Factors that Affect Hand Hygiene Compliance in Long Term Health Care Essay

Literature Evaluation Table Student Name: Focus Topic: Hand washing for Disease Prevention. Summary of Clinical Issue (200-250 words): The health care facilities are subject to strict measures to prevent the spread of diseases and reduce their spread to both patients and other individuals present. Specifically, prevention measures for diseases comprise of different techniques that involve general body cleanliness. Ignorance of the health system to implement and uphold the measures that enhance the safety of the individuals within the premises subject them to new severe illness. Additionally, it can lead to spread of the diseases to the patients and other working staff. As a result, the nurses who are the forefront individuals in the health care system are required to observe body cleanliness to themselves, to the people (mostly children), and patients served. Iedema (2015) states that the maintenance of clinical safety in hospitals is the fundamental aspect of fighting disease-causing microorganisms. Consequently, the health care agency with the assistance of the nurses, patients, and accompanying individuals should take into account strict measures to adhere to the regulations that ensure safety in terms of body cleanliness. For instance, health centers should implement intensive care progress procedures incorporated with rightful measures. The process of intensive care progress by the healthcare system – with the help of nurses to the general accompanying people and patients – requires the minimal requirement as the commencement of the program. The most fundamental action in intensive care progress as the start-up action of the patients is executing suitable handwashing measures (Stanhope & Lancaster, 2013). The performance of the process should follow the effective washing of hands using suitable detergent (recommended alcohol-based sanitizers) and water. It enables the elimination of diseasecausing bacteria and germs that are likely to be present on surfaces of the hands of both nurses and the accompanying individuals. PICOT Question: In acute patients and accompanying individuals (Population), what is the significance in hand washing practices (Intervention), or the utilization of gloves, observing general regulations in the premises, and alcohol-based sanitizers as alternates (Comparison) in minimizing the spread healthcare-related diseases, (Outcome) during their visitation and stay in the health center amenities (Time)? © 2019. Grand Canyon University. All Rights Reserved. Criteria Article 1 Article 2 Article 3 APA-Formatted Article Citation with Permalink Chatfield, S. L., Debois, K., Nolan, Smith, J., Corace, K., Macdonald, T., Cho, S., Lee, J., You, S. J., Song, K. R., Crawford, H., & Hallam, J. Fabrigar, L., Saedi, A., Chaplin, J., & Hong, K. J. (2019). Nurse S. (2016). Factors that Affect Hand Hygiene Compliance in Long Term Health Care Essay

Hand hygiene among A., . . . Garber, G. (2019). staffing, nurses prioritization, healthcare workers: A Application of the Theoretical missed care, quality of nursing qualitative meta summary using Domains Framework to identify care, and nurse outcomes. the GRADE-CERQual process. factors that influence hand International Journal of Journal of Infection Prevention, hygiene compliance in long-term Nursing Practice, 26(1). 18(3), 104-120. care. Journal of Hospital doi:10.1111/ijn.12803 doi:10.1177/1757177416680443 Infection, 101(4), 393-398. doi:10.1016/j.jhin.2018.12.014 Permalink Permalink https://doi.org/10.1111/ijn.12803 Permalink https://journals.sagepub.com/doi/abs/ https://www.sciencedirect.com/ 10.1177/1757177416680443 science/article/pii/S0195670118307199 How Does the Article Relate to the PICOT Question? The article addresses the clinical part of the healthcare workers in terms of hand hygiene. This correlates with the PICOT question in terms of handwashing and the use of appropriate detergents to observe cleanliness. Systematic Review /Meta Analysis cannot use this article review assifgnment instructions Qualitative and Quantitative. The research involved mixed methods of both quantified participants and search for information from the database. Quantitative, Qualitative (How do you know?) The journal pays attention to the theoretical domain framework that identifies factors that influences hand hygiene compliance in long-term care. It associates with the PICOT question due to the focus on handwashing practices that can prevent diseases. Correct! Quantitative. The research involves the questionnaire with a number of participants to find out the barriers in terms of time, workload, and environmental pressures. Besides, exploratory factor analysis was used which is a quantitative type of analysis. 2 The article addresses the priorities of nurses in cases of care and quality of services. This correlates with PICOT question in terms of care and safety in terms of handwashing practices. Correct! Quantitative. The research collectively involved sampling the actual number of participants to gauge the outcome. Purpose Statement Research Question Outcome Setting (Where did the study take place?) Sample Method The objective of the study was to provide the first-hand report incorporated with the findings from a qualitative study reports on hand sanitation complying with healthcare workers globally. What are the benefits of ethical healthcare workers’ practices in observing hand hygiene? The aim was to investigate the relationships between nursing activities, nurse staffing, and adverse patient outcomes in hospital settings as perceived by registered nurses in health facilities. What is the relationship between hand hygiene for health staff and the environmental context together with control for disease-causing microorganisms? • Healthcare workers believe • Organizers identified from the that they require to ingress to questionnaire results aligned satisfactory training in with the TDF domains and the maintaining hand sanitation. In consequences on the beliefs this case, the management about handwashing activities. system in the health sector • It was found that there exist the offers inferior support. risks of transmission of micro• The individual brilliance of organisms to self and others healthcare workers also due to poor culture and beliefs stimulates hand hygiene. on hand sanitation by healthcare workers. Healthcare facilities with database Ontario, Canada. storage information. 1. Database searches. 2. 36 reports were identified whereby authors conducted mixed methods research. i. Both quantitative and qualitative research methods. Database searching. Healthcare workers from long-term care homes. A questionnaire. 3 To inspect the relationships among nurse staffing, nurse’s prioritization of nursing activities, missed care, quality of nursing care, and nurse outcomes. What is the correlation between nurses’ relationship and prioritization of nursing care with the handwashing activities specifically? • Inferior staffing was associated with an increased number of missed activities by nurses. • A higher number of missed activities and poorer staffing were associated with poorer patient safety, quality of nursing care and job satisfaction, and higher intent to leave. General hospitals in 2015. The study sample involved 2114 staff nurses from 156 medical or surgical units of 49 general hospitals who had participated in a cross‐sectional survey conducted in 2015. Conduction of a cross‐sectional survey. ii. iii. • GRADE-CERQual process. Meta-summary. Factors that Affect Hand Hygiene Compliance in Long Term Health Care Essay

Key Findings of The surveillance team in the the Study healthcare system has the information and data which is perceived to assess healthcare workers as timely and pertinent. • Healthcare cultures in the health system are perceived to be supportive dor infection control. Recommendations The results from the study suggest of the Researcher that there is a need for an extra investigation into healthcare cultures that are supposed as supportive of disease control. • • There exist barriers between the Satisfactory staffing is required to reduce missed care and to improve the performance of hand hygiene quality of care and nurse outcomes. and environmental pressures. Healthcare workers should incorporate professional roles with the basics in implementing the domains that surround human hygiene. The recommendations involve a behavior change theory-informed frameworks that are helpful in identifying those barriers. Further researches should include a variety of frameworks and conduct research to different people to gain extensive knowledge about hand hygiene interventions. 4 The utilization of one method for data collection is not appropriate. It is recommended for the researcher to improvise and use two at least. Criteria APA-Formatted Article Citation with Permalink How Does the Article Relate to the PICOT Question? Quantitative, Qualitative (How do you know?) Article 4 Article 5 Article 6 Rance, S., Westlake, D., Brant, H., Diefenbacher, S., Fliss, P., Tatzel, J., Holme, I., Endacott, R., Wenk, J., & Keller, J. (2019). A Pinkney, J., & Byng, R. (2020). quasi-randomized controlled Admission Decision-Making in before-after study using Hospital Emergency performance feedback and goal Departments: The Role of the setting as elements of hand Accompanying Person. Global hygiene promotion. Journal of Qualitative Nursing Research, Hospital Infection, 101(4), 3997, 233339362093002. 