ABSTRACT :A Quantitative Research approach with a Cross sectional descriptive survey design was used in
the study. 100 Nurses from Thumbay University Hospital, Ajman, UAE who met the sampling criteria were
selected. Written consent was taken. A structured questionnaire to elicit the demographic profile, as well as a
modified Self-reported hand hygiene practice scale, was used online to assess the practice of five moments of
hand hygiene.The majority of the nurses 94-99 % of them had moderate to adequate hand hygiene practice
during the five moments of hand hygiene of which 99% before touching the patients, 95 % before carrying out
clean and aseptic procedures, and after body fluid exposure, 96 % after touching patient unit and 94 % after
touching patient surroundings. Overall, 90 % of the nurses had good hand hygiene practice. No significant
association was found between hand hygiene practices among the nurses with their demographic variables.
KEYWORDS: Five moments, Hand Hygiene, Infection, Nurses.
A Study to Assess the Knowledge and Practices of Hand Hygiene among Nursing S...ijtsrd
The document discusses a study that assessed the knowledge and practices of hand hygiene among nursing staff in different hospital departments in Uttar Pradesh, India. It conducted an observational study of 50 nurses to assess their hand hygiene practices during 308 opportunities, finding an overall compliance rate of 58%. It also administered questionnaires to 50 nurses to assess their reported hand hygiene compliance, which was higher at over 93.4%. Bachelor's degree nurses showed the highest compliance rates. The study concluded that there was a correlation between nurses' knowledge and hand hygiene practices, and that being too busy was the most commonly reported reason for non-compliance.
Running head hand hygiene compliance1hand hygiene compliance8.docxwlynn1
Running head: hand hygiene compliance1
hand hygiene compliance8Hand Hygiene Education Implementation and Nurses Compliance in Reducing Nosocomial Infections
Grand Canyon University NRS-490
March 31, 2019
Background
Hygiene is a very crucial factor in prevention of infection in any health care facility. Also, compliance of handwashing ensures patients safety, aids in the treatment and recovery of hospitalized patients. Hand hygiene is important action performed by healthcare works to prevent transmission of healthcare associated infection (Smiddy, O’Connell & Creedon, 2015). Health care professionals such as doctors, nurses, physical therapist and laboratory technicians, take the responsibility of providing efficient, effective and quality care that will improve the health of their patients.
The purpose of this paper is to discuss the change proposal project components the author has been working on throughout the course. The goal of health care works rendering a quality, effective and efficient care to their patient in the health care setting will be difficult to achieve if the rate handwashing adherence is below expectation. Unclean healthcare environments harbor germs that can cause disease, thereby placing the patient at risk of developing infection instead of recovering from their present health condition. Healthcare providers inability to comply with hand hygiene is one the main reason patient develop hospital acquired infections (HAIs). Healthcare employees have the lives of patient in their hands therefore, hand hygiene should not by any means be neglected or dominated out in any healthcare facility.
Approximately 250 health care specialists in a Metro Detroit facility happened to be watched and assessed directly; prior to the start of the exercise, participants were selected based on their hand washing comprehension and compliance. Partakers expresses that they observed improvement on handwashing practices and that most nurses complied to hand washing guidelines evidenced by some significant reductions in the rate of transmission of HAIs within the healthcare facility. HAIs are the infections a patient acquire during the period of hospitalization. The result of the research showed a huge decrease in the spread of nosocomial infections due to progress of hand hygiene training and nurses’ compliance to handwashing protocols. These infections mostly manifest during or after 48 hours of admission or thirty days after discharge from the hospital or health-care facility. The author of this research study sees HAIs as a dangerous disease with many complications. Because inadequate handwashing practices by healthcare workers are the main cause of spread of hospital acquire infections, it is important to educate staff members on proper hand hygiene, implement plan to encourage hand hygiene compliance in the healthcare settings. Blood-stream, ulcers / surgical wounds, CAUTI and respiratory infections are the most common types of HA.
KNOWLEDGE AND PRACTICES AMONG SURGEONS REGARDING CROSS INFECTION CONTROL PROC...Anil Haripriya
The study revealed good knowledge of infection control procedures but there were problems in practices of
sterilization. Most of them did not separate the needle from the syringe prior to disposal therefore needle
prick injuries were common. So more intensive and regular training programs to surgeons must be included
in the plans of quality control in all hospital and regular inspection from the ministry of health guarantees
good infection control practices
Exploring Knowledge, Attitudes and Practices of ICU Health Workers Regarding ...QUESTJOURNAL
Background: Nosocomial Infection is a localized or systemic infection acquired at any health care facility including hospitals by a patient admitted for any reason other than the pathology present during admission. Including an infection acquired in a healthcare facility that manifest 48 hours after the patient's admission or discharge. Objective: Themain aim of this study is toassess the level of knowledge, attitudes and practice of ICU health personnel with regards to the spread of nosocomial infections. Methodology: A cross-sectional and facility based study was conducted from March to November 2016 at King Khalid hospital in Najran, Saudi Arabia. By adopting convenience technique, 50 subjects had been recruited to participate in this study. Results: 62% of respondentswere female. The mean age was 29 years. Concerning educational status, 54% of the participants have Bsc. professionally most of them (48%) were nurses. 60% of the participants have less than three year working experience in ICU.86% of them highlighted that hands must be washed with soap and water or even rubbed with alcohol before contacting with patients. Additionally, the result reveals that employees who had master degree or above displayed higher mean knowledge scores as compared to the other two groups (diploma or less & bachelor) (0.7147 & 4.6656) respectively. High significant statistical differences were found between the three academic groups in relation to sharp devices, personal protective equipment (gloves, gowns &masks), care of intravenous infusion therapy, central line care and urinary catheter care (F=4.594, F=7.982, F=5.539, F=4.471, F=15.310, F=4.345) respectively at p < 0.05. Recommendation & conclusion: Health workers in ICU (King Khalid hospital) showed adequate knowledge and faire attitude regarding universal precautions
Hand Hygiene: Impact of Educational Training and Awareness Programmeiosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
The document discusses the role of patient empowerment in healthcare-associated infection (HHC) prevention. It provides a history of patient empowerment models dating back to 1982 when patients were first encouraged to ask healthcare workers to wash their hands. An empowerment model called Partners in Your Care was developed in 1997 where patients were trained to ask healthcare workers "Did you wash/sanitize your hands?". Studies from 1997-2006 showed this model increased hand hygiene compliance by 34-100% in various healthcare settings. The document argues that while patient empowerment is feasible, some evidence suggests it may be necessary to improve hand hygiene. It concludes that the focus should be on building programs that utilize patients' existing willingness to play an active role
The document discusses the role of patient empowerment in healthcare-associated infection (HHC) prevention over the past few decades. It provides:
1) A brief history of patient empowerment, from an 1982 article suggesting patients ask if healthcare workers washed their hands, to the development of the "Partners in Your Care" empowerment model in 1997 where patients are empowered to ask staff if they washed their hands.
2) Evidence that patient empowerment programs effectively increase hand hygiene compliance, with studies from 1997-2006 showing increases from 34-100% in various healthcare settings when patients are empowered to remind staff.
3) Perspectives on the ethics of patient empowerment and the need to ensure
A Study to Assess the Knowledge and Practices of Hand Hygiene among Nursing S...ijtsrd
The document discusses a study that assessed the knowledge and practices of hand hygiene among nursing staff in different hospital departments in Uttar Pradesh, India. It conducted an observational study of 50 nurses to assess their hand hygiene practices during 308 opportunities, finding an overall compliance rate of 58%. It also administered questionnaires to 50 nurses to assess their reported hand hygiene compliance, which was higher at over 93.4%. Bachelor's degree nurses showed the highest compliance rates. The study concluded that there was a correlation between nurses' knowledge and hand hygiene practices, and that being too busy was the most commonly reported reason for non-compliance.
Running head hand hygiene compliance1hand hygiene compliance8.docxwlynn1
Running head: hand hygiene compliance1
hand hygiene compliance8Hand Hygiene Education Implementation and Nurses Compliance in Reducing Nosocomial Infections
Grand Canyon University NRS-490
March 31, 2019
Background
Hygiene is a very crucial factor in prevention of infection in any health care facility. Also, compliance of handwashing ensures patients safety, aids in the treatment and recovery of hospitalized patients. Hand hygiene is important action performed by healthcare works to prevent transmission of healthcare associated infection (Smiddy, O’Connell & Creedon, 2015). Health care professionals such as doctors, nurses, physical therapist and laboratory technicians, take the responsibility of providing efficient, effective and quality care that will improve the health of their patients.
The purpose of this paper is to discuss the change proposal project components the author has been working on throughout the course. The goal of health care works rendering a quality, effective and efficient care to their patient in the health care setting will be difficult to achieve if the rate handwashing adherence is below expectation. Unclean healthcare environments harbor germs that can cause disease, thereby placing the patient at risk of developing infection instead of recovering from their present health condition. Healthcare providers inability to comply with hand hygiene is one the main reason patient develop hospital acquired infections (HAIs). Healthcare employees have the lives of patient in their hands therefore, hand hygiene should not by any means be neglected or dominated out in any healthcare facility.
Approximately 250 health care specialists in a Metro Detroit facility happened to be watched and assessed directly; prior to the start of the exercise, participants were selected based on their hand washing comprehension and compliance. Partakers expresses that they observed improvement on handwashing practices and that most nurses complied to hand washing guidelines evidenced by some significant reductions in the rate of transmission of HAIs within the healthcare facility. HAIs are the infections a patient acquire during the period of hospitalization. The result of the research showed a huge decrease in the spread of nosocomial infections due to progress of hand hygiene training and nurses’ compliance to handwashing protocols. These infections mostly manifest during or after 48 hours of admission or thirty days after discharge from the hospital or health-care facility. The author of this research study sees HAIs as a dangerous disease with many complications. Because inadequate handwashing practices by healthcare workers are the main cause of spread of hospital acquire infections, it is important to educate staff members on proper hand hygiene, implement plan to encourage hand hygiene compliance in the healthcare settings. Blood-stream, ulcers / surgical wounds, CAUTI and respiratory infections are the most common types of HA.
KNOWLEDGE AND PRACTICES AMONG SURGEONS REGARDING CROSS INFECTION CONTROL PROC...Anil Haripriya
The study revealed good knowledge of infection control procedures but there were problems in practices of
sterilization. Most of them did not separate the needle from the syringe prior to disposal therefore needle
prick injuries were common. So more intensive and regular training programs to surgeons must be included
in the plans of quality control in all hospital and regular inspection from the ministry of health guarantees
good infection control practices
Exploring Knowledge, Attitudes and Practices of ICU Health Workers Regarding ...QUESTJOURNAL
Background: Nosocomial Infection is a localized or systemic infection acquired at any health care facility including hospitals by a patient admitted for any reason other than the pathology present during admission. Including an infection acquired in a healthcare facility that manifest 48 hours after the patient's admission or discharge. Objective: Themain aim of this study is toassess the level of knowledge, attitudes and practice of ICU health personnel with regards to the spread of nosocomial infections. Methodology: A cross-sectional and facility based study was conducted from March to November 2016 at King Khalid hospital in Najran, Saudi Arabia. By adopting convenience technique, 50 subjects had been recruited to participate in this study. Results: 62% of respondentswere female. The mean age was 29 years. Concerning educational status, 54% of the participants have Bsc. professionally most of them (48%) were nurses. 60% of the participants have less than three year working experience in ICU.86% of them highlighted that hands must be washed with soap and water or even rubbed with alcohol before contacting with patients. Additionally, the result reveals that employees who had master degree or above displayed higher mean knowledge scores as compared to the other two groups (diploma or less & bachelor) (0.7147 & 4.6656) respectively. High significant statistical differences were found between the three academic groups in relation to sharp devices, personal protective equipment (gloves, gowns &masks), care of intravenous infusion therapy, central line care and urinary catheter care (F=4.594, F=7.982, F=5.539, F=4.471, F=15.310, F=4.345) respectively at p < 0.05. Recommendation & conclusion: Health workers in ICU (King Khalid hospital) showed adequate knowledge and faire attitude regarding universal precautions
Hand Hygiene: Impact of Educational Training and Awareness Programmeiosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
The document discusses the role of patient empowerment in healthcare-associated infection (HHC) prevention. It provides a history of patient empowerment models dating back to 1982 when patients were first encouraged to ask healthcare workers to wash their hands. An empowerment model called Partners in Your Care was developed in 1997 where patients were trained to ask healthcare workers "Did you wash/sanitize your hands?". Studies from 1997-2006 showed this model increased hand hygiene compliance by 34-100% in various healthcare settings. The document argues that while patient empowerment is feasible, some evidence suggests it may be necessary to improve hand hygiene. It concludes that the focus should be on building programs that utilize patients' existing willingness to play an active role
The document discusses the role of patient empowerment in healthcare-associated infection (HHC) prevention over the past few decades. It provides:
1) A brief history of patient empowerment, from an 1982 article suggesting patients ask if healthcare workers washed their hands, to the development of the "Partners in Your Care" empowerment model in 1997 where patients are empowered to ask staff if they washed their hands.
2) Evidence that patient empowerment programs effectively increase hand hygiene compliance, with studies from 1997-2006 showing increases from 34-100% in various healthcare settings when patients are empowered to remind staff.
3) Perspectives on the ethics of patient empowerment and the need to ensure
This study aimed to identify predictors of hand hygiene practice among Saudi nursing students. A survey of 198 nursing students assessed their knowledge, attitudes, and practices of hand hygiene. The students demonstrated moderate knowledge but most had moderate attitudes toward hand hygiene. Having a good attitude, being male, awareness that hand hygiene prevents infections, attending trainings, and being at a lower academic level predicted better hand hygiene practices. The study emphasizes the importance of ensuring positive attitudes and awareness to improve hand hygiene.
10 latest healthcare hand hygiene findings.By.Dr.Mahboob ali khan Phd Healthcare consultant
Hand hygiene is a key aspect of improving healthcare quality and reducing infection rates. Here are 10 most recent findings on hand hygiene.Peer pressure may be more effective than the promise of a cash bonus in improving hand hygiene compliance rates, according to a study detailed in a Harvard Business Review article.
Running Head HEALTH PROBLEMS IN U.S.A 1 HEALTH PROBLEMS I.docxwlynn1
Running Head: HEALTH PROBLEMS IN U.S.A
1
HEALTH PROBLEMS IN U.S.A
8
HEALTH PROBLEM IN U.S.A AND OTHER NATIONS
Student’s Name:
Institution:
Instructor:
Date:
Abstract
This paper addresses the cognitive abilities that enhance hand hygiene acquiescence while backing the inhibition of healthcare associated to the contagions and how they have been widely acknowledged. It is also acknowledged that great hand cleanliness alone cannot impress difficult risk influences, such as elder age, immune-suppression, entrance fee to the serious care part, a lengthier span of stay, and indwelling strategies. The participants used in this study were selected from were randomly selected from public places through observation of their actions and how they took care of their hands especially before eating, after eating and also engaging in hand cleanness in public places. The main methods used for the research are qualitative studies through the use of observation models. In sum, it was found that hand sanitation involvements are concomitantly assumed with other monotonous or superior preventive approaches, there are a probable for these simultaneous policies to confuse the result of the hand sanitation package. Therefore, the direct comment of hand cleanliness likelihoods and movements; microelectronic nursing of hand hygiene actions and valuation of liquor created hand rub ingesting strength also be used as accidental methods and supernumerary indicators. In addition to these studies specifically focused on hand hygiene treatments, hand hygiene was in the center of numerous studies applying broader transmission control treatments and demonstrating the effect on healthcare-associated infection rates. So, hand hygiene is the fundamental part of proper recommendations for the prevention of the most common healthcare-associated infections.
Keywords: hand hygiene, hand sanitation, qualitative studies
Significance and Background of the Study
The study is significant because it will have an impact on improving the healthcare and also the welfare of the poor populations in terms of improving their health. Therefore, those with previous illness situations anxiety that they might lose assurance attention if they modification occupations. Central income person terror that decrease insurance welfares might energy them to recompense extra and more of the prices of health care, accumulative their unwillingness to search for maintenance when they necessity it. Urged in portion by the misconduct assurance crisis, obstetrical amenities are described to be in small source in certain areas. Inhabitants of this nation's rural zones are aggressive a hard fight to save hospitals exposed so that, at a smallest, they consume admission to alternative facilities and vital main care. To evade consuming to admit extra room patients who might not have assurance, mounting numbers of clinics have stopped offering crisis amenities.
This study was informed by a number of factors suc.
This document describes a study conducted at a neurorehabilitation hospital to decrease hospital-acquired infections through improved hand hygiene. The study educated both healthcare staff and patients on proper hand hygiene. Patients were taught to wash their hands at four key times during the day and were empowered to ask staff and visitors if they had washed their hands. This led to patients acting as "watchdogs" to help enforce hand hygiene compliance. Through educating both patients and staff, the study aimed to decrease infections by cutting transmission routes and forming lifelong healthy habits. Preliminary results showed no negative effects, and the low-cost interventions could have significant benefits for patient health outcomes and healthcare costs.
Hospital acquired infections are a major problem, accounting for $10 billion in healthcare costs annually in the US. Proper hand hygiene is one of the most effective ways to prevent the spread of infections like MRSA and other pathogens in healthcare settings. However, handwashing compliance among healthcare workers is low. The introduction of alcohol-based hand rubs has significantly increased hand hygiene frequency and compliance compared to handwashing with soap and water alone due to being faster, more convenient and better tolerated on skin. Increased hand hygiene is critical for reducing healthcare associated infections and improving patient outcomes.
knowledge and practice of needle stick Dr. Gawad AlwabrYemen .pdfDr. Gawad Alwabr
This study assessed the knowledge and practices of nurses in Sana'a, Yemen regarding needlestick injury prevention measures. A survey of 259 nurses found that 44% had poor knowledge of prevention measures and 76.5% had poor practices. The level of knowledge was significantly associated with gender and hospital, while practices did not significantly vary by demographics. Needlestick injuries were commonly reported, with 37.5% of nurses experiencing one in the last 6 months, but most injuries went unreported. The results indicate that knowledge and prevention practices among nurses need to be improved through education programs.
C361 TASK 2 2
C361 TASK 2 2
C361 Task 2
WGU
Evidence-Based Practice and Applied Nursing Research
C361
Eve Butler
July 28, 2019
Running head: C361 TASK 2 2
C361 Task 2
A.1 Healthcare problem
Worldwide estimates have shown that greater than 1.4 million patients have acquired nosocomial infections. Adherence to hand hygiene policies are shown to be the most effective way to help prevent these healthcare-associated infections; sadly research shows that healthcare workers have suboptimal compliance with their facilities hand hygiene policies due to lack of education and compliance monitoring. Patients in our healthcare settings are under the assumption that we are doing our best to promote their healing when in fact 7% of them will be subjected to a nosocomial infection with that rate climbing to 10% in developing countries (Finco et al., 2018).
A.2 Significance of the problem
The cost of care that is associated with nosocomial infections is estimated to be over ten billion dollars putting a burden on both patients and health organizations alike. It is estimated that 38% of all infections are caused by cross-contamination due to noncompliance with hand hygiene policies. These infections lead to approximately 99,000 deaths a year in the United States alone (Sickbert-Bennett et al., 2016).
A.3 Current healthcare practices related to the problem
Most healthcare facilities have an educational program that simply teaches how to achieve proper hand hygiene and use the WHO five moments of hand hygiene as their standard. However, this does not educate the healthcare workers on why it is important, nor does it address the far-reaching consequences for noncompliance. Along with the lack of foundational education, most facilities do not monitor for compliance.
A.4 How the problem affects the organization and patients’ cultural background
Inadequate hand hygiene leading to nosocomial infections can affect the organization's cultural background by leading to dissatisfaction in the workplace as staff becomes frustrated by their feelings of inadequacy and helplessness in dealing with patients getting sicker instead of better. The staff may also be feeling stress in the burden of caring for sicker patients. The patient's cultural background may be affected as they may be feeling despair or depression at their inability to get better, and some may feel it is punishment according to their cultural or religious beliefs.
B. Two research evidence sources and two non-research evidence sources considered
In searching for my research evidence sources, I start with the Western Governors University Library online. Once in the library, a boolean phrase was used, which allowed me to search for research articles that contain more than one topic in the same paper. Phrases I used in this search were “nosocomial infections,” “hand hygiene compliance,” and “ hand hygiene education.” With these phrases, thousands of articles were available to peruse.
One of the res.
The study investigated the effects of hand hygiene awareness interventions on healthcare worker compliance and hospital-acquired infection rates. Audits found that compliance rates were initially high but decreased without regular interventions like monthly newsletters, trainings, and competitions between hospital units. Maintaining these types of consistent reminders is necessary to continuously reduce infection rates, as high compliance correlates with lower rates of hospital-acquired infections, including those from multidrug-resistant organisms. Constant vigilance through ongoing interventions is required to sustain proper hand hygiene practices among healthcare workers.
