Journal asserts, "…hand hygiene is the single most effective…… [Read More]

Childbed Fever

deaths in childbirth were a major problem for the medical community (Ey). The most significant cause for the large number of women dying during this process was the occurrence of puerperal sepsis which was more commonly known as childbed fever. A variety of theories were offered to explain this phenomena but some dated theories surrounding the causes of diseases such as malaria and typhoid made progress toward reaching a cure for childbed fever more difficult. The prevailing thought was that both diseases were caused through contact with water and this fact, added to the lack of indoor plumbing, caused doubt to be raised when Hungarian born Ignaz Phillip Semmelweis first suggested his germ theory and its relationship to childbed fever.

Semmelweis, before Lister introduced his germ killing theory, began insisting that the failure to properly wash one's hands between procedures was the cause of infections and, therefore, the reason why…… [Read More]

Dealing With Nosocomial Infections in a Long-Term Nursing Facility

Long-Term Nursing Facility Management Risks

FACILITY-ACQUIRED INFECTIONS

Long-Term Nursing Family Management Risks

The major risk management issue of our hospital is the spread of nosocomial infections, more popularly known in the medical circle as hospital-acquired infections. This infection is something that a patient can contract or develop besides the condition for which he is admitted (Duel et al. eds, 2004). The include infections, which surface after discharge and occupational types among the workforce of the facility. These are widespread globally and assert strong impact among patients and facility workforce. The most common sites, according to a recent survey, are the urinary tract, the catether site, respiratory tract, bacteremia, skin and soft tissue, lower respiratory, surgical and the eyes (Duel et al., eds).

In our 150-bed facility in Chicago, pneumonia is a critical respiratory nosocomial infection concern. Our facility is a component of one of the biggest network of medical care…… [Read More]

Issues Associated With the Controlling of Infection in a Healthcare Setting

Infection Control

Question 1; Describe different types of infection control precautions. Why is it important to follow infection control guidelines? Describe the importance of hand washing.

Infection control requires strategies that will prevent the movement of potential infections from one source to a new source. Different types of infection control precautions may be undertaken. The primary approaches include hand hygiene, including washing, as well as the use of alcohol gel, the process that will prevent the transfer of infection by eliminating harmful bacteria and viruses (CDC, 2011). Infection control also requires attention patients to be minimised through the cleaning and sterilisation of any equipment and resources that come into contact with patients, for example scissors. The cleaning of equipment also applies to the general cleaning of the healthcare environment, to avoid potential buildup of dust which may harbour harmful microbes, as well as sterilisation specialised equipment, such as respiratory equipment,…… [Read More]

Using Evidence Based Practice to Resolve a Nursing Issue

Refinement of a Nursing Concern into an Evidence-based Practice Proposal Using the Research Process

Overview

Research is mainly used to generate new knowledge or for the validation of existing knowledge based on a theory. Evidenced-based practice (EBP) is the translation of evidence and applying the evidence to clinical decision-making. Most of the evidence used in EBP stems from research. However, EBP will go beyond the use of research and it will include clinical expertise together with patient preference and values. EBP will make use of the evidence developed or knowledge discovered using research to determine the best evidence that can be used or implemented in clinical practice. Research and EBP go hand in hand in that while one will generate new knowledge, the other will make practical use of the knowledge and make use of the knowledge by implementing it into clinical practice. EBP is supported by research since any…… [Read More]

Evidence-Based Solution to Reducing Incidence the Goal

Evidence-Based Solution to educing Incidence

The goal of this assignment is to increase my ability to appraise and synthesize evidence to provide experience a logical argument in support of a proposal for practice change, and to provide experience in designing a detailed implementation and evaluation plan for my project. I need to discuss my project plan with you.

An evidence-based solution to reducing incidence of hospital acquired infections through indwelling medical devices

Hospital-acquired or nosocomial infections are the fourth leading cause of disease in developed countries. The increased insertion and implanting of prosthetic or indwelling medical devices is a leading cause of these infections since the introduction of a foreign body significantly reduces the body's immunity and decreases the number of bacteria needed to produce an infection. Prosthetic or indwelling medical devices such as urethral catheters, suprapublic catheter, nasogastric tubes, hemodialysis catheters, central venous catheters, and tracheostomy tubes are associated…… [Read More]

