Method of Educating Nursing Students on Proper Hand

1. Method of Educating Nursing
Students on Proper Hand washing to
enhance infection control during
COVID Pandemic

2. Aims of the Study:
• To evaluate current policy and procedure regarding hand washing vs.
Sanitizer usage
• To enhance infection control by comparing with best evidence based
practices.
• Procedures for improving hand cleanliness routine among medicinal
services experts
• Medications for expanding consistency and supportability of hand
cleanliness among restorative services experts. 1
1 APIC (2015). Infection prevention http://www.apic.org/Resource_/TinyMceFileManager/2015/APIC-Program-Guide-Final_2015.pdf

3. Hand Washing vs. Sanitizer:
Hand Washing Sanitizer
Avoid possible contamination Avoid disease transmission
Take an average of a couple of minutes Efficient in time and sanitization effectiveness
Kills viruses and bacteria and washes them away
from the skin's surface
One of the most logical choices
Consumes as much as sixteen hours of nursing
time per day shift.1
Consume three hours of nursing time per day
shift
Risk of re contamination of washed hands by
splashes from the trap or sink.2
No risk of re contamination
Risk of the soap (itself) become contaminated No such risk
Traditional method Modern method
1. Voss, A. & Widmer, A.F. (1997). No Time for Handwashing!? Handwashing Versus Alcoholic Rub: Can We Afford 100% Compliance?
2. Widmer, A.F. (2000). Replace Hand Washing With Use of a Waterless Alcohol Hand Rub?

4. Methodology:
• Multimodal approach
For actualizing maintainable hand cleanliness improvement programs.1
• Patient Hand Hygiene Model
For investigating the main cause.
• The Health Belief Model
To help comprehend the marvel of hand cleanliness consistent in social
insurance.2
• The Model for Improvement
To manage mediation usage.3
1 APIC (2015). Infection prevention http://www.apic.org/Resource_/TinyMceFileManager/2015/APIC-Program-Guide-Final_2015.pdf
2. Rosenstock, I. M. (1974). The health belief model and preventive health behavior. Health Education Monographs
3 Langley, G. J., Moen, R. D., Nolan, K. M., Nolan, T. W., Norman, C. L., & Provost, L. P. (2009). The improvement guide: A practical approach to enhancing organizational
performance

5. Project design:
New and improved method offers better results than the previous methods
Improve hand sanitization
better services
lasting solution
better hygiene
Awareness
Dangers due to the lack of good
sanitizer
Risk
regarding the spread of
diseases and infections
process improvement
Practical and efficient methods To limit many diseases
To maintain hand cleanliness

6. Stakeholder and Population:
1. Yeakley, D. D. & Aldo, M. C. (2016) "Data collection system having reconfigurable data collection terminal." U.S. Patent No. 9,256,772. 9.
Stakeholder
Patients
Human services
Suppliers
Auxiliary staff individuals
Managerial staff
Medical attendants
Population
 10 nursing students.1
 Five students will apply
soap and water
 Five will use hand
sanitizer.

7. Variables:
Hand cleanliness practices and its effect on
HAI transmission.1
Sample health care worker
population
1. Kingston, L., O’Connell, N. H., & Dunne, C. P. (2016). Hand hygiene-related clinical trials HAI transmission
Rural Health Care Facilities
(HCFs)
QI activity
for improving hand cleanliness
consistency
Hand cleanliness item
washing in before going into
a patient room
cleaning out preceding leaving
a patient's room

8. Plan for data management:
 Organizing the data collected regarding hand wash and sanitizer. 1
Testing and comparing the result with regard to recorded impurities.
Stop watch and measuring cup for ensuring efficient result.
Efficient effect determines the expected result
Best results in the least amount of time.2
1Gordon, H., Hannah, I. & Bobbie, U. (2020) "The Effectiveness of Hand Hygiene: Handwashing vs. Hand
Sanitizing. Nursing Department, Longwood University
2. Yeakley, D. D. & Aldo, M. C. (2016) "Data collection system having reconfigurable data collection terminal."
U.S. Patent No. 9,256,772. 9.

9. Timeline:
• Duration: 2 days
Day 1 Day 2
Testing Data analysis and results
Procedure
i. Hand sanitizer
ii. Hand wash
Data collection
Analysis of collected data

10. Result/Findings:
• Hand washing is not as effective as hand sanitizers.
• Sanitizers kill germs to prevent viruses from spreading.
• Sanitizers are more efficient than hand washing.

