Incorporating Education To Enhance Hand Hygiene Compliance Among Nurses

The WHO Guidelines on Hand Hygiene in Health Care provide health-care workers (HCWs), hospital administrators and health authorities with a thorough review of evidence on hand hygiene in health care and specific recommendations to improve practices and reduce transmission of pathogenic microorganisms to patients and HCWs. The present Guidelines are intended to be implemented in any situation in which health care is delivered either to a patient or to a specific group in a population. Therefore, this concept applies to all settings where health care is permanently or occasionally performed, such as home care by birth attendants. Definitions of health-care settings are proposed in Appendix 1. These Guidelines and the associated WHO Multimodal Hand Hygiene Improvement Strategy and an Implementation Toolkit (http://www.who.int/gpsc/en/) are designed to offer health-care facilities in Member States a conceptual framework and practical tools for the application of recommendations in practice at the bedside. While ensuring consistency with the Guidelines recommendations, individual adaptation according to local regulations, settings, needs, and resources is desirable. This extensive review includes in one document sufficient technical information to support training materials and help plan implementation strategies. The document comprises six parts.

Master's Thesis from the year 2019 in the subject Medicine - Hospital Environment, Clinical Medicine, The University of Liverpool, course: Public Health, language: English, abstract: This work determines the demographic/training factors associated with the hand hygiene knowledge of nursing students in Solwezi, Zambia and aims to provide information for necessary actions in order to reduce Hospital Acquired Infections (HAI). A quantitative cross-sectional survey using primary data collected via a WHO validated self-administered questionnaire has been distributed to students at the Solwezi College of Nursing. 167/206 participants were recruited via stratified random sampling. Descriptive statistics highlighted potential relationships between demographic/training factors and students hand hygiene knowledge which reduces HAI. Moreover, potential relationships were analysed using Fishers exact test and a multinomial logistic regression. The low compliance to effective hand hygiene has continued to fuel the high prevalence of Hospital Acquired Infections in Africa. The large number of nursing students has a potentially high impact at reducing the HAI public health problem in Zambia, however, there is insufficient information on the nursing student’s demographic/training factors affecting their hand hygiene knowledge which reduces the HAI risk.

The first comprehensive, authoritative review of one of the most fundamental and important issues in infection control and patient safety, hand hygiene. Developed and presented by the world's leading scholar-clinicians, Hand Hygiene is an essential resource for all medical professionals. Developed and presented by the world leaders in this fundamental topic Fully integrates World Health Organization (WHO) guidelines and policies Offers a global perspective in tackling hand hygiene issues in developed and developing countries Coverage of basic and highly complex clinical applications of hand hygiene practices Includes novel and unusual aspects and issues in hand hygiene such as religious and cultural aspects and patient participation Offers guidance at the individual, institutional, and organizational levels for national and worldwide hygiene promotion campaigns