Hospital Acquired Infections a Discussion

Nurse burnout is a common occurrence. This can exacerbate an ongoing problem that is seen in hospitals, nosocomial infections. Nosocomial infections remain prevalent for patients with extended hospital stays like those in intensive care units. An infection that starts roughly 48 hours after admission, those in intensive care units (ICUs) experience a continued rate of infection leading to increase length of stay, mortality, and morbidity. The number of patients that develop a nosocomial infection are from 7 to 10% internationally (Dasgupta, Das, Hazra, & Chawan, 2015). As such, hospitals have decided to classify nosocomial infection sites based on clinical and biological criteria.

esearch has led to the discovery of several bacterial strains that involve the formation of nosocomial or hospital acquired infections. "The agents that are usually involved in hospital-acquired infections include Streptococcus spp., Acinetobacter spp., enterococci, Pseudomonas aeruginosa, coagulase-negative staphylococci, Staphylococcus aureus, Bacillus cereus, Legionella and Enterobacteriaceae family members,…… [Read More]

Bacteria and Viruses

What are Bacteria and Viruses?

The most palpable variance between bacteria and viruses is their size. Whereas both bacteria and viruses are too tiny to notice with the naked eye, most bacteria are about one micrometer in length and can be perceived with a good optical microscope. On the other hand, viruses are smaller than the wavelength of visible light, which implies that they can be solely perceived by using an electron microscope (Nursing Times, 2006). Infection, every so often the initial phase, takes place when bacteria, viruses or other microbes that cause disease enter the human body and start to proliferate. Disease comes about and ensues when the cells in the human body are damaged, as a result of the infection, and signs and symptoms of a disease appear.
Causes

Bacterial and viral infections are contaminations caused by bacteria and viruses. Bacteria release toxins into the blood stream whereas…… [Read More]

Public Health information

What are Bacteria and Viruses?

The most basic difference between bacteria and viruses is their size. Whereas both bacteria and viruses are too tiny to notice with the naked eye, most bacteria are about one micrometer in length and can be perceived with a good optical microscope. On the other hand, viruses are smaller than the wavelength of visible light, which suggests that they can only be perceived by using an electron microscope (Nursing Times, 2006). Infection, every so often the initial phase, takes place when bacteria, viruses or other microbes that cause disease enter the human body and start to multiply. Disease comes about and ensues when the cells in the human body are damaged, as a result of the infection, and signs and symptoms of a disease appear.
Causes

Bacterial and viral infections are contaminations caused by bacteria and viruses. Bacteria release poisons known as toxins into the…… [Read More]

Theory vs Practice Explained

Theory vs. Practice

When it comes to working in any sort of organization or corporation, one of the obvious chasms that becomes clear here is the relationship between theory and what is practiced in a small business setting. To truly look at and assess that paradigm, the author of this report has interviewed an owner/manager at a small business to discuss what they do to make things work, what is suggested in theory and scholarly literature and how those frameworks and lessons do or do not work for their particular situation. The author of this report will personally be making a comparison and contrast between what is asserted within the literature and compare it to the feedback and personal experience narrative of the owner/manager. A common refrain seen in the blogosphere and elsewhere is that there is a disconnect between what is suggested in the minds of theorists and within…… [Read More]

Theory vs Practice in Small Business Setting Essay

When it comes to working in any sort of organization or corporation, one of the obvious chasms that becomes clear here is the relationship between theory and what is practiced in a small business setting. To truly look at and assess that paradigm, the author of this report has interviewed an owner/manager at a small business to discuss what they do to make things work, what is suggested in theory and scholarly literature and how those frameworks and lessons do or do not work for their particular situation. The author of this report will personally be making a comparison and contrast between what is asserted within the literature and compare it to the feedback and personal experience narrative of the owner/manager. A common refrain seen in the blogosphere and elsewhere is that there is a disconnect between what is suggested in the minds of theorists and within the so-called ivory…… [Read More]

Systematic Review of Isolation Policies in the

Systematic review of isolation policies in the hospital management of methicillin-esistant Staphylococcus aureus: A review of the literature with epidemiological and economic modelling

The rise of MSA (methicillin-resistant Staphylococcus aureus) continues to be a problem in hospitals throughout the world. In the article entitled "Systematic review of isolation policies in the hospital management of methicillin-resistant Staphylococcus aureus" Cooper (et al. 2003) conducted a literature review of various containment efforts in the UK. Isolation wards proved to be the most common method of containment but studies were conflicting as to their efficacy. The use of a common isolation ward at one hospital "reduced infection, one did not and one resulted in control for many years until a change in strain and/or an increase in the number of patients colonised on admission [and] overwhelmed the institution" (Cooper et al. 2003: 5). There was limited evidence that more proactive efforts at containment such…… [Read More]

