Nursing and Hand Hygiene Practice | Essay

Running head: Nursing and healthcare service
Nursing and Hand Hygiene Practice
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Nursing and Hand Hygiene Practice1
Introduction
Transmission of infection is widespread in the hospital atmosphere, and healthcare-
associated disease can spread for lack of hand hygiene. Hand hygiene is essential for
reducing the tendency of infection transmission among patients and healthcare workers.
Different kind of strategies can be implemented for the betterment of health conditions of the
patients admitted to hospitals for a long time. Hand Hygiene Australia delivers resources and
necessary facilities for improving healthcare atmosphere and educational support related to
the training of nurses (Kwok, Juergens & McLaws 2016). World Health Organisation is
collaborated with different medical aid programs to ensure hand hygiene of healthcare
workers. Various techniques are used for practising hand washing of medical workers and
patients in the hospitals. The most popular hand washing technique popular among the patient
is “5 moment for hand hygiene” which is introduced by WHO (Moghnieh et al. 2017). There
are different hand hygiene media such as regular soap and water, alcohol-based hand
sanitisers and medicated hand hygiene antiseptics. These different medium come under
several levels of hand hygiene. Various training methods are essential for increasing hand
hygiene compliance among nursing professionals and patients admitted to hospitals for a long
time (Hoffmann et al. 2019). The assignment focuses on the significance of educational
interventions among nursing professionals and healthcare workers for improving infection
control in hospitals.
The assignment focuses on reviewing and synthesising the evidence of hand hygiene
practice from different studies, which are based on the effectiveness of the various
educational intervention on nursing professionals.
Well-designed clinical questions are formed to identify the critical aspects of the
clinical conditions from different evidence-based practices. PICO question framework is one
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Nursing and Hand Hygiene Practice2
of the most effective ways to analyse the problem of certain clinical practices. This
assignment takes the help of the PICO framework to analyse the effectiveness of different
evidence-based practice related to hand hygiene improvement. This framework generally
helps to make or propose some relevant questions, which influence the literature of evidence,
based practice of healthcare centres (Speckman & Friedly 2019). PICO stands for Population,
Interventions, Comparison, and Outcome. The question formed from this framework is to
assess the improvements in specific sectors and predict the possibilities related to that sector
and covered population.
The question guiding this evidence review is “In the acute care unit of a healthcare
sector, nursing education interventions are more effective in decreasing Hospital Acquired
Infections among the patients?”
The elements of this PICO question are;
P (Population) – Nurses and healthcare workers
I (interventions) – Different nursing education interventions related to hand hygiene
C (Comparison) – No training or education interventions
O (Outcome) – Reduction of the amount of contamination amongst the patients admitted to
the hospitals
Evidence search strategy
The articles have been obtained from Google Scholar, PubMed, CINAHL etc. Only
academic articles are selected for the assignment.
Keywords such as “hand hygiene”, “nurses “healthcare workers’’, “health care
sectors”, “training”, “education”, “interventions” etc. Different searching strategies, such as
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Nursing and Hand Hygiene Practice3
using Boolean operators and searching criteria, are used for selection of the articles from
different electronic databases. “AND”, “OR”, “+” are used as Boolean operators in searching
strategy.
There are some inclusion and exclusion criteria are selected for the selection of the articles.
The inclusion criteria for selecting articles from different databases are;
 Every article chosen for the assignment should be peer-reviewed and scholarly.
 The keywords should be included in the selected articles.
 The articles should be published within 5 to 10 years.
 Only the articles written in English are selected for the assignment
The exclusion criteria for selecting articles from different databases are;
 The articles, which are written in different languages instead of English.
 Articles, which are, not peer-reviewed and scholarly.
 The articles without specific keywords.
 Articles, which are not published within 5-10 years.
For evaluating the articles of these assignments, CASP (Critical Appraisal Skills
Programme) is used as the critical appraisal tool. The assessment tool can evaluate validity,
relevance, reliability and methods of different healthcare-associated groups (Buccheri &
Sharifi 2017). Critique tools aim to analyse and assess the research objectives for the
researches. The critical appraisal tool is used for evolving the sense of investigation and
assistances related to the studies (Rojas, Munoz-Gama, Sepúlveda & Capurro, 2016).
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