Answered step-by-stepAssessment Description While the implem

Answered step-by-stepAssessment Description While the implementation research for hand…Assessment DescriptionWhile the implementation  research for hand hygiene is identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project. A literature review analyzes how current research supports the PICOT Population (P) = Patients and care providers in-home care setting Intervention (I) = Maintaining hand hygiene Comparison: Infections caused by poor hand hygiene. Outcome (O) = Infections prevention Time ( T) Duration. as well as identifies what is known and what is not known in the evidence. Will use the information from the earlier PICOT  above and Literature Evaluation Table  below  to develop review that includes the following sections:Introduction sectionA comparison of research sA comparison of sample populationsA comparison of the limitations of the studyA conclusion section, incorporating recommendations for further researchCriteria Article 1 Article 2 Article 3 Article 4Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article Title and Year Published     Hand hygiene compliance and associated factors among health care providers in Central Gondar zone public primary hospitals, Northwest Ethiopia  Published November 26, 2019     Multimodal intervention program to improve hand hygiene compliance: effectiveness and challenges Published: March 23, 2020   Investigating the Factors Affecting the Hand Hygiene Compliance from the Viewpoints of Iranian Nurses Who Work in Intensive Care Units Published December 13th, 2019   Determinants of hand hygiene compliance among nurses in US hospitals: A formative research study Published June 22, 2021   Research s (Qualitative)/Hypothesis (Quantitative)      The authors propose that health-care providers’ hands are the most common mode of transmission for HCAIs. Furthermore, HCPs are responsible for approximately 40% of health-care facility infections due to poor hand hygiene.   According to the findings, evidence-based models and prospective studies support the importance of HH adherence in reducing HAIs and improving patient outcomes.  The hypothesis of the study is that hand hygiene among the healthcare personnel is influenced by religion and culture, attitude and awareness, as well as personal and organizational factors    Despite the procedure’s simplicity and advances in infection control, hospital health care workers’ compliance with hand hygiene recommendations is generally low, according to the study.  Purposes/Aim of Study   The study aim to assess hand hygiene compliance and associated factors among health care providers in Central Gondar Zone public primary hospitals, Northwest Ethiopia   In all of the wards of University Hospital Center Sahloul in Sousse, Tunisia, the study aimed to demonstrate the feasibility and effectiveness of a health-setting intervention targeting hand hygiene promotion based on the WHO multimodal strategy.   The purpose of the study was to look into the factors that influence hand hygiene compliance among ICU nurses in Tabriz, Iran.   It examined the impact of several factors that haven’t been studied but could influence HH in nurses, including professional role and status, social affiliation, social norms, and physical changes to the work environment. Design: Quantitative, or Qualitative   Quantitative    Quantitative    Quantitative    Quantitative Setting/Sample      Five primary hospitals in Northwest Amhara  All healthcare workers in University Hospital Center (UHC) of Sahloul in eastern Sousse, Tunisia (690-bed tertiary-level teaching hospital)   ICU nurses who worked in teaching hospitals in Tabriz Iran   Acute care nurses (19,969), working in various types of hospitals that are geographically distributed across the US, with at least a year or more of experience Methods: Intervention/Instruments  The researchers used a self-administered naire and observation checklist adapted from various sources, including socio-demographic, knowledge, attitude, and practice s.  With one group of HCWs working in all departments of UHC Sahloul, this study used a pre-post interventional study design (comprising system change, educational activities, workplace reminders, and institutional safety climate). They also used a validated tool to assess HCWs’ adherence to HH guidelines before and after the intervention. WHO created both instruments.   The researchers used self-reporting a researcher-made 29-item naire which has 2 parts: part 1 is demographic characteristics and part 2 refers to personal and organization factors    Between November and December 2015, an anonymous internet-based cross-sectional survey was conducted. The survey focuses on five factors that are potential determinants of HHC that have not been studied but are modifiable: (1) motivation, (2) habit, (3) roles, (4) behavior setting stage, and (5) norms. Analysis     The researchers discovered that half of the study participants claim that the lack of access to a sink and an ABHR is a reason why they do not practice good hand hygiene. About 54 percent knew about hand hygiene, and 41.8 percent had received training on hand hygiene compliance. Furthermore, study participants who received hand hygiene training were 8.07 times more likely than those who did not receive training to have good hand hygiene compliance.   