Presents best practices for infection prevention and control in advanced practice Emphasizes team approach for infection control Case study provided for each chapter This professional reference combines research on the best practices for infection control in clinical settings with essential information for advanced practice nurses and physician assistants. The book is organized by healthcare settings, and the coverage ranges from small practice offices to large hospitals and medical institutions. Each chapter is prefaced by a case study which is then incorporated into the theoretical material of the chapter as a continuing illustration. This format provides a reader-friendly instructional resource for advanced practice certifications and staff development. From the Foreword "At last is published a long-needed text for advanced practice nurses (APNs), providing them with the information essential to the care of essentially every patient they will encounter. Infection Control for Advanced Practice Professionals fills a void in the literature and recognizes the importance of a team approach to the prevention of infections in the variety of care settings in which APNs are practicing. The book is particularly timely and relevant because it appropriately places infection prevention solidly within the larger patient safety movement and affirms that preventing infections is everybody's concern. In acute care settings, for example, infection control has occasionally been relegated to the infection prevention specialist (e.g., infection control nurse or hospital epidemiologist) or the infection control committee. This has shown to be ineffective in any setting. It is those who "touch" the patients and oversee their care who must assume the responsibility for preventing untoward events such as infections. While not all infections are preventable, there is indeed room for improvement. This comprehensive reference is a first and essential step in that direction!" Elaine Larson, PhD, RN, FAAN, CIC Anna C. Maxwell Professor of Nursing Research Associate Dean for Research School of Nursing Professor of Epidemiology Joseph Mailman School of Public Health Columbia University Editor, American Journal of Infection Control TABLE OF CONTENTS Foreword Preface List of Contributors 1. Principles of Infection Control Joan Hebden 1.1. Case Presentation 1.2. Essential Content for Infection Control Skills 1.3. Creating and Sustaining a Culture of Safety 1.4. The Measurement of Performance 1.5. Team-led Performance Initiatives 1.6. Monitoring and Feedback 1.7. Creating an Action Plan for Performance Improvement 1.8. Making a Business Case for HAI Prevention 1.9. Interpretation/Application of Infection Control Data 1.10. Patient Safety and Health System Issues 1.11. Summary Points 1.12. References 2. Safe Infection Control in the Workplace Carol Patton and Denise M. Korniewicz 2.1. Case Presentation 2.2. Essential Content for Safe Infection Control in the Workplace 2.3. Employer Standards for Bloodborne Pathogen Precautions 2.4. Personal Protective Equipment (PPE) 2.5. Sharps Injuries 2.6. Designing Programs of Healthcare Worker Safety 2.7. Surveillance and Behavioral-based Performance of Healthcare Workers 2.8. Creating a Culture of Safe Infection Control Practices 2.9. References 3. Patient Safety and the Chain of Infection Joan Hebden 3.1. Case Presentation 3.2. Essential Content for Infection Control Skills 3.3. Interpretation/Application of Infection Control Data 3.4. Patient Safety and Health System: Infection Control Practices 3.5. Summary Points 3.6. References 4. Essentials of Epidemiologic Measures and Data Interpretation Maher M. El-Masri and Davy Tawadrous 4.1. Case Presentation 4.2. Measures of Disease Frequency 4.3. Measures of Disease-exposure Association 4.4. Statistical Probability (P. Value) 4.5. Clinical Versus Statistical Significance 4.6. Summary Points 4.7. References 5. Infection Control in Acute Care Settings Jeanne Hinton Siegel 5.1. Case Presentation 5.2. Essential Content for Infection Control 5.3. Hand Hygiene 5.4. Engineering Controls 5.5. New Monitoring Techniques 5.6. Use of Isolation to Prevent the Spread of Infections 5.7. Review of Healthcare Environments 5.8. Advanced Practice Professionals' Roles in Public Health 5.9. References 6. Infection Control in Critical Care Settings Mary Wyckoff 6.1. Case Presentation 6.2. Essential Content for Infection Control 6.3. Hospital Acquired Infections in Critical 6.4. Attributable Cost of Hospital Acquired Infections 6.5. How to Effectively Process Change 6.6. Conclusion and Summary Points 6.7. References 7. Infection Control in the Emergency Department Settings Michelle Wright 7.1. Case Presentation 7.2. Essential Content for Infection Control Skills 7.3. Precautions 7.4. Unknown Illness 7.5. Biochemical Agents 7.6. Trauma 7.7. Travel 7.8. Equipment Sharing 7.9. Patient Mobility 7.10. Overcrowding 7.11. Empirical Antibiotic Therapy 7.12. Novel Approaches 7.13. Summary Points 7.14. References 8. Infection Control in Primary Care Settings Carol Patton and Denise M. Korniewicz 8.1. Case Presentation 8.2. Essential Content for Infection Control Skills 8.3. Creating the Culture of Infection Control in Primary Care Settings 8.4. Strategies for Best Practices for Infection Control in Primary Care Settings 8.5. Summary Points 8.6. References 9. Infection Control Principles for Long-term Care Environments Judith Seltzer and Denise M. Korniewicz 9.1. Case Presentation 9.2. Essential Content for Infection Control Skills 9.3. General Environmental Issues (Wheelchairs, Hand Rails, Walkers, Cleaning Rooms) 9.4. Regulatory Measures 9.5. Summary Points 9.6. References 10. Infection Control in the Home Jeanette Adams 10.1. Case Presentation 10.2. Essential Content for Infection Control Skills 10.3. Health Care Providers 10.4. Multidrug-Resistant Organisms 10.5. Interpretation/Application of Infection Control Data 10.6. Discussion about Patient Safety and Health System Issues Related to ICP 10.7. Summary Points 10.8. References 11. Infection Control Practice in Mental Health Settings James Weidel 11.1. Case Presentation 11.2. Environment of Care of the Psychiatric/Mental Health Facility 11.3. Limited Access to Supplies 11.4. Linen and Clothing 11.5. Provider-Patient Interaction 11.6. Food Safety 11.7. Patient Handling of Food 11.8. Sanitation and Housekeeping 11.9. Risk Factors Associated with Infection Among Psychiatric Patients 11.10. Isolation 11.11. Transmission Based Precautions 11.12. Restraints and Infection Control 11.13. Conclusion 11.14. Summary Points 11.15. References 12. Infection Control in Ambulatory Surgical Centers Judith Seltzer 12.1. Case Presentation 12.2. Essential Content for Infection Control in Ambulatory Surgical Settings 12.3. Regulatory Influences 12.4. Infection Control Monitoring 12.5. Active Participation 12.6. Long-term Infection Control Principles in Ambulatory Surgical Settings 12.7. Summary Points 12.8. References 13. Infection Control in the Community Jeanette Adams 13.1. Case Presentation 13.2. Essential Content for Infection Control Skills 13.3. Food Borne Infections 13.4. Prevention of Infectious Diseases 13.5. Methicillin Resistant Staphylococcus Aureus (MRSA) 13.6. Clostridium Difficile (C-diff.) 13.7. Human Immunodeficiency Virus (HIV) 211 13.8. Interpretation/Application of Infection Control Data 13.9. Discussion about Patient Safety and Health System Issues Related To ICP 13.10. Summary Points 13.11. References 14. Infection Control for Emergency Mobile Health Units Michelle Wright 14.1. Case Presentation 14.2. Essential Content for Infection Control Skills 14.3. Vector Borne Illnesses 14.4. Overcrowding 14.5. Personnel Safety 14.6. Medically Trained Volunteers 14.7. Untrained Volunteers 14.8. Interpretation/Application of Infection Control Data 14.9. Patient Safety and Health System Issues 14.10. Summary Points 14.11. References 15. Future Issues in Monitoring for Safe Infection Control Practices Denise M. Korniewicz 15.1. Case Presentation 15.2. Essential Content Infection Control of the Future 15.3. Future Engineering Controls 15.4. Safety Through Knowledge 15.5. Future Patient Participation, Public Awareness and Patient Advocacy 15.6. Summary Points 15.7. References Index

"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

This delightful board book follows the journey of a germ using unique heat-sensitive pages and combining interaction, play and learning, showing pre-schoolers the importance of clean hands. The journey, from the toilet seat to the tummy (and out again!), explores the concepts of germs being invisible to the naked eye, multiplying and causing illness. By placing their warm hands on the thermochromic patches, the multiplying germs are revealed. The simple, bright and bold illustrations by Charlie Evans allow children to develop an understanding of science and health from a young age, while having fun in the process

Designed to teach nurses about the development, motivational, and sociocultural differences that affect teaching and learning, this text combines theoretical and pragmatic content in a balanced, complete style. --from publisher description.