11. Risks and Benefits:
1. Khairnar, M. R., et al. (2020) "Comparative Efficacy of Hand Disinfection Potential of Hand Sanitizer and Liquid Soap among Dental Students: A Randomized Controlled Trial."
Indian Journal of Critical Care Medicine: Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine 24.5: 336.
Risks
Chance of allergic reaction due
to chemicals in hand wash
Filling allergy form to ensure
safety
Benefits
Knowledge related to hygiene
Information regarding data
collection.1
Subject receive medical
examination

12. References:
• Voss, A. & Widmer, A.F. (1997). No Time for Handwashing!? Handwashing Versus Alcoholic Rub: Can We Afford 100%
Compliance?
• Widmer, A.F. (2000). Replace Hand Washing With Use of a Waterless Alcohol Hand Rub?.
https://pubmed.ncbi.nlm.nih.gov/10913411/
• APIC (2015). Infection prevention http://www.apic.org/Resource_/TinyMceFileManager/2015/APIC-Program-Guide-
Final_2015.pdf
• Alshehari, A. A., Park, S., & Rashid, H. (2018). Strategies to improve hand hygiene compliance among health care workers
in adult intensive care units: A mini systematic review.
• Centers for Disease Control and Prevention. (2018). Hand hygiene in healthcare settings. Retrieved from
https://www.cdc.gov/handhygiene/index.html
• Doronina, O., Jones, D., Martello, M., Biron, A., & Lavoie-Tremblay, M. (2017). A systematic review of the effectiveness of
interventions to improve hand hygiene compliance on nurses in the hospital setting.
• Gould, D. J., Moralejo, D., Drey, N., Chudleigh, J. H., & Taljaard, M. (2017). Interventions to improve hand hygiene
compliance with inpatient care.
• Institute for Healthcare Improvement. (2018a). The sound of two hands washing: Improving hand hygiene. Retrieved from
http://www.ihi.org/resources/Pages/ImprovementStories/SoundofTwoHandsWashing.asp%20x
• Kingston, L., O’Connell, N. H., & Dunne, C. P. (2016). Hand hygiene-related clinical trials reported since 2010: A
systematic review.

13. References:
• Luangasanatip, N., Hongsuwan, M., Limmathurotsakul, D., Lubell, Y., Lee, A. S., Harbarth, S., & Cooper, B. S. (2015).
Comparative efficacy of interventions to promote hand hygiene in hospital: Systematic review and network metaanalysis.
• Neo, J. R. J., Sagha-Zadeh, R., Vielemeyer, O., & Franklin, E. (2016). Evidence-based practices to increase hand hygiene
compliance in healthcare facilities: An integrated review.
• Rodriguez, V., Giuffre, C., Villa, S., Almada, G., Prasopa-Plaizier, N., Gogna, M., & GarciaElorrio, E. (2015). A multimodal
intervention to improve hand hygiene in ICUs in Buenos Aires, Argentina: A stepped wedge trial.
• Rosenstock, I. M. (1974). The health belief model and preventive health behavior. Health Education Monographs
• Stewardson, A. J., Sax, H., Gayet-Ageron, A., Touveneau, S., Longtin, Y., Zingg, W., & Pitet, D. (2016). Enhanced performance
feedback and patient participation to improve hand hygiene compliance of healthcare workers in the setting of established
multimodal promotion: A single-center, cluster randomized controlled trial. Lancet Infectious Diseases
• Schweizer, M. L., Reisinger, H. S., Ohl, M., Formanek, M. B., Blevins, A., Ward, M. A., & Perencevich, E. N. (2014). Searching for
an optimal hand hygiene bundle: A metaanalysis. Clinical Infectious Diseases.
• Khairnar, M. R., et al. (2020) "Comparative Efficacy of Hand Disinfection Potential of Hand Sanitizer and Liquid Soap among
Dental Students: A Randomized Controlled Trial." Indian Journal of Critical Care Medicine: Peer-reviewed, Official Publication of
Indian Society of Critical Care Medicine 24.5: 336.
• Yeakley, D. D. & Aldo, M. C. (2016) "Data collection system having reconfigurable data collection terminal." U.S. Patent No.
9,256,772. 9.
• Gordon, H., Hannah, I. & Bobbie, U. (2020) "The Effectiveness of Hand Hygiene: Handwashing vs. Hand Sanitizing. Nursing
Department, Longwood University
• Langley, G. J., Moen, R. D., Nolan, K. M., Nolan, T. W., Norman, C. L., & Provost, L. P. (2009). The improvement guide: A
practical approach to enhancing organizational performance

14. Thank you