Researchers found that overall compliance enhanced significantly from 32.1 at baseline to 39.4% (p < 0.001) at follow-up. Nurses' adherence increased significantly from 34.1 to 45.7 percent between pre- and post-intervention, while housekeeping staff had the lowest HH compliance, dropping from 19.8 to 16.1 percent.  Personal factors such as "positive effects of hand hygiene on reducing the incidence of hospital infections," "hand injuries due to the use of washing solutions," "high workload and lack of time," "firm belief about the effect of hand washing," and "wearing of gloves instead of hand hygiene" were identified as effective factors in hand hygiene by participating nurses, who also identified items such as "mental disturbances, the preference of satisfying the patient's needs for hand hygiene," and "mental disturbances, the preference of satisfying the patient's needs for hand hygiene Hand hygiene behavior is influenced by organizational actors, type of solution, education programs, and organizational supports. 459 (85 percent) of respondents said they were familiar with HH practices because they were emphasized during their professional nurse training. Furthermore, the vast majority of respondents (456, or 84 percent) had previously taken part in a hospital-led hand hygiene campaign. In the vignette section, 90.7 percent of nurse respondents said they were likely to practice HH after cleaning and bandaging a diabetic foot wound in a patient's room. Similarly, most nurses practiced hand hygiene before entering a patient's room, exiting a patient's room, taking a patient's vitals, and cleaning a patient's wound, according to respondents. Furthermore, 59.3 percent of respondents said that receiving feedback would have a positive impact on their future HH behavior.  Key Findings     Overall, 14.9 percent of people practice good hand hygiene, according to the study. Hand hygiene compliance was significantly associated with training, attitude, the presence of alcohol-based hand rub in the working area, and the presence of adequate soap and water in the working area. Implementing five movements of hand hygiene are the best method for preventing healthcare-associated infections.  The intervention program led to a significant increase in HH compliance, which reached 39.4% at the post-assessment. However, the improvement was only seen among nurses, while physicians had a slight decrease in HH compliance. The low HH adherence among physicians in comparison to nurses in this study could be explained by doctors' infrequent attendance at training sessions.  The results of this study showed nurses in ICUs needed to enhance their hand hygiene practices. It may be due to several factors from nurses' point of view affecting the hand hygiene practices such as attitude and beliefs about the impact of hand hygiene, the shortage of personnel and excessive workload, forgetfulness, and the belief like cleansing solution hazards for the skin.    HHC was most likely to be a function of a hospital's 'openness,' perceived performance by peers, increased interactions with patients and other staff members, and the reduction in stress, busyness, and cognitive load associated with role performance, according to multivariate regression modeling. Recommendations    According to the study, ensuring that the necessary infrastructure and products are in place to allow healthcare providers to perform hand hygiene at the point of care will increase compliance.     Study recommended that multidimensional approach is the appropriate strategy to face multiple constraints. Further, it suggests the need to incorporate the HH training as a part of the academic course and the professional diploma   To reduce preventable infections, they advised hospital administrators to effectively implement policies to increase the rate of hand hygiene practices among healthcare providers and hospital staff.  Improved communication openness, the impact of peers' perceived performance, increased interactions with patients and staff, and determining how to reduce the stress and cognitive load associated with role performance should all be part of a powerful and effective intervention focusing on nurses' HHC.Explanation of How the Article Supports EBP/Capstone Project  This study contributes to the EBP by identifying what prevents health care providers from maintaining proper hand hygiene.  The study suggest that importance of continuous hand hygiene education is still important to prevent infection transmission.   Similar to the first article, in order to enhance hand hygiene compliance, personal factors should be included as well along with organizational factors.   