The document discusses occupational exposure to blood and body fluids among healthcare workers, including specific cases of exposure and infection. It examines the risks, causes, and costs of needlestick injuries as well as strategies for prevention through safer devices and protocols for management of exposures. The majority of exposures occur due to lack of safety mechanisms and improper disposal of needles and sharps.
Running head LITERATURE REVIEWLITERATURE REVIEWLiteratu.docxcowinhelen
Running head: LITERATURE REVIEW
LITERATURE REVIEW
Literature Review: Hand washing and Hospital-Associated Infections
Name
Walden University
Course Name
April 3, 2016
Literature Review: Hand washing and Hospital-Associated Infections
Most Hospital associated infections are alleged to be transmitted via the hands of Healthcare providers mainly through direct contact when the medical practitioner’s hands transfer the pathogens between individuals or between an environmental reservoir and an individual (Al-Khawaldeh, Al-Hussami, & Darawad, 2015). The purpose of this study is to find out whether there is sufficient evidence to indicate whether there is need for further research on hand washing with regards to the infections that patients are susceptible to in the case of contaminated contact. The evidence from the various studies and nursing journals were carefully assessed to ensure that salient information regarding the research study area were present and were relevant to the study. The researcher took into consideration the ethical issues that are involved in research. The identities of the sample population were not released at any given time and they gave consent for the use of the information retrieved from them (Newcomb, 2010). Furthermore, most of the information used was from journal articles that allow for others to reference the works and findings of the research and, thus, the researcher could include the research material in the literature review (Fouka & Mantzorou, 2011).
Synthesis on the Current State of Knowledge
Despite the relative simplicity of hand hygiene procedure, the adherence rates to the standard recommendations remain unacceptably low; well below 50% (Bukhari et al., 2011). The reasons for non-compliance with hand washing are low staff to patient ratios, lack of appropriate hand washing equipment, insufficient knowledge about risks and procedures, allergies to some hand washing products, the casual attitude of healthcare practitioners (HCPs) and time factors (Pfoh, Dy, & Engineer, 2013). Patients are likely to suffer infections that arise from inconsistent hygiene practices especially those that are supposed to undergo an operation and have undergone a surgical operation.
The United Stated Department of Infectious Diseases estimated the incidence of hospital-acquired infections by 4.5% and with a 5% fatality in 2014 translating to a huge economic impacts (Al-Khawaldeh et al., 2015). One of the main contradictions is the fact that; despite the numerous hand washing guidelines that have been adopted by a majority of health facilities, the compliance by the health care providers remains low despite the practice being one of the simplest and most effective ways of preventing hospital-acquired infections (Bukhari et al., 2011). Some studies point of knowledge, attitude and practice as the primary factors affecting hand hygiene practices while other researches show that even if the healthcare workers from ...
THANK YOU ALL AND WORLD HEALTH ORGANIZATION
I am delighted and happy that some of the Programs made on Infectious diseases PATIENT SAFETY, SAVE LIVES, Safety in the Intensive care units and Infectious diseases are endorsed by WORLD HEALTH ORGANIZATION and are utilized and used for Universal education to reduce the impact of infections on the Human behaviors, Hand hygiene continues to be a topic of priority. Many articles are in preparation for Universal distribution in PPT PDF and Word formats (through World Health Organization WHO) and Universities in the Developing and developed countries,
It is all possible with the support of many friends many Doctors Nursing and Paramedical professionals
I request all the friends to make many programs to bring in change how we deal with Infectious diseases the problem of Infection never bear the fruits unless we educate the paramedical Nursing professional with easily understood way,
Program file from the World Health Organization WHO is attached
Thanking all
Dr.T.V.Rao MD
Email @
doctortvrao@gmail.com
This document discusses the importance of proper hand washing and use of personal protective equipment (PPE) in healthcare settings. It provides objectives and a PICO question regarding the use of these practices reducing nosocomial infections. Background, history, guidelines and techniques for effective hand washing and proper PPE use are outlined. Statistics on healthcare-associated infections and the impact of these practices on costs, patient and healthcare worker health are also presented. Finally, challenges, research and conclusions supporting the use of hand washing and PPE to prevent infection spread are summarized.
Running head HAND HYGIENE 1HAND HYGIENE10Monitori.docxjeanettehully
Running head: HAND HYGIENE 1
HAND HYGIENE 10
Monitoring for Hand Hygiene Compliance and its Effectiveness at Preventing Healthcare-Associated Infections
Your Name
July 15, 2019
Monitoring for Hand Hygiene Compliance and its Effectiveness at Preventing Healthcare-Associated Infections
Despite the vast body of evidence that correlates proper hand hygiene practices amongst healthcare providers with a decrease in the incidence of healthcare-acquired infections (HAIs), or infections contracted during admission to a healthcare facility, recommended hand hygiene compliance (HHC) continues to be a challenge (Gupta, Gupta, & Bhaskar, 2018). This paper will explore the issue by providing a brief background, discussing the importance to this author, nurses, and the nursing profession, outlining a related clinical question, highlighting current research on the topic, and talking about how this topic can be implemented in nursing practice, both on an individual level, and on a systems level. This author will then present information on how to translate the importance of this issue to the client population through education.
Introduction, Significance, and Importance of Hand Hygiene
When discussing hand hygiene in healthcare, this author is referring to the rudimentary practice of healthcare providers, including nurses, either washing their hands with soap and water or using an antiseptic hand wash or rub, like an alcohol-based hand sanitizer. Centers for Disease Control and Prevention (CDC) (2018) recommends to clean hands before and after contact with clients, after touching items that are close to the client, before and after wearing gloves, after using the restroom, and before eating. Additionally, antiseptic rubs may not be used if the client has Clostridium difficile (CDC, 2018).
The importance of hand hygiene practices can be traced back to the days of Florence Nightingale, who championed the cause by promoting hand hygiene when nursing soldiers during the Crimean War. Despite this longstanding knowledge, HHC continues to be problematic, and potentially preventable HAIs are still occurring in healthcare today. It is estimated that healthcare providers are only washing their hands 50% of the times they should, which very well could be contributing to the one in 25 patients who acquire a HAI (CDC, 2018). In the United States, about 80,000 people die annually as a result of HAIs (McCalla, Reily, Thomas, & McSpedon-Rai, 2017). This author has cared for many patients who acquired HAIs. It is for these reasons that this author has chosen the topic as it impacts both the individual nurse and the nursing profession.
There are many reported reasons why healthcare providers remain out of compliance with recommended hand hygiene. Some identified by Gupta et al. (2018) include a lack of knowledge by the healthcare provider, hand hygiene products that are difficult to find, or placed in out-of-the-way locations, and emergent situations wh ...
This document describes the development of a new concept called "My five moments for hand hygiene" to standardize hand hygiene practices in healthcare. It was created using human factors design principles to be simple, clear and applicable across settings. The concept identifies five key moments when hand hygiene is necessary to prevent transmission of harmful germs: before touching a patient, before clean procedures, after body fluid exposure, after touching a patient, and after touching a patient's surroundings. This provides a unified framework for training, monitoring and reporting on hand hygiene compliance.
Literature Evaluation TableStudent Name Joyce NwakorPIC.docxcroysierkathey
Literature Evaluation Table
Student Name: Joyce Nwakor
PICOT Question: For patients and healthcare workers in the hospital (p) does hand washing protocol (I) compared to an alcohol-based solution (C) reduce hospital-acquired infection (O) within a period of stay in the hospital (T)
Criteria
Article 1
QUANT
Article 2
QUANT
Article 3
QUANT
Article 4
REVIEW
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
Daisy, V. T., & Sreedevi, T. R.
Link:
http://eds.a.ebscohost.com.lopes.idm.oclc.org/eds/detail/detail?vid=4&sid=72619044-c224-4bc5-9982-cf6c3953f7d2%40sessionmgr4007&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=110819455&db=ccm
Fox, C., Wavra, T., Drake, D. A., Mulligan, D., Bennett, Y. P., Nelson, C., … Bader, M. K. (2015). Use of a Patient Hand Hygiene Protocol to Reduce Hospital-Acquired Infections and Improve Nurses' Hand Washing. American Journal of Critical Care, 24(3), 216-224. doi:10.4037/ajcc2015898
Knighton, S. (2017). The Use of Instructional Technology to Increase Independent Patient Hand Hygiene Practice of Hospitalized Adults in an Acute Care Setting. Open Forum Infectious Diseases, 4(suppl_1), S411-S412. doi:10.1093/ofid/ofx163.1029
João Manuel Garcia do Nascimento Graveto, Rita Isabel Figueira Rebola, Elisabete Amado Fernandes, & Paulo Jorge dos Santos Costa. Link:
https://doi-org.lopes.idm.oclc.org/10.1590/0034-7167-2017-0239
Article Title and Year Published
Effectiveness of a Multi-Component Educational Intervention on Knowledge and Compliance with Hand Hygiene among Nurses in Neonatal Intensive Care Units. 2015Use of a Patient Hand Hygiene Protocol to Reduce Hospital-Acquired Infections and Improve Nurses' Hand Washing
Published May 2015
The Use of Instructional Technology to Increase Independent Patient Hand Hygiene Practice of Hospitalized Adults in an Acute Care Setting. Open Forum Infectious Diseases.
Published in 2017
Hand hygiene: nurses’ adherence after training.
2018
Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study
The study was aimed to assess the effectiveness of a multi-component educational intervention on the knowledge and compliance with handhygiene guidelines among nurses working in Neonatal Intensive Care Units.
The research investigated the reduction of infections in the hospital through observation of hand hygiene.
What handwashing procedures were performed by the medical personnel before patient contact part 1.
What is the level of effectiveness of training (I) in improving nurses’(P) adherence to hand hygiene(O)?”.
Design (Type of Quantitative, or Type of Qualitative)
A pre-experimental pre-test post-test design was adopted for the study. QUANT
Pre-experimental study design
. QUANT
A quantitative study was done using quasi observational data
Qualitative/ quantitative studies
This is a review
Setting/Sample
This study was conducted in 3 level III NICUs of selected private hospitals in Kerala
Total sample compri ...
This study examined the level of compliance with general precaution principles among employees working in the emergency rooms of selected hospitals in Mazandaran University of Medical Sciences in Iran. The researchers found that overall compliance was moderate, being highest for use of patient care equipment (78.1%) and lowest for hand washing (35.1%). Compliance varied significantly based on gender, profession, training, and other factors. The study concludes that compliance needs to improve to reduce risks of disease transmission given emergency room workers' high risk of exposure.
