Handwashing Protocol in Health Discussion

Literature Evaluation Table Student Name: Summary of Clinical Issue (200-250 words): Healthcare workers use their hands more often than not in the process of tending to patients. Failure by most healthcare providers to adhere to hand cleaning routines has been the main driver behind the contraction and spread of preventable infections acquired in hospital settings. As a result, the spread of infections acquired in hospitals has long been associated with healthcare providers. Also, it has been cited that the concept of keeping clean hands has never been taken with much seriousness it deserves, especially among healthcare workers. Yet, most infections associated with healthcare provision are transmitted by hand. The benefits of keeping clean hands are that it has been purported to cut down hospital-related infections by over 25%. Other benefits of championing hand hygiene initiatives are that it substantially cuts down the rates of hospital-acquired infections. Sanitized hands lessen the rate of disease pathogens transmitted from one patient to another by the health workers. Besides, hand hygiene has been stated to cut down by 1%. Therefore, as a way of reducing hospital-acquired infections and preventing the further spread of infections, hand hygiene plays a major role. Being able to prevent diseases and infections would also have an economic impact as it would reduce the costs of medicine resulting from hospital-acquired infections. PICOT Question: How does hand washing among healthcare workers reduce hospital-acquired infection compared to not washing hands regularly? Criteria Article 1 Article 2 APA-Formatted Article Citation with Permalink Prasad, A., Chok, H. & Wilkes, L. (2017). Hand Hygiene Practices Among Patients.International Journal on Infection Control. Asadollahi, M., Arshadi Bostanabad, M., Jebraili, M., Mahallei, M., Seyyed Rasooli, A., & Abdolalipour, M. (2015). Nurses’ knowledge regarding hand hygiene and its individual and © 2019. Grand Canyon University. All Rights Reserved. Article 3 Shobowale, E. O., Adegunle, B., & Onyedibe, K. (2016). An assessment of hand hygiene practices of healthcare workers of a semi-urban teaching hospital using Permalink: DOI:10.3396/IJIC.v13i2.009.17 organizational predictors. Journal of caring sciences, 4(1), 45–53. Permalink: https://doi.org/10.5681/jcs.2015.005 the five moments of hand hygiene. Nigerian medical journal: journal of the Nigeria Medical Association, 57(3), 150–154. Permalink: https://doi.org/10.4103/03001652.184058 How Does the Article Relate to the PICOT Question? The research intends to answer the concerns of hand hygiene among patients. The research is intended to find out nurses’ knowledge regarding hand hygiene. Quantitative, Qualitative (How do you know?) It is quantitative research, uses a quantitative data analysis method. Quantitative because it used SPSS to analyze quantitative data Purpose Statement Research Question Outcome The study is conducted to explore the attitudes and behaviors of patient hand hygiene and the perceived practice of nurses at various levels from a tertiary teaching hospital in Western Sydney. Handwashing Protocol in Health Discussion

