Evidence Based Nursing

Running head: EVIDENCE BASED NURSING
EVIDENCE BASED NURSING
Name of the Student:
Name of the University:
Author Note:

1EVIDENCE BASED NURSING
Introduction:
Control of infection spread and reduction of the amount of diseases associated with health
care is of major concern to every health care unit. There are aspects of a health plant in the
setting that can effectively promote infectious illness growth and propagation (Zingg et al.
2015). Everything from water in the facility to individuals working in the facility could be
prospective contamination carriers The invasive type of many contemporary medical
processes means that there is a strong chance of unrelated diseases in clinics or in other health
establishments. In latest centuries the amount of operations has risen, and patients have been
opened to infection at incision locations (Zmora et al. 2016). A variety of diagnostic tools
and other medical equipment are also used for infection treatment. Aseptic process for all
invasive medical processes is a main component. Likewise, the most efficient interventions
for infection controls are standard (safety) precautions as the disease that is untreated is the
most common. Hospitals need to make sure that infectious diseases do not really spread more
critically than ever. The spread of diseases in clinics leads to deaths every year. Health
employees can take measures to stop infectious illnesses from spreading. These measures are
component of the prevention of infections (World Health Organization 2016). The infection
control covers variables linked to the disease spreading within the context of health care
whether it is patient to patient, patient to employees, employees to patient, and staff to staff.
On that principle, infection avoidance and control is the popular theme taken in the field of
health care.
Task 1: Identification and description of area of speciality:
Many health professionals describe 'Hand Hygiene' as a key instrument for stopping the
propagation of health-related diseases among clients (Ellingson et al. 204). As per the WHO,
that there is little definitive information on the activity of the patient care system, which will

2EVIDENCE BASED NURSING
most probably pass organisms on to the health care provider's hands (Who.int 2019).
Organisms have been discovered in palms of the health care worker after actions like wound
care, catheter treatment, pulmonary tract treatment and the treated secretions of clients as
anticipated; however, after so called clean contact, bacteria have also been discovered on
health care worker palms after activities like taking pulse, blood pressure and
temperatures etc (Who.int 2019).
Task 2a: PICO Questions:
PICO is a valuable tool to ask to the point clinical questions. Small variants of this concept
are used for quantitative and qualitative assessments (Libguides.murdoch.edu.au 2019).
Hence, a PICO question has been generated in this regard and the PICO question is:
“Implementation of Hand Hygiene technique for the prevention of spread of the health care
associated infection among Nurses and health care professionals.”
Task 2b: Discussion based on evidence:
Washing hands pre and post contact with the patient may seem like a simple way to prevent
infections from spreading between clients. Most clinics have strategies for hand hygiene that
support their staff. However, it is not as easy as it might seem. According to Centre of
Disease Control information, during patient care, roughly one out of 25 patients acquires a
health-associated infection or HAI. Out of those patients, around 75,000 individuals die of
infection (Haque et al. 2018). With the increasing burden of health care associated infection,
the effects of hand hygiene in reducing health care associated infection are supported by
restricted alternatives for efficient antimicrobial proof. The only way to reduce health care
associated infection incidences and the spread of antimicrobial resistance is to ensure proper
hand hygiene and it is the most significant, simple and less costly way (Sickbert-Bennett et
al. 2016). Several surveys have shown that washing hands before an operation in Intensive

3EVIDENCE BASED NURSING
Care Unit is virtually eradicated the carriage of Methicillin resistant Staphylococcus aureus.
A decline in Methicillin resistant Staphylococcus aureus levels was observed in the
adherence of hand washing (Barnes et al. 2014). The adherence to the suggested hand
washing methods in most health organizations continues unacceptable, usually surpassing 40
per cent of those stated in the case of hand hygiene. Hygiene of hands represents attitudes,
behaviours and convictions. Certain variables discovered to affect hand hygiene behaviours
that have been observed or self reported are included. The use of alcohol based hand rub
rather than the cleaning with soap and water is one of the main components in enhancing
hand hygienic practices. A hand massage with alcohol takes less time is microbiologically
more efficient and is less skin annoying than traditional hand water and soap cleaning. In
Intensive Care Units, the period needed for hand hygiene would reduce the time from 1.3 h
(or 17 per cent of complete working time) to 0.3 h (or 4 per cent of complete working time)
to switch to alcohol based hand disinfection from soap and water (Huang, Stewardson and
Grayson 2014). In addition, health services that are easily supported by hand hygiene
policies are also more accessible to deeper examination of their infection control methods in
particular. The effect of concentrating on health in the hands can therefore contribute to a
general enhancement in the security of patients throughout a whole company. Much has been
improved in sanitation of hands in many areas of the globe in latest years. However,
insufficient access to clean water, not enough toilets or toilets, insufficient knowledge of the
key position performed by hygienic handles and insufficient capital to address the abysmally
small adherence rates are still available. While hand hygiene is not the only indicator of
health care associated infection control, it alone can improve patient security dramatically, as
many sciences proof show that bacteria causing health care associated infection are most
often propagated by health care professionals (El-Soussi et al. 2017).
Task 3: Comparing and contrasting level of evidence: