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Review of “Improved Rates of Compliance with Hand Antisepsis Guidelines: A Three-Phase Observational Study”

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Essay / Research Paper Abstract

A 6 page review and critique of an article published in the American Journal of Nursing in 2001. Researchers established baseline values regarding how often health care workers washed their hands in two ICUs in a single hospital; introduced a waterless alcohol-gel hand sanitizing agent; and recorded subsequent incidence of hand antisepsis following that introduction. They found that workers increased their hand antisepsis activities by a significant rate using a combination of soap-and-water washing and cleaning with the alcohol-gel agent. Bibliography lists 2 sources.

Page Count:

6 pages (~225 words per page)

File: CC6_KSnursArtRevHand.rtf

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Unformatted sample text from the term paper:

Introduction The old joke that hospitals and doctors offices are perfect places to "pick up something" unfortunately is all too true. Common infectious agents increasingly are becoming resistant to antibiotics that formerly had been highly effective in eradicating them, and some are becoming quite problematic in many areas. Though health care workers are supposed to wash their hands at various stages during and between contact with patients, compliance with that requirement typically has been quite low. Earl, Jackson and Rickman (2001) designed a study seeking to determine whether the availability of an alcohol-gel antisepsis agent would improve hand antisepsis among health care workers. The Problem Nosocomial infection can be treated with a high degree of success; the issue is that patient outcome is better if infection can be avoided rather than only successfully treated. Another consideration is increased attention to costs. Managed care requires that hospitalized patients be released as quickly as possible, and the development of a secondary infection that could have been avoided adds time to patients hospital stays; occupies beds that could have been freed earlier for other patients; and reduces staff efficiencies at a time when increasing efficiency is paramount. The problem is important for nursing study because (1) it is so pervasive, and (2) returning to basics - hand washing, surface disinfecting and other measures - has been found to be so highly effective in controlling incidence of nosocomial infection. Earl, Jackson and Rickman (2001) state that hand washing ...is arguably the single most effective means of preventing and controlling nosocomial infection. Yet its often neglected although nosocomial infections threaten the lives of approximately two million patients in ...

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