STUDY ON THE DEVELOPMENT STRATEGY OF HUZHOU TOURISMAJHSSR Journal
ABSTRACT: Huzhou has rich tourism resources, as early as a considerable development since the reform and
opening up, especially in recent years, Huzhou tourism has ushered in a new period of development
opportunities. At present, Huzhou tourism has become one of the most characteristic tourist cities on the East
China tourism line. With the development of Huzhou City, the tourism industry has been further improved, and
the tourism degree of the whole city has further increased the transformation and upgrading of the tourism
industry. However, the development of tourism in Huzhou City still lags far behind the tourism development of
major cities in East China. This round of research mainly analyzes the current development of tourism in
Huzhou City, on the basis of analyzing the specific situation, pointed out that the current development of
Huzhou tourism problems, and then analyzes these problems one by one, and put forward some specific
solutions, so as to promote the further rapid development of tourism in Huzhou City.
KEYWORDS:Huzhou; Travel; Development
Enhancing Losari Beach Exploration: Augmented Reality for Immersive Visualiza...AJHSSR Journal
ABSTRACT: South Sulawesi, commonly known as Makassar, boasts rich cultural heritage and customs,
making it a prominent destination for tourism. Among its attractions, Losari beach stands out as a focal point for
visitors seeking to explore the city's natural beauty and cultural offerings. In this context, leveraging modern
technology such as augmented reality presents an innovative approach to showcasing Losari beach to potential
tourists. This research endeavors to introduce tourism assets in a more visually captivating manner through the
use of augmented reality. Utilizing software tools like Unity and Adobe Illustrator, the study focuses on creating
an immersive experience where tourists can interact with virtual representations of Losari beach. By simply
pointing their mobile phone cameras at designated markers or using barcode scanners, tourists can access
augmented reality features embedded within the application. The findings of this research aim to provide
valuable information, particularly for foreign tourists, about Losari beach, positioning it as a compelling
destination within South Sulawesi's diverse array of tourist attractions. Through this technological innovation,
the study seeks to enhance the visibility and appeal of Makassar city's tourism offerings on a global scale.
KEYWORDS: Visualizing, Losari Beach, Augmented Reality
DEVELOPMENT STATUS AND COUNTERMEASURES OF TMALL DURING THE COVID-19 EPIDEMICAJHSSR Journal
ABSTRACT:China's e-commerce enterprises have developed rapidly, among which Tmall has become one of
the largest retail shopping websites in China.But in the past year, the Covid-19 epidemic has brought a huge
impact to Chinese e-commerce enterprises, and Tmall is no exception.Therefore, the development status of
Tmall in the new crown epidemic situation was analyzed, and the viewpoint was put forward :Tmall1 stabilized
the situation in the face of the epidemic situation and made a very correct countermeasures.The influence of this
epidemic on Tmall was deeply analyzed, and the conclusion was made: the new crown epidemic is both a
challenge and an opportunity forTmall.
KEYWORDS:Tmall; COVID - 19 outbreak ; The electronic commerce
Factors affecting undergraduate students’ motivation at a university in Tra VinhAJHSSR Journal
ABSTRACT: Motivation plays an important role in foreign language learning process. This study aimed to
investigate student’s motivation patterns towards English language learning at a University in Tra Vinh, and factors
affecting their motivation change toward English language learning of non-English-major students in the semester.
The researcher used semi-structured interview at the first phase of choosing the participants and writing reflection
through the instrument called “My English Learning Motivation History” adapted from Sawyer (2007) to collect
qualitative data within 15 weeks. The participants consisted of nine first year non-English-major students who learning
General English at pre-intermediate level. They were chosen and divided into three groups of three members each
(high motivation group; average motivation group; and low motivation group). The results of the present study
identified six visual motivation patterns of three groups of students with different motivation fluctuation, through the
use of cluster analysis. The study also indicated a diversity of factors affecting students’ motivation involving internal
factors as influencing factors (cognitive, psychology, and emotion) and external factors as social factors (instructor,
peers, family, and learning environment) during English language learning in a period of 15 weeks. The findings of
the study helped teacher understand relationship of motivation change and its influential factors. Furthermore, the
findings also inspired next research about motivation development in learning English process.
KEY WORDS: language learning motivation, motivation change, motivation patterns, influential factors, students’
motivation.
The Impact of Work Stress and Digital Literacy on Employee Performance at PT ...AJHSSR Journal
ABSTRACT :This research aims to analyze the correlation between employee work stress and digital literacy
with employee performance at PT Telkom Akses Area Cirebon, both concurrently and partially. Employing a
quantitative approach, the study's objectives are descriptive and causal, adopting a positivist paradigm with a
deductive approach to theory development and a survey research strategy. Findings reveal that work stress
negatively and significantly impacts employee performance, while digital literacy positively and significantly
affects it. Simultaneously, work stress and digital literacy have a positive and significant influence on employee
performance. It is anticipated that company management will devise workload management strategies to
alleviate work stress and assess the implementation of more efficient digital technology to enhance employee
performance.
KEYWORDS -digital literacy, employee performance,job stress, multiple regression analysis, workload
management
More Related Content
Similar to PRACTICE OF FIVE MOMENTS OF HAND HYGIENE AMONGTHE NURSES IN SELECTED HOSPITALS IN UAE
This study aimed to identify predictors of hand hygiene practice among Saudi nursing students. A survey of 198 nursing students assessed their knowledge, attitudes, and practices of hand hygiene. The students demonstrated moderate knowledge but most had moderate attitudes toward hand hygiene. Having a good attitude, being male, awareness that hand hygiene prevents infections, attending trainings, and being at a lower academic level predicted better hand hygiene practices. The study emphasizes the importance of ensuring positive attitudes and awareness to improve hand hygiene.
10 latest healthcare hand hygiene findings.By.Dr.Mahboob ali khan Phd Healthcare consultant
Hand hygiene is a key aspect of improving healthcare quality and reducing infection rates. Here are 10 most recent findings on hand hygiene.Peer pressure may be more effective than the promise of a cash bonus in improving hand hygiene compliance rates, according to a study detailed in a Harvard Business Review article.
Running Head HEALTH PROBLEMS IN U.S.A 1 HEALTH PROBLEMS I.docxwlynn1
Running Head: HEALTH PROBLEMS IN U.S.A
1
HEALTH PROBLEMS IN U.S.A
8
HEALTH PROBLEM IN U.S.A AND OTHER NATIONS
Student’s Name:
Institution:
Instructor:
Date:
Abstract
This paper addresses the cognitive abilities that enhance hand hygiene acquiescence while backing the inhibition of healthcare associated to the contagions and how they have been widely acknowledged. It is also acknowledged that great hand cleanliness alone cannot impress difficult risk influences, such as elder age, immune-suppression, entrance fee to the serious care part, a lengthier span of stay, and indwelling strategies. The participants used in this study were selected from were randomly selected from public places through observation of their actions and how they took care of their hands especially before eating, after eating and also engaging in hand cleanness in public places. The main methods used for the research are qualitative studies through the use of observation models. In sum, it was found that hand sanitation involvements are concomitantly assumed with other monotonous or superior preventive approaches, there are a probable for these simultaneous policies to confuse the result of the hand sanitation package. Therefore, the direct comment of hand cleanliness likelihoods and movements; microelectronic nursing of hand hygiene actions and valuation of liquor created hand rub ingesting strength also be used as accidental methods and supernumerary indicators. In addition to these studies specifically focused on hand hygiene treatments, hand hygiene was in the center of numerous studies applying broader transmission control treatments and demonstrating the effect on healthcare-associated infection rates. So, hand hygiene is the fundamental part of proper recommendations for the prevention of the most common healthcare-associated infections.
Keywords: hand hygiene, hand sanitation, qualitative studies
Significance and Background of the Study
The study is significant because it will have an impact on improving the healthcare and also the welfare of the poor populations in terms of improving their health. Therefore, those with previous illness situations anxiety that they might lose assurance attention if they modification occupations. Central income person terror that decrease insurance welfares might energy them to recompense extra and more of the prices of health care, accumulative their unwillingness to search for maintenance when they necessity it. Urged in portion by the misconduct assurance crisis, obstetrical amenities are described to be in small source in certain areas. Inhabitants of this nation's rural zones are aggressive a hard fight to save hospitals exposed so that, at a smallest, they consume admission to alternative facilities and vital main care. To evade consuming to admit extra room patients who might not have assurance, mounting numbers of clinics have stopped offering crisis amenities.
This study was informed by a number of factors suc.
This document describes a study conducted at a neurorehabilitation hospital to decrease hospital-acquired infections through improved hand hygiene. The study educated both healthcare staff and patients on proper hand hygiene. Patients were taught to wash their hands at four key times during the day and were empowered to ask staff and visitors if they had washed their hands. This led to patients acting as "watchdogs" to help enforce hand hygiene compliance. Through educating both patients and staff, the study aimed to decrease infections by cutting transmission routes and forming lifelong healthy habits. Preliminary results showed no negative effects, and the low-cost interventions could have significant benefits for patient health outcomes and healthcare costs.
Hospital acquired infections are a major problem, accounting for $10 billion in healthcare costs annually in the US. Proper hand hygiene is one of the most effective ways to prevent the spread of infections like MRSA and other pathogens in healthcare settings. However, handwashing compliance among healthcare workers is low. The introduction of alcohol-based hand rubs has significantly increased hand hygiene frequency and compliance compared to handwashing with soap and water alone due to being faster, more convenient and better tolerated on skin. Increased hand hygiene is critical for reducing healthcare associated infections and improving patient outcomes.
knowledge and practice of needle stick Dr. Gawad AlwabrYemen .pdfDr. Gawad Alwabr
This study assessed the knowledge and practices of nurses in Sana'a, Yemen regarding needlestick injury prevention measures. A survey of 259 nurses found that 44% had poor knowledge of prevention measures and 76.5% had poor practices. The level of knowledge was significantly associated with gender and hospital, while practices did not significantly vary by demographics. Needlestick injuries were commonly reported, with 37.5% of nurses experiencing one in the last 6 months, but most injuries went unreported. The results indicate that knowledge and prevention practices among nurses need to be improved through education programs.
C361 TASK 2 2
C361 TASK 2 2
C361 Task 2
WGU
Evidence-Based Practice and Applied Nursing Research
C361
Eve Butler
July 28, 2019
Running head: C361 TASK 2 2
C361 Task 2
A.1 Healthcare problem
Worldwide estimates have shown that greater than 1.4 million patients have acquired nosocomial infections. Adherence to hand hygiene policies are shown to be the most effective way to help prevent these healthcare-associated infections; sadly research shows that healthcare workers have suboptimal compliance with their facilities hand hygiene policies due to lack of education and compliance monitoring. Patients in our healthcare settings are under the assumption that we are doing our best to promote their healing when in fact 7% of them will be subjected to a nosocomial infection with that rate climbing to 10% in developing countries (Finco et al., 2018).