407. doi:10.1177/2333393620930024 doi:10.1016/j.jhin.2019.02.001 Pesut, B., Thorne, S., Schiller, C., Greig, M., Roussel, J., & Tishelman, C. (2020). Constructing Good Nursing Practice for Medical Assistance in Dying in Canada: An Interpretive Descriptive Study. Global Qualitative Nursing Research, 7, 233339362093868. doi:10.1177/2333393620938686 Permalink Permalink https://doi.org/10.1177/ 2333393620930024 https://doi.org/10.1177/ 2333393620938686 Permalink https://www.sciencedirect.com/science /article/abs/pii/S0195670119300593 The admission of patients to hospitals The article explains the experiences is incorporated with procedures that using the performance feedback and involve nurses handling them. The goal settings as features of hand handling of the patients requires hygiene promotion. It associates with maximum clinical care with proper the PICOT Question in addressing the washing of hands. handwashing activities through the promotion of hand hygiene. Correct! Qualitative. This is due to the Incorrect Quantitative . This is because utilization of an ethnographic case a qualitative approach using a study design involving participant prospective controlled intervention observation and semi-structured study was utilized. interviews with 13 patients, 17 Qualitative research does not have an accompanying persons, and 26 health intervention care professionals in four health centers. 5 A research article that expresses the good nursing practices in a health center. It involves handwashing, care, and attention to the patients. Correct! Qualitative. This was a qualitative interview study that used Interpretive Description. Purpose Statement Research Question Outcome Setting (Where did the study take place?) Factors that Affect Hand Hygiene Compliance in Long Term Health Care Essay

Sample Method Key Findings of the Study This article aims at the analysis of the ways health professionals and accompanying persons talked about admission decisions and caring roles. What role doe health professionals and accompanying individuals play to enhance care to patients? • The outcome of the research was many people had fear and low self-esteem in regarding themselves as caregivers to patients when in hospitals. • The few individuals who regarded themselves as the forefront caregivers to the patients observed clinical regulations that begin with handwashing actions. Four National Health Service hospitals in south-west England. Participants’ observation and semistructured interviews with 13 patients, 17 accompanying persons, and 26 health care professionals in four health centers. The ethnographic case study design involving participant observation and semi-structured interviews. • Many people who accompany patients in health service visits The purpose of this study is to assess the potential of goal setting and performance feedback in improving hand hygiene amongst individuals. Does hand hygiene play a significant role in infection prevention? How are individuals consider hand hygiene performance? • The outcome of the research had marginal significance increases in hand hygiene events per patient from phase one to phase two. • The goal-setting condition had the hand hygiene events increased descriptively. The purpose of this study was to explore how nurses construct good nursing practice in the context of Medical Assistance in Dying (MAiD). Do nurses have a good nursing practice in the context of Medical Assistance in Dying in health centers? One of the German hospital. Canada. Involvement of four phases: habituation to novel count, baseline, intervention, and postintervention. Fifty-nine nurses participated in semistructured telephone interviews. A prospective controlled intervention study. Interpretive Description that utilized an interview on the telephone. The combination of goal setting and feedback condition in the health care system significantly elevated in phase The nurses sought to humanize and personalize the medical act of MAiD. This included establishing the 6 The outcome of the research had the results on the nursing lens, a familiar conversation, and cesarean death. do not regard themselves as careers. Recommendations This study utilized an ethnographic of the Researcher research method. However, further research needs on socio-cultural and geographical variations in the profiles, relationships, and expectations of patients and APs attending hospital emergency services. 3 suggesting hand hygiene was massive in this case. Further researches should contain a combination of goal setting, orientation, environmental conditions, and feedback in consideration as the user approaches for improving hand hygiene. 7 relational context, engaging in meticulous planning, orchestrating the act of assisted death, and supporting families post-death. Understanding the human nature of the nurses describes the exact handling of patients both emotionally and physically in health centers. References Global qualitative nursing research: SAGE journals. (2020, August 17). SAGE Journals. https://journals.sagepub.com/home/gqn# Iedema, R. (2015). Communicating quality and safety in health care. Port Melbourne, Vic, Australia. Stanhope, M., & Lancaster, J. (2013). Public health nursing – Revised reprint: Population-centered health care in the community. Elsevier Health Sciences. 8 Research Critiques and PICOT Question Guidelines – Final Draft Use this document to organize the content from your four studies into your final draft. Quantitative and Quantitative Studies Background 1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question. How do these two articles support the nurse practice issue you chose? 1. Discuss how these articles will be used to answer your PICOT question. 2. Factors that Affect Hand Hygiene Compliance in Long Term Health Care Essay

Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question. Method of Study: 1. State the methods of the articles you are comparing and describe how they are different. 2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method. Results of Study 1. Summarize the key findings of each of the studies into a comprehensive summary. 2. What are the implications of the four studies you chose in nursing practice? Ethical Considerations 1. Discuss two ethical consideration in conducting research. 2. Describe how the researchers in the four articles you choose took these ethical considerations into account while performing their research. Outcomes Comparison 1. What are the anticipated outcomes for your PICOT question? 2. How do the outcomes of the four articles you chose compare to your anticipated outcomes? © 2019. Grand Canyon University. All Rights Reserved. Running head: RESEARCH CRITIQUE Research Critique 1 RESEARCH CRITIQUE 2 Research Critique and PICOT Statement Final Draft Introduction The care for patients requires a proper adherence to the clinical hygiene of the caregivers to ensure quality healthcare delivery in critical care settings. The serving of patients demands higher levels of safety to reduce adverse clinical events within the healthcare facility. Nurses serve as caregivers and support medical professions in assuring patients of health recovery options. As a result, operating in a hygienic environment contributes to the efficiency and quick recovery of the patients from illnesses. They must comply with handwashing procedures to foster autonomy in the delivery of care (Shobowale, Adegunle & Onyedibe, 2016). The purpose of this paper is to review qualitative and quantitative studies regarding the use of proper hand hygiene before offering care services to the patients. This paper describes how maintaining proper hand hygiene can significantly reduce the chances of hospital-acquired infections. In achieving this objective, the discussion will provide the background, methods, findings, ethical considerations, and PICOT for proposed interventions. Background of Study The article by Menon, Shukla & Chavali (2014) is a quantitative study that applies direct observational methods to evaluate the adherence of nurses in the surgical and ICU department to hand hygiene practices. According to the researcher, consistent training is important to ensure that nurses and healthcare practitioners adhere to handwashing procedures and long-term performance. According to the research, hand washing is a practice that requires discipline and frequent training to stick healthcare givers to the hygienic practice (Menon, Shukla & Chaval, 2014). This study indicates that many people have traditionally ignored hand washing for reasons RESEARCH CRITIQUE 3 not properly understood. The need to keep healthcare givers on the track with ensuring healthcare sanity is part of health agendas. Hence, the authors believe that hand Hygiene may not be experienced automatically in typical situations. The study by Taghizadeh et al., (2016), is another quantitative research that investigates the impact of adopting multiple models of hand hygiene enhancement strategies as described by the World Health Organization (WHO). The study asserts that hand washing ought to be a global affair; hence, health programs across the world should embrace handwashing training and education to reduce hospital-acquired infections caused by unhygienic hands. According to the WHO, healthcare-related infections dropped significantly from 5 to 3.5 per 1000 inpatients following the adoption and application of handwashing (Taghizadeh et al., 2016). The study affirms that the adoption of hand use programs in the healthcare environment reduces the degree of hospital-acquired infections. The qualitative study by Gould et al. (2014) was to identify the views of the strategic management to emerging strategies for the improvement of hand hygiene compliance. The research gathers various contemporary ideas for the improvement of hand hygiene. According to the research, leaders play a vital role in the change of culture and practices in the healthcare environment. As such, they have a responsibility in ensuring that the emergency of contemporary health cultures stands out to benefit the patient population while in the care environment rather than preventing changes that may cause adverse health implications. The study by Askarian et al. (2015) intended to establish distinct hand hygiene practices concerning various clinical workers. This study is a qualitative study because it incorporates qualitative study methods …