The study mentioned how despite several interventions, there is still low compliance for healthcare providers. Therefore it suggests that there other determinants which are not yet explored such as communication and interaction that affect maintenance of hand hygiene which affects infection prevention.  Part 2. Criteria Article 5 Article 6 Article 7 Article 8Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article Title and Year Published       Assessing Hand Hygiene Practices Among Nurses in the Kingdom of Saudi Arabia Published 2020    Hand Hygiene among hospital staff: a survey of knowledge, attitude and practice in general hospital in Syria          The Effectiveness of Interventions in Improving Hand Hygiene Compliance: A Meta-Analysis and Logic Model Published July 19, 2021     Hand-hygiene-related clinical trials reported between 2014 and 2020: a comprehensive systematic review Published March 17, 2021 Research s (Qualitative)/Hypothesis (Quantitative)      The lack of compliance with hand hygiene practices is a major impediment to hospitals implementing infection control programs. Furthermore, there are no ideal methods for monitoring health care professionals' compliance with hand hygiene practices.    The behavior and presence of other health care workers have a significant impact on health care workers' hand hygiene compliance.  The hypothesis suggests that in order to improve hand hygiene adherence, it is necessary to identify the most effective strategy and its influencing factors.   According to the findings, it is critical to identify the specific intervention or combination of interventions that will have the greatest impact on the target population. Purposes/Aim of Study   The objective of this study is to assess the practices of hand hygiene among nurses in the Kingdom of Saudi Arabia and to find the association between the hand hygiene practices and the general demographic characteristics of nurses.   The goal of this study was to determine how well general health care workers followed hand hygiene protocols, as well as their knowledge and attitudes, in order to establish a baseline for an intervention plan.   a. What are the most effective interventions for improving hand hygiene compliance?b. How can a logic model be drawn based on the characteristics of effective interventions?   This study is intended to inform healthcare leaders and practitioners about the effectiveness and characteristics of HH promotion strategies around the world over the last 6 years, based on evidence from published clinical trials with sound methodology. Design: Quantitative, or Qualitative   Quantitative    Quantitative  Quantitative   Quantitative  Setting/Sample      Nurses in six selected hospitals in the Asir region of the Kingdom of Saudi Arabia from November 2017 to May 2018.    The survey was conducted among staffs including physicians, residents and nurses of all 8 wards (268 healthcare workers) in general hospital with 150 beds   N/A  N/A   Methods: Intervention/Instruments Data was collected using the standard s related to the practice of hand hygiene based on the WHO Guidelines on Hand Hygiene for Health care professionals   It combined observations with a survey using a structured naire in order to obtain more details about hand hygiene and to improve validity. PubMed, ProQuest, Web of Knowledge, Scopus, Cochrane Library, and ScienceDirect databases were searched up to December 21, 2019, without a time limit.   Searches involved literature published between 1st March 2014 and 31st December 2020 indexed in CINAHL, Cochrane, EMbase, Medline, PubMed or Web of Science on the topic of HH compliance among healthcare professionals Analysis    69.1% (167) of the participants said they wash their hands regularly, and 69.1% (168) said they use alcohol-based hand rubs. After being exposed to bodily fluids, the participants reported the highest percentages of hand washing practice (91.4 percent (222). When compared to inadequate (3.4 percent vs 16.7%) and adequate practice, good hand hygiene practice was found to be significantly higher among female participants (88 percent) than male participants (44 percent) in the study (38.9 percent vs 8.6 percent ). Furthermore, participants who practiced good hand hygiene (67.2 percent) had significantly more exposure to the training course than those who practiced adequately.  The overall hand hygiene compliance rate was found to be 45.7 percent (95 percent CI 37.1-54.3) in the observational study. Nurses were found to have better overall hand hygiene compliance than physicians. Furthermore, 234 health-care workers (87.6%) did not receive any formal training on hand-washing procedures. After body fluid exposure risk, which is the highest risk opportunity among all listed practices, participants (n=196, or 73.4 percent) had the highest frequency of full adherence to hand hygiene (n=196, or 73.4 percent). The findings reveal a link between poor adherence and attitudes, knowledge, and resources.   