A.2 Significance of the problem
The cost of care that is associated with nosocomial infections is estimated to be over ten billion dollars putting a burden on both patients and health organizations alike. It is estimated that 38% of all infections are caused by cross-contamination due to noncompliance with hand hygiene policies. These infections lead to approximately 99,000 deaths a year in the United States alone (Sickbert-Bennett et al., 2016).
A.3 Current healthcare practices related to the problem
Most healthcare facilities have an educational program that simply teaches how to achieve proper hand hygiene and use the WHO five moments of hand hygiene as their standard. However, this does not educate the healthcare workers on why it is important, nor does it address the far-reaching consequences for noncompliance. Along with the lack of foundational education, most facilities do not monitor for compliance.
A.4 How the problem affects the organization and patients’ cultural background
Inadequate hand hygiene leading to nosocomial infections can affect the organization's cultural background by leading to dissatisfaction in the workplace as staff becomes frustrated by their feelings of inadequacy and helplessness in dealing with patients getting sicker instead of better. The staff may also be feeling stress in the burden of caring for sicker patients. The patient's cultural background may be affected as they may be feeling despair or depression at their inability to get better, and some may feel it is punishment according to their cultural or religious beliefs.
B. Two research evidence sources and two non-research evidence sources considered
In searching for my research evidence sources, I start with the Western Governors University Library online. Once in the library, a boolean phrase was used, which allowed me to search for research articles that contain more than one topic in the same paper. Phrases I used in this search were “nosocomial infections,” “hand hygiene compliance,” and “ hand hygiene education.” With these phrases, thousands of articles were available to peruse.
One of the res.
The study investigated the effects of hand hygiene awareness interventions on healthcare worker compliance and hospital-acquired infection rates. Audits found that compliance rates were initially high but decreased without regular interventions like monthly newsletters, trainings, and competitions between hospital units. Maintaining these types of consistent reminders is necessary to continuously reduce infection rates, as high compliance correlates with lower rates of hospital-acquired infections, including those from multidrug-resistant organisms. Constant vigilance through ongoing interventions is required to sustain proper hand hygiene practices among healthcare workers.
The document discusses occupational exposure to blood and body fluids among healthcare workers, including specific cases of exposure and infection. It examines the risks, causes, and costs of needlestick injuries as well as strategies for prevention through safer devices and protocols for management of exposures. The majority of exposures occur due to lack of safety mechanisms and improper disposal of needles and sharps.
Running head LITERATURE REVIEWLITERATURE REVIEWLiteratu.docxcowinhelen
Running head: LITERATURE REVIEW
LITERATURE REVIEW
Literature Review: Hand washing and Hospital-Associated Infections
Name
Walden University
Course Name
April 3, 2016
Literature Review: Hand washing and Hospital-Associated Infections
Most Hospital associated infections are alleged to be transmitted via the hands of Healthcare providers mainly through direct contact when the medical practitioner’s hands transfer the pathogens between individuals or between an environmental reservoir and an individual (Al-Khawaldeh, Al-Hussami, & Darawad, 2015). The purpose of this study is to find out whether there is sufficient evidence to indicate whether there is need for further research on hand washing with regards to the infections that patients are susceptible to in the case of contaminated contact. The evidence from the various studies and nursing journals were carefully assessed to ensure that salient information regarding the research study area were present and were relevant to the study. The researcher took into consideration the ethical issues that are involved in research. The identities of the sample population were not released at any given time and they gave consent for the use of the information retrieved from them (Newcomb, 2010). Furthermore, most of the information used was from journal articles that allow for others to reference the works and findings of the research and, thus, the researcher could include the research material in the literature review (Fouka & Mantzorou, 2011).
Synthesis on the Current State of Knowledge
Despite the relative simplicity of hand hygiene procedure, the adherence rates to the standard recommendations remain unacceptably low; well below 50% (Bukhari et al., 2011). The reasons for non-compliance with hand washing are low staff to patient ratios, lack of appropriate hand washing equipment, insufficient knowledge about risks and procedures, allergies to some hand washing products, the casual attitude of healthcare practitioners (HCPs) and time factors (Pfoh, Dy, & Engineer, 2013). Patients are likely to suffer infections that arise from inconsistent hygiene practices especially those that are supposed to undergo an operation and have undergone a surgical operation.
The United Stated Department of Infectious Diseases estimated the incidence of hospital-acquired infections by 4.5% and with a 5% fatality in 2014 translating to a huge economic impacts (Al-Khawaldeh et al., 2015). One of the main contradictions is the fact that; despite the numerous hand washing guidelines that have been adopted by a majority of health facilities, the compliance by the health care providers remains low despite the practice being one of the simplest and most effective ways of preventing hospital-acquired infections (Bukhari et al., 2011). Some studies point of knowledge, attitude and practice as the primary factors affecting hand hygiene practices while other researches show that even if the healthcare workers from ...
THANK YOU ALL AND WORLD HEALTH ORGANIZATION
I am delighted and happy that some of the Programs made on Infectious diseases PATIENT SAFETY, SAVE LIVES, Safety in the Intensive care units and Infectious diseases are endorsed by WORLD HEALTH ORGANIZATION and are utilized and used for Universal education to reduce the impact of infections on the Human behaviors, Hand hygiene continues to be a topic of priority. Many articles are in preparation for Universal distribution in PPT PDF and Word formats (through World Health Organization WHO) and Universities in the Developing and developed countries,
It is all possible with the support of many friends many Doctors Nursing and Paramedical professionals
I request all the friends to make many programs to bring in change how we deal with Infectious diseases the problem of Infection never bear the fruits unless we educate the paramedical Nursing professional with easily understood way,
Program file from the World Health Organization WHO is attached
Thanking all
Dr.T.V.Rao MD
Email @
doctortvrao@gmail.com
This document discusses the importance of proper hand washing and use of personal protective equipment (PPE) in healthcare settings. It provides objectives and a PICO question regarding the use of these practices reducing nosocomial infections. Background, history, guidelines and techniques for effective hand washing and proper PPE use are outlined. Statistics on healthcare-associated infections and the impact of these practices on costs, patient and healthcare worker health are also presented. Finally, challenges, research and conclusions supporting the use of hand washing and PPE to prevent infection spread are summarized.
Running head HAND HYGIENE 1HAND HYGIENE10Monitori.docxjeanettehully
Running head: HAND HYGIENE 1
HAND HYGIENE 10
Monitoring for Hand Hygiene Compliance and its Effectiveness at Preventing Healthcare-Associated Infections
Your Name
July 15, 2019
Monitoring for Hand Hygiene Compliance and its Effectiveness at Preventing Healthcare-Associated Infections
Despite the vast body of evidence that correlates proper hand hygiene practices amongst healthcare providers with a decrease in the incidence of healthcare-acquired infections (HAIs), or infections contracted during admission to a healthcare facility, recommended hand hygiene compliance (HHC) continues to be a challenge (Gupta, Gupta, & Bhaskar, 2018). This paper will explore the issue by providing a brief background, discussing the importance to this author, nurses, and the nursing profession, outlining a related clinical question, highlighting current research on the topic, and talking about how this topic can be implemented in nursing practice, both on an individual level, and on a systems level. This author will then present information on how to translate the importance of this issue to the client population through education.
Introduction, Significance, and Importance of Hand Hygiene
When discussing hand hygiene in healthcare, this author is referring to the rudimentary practice of healthcare providers, including nurses, either washing their hands with soap and water or using an antiseptic hand wash or rub, like an alcohol-based hand sanitizer. Centers for Disease Control and Prevention (CDC) (2018) recommends to clean hands before and after contact with clients, after touching items that are close to the client, before and after wearing gloves, after using the restroom, and before eating. Additionally, antiseptic rubs may not be used if the client has Clostridium difficile (CDC, 2018).
The importance of hand hygiene practices can be traced back to the days of Florence Nightingale, who championed the cause by promoting hand hygiene when nursing soldiers during the Crimean War. Despite this longstanding knowledge, HHC continues to be problematic, and potentially preventable HAIs are still occurring in healthcare today. It is estimated that healthcare providers are only washing their hands 50% of the times they should, which very well could be contributing to the one in 25 patients who acquire a HAI (CDC, 2018). In the United States, about 80,000 people die annually as a result of HAIs (McCalla, Reily, Thomas, & McSpedon-Rai, 2017). This author has cared for many patients who acquired HAIs. It is for these reasons that this author has chosen the topic as it impacts both the individual nurse and the nursing profession.
There are many reported reasons why healthcare providers remain out of compliance with recommended hand hygiene. Some identified by Gupta et al. (2018) include a lack of knowledge by the healthcare provider, hand hygiene products that are difficult to find, or placed in out-of-the-way locations, and emergent situations wh ...
This document describes the development of a new concept called "My five moments for hand hygiene" to standardize hand hygiene practices in healthcare. It was created using human factors design principles to be simple, clear and applicable across settings. The concept identifies five key moments when hand hygiene is necessary to prevent transmission of harmful germs: before touching a patient, before clean procedures, after body fluid exposure, after touching a patient, and after touching a patient's surroundings. This provides a unified framework for training, monitoring and reporting on hand hygiene compliance.
Literature Evaluation TableStudent Name Joyce NwakorPIC.docxcroysierkathey
Literature Evaluation Table
Student Name: Joyce Nwakor
PICOT Question: For patients and healthcare workers in the hospital (p) does hand washing protocol (I) compared to an alcohol-based solution (C) reduce hospital-acquired infection (O) within a period of stay in the hospital (T)
Criteria
Article 1
QUANT
Article 2
QUANT
Article 3
QUANT
Article 4
REVIEW
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
Daisy, V. T., & Sreedevi, T. R.