The study intended to determine the knowledge of hand hygiene and its individual and organizational predictors among nurses in neonatal units. What is the attitude of patients towards hand hygiene? What is the nurses’ understanding of hand hygiene and hand hygiene-related concepts? The general knowledge of nurses about There is a persisting different hand hygiene was high. But, their attitudinal perception among patients knowledge about hand hygiene-related and nursing staff about hand hygiene. concepts was not on an acceptable level. 2 The research seeks to assess hand hygiene practices of healthcare workers of a semi-urban teaching hospital using five moments of hand hygiene. Quantitative because it involves observational methods and conclusions based on quantitative data To assess healthcare workers’ compliance with the World Health Organization (WHO) prescribed five moments of hand hygiene as it relates to patient care and to determine the various strata of healthcare workers who are in default of such prescribed practices. What are the rates of compliance with the WHO handwashing rule in the local area? The research found out that the rate of compliance in the semi-urban teaching hospital was still low. Setting (Where did the study take place?) Sample Method Key Findings of the Study Western Sydney in Medical wards. 52 nurses and 50 patients Survey and use of questionnaire Neonatal units Semi-urban hospital 150 employed nurses 176 observations were carried out in various units of the hospital the descriptive and cross-sectional study The method used was through observation, and data were analyzed using the EPI version 3.5.1 system and the chi-square The levels of compliance to the WHO five moments of hand hygiene were still low among the healthcare workers in the facility. there is a persisting different Most participants had an acceptable level attitudinal perception among patients of knowledge regarding hand hygiene. and nursing staff about hand hygiene. Recommendations of the Researcher Nurses encouraging and prompting patient hand hygiene, alongside their own, may lead to overall reduced rates and transmissions of infections infection control committees should revise their educational methods and give more emphasis on updated guidelines regarding hand hygiene. The study recommends developing educational programs to address the issue of poor hand hygiene. Criteria Article 4 Article 5 Article 6 APA-Formatted Article Citation with Permalink Chatfield, S. L., DeBois, K., Nolan, R., Crawford, H., & Hallam, J. S. (2017). Hand hygiene among healthcare workers: A qualitative meta summary using the GRADECERQual process. Journal of infection prevention, 18(3), 104–120. Smiddy, M., Conell, R.& Creedon, S. (2015). Systematic Qualitative Literature Review of Healthcare Workers’ Compliance with Hand Hygiene Guidelines. American Journal of Infection Control 43 (2015) 269-74. Schweizer, M., Reisinger, H., Ohl, M. et al., (2014). Searching for an Optimal Hand Hygiene Bundle: A Meta-analysis. Healthcare Epidemiology. Clinical Infectious Diseases. Permalink: DOI:10.1016/j.ajic.2014.11.007 Permalink: https://doi.org/10.1093/CID/cit670 Permalink: 3 DOI:10.1177/1757177416680443 How Does the Article Relate to the PICOT Question? The paper provides an integrated qualitative report on the compliance of hand hygiene, which is in line with the PICOT question. The article takes on a review of qualitative literature done on the topic of hand hygiene and hospital-acquired infections among healthcare workers. Quantitative, Qualitative (How do you know?) Purpose Statement Qualitative conducts an analysis of previously conducted qualitative researches. Use secondary qualitative data to determine trends in hand hygiene among healthcare workers. The researcher uses qualitative research to takes on a review of the qualitative literature. To conduct a review of the qualitative literature, something other researchers have not been doing. Research Question What are the compliance trends with regard to hand hygiene among healthcare workers? It was found out that healthcare workers have access to knowledge about handwashing; however, the limitations rang from lack of resource support, and individual/subjective criteria influence hand hygiene too. Data based from database searches of 36 qualitative reports worldwide about hand hygiene compliance among healthcare workers. Used 36 reports in which authors conducted qualitative or mixed methods research on hand hygiene compliance among healthcare workers How are the compliance statistics among healthcare workers concerning hand hygiene It was found out that perception of the work environment and motivational factors influence health care workers’ compliance with hand hygiene guidelines Outcome Setting (Where did the study take place?) Sample Study based on review of 10 accurately selected studies carried out in hospitals in USA, UK, Canada, Australia, Netherlands and Taiwan A sample size of 10 articles was selected from the initial 25 articles picked for the research. 4 The articles follow a qualitative literature review to find out an evidence-based recommendation on optimal interventions for implementation of hand hygiene programs. Qualitative, it takes on a review of the qualitative literature. Handwashing Protocol in Health Discussion

To use a literature review in providing evidence-based recommendations on optimal interventions for implementation. What is the best hand hygiene compliance means attainable through literature review? Among the assessed bundle most common interventions were education, reminders, feedback Data from the Intensive Care Unit and Acute care units were used. Out of 8148 articles used, 65 reviewed in detail, and 46 studies were included Method database searches were used to collect secondary qualitative data. Data was analyzed Key Findings of It was found out that healthcare the Study workers have access to knowledge about handwashing; however, the lack of resources to support handwashing initiatives is a limitation. Recommendations The researchers recommend of the Researcher consistency with qualitative research reporting among researchers to enhance future qualitative research. a systematic review of the qualitative literature Motivational factors and work environment influence levels of compliance of healthcare workers. The researchers recommend that further exploring the theories that underpin the work environment and behavioral motivation will provide a better understanding of factors that influence hand hygiene compliance 5 Use of secondary data retrieved from searches and a meta-analysis approach was used. education, reminders, and feedback were important interventions found out The study recommends the use of a systematic review to provide better-bundled interventions to improve hand hygiene compliance 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. 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. …