Hand Hygiene Strategies

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Hand hygiene became the cornerstone of strategy because it is simple, standardized, cost-efficient, and based on solid scientific evidence (Wilkinson & Treas, 2011, p. 423) to prevent the spread of infection. However, as simple as hand washing can still have complications like compliance and adherence in daily nursing practice that resulted to an extensive struggle. One study have shown that the “main challenge is to ensure implementation of and compliance with the evidenced-based recommendations in daily nursing practice” (Vandijck et al., 2010). Hand hygiene expectations are greatly influenced with behavioral attitudes, such as “perceived value of hand washing as a personal benefit, peer pressure, and perceived difficulty in undertaking” …show more content…
“Front-line nurses said regular information sharing in the organization helps them work effectively” (Underwood, et al., 2009). “Two studies have reported that the type of ICU was a significant predictor of nurse-physician communication… nurses reported who worked in surgical ICUs have poorer communication with their physician colleagues than did nurses who worked in medical ICUs” (Manojlovich et al., 2010). Manojlovich et al. (2010) explained that the variation of outcomes depends on the workflow and work standardization in different types of ICU units:
For example, nurses who need to communicate with surgeons during the day often place telephone calls into operating rooms, which may detract from the quality and effective of communication. In medical ICUs, physicians are generally more readily available and interact directly with nursing staff. Thus, any intervention to improve communication in surgical ICUs may need to take into account nurses’ and surgeons’ work standardization. (p.
…show more content…
However, the recent breakout of Ebola virus is still being actively contained. The outbreak started on March 19, 2014, where 5 Americans, including Duncan, were treated here in the United States—Writebol, Brantley, Sacra, and Mukpo are the Ebola survivors…Septemberer 30, 2014, when CDC confirmed Duncan was diagnosed with Ebola virus on U.S. soil (Lupkin, 2014). The seemingly endless debate whose fault the infection got out of hand; nurses, physicians, hospital directors, and even the CDC are blaming each other as to why the virus was able to enter the Unites States. Steenhuysen (2014), reported that nurses, emergency department staff and x-ray technicians were not given a proper training to handle Ebola infected patients during the first week of October… on the other hand, the hospital director claims that training has been going on ever since July (Steenhuysen, U.S. Nurses Say They Are Unprepared to Handle Ebola Patients, 2014). Nurses claimed that the Texas Health Presbyterian Hospital’s administration “failed to follow basic infection control principles and provided inadequate training and PPE for them to use when caring for a patient with Ebola virus” (Brown, Dallas Nurses Say Infection Control Ignored in Ebola Care, 2014). The head of CDC declared that Nina Pham, the first nurse infected with ebola, broke protocols

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