Hand Hygiene in Hospital Care Setting | Report

Running head: HAND HYGIENE IN HOSPITAL CARE SETTING
Hand hygiene in Hospital Care Setting
Name of the Student
Name of the University
Author Note

HAND HYGIENE IN HOSPITAL CARE SETTING1
Section 1
Introduction
The issue of nosocomial infection due to poor hand hygiene techniques and practices in
the health facility centers and hospitals is one of the most common around the world. In this
regard, it can be stated that due to the poor practices of washing hands by the doctors, nurses and
other health facility providers day by day the cases of nosocomial infections are enhancing
(Gwarzo, 2018). According to the study of Jonker and Othman (2018), it is reported that, the
hand washing is accepted widely as infection prevention strategy in the intensive care units in the
hospitals. Nosocomial infections are a main barrier to the health-care organization and are related
with significant morbidity mortality and a financial burden to the health facility system.
According to the study of Anwar and Elareed (2019), it is stated that there are five moments of
hand washing and it is very crucial to wash the hand before touching a patient as it is quite
effective in preventing infection in the hospital care settings. As per the study findings of
McLaws (2015), it is reported that the rate of infection among the patients of the critical care unit
is very due to lack of hand washing before touching a patient. According to a study of Loftus et
al. (2019), it is stated that almost 61 per cent of health facility workers are not accustomed to
practice hand hygiene in the hospital care settings and in every year, the healthcare-associated
infections affect 15.5 per cent of patients in the advancing countries around the world and such
conditions are associated with the antimicrobial resistance which leads to 700,000 deaths in
every year. So, it is very important to improve the hand hygiene techniques and practices in the
health facility settings in order to enhance the patient satisfaction and to reduce the death rates
associated with the nosocomial infections (Marimuthu, Pittet & Harbarth, 2014).

HAND HYGIENE IN HOSPITAL CARE SETTING2
Evidence Search Strategy
PICO Question
P (Problem or Patient or Population)hospital related infection
I (intervention/indicator) hand washing
C (comparison) Poor hand hygiene and washing practices
O (outcome of interest) reduced infection
Search Strategy
In order to search relevant literature a few database such as CINAHL, PubMed, Proquest,
PsycINFO, MeSH are used. During the literature search process the key words “hand hygiene”,
“hand washing”, “infection”, “infection control”, “health facility setting”, “mortality due to poor
hand hygiene” are used.
After identifying the relevant literatures in the databases, five articles are chosen for final
analysis by using the CASP tool of critical appraisal. According to the study of Nadelson and
Nadelson (2014), it is stated that CASP is one of the most accepted critical appraisal tools for the
research purpose and thus this CASP tool is used in this research process.
List of Research Papers
Title Author Hierarchy of Research Domain

HAND HYGIENE IN HOSPITAL CARE SETTING3
Research
Hand hygiene in
hospitals: an
observational study in
hospitals from two
southern states of
India
Zingg et al. Systematic review Qualitative
Quantification of the
Hawthorne effect in
hand hygiene
healthcare facilities
monitoring using an
electronic monitoring
system: a
retrospective cohort
study
Srigley et al. Retrospective Cohort Quantitative
Intervening with
health
facilityworkers’ hand
hygiene healthcare
facilities, knowledge,
and perception in a
Santosasaningsih et
al.
Randomized Control
Trial
Quantitative Study