Grayson, M. L., Stewardson, A. J., Russo, P. L., Ryan, K. E., Olsen, K. L., Havers, S. M., & National Hand Hygiene Initiative. (2018). Effects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes: a longitudinal study. The Lancet Infectious Diseases, 18(11), 1269-1277.
Relation To The Clinical Issue
This article similarly highlights how Healthcare-Associated infections hinder patient safety, increases mortality and morbidity rates prolong hospital stays and increases medical costs. The researchers further acknowledge compliance of hand hygiene among healthcare providers as a significant strategy to maintain patient safety especially with regards to methicillin-resistant staphylococcus Aureus. However, very few national programs have been sustained and integrated successfully into the national-health structure. Based on the results of the NHHI (National Hand Hygiene Initiative), hand hygiene reduces the risks of healthcare-associated infections which continue to be a major public health concern. NURS 6052 wk 3 assignment Matrix Worksheet Template
The study aimed at evaluating the outcomes of the NHHI including its effect on the incidences of healthcare-associated Staphylococcus Aureus and hand hygiene compliance. This study aim was influenced by the background knowledge that a healthcare provider’s compliance with hand hygiene is a significant national strategy for patient safety.
This was a quantitative longitudinal study where the outcomes of the NHHI eight years after implementation were assessed. The assessment included the extent of hand hygiene guidelines compliance and the hospital’s participation, costs, and association with healthcare-associated Staphylococcus Aureus and educational engagement.
Strengths of Research Methodologies
Wide population data were used to evaluate the clinical impact of NHHI, specific, statistical analysis was done comparisons of proportions (χ² or t-test), with a p-value of 0·05 or less (two-tailed) which was considered to be statistically significant and increased the accuracy of results. Besides, hand hygiene and compliance data were assessed for errors and consistency using a standard process for review and validation. To maximize the validity and accuracy of data, two systems were established including representative hospital samples and the poorly performing sites. NURS 6052 wk 3 assignment Matrix Worksheet Template
Munoz-Figueroa, G. P., & Ojo, O. (2018). The effectiveness of alcohol-based gel for hand sanitizing in infection control. British Journal of Nursing, 27(7), 382-388.
Relation To The Clinical Issue
The article addresses a similar clinical issue by acknowledging Healthcare-Associated Infections as a public health concern for the health sector across the globe according to NICE. Some of the commonly identified infections include surgical, respiratory and urinary tract infections. This calls for the implementation of better strategies to control infections including education, reinforcing knowledge to the public, healthcare providers and individuals at high risk of infections in all areas of nursing practice.
Aim of the Study
The study aimed at evaluating the effectiveness of alcohol-based gel for hand rubs in controlling infections in the clinical setting. The article was specific to renal nursing following a growth in the focus of evidence-based practice.
The EBP process for clinical decision making was reviewed for effective literature on the effectiveness of alcohol-based gel and the results published recently concerning the findings of the best model.
Strengths of Research Methodologies
The review utilizes the steps of EBP and numerous articles relevant to the review purpose are used to justify the information shared.
When compared to approaches that use detergents and disinfectants that can result in pathogen dissemination, alcohol when adequately used is even more effective. Therefore, hand rubs should be at every patient’s bedside, ward entrance and hospital for use after, before and when performing all activities related to care
Halm, M., & Sandau, K. (2018). Skin Impact of Alcohol-Based Hand Rubs vs Handwashing. American Journal of Critical Care, 27(4), 334-337.
Relation To The Clinical Issue
The researchers refer to the guidelines by the
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