Hand Hygiene for Healthcare Associated Infections: An Evidence-Based Practice Approach

RUNNING HEAD: HAND HYGIENE 0
Evidence-Based
Practice
Student’s Details-
9/13/2019

HAND HYGIENE 1
Contents
Introduction......................................................................................................................................2
Outline of the Clinical issue............................................................................................................2
Clinical Question.............................................................................................................................2
Evidence Search...............................................................................................................................3
Literature Synthesis of the Best Evidence.......................................................................................3
Critical Appraisal.........................................................................................................................4
Synthesis of Body of Evidence....................................................................................................4
Recommendation for Practice change and Research.......................................................................5
Conclusion.......................................................................................................................................5
References........................................................................................................................................7

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Introduction
Evidence-based practice is associated with the gaining knowledge by the use of a
scientific tool for increasing the efficiency of the decisions taken by the professionals (Dang &
Dearholt, 2017). It includes the synthesis of the best evidence by the collection of data from
various sources which can be applied in the professional life (Townsend & Morgan, 2017).
The report is being prepared on the evidence based approach for the nursing practice and the
clinical issue for this report is “Hand Hygiene”. The report discusses the prevalence and risk
factors associated with the hand hygiene and the synthesis and the evidence search for this
clinical issue. Lastly recommendation is included to determine the possible changes and
improvements regarding the hand hygiene.
Outline of the Clinical issue
In my workplace, I derived the clinical dilemma of hand hygiene and the issue has a huge
importance in the healthcare settings. In the description of this clinical issue, it can be analyzed
that hand hygiene is associated with Healthcare Associated Infections (HAI). In Australia, there
is prevalence of healthcare associated infections in the hospitals which are caused due to surgical
wound leading to bloodstream infections wherein some cases have led to the death (Russo,
Cheng, Richards, Graves, & Hall, 2015). It is difficult to analyze the prevalence of HAI
without a surveillance program. Rather, Carbapenemase producing Enterobacteriaceae (CPE) is
the emerging bacteria that has given the generation of an untreatable bacteria that has caused
death of many patients into the hospitals due to lack of infection control. Further, these risk can
be improved through interventions and given due importance to the hand hygiene in the hospitals
(van Dijk, et al., 2019). The evidence based approach for healthcare associated infections will
be helpful in the identification and improvement of the care given to patients and also reducing
the number of diseases that are caused due to the infections.
Clinical Question
Does maintenance and improvements in the hygiene factors are helpful in the eradication
of Healthcare Associated Infections?

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Domain:
P- Risk of the infections and bacteria due to lack of infection control in hospitals
I- Hygiene interventions in the hospitals
C- Comparison of the new changes with the previous culture
O- Reduced infections
Hygiene Interventions for the reduction in the infections and also promoting sanitization
and hygiene related measures to remove the risk of disease caused by such infections. The
diagnosis includes the precautionary measures for the prevention of infections from nurse to
patients and patients to nurse. Nurses are an actual planned subdivision of healthcare
professionals is more probable to have more recurrent interaction with patients. The delivery of
patient hygiene is one of the most frequently achieved nursing care doings, making them
regularly uncovered to blood and other bodily fluids of the enduring. The evidence derived from
this investigation will deliver the basis for references for the alteration of the standard careful
component of their exercise with a view to meaningfully recover their agreement with hospital
infection control strategies.
Evidence Search
For the identification of Healthcare Associated Infections in the healthcare settings in
order to remove the infectious bacteria for promoting the health of the patients, I have made an
evidence search plan. In this, I have selected 6 articles from 2014 to 2019 that are highly relevant
to my clinical question. However, the journal articles are being selected from Science Direct,
Taylor and Francis and BMC which are the sources that are used for my evidence search. In this,
both qualitative and quantitative methods are used for the determination of the accurate
evidences. The data collected is relevant to my clinical question as it promotes and identifies the
major reasons for the emergence of the healthcare associated infections in the healthcare system
in Australia. Moreover, the investigations in this evidence are conducted to determine the factors
that can lead to the diseases and the possible interventions that could be taken for the eradication
of the infections that can cause within the hospitals in Australia. Further, in the whole analysis
and evidence search, the major focus is on the healthcare settings in Australia. A total of 315