Routine Oral Care Positioning to

(Schleder, 2003)

Elevating heads of beds for patients on mechanical ventilation

Along with the recommendations for removal of plaque, there is also a guideline made by CDC that for proper treatment to "elevate at an angle of 30 to 45 degrees the head of the bed of a patient at high risk for aspiration." The benefits elevation of the head of the bed is on the theory that then gravity will reduce the possibilities of regurgitation that exists in an overly distended stomach. The recommendation by CDC also clearly states that the patients should not be lying flat unless there is some clinical need for that. At the same time, some medical authorities feel that this is likely to make the patients uncomfortable, though the recommendation is from CDC. This makes them reduce the angle of laying the patients bed at a lower angle than the angle specified by CDC.…… [Read More]

Quality Evidence From Rickard C M Et Al

Quality Evidence From ickard, C.M., et al. (2012)

The objective of this study is to critically appraise quality evidence in the work of ichard, et al. (2012) which focuses on routine vs. clinically indicated replacement of peripheral intravenous catheters: A andomized Controlled Equivalence Trial. The focus of the critique will be on the methodology, results, implications for clinical practice and further research.

Schultz et al. (2010) reports that randomized controlled trials "when they are appropriate designed, conducted, and reported, represent the gold standard in evaluating health care interventions." (p.1) However, the absence of methodological rigor results in biased results in randomized trials. In order for a trial to be accurately assessed, there must be clear and transparent information presented in the study's methodology and findings. Due to the absence of adequacy in the reporting of studies, the Consolidated Standards of eporting Trials (CONSOT) was developed in 1996 and revised in…… [Read More]

Needle Stick Injuries

Patient Identifiers

The Importance of Patient Identifiers

Adverse events as a consequence of medical treatment are now recognized to be a significant source of morbidity and mortality around the world (World Health Organization [WHO], 2005). Somewhere between 3 and 5% of all hospital admissions in the United States result in an adverse event, and in 1999 it was estimated that the majority of the 44,000 to 98,000 deaths caused annually by medical mistakes could have been prevented (reviewed by Leape, 2000, and WHO, 2005).

The sources of adverse events can be divided into clinical practice, defective or poorly maintained products, improper procedures, or an organizational system. The World Health Organization (2005) concluded that systemic failures are the primary source of adverse events, and can be attributed to a particular organization's patient care strategy, culture, attitudes toward managing quality of care and risk prevention, and the ability to learn from mistakes.…… [Read More]

Sepsis

New Sepsis Guidelines and Nurses: Factors, Compliance and Consideration

Introduction to Sepsis

Sepsis refers to the body’s dangerous reaction to an existing infection. Sepsis is extremely serious and if not treated swiftly with appropriate action it can lead to fast tissue and organ damage and death. The medical community has long been focused on getting better control of sepsis, as it is a damaging and debilitating condition that contributes to a host of preventable deaths. In fact, sepsis is one of the primary reasons for death in the number of hospitalized patients and is the cause of 20% of all admissions to intensive care units. (Ferrer et al., 2008). This data clearly indicates that sepsis is an aggravated problem that experts need to have better protocol for and preventative measures to counteract. In America, the rate of death from sepsis is one of the highest rates in the world with…… [Read More]

indwelling urinary catheter care

Research Proposal for Catheter Associated Urinary Tract Infections

Catheter Associated Urinary Tract Infections (CAUTI) affects timely reimbursement and prolongs patient stays in the healthcare facility. Many hospitals strive for ways to reduce CAUTIs and take specific medical measures to aid patients in recovery from the same and avoid recurrence of the cases of CAUTIs. These deliberate measures ensure so they can have better patient outcomes and improve patient care. This also improves the reimbursement received from insurance providers.

Research question

The research seeks to investigate the effect of frequent CAUTI education, among the in-hospital patients with indwelling urinary catheter, conducted over six months.

Background and Significance of the Problem

It is common medical knowledge that urinary catheters have the potential to cause urinary tract infections, known as catheter-associated urinary tract infections (CAUTIs). Indwelling catheters are a part of many plans of care, specifically for emergent and critical care patients within…… [Read More]

Coronary Bypass Nurse Training for

Learning Objectives:

In support of the Terminal Objective, several key learning objectives will drive the content and curriculum for nurses undergoing the present training course. Primary among them, the training course is designed to create a standardized set of behaviors amongst nurses that conform with existing and evolving best practices in the perioperative care of CABG patients. This means that course content and design will be geared toward achieving procedural and professional consistency amongst attending nurses where preoperative, intraoperative and postoperative care are concerned.

An additional learning objective is to ensure that outgoing students are informed in the ethical and personal dimensions of the profession. Coronary surgical procedures are inherently serious in nature as are the heart and circulatory conditions that typically require such procedures. Therefore, it is of critical importance that nurses are trained in the proper bedside manner to approach patients, families and extended support systems with potentially…… [Read More]

Making a Change in Nursing

Nurse atio

Lowering the Nurse/Patient atio: A simple Step for Improving Care

Nursing is far from a static profession or discipline, and is in fact in a constant state of progression and change. Not all of these changes are necessarily for the better; increased healthcare demands, decreased abilities to pay for many patients and institutions, and a host of other factors can contribute to negative changes in the nursing work environment. When such factors arise it becomes all the more important for effective nursing researchers and practitioners to identify and advocate positive changes to the practice and the profession of nursing that can help combat the negative factors and ensure a consistent quality of care. In the current era of an ongoing shortage of nurses n the face of increasing demand and the approaching depletion of available nurses due to the aging population of nurses themselves, addressing the nurse-to-patient ratio…… [Read More]

Tourism in Southeast Asia Since SARS Outbreak

2003 was marked by a number of natural disasters throughout the world, but none more devastating and threatening than the outbreak of a new virus now known as SARS. In this paper, I will focus primarily on the economic affect of the disease to the tourism industry in Southeast Asia. I argue that the magnitude of the affect SARS had on the tourism industry is attributable to three factors: the nature of the virus, the reaction by World Health rganization officials, and finally, the inadequacy in which local governments (specifically the Chinese) handled the epidemic. Finally, I will touch on the affects SARS has had on the tourism industry thus far, and its future implications.

In order to understand the effects of SARS in the world economic climate, specifically that of tourism, it is important to explore the disease itself. SARS (Sever Acute Respiratory Syndrome) is a form of pneumonia…… [Read More]

People Die Each Year of Cardiac Related

People die each year of cardiac related health problems. Some die of heart attacks and others of congestive heart failure and so forth. This research proposal highlights five peer reviewed journal articles that show how to improve, step-by-step, the infrastructure of a hospital cardiac program. Quantitative data from the studies along with in-hospital data will reveal the need for quality improvement as well as how successful certain methods are when implemented among specific populations. Information was gathered through the search engine Google Scholar and PubMed. All articles are less than four years old and reveal ways to not just improve the safety and care of patient's but also how to improve surgical outcomes and enhance IT infrastructure, all of which are essential to running a great hospital cardiac program.

Introduction

Several patients in (Hospital Name) have come in complaining of cardiac related health problems. Some have had issues with cardiothoracic…… [Read More]

Analyzing the Management Theories

Management Theory and Associated Urinary Tract Infections

Infection of the urinary tract constitutes a great share of all infections acquired in hospitals (Klevens, Edwards, & ichards, 2007); of these, most cases are of CAUTI or catheter-associated urinary tract infection, which is "reasonably preventable," according to the CMS (Centers for Medicare and Medicaid Services). CMS doesn't reimburse medical facilities for this disease any more. Of the best strategies to reduce CAUTI is ensuring never to employ urinary catheters unless one perceives an appropriate symptom.

Several research works, some even dating back many decades, can be found, of ways to decrease or prevent the development of CAUTI. Over the years, a few of the recommendations have reformed; for instance, at one time, routine catheter irrigation was recommended; however, presently, the medical profession deems it as a practice that must be avoided. Therefore, it is imperative for healthcare organizations to make sure their…… [Read More]

Hurricane Aftermath Returning to Work

Industrial Hygiene

Being that it is an operation that is being conducted in an industrial area, and in an industry that dealt with compressed gas, it is critical that all the safety measures are taken into account in a categorical and safe manner in the bid to re-enter the after the terrible hurricane. For instance there are various experts who are present and I would recommend that their individual expertise be put to use in the recovery process. First, the entire employees' body must be informed of the extent of the damage and the seriousness of the problem at hand and instructed not to venture into any area within the firm without the clearance and subsequent communication through a central communications office that they have to be informed of. I would also suggest to the Incident Commander to have a formal written process for the recovery of the firm. This…… [Read More]

Performance and Social Responsibility

nurses play a very important role in the emotional, spiritual, and physical care of the patient with different illness. When it comes to nursing homes, nurses are responsible for the well-being of the individuals there. Even though majority of the persons there are not critically there, they still depend on nurses for their care both medically and emotionally.

Sanghine (2013) reported that two nursing home nurses managed to turn off the alarms of nineteen patients at night so they would not be disturbed during their sleep. They were caught when the care home manager checked up on them in the middle of the night. IT was reported that elderly patients in ages 75 to 100 were not able to call for help. Not only that, they also reported ill treatment to the persons only because they preferred their own comfort and sleep before their duty at the nursing home.

The…… [Read More]

Direct Examination of Subjects for

Instruments

Instrumentation needed for the research study will be relatively minimal and straightforward; necessary equipment for a standard checkup to determine cardiovascular health and other basic signs of chronic disease as well as scrapers, swabs, and vials for the collection of bacterial samples will be needed. It is possible that culturing of the bacterial samples will be desired, in which case additional instruments and controlled environment equipment will also be needed for the full completion of the study. In order to assess the exclusionary criteria related to weight, a standard scale and height ruler will need to be utilized along with caliper measurements to determine body mass index. Other than this and the instruments necessary for recording and analyzing the data collected using these instruments, it is not expected that any other resources will be necessary for this research study.

Procedure

ollowing initial measurements to determine suitability for inclusion in…… [Read More]

Washing and Use of Testosterone The Action

Washing and Use of Testosterone:

The Action of Hand Soap Bacteria:

Hand washing is an important practice for body hygiene because of its seeming effectiveness in preventing the transmission of bacteria. Actually, it is believed that hand washing helps to lessen the risk of bacterial infection through removing and destroying bacterial cells. Generally, the use of hand soap while complying with the good washing practices help an individual to destroy bacteria in the hands, which in turn decreases the spread of diseases or illnesses. The need to wash hands using hand soap is attributed to the accumulation of bacteria on the surface of a person's hands because of numerous opportunities brought by day-to-day activities. For instance, a person encounters bacteria every time he/she touches another individual, touches raw meat, and handles money. The bacteria can get into the individual's hands and under his/her fingernails and spread if he/she touches any…… [Read More]

Ethics Project

Life and Death: The Life Support Dilemma by Kenneth E. Schemmer M.D

Kenneth Schemmer in his thorough, thought provoking book brings to life the controversial subject of the life support issue. For years, many all over the country have pondered, "What if a person were in some kind of an accident and the physicians told them that they were not going to make it?" And all that he or she could do is just lie there in extreme pain waiting for their life to the end. Or even worse case scenario what if they happened to end up completely brain dead? These debated questions are taken on by Dr. Schemmer in making his point that life support decisions may not necessarily be the decision of the family, the doctor or the patient but by a higher being that gives life and takes life. Schemmer uses these controversial questions in his…… [Read More]

Toilet Design in Modern Society Public Toilets

Toilet Design

In modern society, public toilets has become a fixture wherever human activities take place; shopping malls, restaurants and filling stations all provide these places of convenience for travelers, diners and shoppers. However, when considering the nature and function of public toilets, many question their cleanliness and safety for public use. In addition, cultural and gender issues have also played a role in these debates. Women, for example, are obliged to make physical contact with public toilets, while this is not necessarily the case for men. In terms of cultural issues and sanitary concern, critics such as Isbit (2001) have suggested a toilet design whereby the human skin does not need to make any contact with the abode, but where both men and women squat to relieve themselves. To take these concerns into account, the history, background, and design of the public toilet should be considered in detail.

Historical…… [Read More]

Health & Safety Plan for

Such equipment should be adequate to ensure personnel are protected from chemical exposure to the eyes, skin, and respiratory tract. PPE may be upgraded or downgraded by the site industrial hygienist, HSM, or qualified Site Safety Officer based upon site conditions and air monitoring results (Levin, et al., 2002)

Work practice and administrative controls

Administrative controls or work practice controls are changes in work procedures such as written safety policies, rules, supervision, schedules, and training with the aim of reducing the interval, frequency, and sternness of exposure to hazardous chemicals or situations. Workers who handle hazardous chemicals in the workplace should be familiar with the administrative controls required fewer than 29 CF 1910.1200, and the OSHA Hazard Communication Standard. This controls are perhaps most important, because they impact your people directly. On the one hand, they are the simplest, since all it takes is education. On the other hand, education…… [Read More]