Link:
http://eds.a.ebscohost.com.lopes.idm.oclc.org/eds/detail/detail?vid=4&sid=72619044-c224-4bc5-9982-cf6c3953f7d2%40sessionmgr4007&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=110819455&db=ccm
Fox, C., Wavra, T., Drake, D. A., Mulligan, D., Bennett, Y. P., Nelson, C., … Bader, M. K. (2015). Use of a Patient Hand Hygiene Protocol to Reduce Hospital-Acquired Infections and Improve Nurses' Hand Washing. American Journal of Critical Care, 24(3), 216-224. doi:10.4037/ajcc2015898
Knighton, S. (2017). The Use of Instructional Technology to Increase Independent Patient Hand Hygiene Practice of Hospitalized Adults in an Acute Care Setting. Open Forum Infectious Diseases, 4(suppl_1), S411-S412. doi:10.1093/ofid/ofx163.1029
João Manuel Garcia do Nascimento Graveto, Rita Isabel Figueira Rebola, Elisabete Amado Fernandes, & Paulo Jorge dos Santos Costa. Link:
https://doi-org.lopes.idm.oclc.org/10.1590/0034-7167-2017-0239
Article Title and Year Published
Effectiveness of a Multi-Component Educational Intervention on Knowledge and Compliance with Hand Hygiene among Nurses in Neonatal Intensive Care Units. 2015Use of a Patient Hand Hygiene Protocol to Reduce Hospital-Acquired Infections and Improve Nurses' Hand Washing
Published May 2015
The Use of Instructional Technology to Increase Independent Patient Hand Hygiene Practice of Hospitalized Adults in an Acute Care Setting. Open Forum Infectious Diseases.
Published in 2017
Hand hygiene: nurses’ adherence after training.
2018
Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study
The study was aimed to assess the effectiveness of a multi-component educational intervention on the knowledge and compliance with handhygiene guidelines among nurses working in Neonatal Intensive Care Units.
The research investigated the reduction of infections in the hospital through observation of hand hygiene.
What handwashing procedures were performed by the medical personnel before patient contact part 1.
What is the level of effectiveness of training (I) in improving nurses’(P) adherence to hand hygiene(O)?”.
Design (Type of Quantitative, or Type of Qualitative)
A pre-experimental pre-test post-test design was adopted for the study. QUANT
Pre-experimental study design
. QUANT
A quantitative study was done using quasi observational data
Qualitative/ quantitative studies
This is a review
Setting/Sample
This study was conducted in 3 level III NICUs of selected private hospitals in Kerala
Total sample compri ...
This study examined the level of compliance with general precaution principles among employees working in the emergency rooms of selected hospitals in Mazandaran University of Medical Sciences in Iran. The researchers found that overall compliance was moderate, being highest for use of patient care equipment (78.1%) and lowest for hand washing (35.1%). Compliance varied significantly based on gender, profession, training, and other factors. The study concludes that compliance needs to improve to reduce risks of disease transmission given emergency room workers' high risk of exposure.
Similar to PRACTICE OF FIVE MOMENTS OF HAND HYGIENE AMONGTHE NURSES IN SELECTED HOSPITALS IN UAE (17)
STUDY ON THE DEVELOPMENT STRATEGY OF HUZHOU TOURISMAJHSSR Journal
ABSTRACT: Huzhou has rich tourism resources, as early as a considerable development since the reform and
opening up, especially in recent years, Huzhou tourism has ushered in a new period of development
opportunities. At present, Huzhou tourism has become one of the most characteristic tourist cities on the East
China tourism line. With the development of Huzhou City, the tourism industry has been further improved, and
the tourism degree of the whole city has further increased the transformation and upgrading of the tourism
industry. However, the development of tourism in Huzhou City still lags far behind the tourism development of
major cities in East China. This round of research mainly analyzes the current development of tourism in
Huzhou City, on the basis of analyzing the specific situation, pointed out that the current development of
Huzhou tourism problems, and then analyzes these problems one by one, and put forward some specific
solutions, so as to promote the further rapid development of tourism in Huzhou City.
KEYWORDS:Huzhou; Travel; Development
Enhancing Losari Beach Exploration: Augmented Reality for Immersive Visualiza...AJHSSR Journal
ABSTRACT: South Sulawesi, commonly known as Makassar, boasts rich cultural heritage and customs,
making it a prominent destination for tourism. Among its attractions, Losari beach stands out as a focal point for
visitors seeking to explore the city's natural beauty and cultural offerings. In this context, leveraging modern
technology such as augmented reality presents an innovative approach to showcasing Losari beach to potential
tourists. This research endeavors to introduce tourism assets in a more visually captivating manner through the
use of augmented reality. Utilizing software tools like Unity and Adobe Illustrator, the study focuses on creating
an immersive experience where tourists can interact with virtual representations of Losari beach. By simply
pointing their mobile phone cameras at designated markers or using barcode scanners, tourists can access
augmented reality features embedded within the application. The findings of this research aim to provide
valuable information, particularly for foreign tourists, about Losari beach, positioning it as a compelling
destination within South Sulawesi's diverse array of tourist attractions. Through this technological innovation,
the study seeks to enhance the visibility and appeal of Makassar city's tourism offerings on a global scale.
KEYWORDS: Visualizing, Losari Beach, Augmented Reality
DEVELOPMENT STATUS AND COUNTERMEASURES OF TMALL DURING THE COVID-19 EPIDEMICAJHSSR Journal
ABSTRACT:China's e-commerce enterprises have developed rapidly, among which Tmall has become one of
the largest retail shopping websites in China.But in the past year, the Covid-19 epidemic has brought a huge
impact to Chinese e-commerce enterprises, and Tmall is no exception.Therefore, the development status of
Tmall in the new crown epidemic situation was analyzed, and the viewpoint was put forward :Tmall1 stabilized
the situation in the face of the epidemic situation and made a very correct countermeasures.The influence of this
epidemic on Tmall was deeply analyzed, and the conclusion was made: the new crown epidemic is both a
challenge and an opportunity forTmall.
KEYWORDS:Tmall; COVID - 19 outbreak ; The electronic commerce
Factors affecting undergraduate students’ motivation at a university in Tra VinhAJHSSR Journal
ABSTRACT: Motivation plays an important role in foreign language learning process. This study aimed to
investigate student’s motivation patterns towards English language learning at a University in Tra Vinh, and factors
affecting their motivation change toward English language learning of non-English-major students in the semester.
The researcher used semi-structured interview at the first phase of choosing the participants and writing reflection
through the instrument called “My English Learning Motivation History” adapted from Sawyer (2007) to collect
qualitative data within 15 weeks. The participants consisted of nine first year non-English-major students who learning
General English at pre-intermediate level. They were chosen and divided into three groups of three members each
(high motivation group; average motivation group; and low motivation group). The results of the present study
identified six visual motivation patterns of three groups of students with different motivation fluctuation, through the
use of cluster analysis. The study also indicated a diversity of factors affecting students’ motivation involving internal
factors as influencing factors (cognitive, psychology, and emotion) and external factors as social factors (instructor,
peers, family, and learning environment) during English language learning in a period of 15 weeks. The findings of
the study helped teacher understand relationship of motivation change and its influential factors. Furthermore, the
findings also inspired next research about motivation development in learning English process.
KEY WORDS: language learning motivation, motivation change, motivation patterns, influential factors, students’
motivation.
The Impact of Work Stress and Digital Literacy on Employee Performance at PT ...AJHSSR Journal
ABSTRACT :This research aims to analyze the correlation between employee work stress and digital literacy
with employee performance at PT Telkom Akses Area Cirebon, both concurrently and partially. Employing a
quantitative approach, the study's objectives are descriptive and causal, adopting a positivist paradigm with a
deductive approach to theory development and a survey research strategy. Findings reveal that work stress
negatively and significantly impacts employee performance, while digital literacy positively and significantly
affects it. Simultaneously, work stress and digital literacy have a positive and significant influence on employee
performance. It is anticipated that company management will devise workload management strategies to
alleviate work stress and assess the implementation of more efficient digital technology to enhance employee
performance.
KEYWORDS -digital literacy, employee performance,job stress, multiple regression analysis, workload
management
The Settlement of Construction Disputes Through Dispute Councils From the Per...AJHSSR Journal
ABSTRACT:This research differs from the practice of business activity in the construction services industry,
which may lead to construction disputes. The settlement of construction disputes is a consensus based on the
basic principle of debate. If the discussions between the parties do not reach an agreement, the parties may take
measures to resolve the dispute through the dispute council. Because the standard governing the disputes
committee was not fully regulated, they did not comply with the principle of legal certainty. Therefore, further
research was needed to establish a theoretical basis for regulating the disputes committee in settling construction
disputes. This research is a standard legal research using a legal regulatory, conceptual, and comparative
approach. The research results show that the ideal concept of resolving construction disputes through a dispute
council based on the value of legal certainty is to establish that the position of the dispute council is a special
court that has the authority to resolve construction disputes under construction services agreements. To realize
the position of the Court of Disputation as a special court, it must be based on the creation of philosophical
values, the creationof legislative regulations, and the creation of the institutional structure of the Court of
Disputation.
KEYWORDS-Construction Disputes, Dispute Council, Special Court
VALUES OF ORAL LITERATURE IN THE SOCIETY: A STUDY OF FOLKTALES OFOGBA IN RIVE...AJHSSR Journal
ABSTRACT : Oral literature is a creative work of art that portends high merit and has the creative use of
imagination in preliterate societies. It adopts the genres of literature: drama, prose and poetry in the oral milieu,
using performance as its hallmark. It thrives on the use of oral data because of its orality. This paper focuses on
the moral values or oral literature in the society using Ogba as a spring board. The study was carried out in
communities ofOgba. The population of the study consists of ten towns and village, in Ogba. The theoretical
framework used is Dell Hyme’s ethno-poetics because the works of oral literature relate to the society. This
paper concludes that oral literature serves to against all odds; communicate ideas, emotions, beliefs and
appreciation of life. The folktales in Ogba for instance, serve similar purpose through their
rendition/performance. Through the stories, the younger generation in Ogba society is familiarised with the
customs, traditions, and rituals prevalent in the society. This paper therefore recommends the use of oral
literature in all its genres to inculcate moral values and lessons to the teenagers and youths. Against this
background, Ogba (African) themselves must cease to regard oral literature as primitive and fetish.
