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Nur 598 Annotate Bibliography Essay

3206 words - 13 pages

Improving Hand Hygiene through Education
Danielle Pizzoferrato
NUR/598- Nursing Research Utilization
February 10, 2014
Professor Maria Revell

Improving Hand Hygiene through Education
Section C: Research Support
There has been a plethora of research compiled in regards to hand hygiene and infection control. This research has been the driving force behind evidenced based practice for years and has helped revolutionize effective infection control methods. There are still many gaps to be filled. One of the biggest happens to be improving compliance rates among hand hygiene. This has been classified as a problem, but there is not a large array of research on specific interventions. One ...view middle of the document...

Posters were then formulated with the findings and placed throughout the floors involved. The individuals involved in this trial were a mix of different multidisciplinary care providers on an adult Hematology/Oncology floor. Data collection to monitor hand hygiene adherence and success of this intervention was monitor by random audits completed by the facilities Infection Control Department. The Department of Infection Control analyzed the data throughout the life of the experiment to find that this floor had a final compliance rate of 95% in regards to hand hygiene adherence (Treon, Kelley, Kneebone, & Miles, 2007).
The internal validity of this experiment was upheld because the educational intervention caused increased compliance at the end of the experiment. This is a very general and possible intervention for most facilities, meaning that it should work among other populations, providing this article with external validity, as well. After reading this article, more information could have been provided regarding the type of multidisciplinary team members involved, not to mention more information regarding exactly which disciplines were observed to paint a clearer picture for the audience. Even though that was a flaw, this article provided excellent research and data, and provided positive results that education can be a key competent in increasing hand hygiene adherence making it a wonderful precursor for this proposal.
Article 2
The next article examined was entitled “Hand Hygiene Practices in Adult Versus Pediatric Intensive Care Units at A University Hospital Before and After Intervention” written by Hussein, Khakoo, and Hobbs (2007). The purpose of this experiment was to examine hand hygiene tendencies within Adult and Pediatric ICUs and to see if an educational intervention improved adherence. This experiment posed many research questions including what the prior knowledge of the subjects regarding hand hygiene, how often health-care workers use alcohol-based hand rub when performing hand hygiene and their thoughts on this method compared to traditional hand washing, and also to evaluate the prior knowledge of these individuals in regards to using the alcohol-based hand rub when coming in contact with patient with contact precautions. The design of the study consisted random observations that took place before the educational intervention to obtain baseline data for a comparative analysis. Then an educational in-service required competency was implemented, and educational posters were placed throughout the units. After everyone had been in-serviced, another random and direct observation period took place that was the same as the one previous to the intervention. The sample was taken from observing nurses, nursing assistants, residents, attendings, and nurse practitioners all working within the Medical Intensive Care Unit (MICU), Surgical Intensive Care Unit (SICU), Cardiothoracic Intensive Care Unit (CICU), Neonatal Intensive...

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