According to the findings, Ho et al multimodel strategy (alcohol-based hand rub + video + reminders + feedback + health talk + powerless gloves) was the most effective intervention in terms of hand hygiene compliance. Furthermore, in a 2011 study by Huis et al., an extended strategy aimed at social impact and long-term leadership in the intervention group was found to be more effective than a control group.   Although the majority of studies used multi-modal approaches, 17 (30%) of them only used one intervention. Although the majority of studies used multi-modal approaches, 17 (30%) of them only used one intervention.  For the 17 studies that used a single intervention, it was the use of an electronic or visual reminder via signage.Key Findings     In conclusion, 65.4 percent of nurses in this study followed good hand hygiene practices. Furthermore, nurses in the Pediatric and Obstetric departments were found to practice good hand hygiene, which could be due to their regular contact with the most vulnerable population to hospital-associated infection. To increase compliance with hand hygiene practices, male nurses and nurses working in the department of internal medicine require in-service educational intervention.   According to this study, there was a significant link between poor self-reported adherence and knowledge, attitude, and facilities on the one hand, and poor self-reported adherence on the other. It was discovered that poor adherence was statistically significantly linked to males (63.5%), untrained staff (58.5%), and the lack of washing basins (60.4 percent ).    The use of a socioecological approach in planning comprehensive and coordinated interventions (which target behavioral determinants at multiple levels of influence) is significantly more effective than other multiple-level strategies, according to the findings of this meta-analysis.   The researchers concluded that in a variety of healthcare settings, both multi-modal and single intervention studies can achieve modest to moderate increases in HH compliance.Recommendations     To raise awareness of the importance of hand hygiene among nurses, posters and other visual aids highlighting the importance of hand hygiene should be displayed in all departments.    A multimodal policy for improvement should be implemented. Hand hygiene supplies and other safety precautions could be placed in inappropriate places where they can be easily accessed by all health care workers as part of an intervention.   It is suggested that decision-makers, planners, and managers in hospitals use this proposed logic model for setting up interventions to improve hand hygiene  Future research should look into the impact of HCWs' perceptions and attitudes about HH on compliance, HH behaviors among the broader healthcare team, the effectiveness of different intervention types among different professional groups, and the impact of additional intervention components on outcomes in multi-modal intervention studies, according to the authors. Standardization of intervention methodology, research settings, and HHO and HH technique recording would also greatly improve understanding of HH and its impact on HCAIs. Explanation of How the Article Supports EBP/Capstone Project It shows that even though majority had a good hand hygiene practice, regular training would help in enhancing and maintaining hand hygiene practices in hospitals.   The study stated that reinforcing the importance of the role model in improving hand hygiene could also be highlighted as they assume performing hand hygiene but they actually do not adhere. It shows that supports from other people can help increase knowledge, practice and attitude in terms of maintenance of hand hygiene.            This suggest that infection prevention through hand hygiene is most likely to be achieved through multi-modal approach which considers other factions rather than one approach.    Contrary to one article, it stated that either a multimodal or single intervention can increase hand hygiene compliance. Although in this study, single intervention used technology or a follow up. Therefore, the approach to hand hygiene compliance may vary depending on the environment and devices used but multi-modal approaches to HH are still favored by clinical researchers.   Health ScienceScienceNursingNURS 493Share

Let the Experts Do Your Homework Now



Do you have a similar question? Our professional writers have done a similar paper in past.
Give Us your instructions and wait for a professional assignment!

Get a plagiarism-free order today

we guarantee confidentiality and a professional paper and we will meet the deadline.

How it works

  • Paste your instructions in the instructions box. You can also attach an instructions file
  • Select the writer category, deadline, and education level and review the instructions
  • Make a payment for the order to be assigned to a writer
  • Download the paper after the writer uploads it

  • Will the writer plagiarize my essay?
    You will get a plagiarism-free paper and you can get an originality report upon request.

    Is this service safe?
    All personal information is confidential and we have 100% safe payment methods. We also guarantee good grades