KEYWORDS: Values, Oral Literature, Society, Ogba, Folktales
Pormalistikong Pagdalumat sa mga Tula ni Ron CanimoAJHSSR Journal
ABSTRACT: Nilayon ng pag-aaral na ito na masuri ang dalawampung (20) tula ni Ron Canimo gamit ang
pormalistikong dulog batay sa mga sumusunod na elemento: (a) Sukat at Tugma, (b) Talinghaga at
Simbolismo, (c) Imahen, (d) Tema, at (e) Diksiyon. Layunin din nitong mataya ang antas ng pagtanggap ng
ginawang pagsusuri gamit ang nabuong instrumento sa pagtataya nito. Sinunod dito ang Input-Process-Output
na balangkas ng pag-aaral at ginamitan ng kwantitatib-deskriptib-ebalwatib na pamamaraan. Sa pamamagitan
ng talatanungang ibinatay sa ginamit ni Morales (2014) na naimodipika ayon sa kahingian ng kasalukuyang
pag-aaral, tatlong (3) gurong eksperto ang nagsilbing tagataya dito na siyang tumiyak sa kahusayan ng nabuong
pagsusuri ng mananaliksik. Gamit ang Content Analysis, natuklasan na makabagong pamamaraan ang istilo na
ginamit ni Ron Canimo sa pagsulat ng mga tula. Lahat ng kanyang mga tula ay walang sinusunod na sukat at
tugma, may iba‟t ibang tayutay at simbolismong ginamit, magkaibang pandama ang pinagana dahil sa mga
imahe at paglalarawang ginawa, iba‟t ibang uri ng pag-ibig ang tinalakay at gumamit ng pormal, impormal o
kumbersasyonal na wika at makabagong istilo sa pagsulat ng tula. Gamit ang mean at standard deviation,
lumabas na “Mataas” ang antas ng pagtanggap sa kabuuan ng mga gurong eksperto na tumaya sa nabuong
pagsusuri. Lumabas din na “Mataas” ang antas ng kanilang pagtanggap sa nabuong pagsusuri batay sa mga
sumusunod na elemento: (a) Sukat at Tugma, (b) Talinghaga at Simbolismo, (c) Imahen, (d) Tema, at (e)
Diksiyon. Mula sa natayang pagsusuri at kinalabasan ng antas ng pagtanggap dito, naitala ang mga paksa sa
Junior High School Filipino na maaaring lapatan at gamitan ng nabuong pagsusuri.
KEYWORDS: Kumbensyunal, Pagdalumat, Pormalistiko, Ron Canimo, Tula
SCHOOL CULTURE ADAPTATION AMONG INDIGENOUS PEOPLES COLLEGE STUDENTS AT A PRIV...AJHSSR Journal
ABSTRACT: This qualitative study investigates the adaption experiences of indigenous college students at the
University of Mindanao, Matina-main campus. Eight major themes emerged, including difficulties with language
proficiency, online learning, classroom interaction, examination systems, grading procedures, school regulations,
resource accessibility, coping mechanisms, and future goals. Implications include the requirement for targeted
language proficiency and technology use support, an understanding of adaption processes, interventions to
improve resource accessibility, and equitable public administration policies. The study underlines the importance
of adaptation in various educational contexts, as well as the role of educators and legislators in creating inclusive
learning environments.
KEYWORDS: indigenous college students, adaptation, educational challenges, coping strategies
The effect of Institutional Ownership, Sales Growth and Profitability on Tax ...AJHSSR Journal
ABSTRACT: This research aims to test, analyze and obtain empirical evidence about the influence of
institutional ownership, sales growth and profitability on tax avoidance. The object of this research is
manufacturing companies in the consumer goods industry sector listed on the Indonesia Stock Exchange (BEI)
in 2018-2022. This research used quantitative research methods and causal research design. The sampling
technique in this research used non-probability sampling with purposive sampling as the basis for determining
the sample so that a sample of 55 samples was obtained. The data used is secondary data obtained from the
official website of the Indonesia Stock Exchange (BEI) during the 2018-2022 period. The data analysis method
used was multiple linear regression analysis with several tests such as descriptive statistical tests, classical
assumption tests, and hypothesis testing using SPSS version 26 statistical software. The results showed that the
institutional ownership variable has no effect on tax avoidance, while the sales growth and profitability has a
negative and significant effect on tax avoidance.
KEYWORDS: Institutional Ownership, Sales Growth, Profitability, Tax Avoidance
MGA ESTRATEHIYA SA PAGTUTURO KAUGNAY SA PASALITANG PARTISIPASYON NG MGA MAG-A...AJHSSR Journal
ABSTRAK: Ang mga estratehiya sa pagtuturo ay mahalagang kasangkapan sa paghahatid ng mabisang
pagtuturo sa loob ng silid. Tinukoy sa pag-aaral na ito ang antas ng kagustuhan ng mga mag-aaral sa pagsasadula,
pangkatang talakayan at paggawa ng mga koneksyon sa tunay na karanasan sa buhay bilang mga estratehiya sa
pagtuturo ng panitikan sa Filipino at pasalitang partisipasyon ng mga mag-aaral sa Baitang 7 ng Misamis
University Junior High School, Ozamiz City. Ang ginamit na disenyo sa pananaliksik na ito ay deskriptivcorrelational. Ang mga datos sa pag-aaral ay nagmula sa kabuuang populasyon na 120 na mag-aaral at tatlong
mga guro na tagamasid sa pasalitang partisipasyon ng mga mag-aaral. Ang Talatanungan sa Kagamitan sa
Pagtuturo ng Panitikan at Checklist batay sa Obserbasyon sa Pasalita na Partisipasyon ay ang instrumentong
ginamit sa pagkalap ng datos. Mean, standard deviation, Analysis of Variance at Pearson Product-Moment
Correlation Coefficient ang mga ginamit na estatistiko na sangkap. Inihayag sa naging resulta na ang tatlong piling
estratehiya sa pagtuturo ng panitikan sa Filipino ay may pinakamataas na antas ng kagustuhan ng mga mag-aaral.
Ang antas ng pakilahok ng mga mag-aaral sa paggamit ng tatlong estratehiya sa pagtuturo ng panitikan ay
pinakamataas na nagpapahiwatig na aktibong nakilahok ang mga mag-aaral sa mga gawain. Inihayag din na
walang makabuluhang kaibahan sa antas ng kagustuhan ng mga mag-aaral sa mga estratehiya sa pagtuturo ng
panitikan sa Filipino. Ito ay nangahulugan na gustong-gusto ng mga mag-aaral ang pagkakaroon ng mga
estratehiya sa pagtuturo. Walang makabuluhang kaugnayan ang kagustuhan sa mga estratehiya at antas ng
pakikilahok ng mga mag-aaral. Hindi nakaapekto sa kanilang pakikilahok ang anumang estratehiyang ginamit ng
guro.
KEYWORDS : estratehiya, karanasan, pagsasadula, pagtuturo, pangkatang talakayan
The Role of the Instruction of Reading Comprehension Strategies in Enhancing ...AJHSSR Journal
ABSTRACT :Throughout my studies and teaching English in different language centers and higher studies
institutions, I have come to conclude that students consider Reading comprehension as a nightmare that
frightens them and hinders their language acquisition in the Moroccan EFL Context. This may cause them to
develop an internal psychological obstacle that grows as their lack of the necessary instruments or tools to
overcome are not equipped with. They become lost and unaware about or unfamiliar with the necessary reading
comprehension strategies that could help them to face the problem of misunderstanding or non-understanding
of English texts. Respectively, this article which is only one part of my whole study aims at showing the effect
of teaching reading strategies in enhancing the S1 students‟ familiarity with reading strategies and raising their
frequency use. A sample of 283 University students in EFL context have been chosen randomly and have
attended the usual academic reading classes, yet only 76 are subject to this survey. 38 of them constitute the
experimental group who have attended the treatment regularly in one of the language centers and the other 38
participants are chosen randomly from the whole population to constitute the Control group. They all have
Psychosocial Factors and Deviant Behaviors of Children in Conflict with the L...AJHSSR Journal
ABSTRACT:This study aims to determine the relationship between psychosocialfactors and deviant
behaviors among children in conflict with the law (CICL) inDavao Region. The researchers want to discover the
prevalent factors thatdrive these children to their behaviors. Further, the study sought to determinethe
manifestation of psychosocial factors in terms of life satisfaction, emotionalsupport, self-esteem, and personality
traits. The study's data came from N-83children in conflict with the law (CICL) at the Regional Rehabilitation
Center forYouth (RRCY) in Bago Oshiro, Davao City; all respondents are male. This studyused a total
enumeration sampling technique due to the relatively smallpopulation size. The researchers adapted the
Psychosocial surveyquestionnaires by Zabriskie & Ward (2013) and by John and Srivastava (1999)as well as the
Deviant Behavior Variety Scale (DBVS) by Sanches et al. (2016).Through the use of a validated questionnaire,
the mean and standard deviationare determined. The researchers modified this questionnaire and translated itinto
the respondents' mother tongue (Cebuano) for them to comprehend itbetter. The study discovered no significant
relationship between psychosocialfactors and deviant behaviors of children in conflict with the law (CICL) in
theDavao Region
KEYWORDS :Children in Conflict with the Law (CICL), deviant behaviors, psychosocial factors
Entropy: A Join between Science and Mind-SocietyAJHSSR Journal
ABSTRACT: Entropy is join, intersection and interaction between natural science and human mind-society.
We proposed that if internal interactions exist in isolated systems, entropy decrease will be possible for this
system. Management in system is a typical internal interaction within the isolated system. The purpose of
management is to use regulating the internal interactions within the system, and to decrease the increasing
entropy spontaneously. We propose the principle of social civilization and the developing direction is: freedom
of thought, rule of action. Both combinations should be a peaceful revision and improvement of social rules and
laws. Different countries and nations, different religions and beliefs should coexist peacefully and compete
peacefully. The evolution of human society must be coevolution. Its foundation is the evolution of the human
heart and the human nature.
KEYWORDS: entropy, science, society, management, mind, evolution.
A Model of Disaster Resilience Among Colleges and Universities: A Mixed Metho...AJHSSR Journal
ABSTRACT :This research paper aimed to create a comprehensive framework for measuring disaster
resilience in colleges and universities. The study used a mixed method through Exploratory Factor Analysis
(EFA), which involved analyzing data from a survey questionnaire. The questionnaire was developed based on
in-depth interviews with 12 selected participants from the University of Mindanao, as well as relevant literature
and studies. It was reviewed and validated by 10 experts using a method called Content Validity Ratio (CVR).
This questionnaire was then administered to 400 students from 10 different colleges in University of Mindanao.
After conducting the Exploratory Factor Analysis and performing rotations and iterations, the researchers
identified five main constructs that characterize disaster resilience among colleges (1) disaster preparedness, (2)
disaster awareness, (3) community readiness, and (4) disaster management, (5) disaster resilience. The
researchers aimed to create an organization called “Council of College Disaster Volunteers (CCDV)” which
consist of student volunteers. These factors can be used to develop effective management strategies and
strengthen efforts in preventing and managing disasters and accidents.
KEYWORDS:content validity ratio, criminology, disaster resilience, disaster management, exploratory factor
analysis, and Philippines.
