Introduction
Critically ill patients are at heightened risk of hospital-acquired infections, which increase patient morbidity and mortality rates. Registered nurses are the main health care providers of physical care, including hygiene to reduce and prevent hospital-acquired infections, for hospitalized critically ill patients. Much emphasis has been placed on healthcare giver hand hygiene, but little research into the hand hygiene of patients. Evidenced based review When first starting the design of the PICOT question, my question was “Does patient hand washing help reduce central line associated blood stream infections (CLABSI) and catheter-associated urinary tract infection (CAUTI) rates in intensive care unit (ICU) patients?” This …show more content…
When researching the PICOT question there were no research articles that matched the proposed PICOT question exactly. Terms that were researched included “patient hand hygiene”, “patient hand washing” and “hospitals acquired infections”. These topics were joined together to broaden the research …show more content…
Using the database PubMed there were seventeen articles identified as patient hygiene related. Of those seventeen articles, seven were published over five years ago and are considered “non-current”. Upon further review of the articles four more were removed from the research due to them not being relevant to the evidence based question. The first article was titled “Interventions to improve patient hand hygiene: a systematic review” and published in September of 2016. This was a systematic review of ten research studies that were performed in a quasi-experimental design. Four of the studies assessed patient hand hygiene rates; all demonstrated improvements in infection rates. (Srigley, Furness & Gardam, 2016) The next journal article that was presented during the search was an article that was published in the Japan Journal of Nursing Science. Published in February of 2015 and was titled “Effectiveness of hand hygiene depends on the patient's health condition and care environment.” This article was about the effectiveness of the patient’s hand hygiene and not about infection control. The researchers did identify the different bacteria found
Critically ill patients are at heightened risk of hospital-acquired infections, which increase patient morbidity and mortality rates. Registered nurses are the main health care providers of physical care, including hygiene to reduce and prevent hospital-acquired infections, for hospitalized critically ill patients. Much emphasis has been placed on healthcare giver hand hygiene, but little research into the hand hygiene of patients. Evidenced based review When first starting the design of the PICOT question, my question was “Does patient hand washing help reduce central line associated blood stream infections (CLABSI) and catheter-associated urinary tract infection (CAUTI) rates in intensive care unit (ICU) patients?” This …show more content…
When researching the PICOT question there were no research articles that matched the proposed PICOT question exactly. Terms that were researched included “patient hand hygiene”, “patient hand washing” and “hospitals acquired infections”. These topics were joined together to broaden the research …show more content…
Using the database PubMed there were seventeen articles identified as patient hygiene related. Of those seventeen articles, seven were published over five years ago and are considered “non-current”. Upon further review of the articles four more were removed from the research due to them not being relevant to the evidence based question. The first article was titled “Interventions to improve patient hand hygiene: a systematic review” and published in September of 2016. This was a systematic review of ten research studies that were performed in a quasi-experimental design. Four of the studies assessed patient hand hygiene rates; all demonstrated improvements in infection rates. (Srigley, Furness & Gardam, 2016) The next journal article that was presented during the search was an article that was published in the Japan Journal of Nursing Science. Published in February of 2015 and was titled “Effectiveness of hand hygiene depends on the patient's health condition and care environment.” This article was about the effectiveness of the patient’s hand hygiene and not about infection control. The researchers did identify the different bacteria found