Washing Procedures in a Dental Office One

Washing Procedures in a Dental Office

One of the challenges of teaching a lesson plan founded upon "Standard D2.1: Know how to evaluate potential causes and methods of transmitting infections and how to apply standard precautionary guidelines" according to CTE Standards: California Career and Technical Education Standards (232) is that the lesson plan must simultaneously be informative yet also teach critical skills to students. It must balance the need to convey practical information but not solely consist of lectures: a purely academic understanding of the topic will not necessarily affect student behaviors in the field. To impress upon students the importance of proper hygiene, I would first give an overview of healthcare-related infections to students. I would show photographs of what infections look like, both on the human body and also in microbial form. This would be a profound visual stimulus to students about the consequences that infections can render.…… [Read More]

Flanders-Stepans M Wilhelm S L & Dolence K

Flandes-Stepans, M., Wilhelm, S.L., & Dolence, K. (2006). Smoking Hygiene: Reducing Infant Exposue to Tobacco. Biological eseach fo Nusing, 8(2), 104-114.

Consideing the title of the wok, one would believe that the poblem statement would explain ways to educe infant exposue; when in fact the aticle commences by explaining the lage monetay buden that smoking elated issues has bought about in the medical field. The aticle then begins to explain the coelation that exists between the smoking patten of the mothe and the level of exposue to Envionmental Tobacco Smoke (ETS). Finally, it is explained that a stong coelation has been made between beastfeeding and educed ETS; howeve it is also stated that in fact a child is moe likely to have elevated levels & symptoms associated with ETS if the beastfeeding mothe is a smoke. It is also stated that thee is a distinct coelation between the smoking patten…… [Read More]

Air Traffic

air traffic has continued to increase and it now constitutes a considerable proportion of the travelling public. The amount of long-hour flights has increased significantly. Based on the International Civil Aviation authority, air traffic can be anticipated to double amid till 2020. Airline travel, especially over longer distances, makes air travelers vulnerable to numerous facets that will impact their health and well-being. Particularly, the speed with which influenza spreads and mutates, via transportation routes, is the reason why the influenza pandemic is considered to be a huge threat to the human population. Pandemic is a term, which is used for a virus or microbe when it spreads over a large area, in severe cases even the whole world and large number of people start getting affecting by it (CDC, 2009).

In the past 300 years, there have been ten significant influenza pandemics outbreaks that have taken place in this world.…… [Read More]

Wheelworks Maslow's Hierarchy Outlines the

4) Wheelworks offers a few different forms of financial compensation. They pay wages that they describe as "the highest possible." This meets the safety needs of their employees, which is key in the retail business. It was stated that many of the employees have good educations, so if they could not meet their safety needs at Wheelworks, they would be forced to do so elsewhere.

Wheelworks does not offer commission. This is good practice, since their staff are more motivated by higher-level needs such as achievement and competition. Commission is insufficient and does not support Wheelworks' attempt to differentiate themselves with their high level of customer service. There are also profit sharing plans, which motivate the employees but also foster teamwork. This is also true of the seasonal bonuses. These also reinforce the belonging needs. In this way, these types of incentives reinforce the higher order needs, while de-emphasizing the…… [Read More]

Educational Intervention on the Balance

Literature eview

1. The dilemma of Obesity

Mokdad et al., (1999) in his study found that the issue of unhealthy weight, overweight and obesity are perhaps one of the rising concerns for the Americans in the 21st century as more and more U.S. citizens become vulnerable to the circumstantial risks and dangers of the phenomenon (Mokdad et al., 1999). It is usually the body mass indexes (BMI) that indicate whether a person is actually overweight or not. The National Health and Nutrition Examination Survey (NHANES) carried out a study for the years 1999 to 2002 using the BMI phenomenon and concluded that about 65% of U.S. citizens in the adulthood years were categorized under the overweight group because of their BMI (Division of Nutrition and Physical Activity, National Center for Chronic Disease Prevention and Health Promotion, 2005).

To understand the phenomenon of obesity and its rise, it's important to understand…… [Read More]

Teaching a Group of Five-Year-Old

Following the story and the demonstration, the use of a song to reinforce the steps to proper brushing would assure that the students learn and remember each step. If the music is set to a song they are already familiar with, the chance of learning and remember are increased as the student will make a positive connection.

Finally, a kinestic activity should take place. This could be by having the student draw a picture of him/her doing proper technique or by having the students role-play proper techniques with a partner.

When teaching a group of five-year-old students, it is important to have a wide variety of activities that reach all styles and types of learning. The activities should not be too long and should be taught using vocabulary and language that they identify with and clearly understand. Therefore, the Multiple Intelligence learning theory would be best in this…… [Read More]