Environmental Struggles and Justice Among Lumad Farmers of Davao CityAJHSSR Journal
ABSTRACT : The study described the various environmental struggles experienced among the participants
and their status in accessing justice. The study followed a qualitative multiple-case study approach; the
participants are the Lumad farmers of Marilog, Davao City selected through a Critical sampling method and
aims to present the environmental violations experienced by the Lumad farmers in Davao City and how it
affected their families and sustenance further, their status in accessing justice is also explored. The study
concluded that the most common struggles the participant experience are Illegal logging and improper waste
disposal, which affect their farms, family, health, and income. Their preferred means to accessing justice is
through barangay settlement; the rigors of accessing courts, such as distance, expenses, fear of ruling, and the
hassle of being called to be present in court, are the most prevalent barriers that hinder the lead farmers from
accessing justice or seeking legal action. Nevertheless, the participants believed that the government would help
them in accessing justice.
KEYWORDS :access to justice, criminology,environmental justice, environmental struggles, lumadfarmers
CYBERBULLYING EXPERIENCES OF UNIVERSITY OF MINDANAO CRIMINOLOGY STUDENTSAJHSSR Journal
ABSTRACT:This paper explores the cyberbullying experiences among Criminology students at the
University of Mindanao. A simple random sampling method was used to distribute the study's online
questionnaire to the respondents and to survey the target population. This study has four hundred (400)
respondents, and the respondents are Criminology students at the University of Mindanao. The findings of this
study revealed that the level of cyberbullying experiences is sometimes manifested. On the other hand, the
cyberbullying experiences of the students indicate a moderate level, which indicates that the cyberbullying
experiences of the respondents are sometimes manifested. Also, the computations showed that among the
indicators presented, the highest mean is obtained in the psychological effect, which implies that there is a
significant effect of cyberbullying experiences of the respondents in terms of the Gender level of the
respondents. Therefore, respondents with a low level of cyberbullying experiences tend to have a moderate level
of cyberbullying experience. However, there is no significant effect in terms of age and year level of the
respondents according to the results regarding the psychological, emotional, and physical impact of
cyberbullying.
KEYWORDS :cyberbullying, emotional, experiences, psychological,physical effect, and simple random
sampling method.
A philosophical ontogenetic standpoint on superego role in human mind formationAJHSSR Journal
ABSTRACT: One of the most significant contributions of psychoanalysis to understand the human being is the
elaboration of a model about the mind from a topical and dynamic perspective. Freud explains the mind by the
constitution of the preconscious, conscious, and subconscious. Later, by three dynamic components: the id, the
ego and the superego. Such an organization of the psychic apparatus supposes not only individual elements, but
social influences along the process of hominization. In this paper, we recover the findings of the renowned
anthropologist Lewis Morgan, trying to link some of them to the psychoanalytic theory. Especially highlighting
the importance of superego in Haidt’s social intuitionism.
Keywords: evolutionism, intuitionism, psychoanalysis, Freud, Haidt, Morgan
Improving Workplace Safety Performance in Malaysian SMEs: The Role of Safety ...AJHSSR Journal
ABSTRACT: In the Malaysian context, small and medium enterprises (SMEs) experience a significant
burden of workplace accidents. A consensus among scholars attributes a substantial portion of these incidents to
human factors, particularly unsafe behaviors. This study, conducted in Malaysia's northern region, specifically
targeted Safety and Health/Human Resource professionals within the manufacturing sector of SMEs. We
gathered a robust dataset comprising 107 responses through a meticulously designed self-administered
questionnaire. Employing advanced partial least squares-structural equation modeling (PLS-SEM) techniques
with SmartPLS 3.2.9, we rigorously analyzed the data to scrutinize the intricate relationship between safety
behavior and safety performance. The research findings unequivocally underscore the palpable and
consequential impact of safety behavior variables, namely safety compliance and safety participation, on
improving safety performance indicators such as accidents, injuries, and property damages. These results
strongly validate research hypotheses. Consequently, this study highlights the pivotal significance of cultivating
safety behavior among employees, particularly in resource-constrained SME settings, as an essential step toward
enhancing workplace safety performance.
KEYWORDS :Safety compliance, safety participation, safety performance, SME
Psychological Empowerment and Empathy as Correlates of ForgivenessAJHSSR Journal
ABSTRACT: The study explores Psychological Empowerment and Empathy as Correlates of Forgiveness.
The two variables are regarded to have influence on the decision one makes to forgive another. The study aimed
at examining the relationships between psychological empowerment and forgiveness, empathy and forgiveness
and to identify which one of the two,Psychological Empowerment or Empathy, is the more powerful predictor of
forgiveness. The study took a survey design with a sample of 350 drawn from a population of university students
using a self-administered questionnaire with four sections: Personal information, Psychological empowerment
scale, Toronto Empathy questionnaire, and the Heartland Forgiveness Scale (HFS). Data analysis employed
Pearson’s product moment correlation and regression analysis to test hypotheses. The results show significant
relationships between psychological empowerment and forgiveness as well as empathy and forgiveness.
Empathy was found to be the more powerful predictor of forgiveness.
KEY WORDS: Psychological empowerment, empathy, forgiveness
EASY TUTORIAL OF HOW TO USE REMINI BY: FEBLESS HERNANEFebless Hernane
Using Remini is easy and quick for enhancing your photos. Start by downloading the Remini app on your phone. Open the app and sign in or create an account. To improve a photo, tap the "Enhance" button and select the photo you want to edit from your gallery. Remini will automatically enhance the photo, making it clearer and sharper. You can compare the before and after versions by swiping the screen. Once you're happy with the result, tap "Save" to store the enhanced photo in your gallery. Remini makes your photos look amazing with just a few taps!
Surat Digital Marketing School is created to offer a complete course that is specifically designed as per the current industry trends. Years of experience has helped us identify and understand the graduate-employee skills gap in the industry. At our school, we keep up with the pace of the industry and impart a holistic education that encompasses all the latest concepts of the Digital world so that our graduates can effortlessly integrate into the assigned roles.
This is the place where you become a Digital Marketing Expert.
Project Serenity is an innovative initiative aimed at transforming urban environments into sustainable, self-sufficient communities. By integrating green architecture, renewable energy, smart technology, sustainable transportation, and urban farming, Project Serenity seeks to minimize the ecological footprint of cities while enhancing residents' quality of life. Key components include energy-efficient buildings, IoT-enabled resource management, electric and autonomous transportation options, green spaces, and robust waste management systems. Emphasizing community engagement and social equity, Project Serenity aspires to serve as a global model for creating eco-friendly, livable urban spaces that harmonize modern conveniences with environmental stewardship.
This tutorial presentation offers a beginner-friendly guide to using THREADS, Instagram's messaging app. It covers the basics of account setup, privacy settings, and explores the core features such as close friends lists, photo and video sharing, creative tools, and status updates. With practical tips and instructions, this tutorial will empower you to use THREADS effectively and stay connected with your close friends on Instagram in a private and engaging way.
This tutorial presentation provides a step-by-step guide on how to use Facebook, the popular social media platform. In simple and easy-to-understand language, this presentation explains how to create a Facebook account, connect with friends and family, post updates, share photos and videos, join groups, and manage privacy settings. Whether you're new to Facebook or just need a refresher, this presentation will help you navigate the features and make the most of your Facebook experience.
EASY TUTORIAL OF HOW TO USE G-TEAMS BY: FEBLESS HERNANEFebless Hernane
Using Google Teams (G-Teams) is simple. Start by opening the Google Teams app on your phone or visiting the G-Teams website on your computer. Sign in with your Google account. To join a meeting, click on the link shared by the organizer or enter the meeting code in the "Join a Meeting" section. To start a meeting, click on "New Meeting" and share the link with others. You can use the chat feature to send messages and the video button to turn your camera on or off. G-Teams makes it easy to connect and collaborate with others!
Lifecycle of a GME Trader: From Newbie to Diamond Handsmediavestfzllc
Your phone buzzes with a Reddit notification. It's the WallStreetBets forum, a cacophony of memes, rocketship emojis, and fervent discussions about Gamestop (GME) stock. A spark ignites within you - a mix of internet bravado, a rebellious urge to topple the hedge funds (remember Mr. Mayo?), and maybe that one late-night YouTube rabbit hole about tendies. You decide to YOLO (you only live once, right?).
Ramen noodles become your new best friend. Every spare penny gets tossed into the GME piggy bank. You're practically living on fumes, but the dream of a moonshot keeps you going. Your phone becomes an extension of your hand, perpetually glued to the GME ticker. It's a roller-coaster ride - every dip a stomach punch, every rise a shot of adrenaline.
Then, it happens. Roaring Kitty, the forum's resident legend, fires off a cryptic tweet. The apes, as the GME investors call themselves, erupt in a frenzy. Could this be it? Is the rocket finally fueled for another epic launch? You grip your phone tighter, heart pounding in your chest. It's a wild ride, but you're in it for the long haul.
The Evolution of SEO: Insights from a Leading Digital Marketing AgencyDigital Marketing Lab
Explore the latest trends in Search Engine Optimization (SEO) and discover how modern practices are transforming business visibility. This document delves into the shift from keyword optimization to user intent, highlighting key trends such as voice search optimization, artificial intelligence, mobile-first indexing, and the importance of E-A-T principles. Enhance your online presence with expert insights from Digital Marketing Lab, your partner in maximizing SEO performance.
Your LinkedIn Success Starts Here.......SocioCosmos
In order to make a lasting impression on your sector, SocioCosmos provides customized solutions to improve your LinkedIn profile.
https://www.sociocosmos.com/product-category/linkedin/
Telegram is a messaging platform that ushers in a new era of communication. Available for Android, Windows, Mac, and Linux, Telegram offers simplicity, privacy, synchronization across devices, speed, and powerful features. It allows users to create their own stickers with a user-friendly editor. With robust encryption, Telegram ensures message security and even offers self-destructing messages. The platform is open, with an API and source code accessible to everyone, making it a secure and social environment where groups can accommodate up to 200,000 members. Customize your messenger experience with Telegram's expressive features.
PRACTICE OF FIVE MOMENTS OF HAND HYGIENE AMONGTHE NURSES IN SELECTED HOSPITALS IN UAE
1. American Journal of Humanities and Social Sciences Research (AJHSSR) 2022
A J H S S R J o u r n a l P a g e | 17
American Journal of Humanities and Social Sciences Research (AJHSSR)
e-ISSN :2378-703X
Volume-6, Issue-9, pp-17-23
www.ajhssr.com
Research Paper Open Access
PRACTICE OF FIVE MOMENTS OF HAND HYGIENE
AMONGTHE NURSES IN SELECTED HOSPITALS IN UAE
Ms. Jayoung Lee1
, Ms. Amal Abdo Saeed Othman2
,
Ms. Zubaidah Abdo Saeed3
, Dr. Veena M Joseph4
,
Ms. Vimala Varatharajan5
1,2,3
(RN-BSN Student, Gulf Medical University, Ajman, UAE )
4
(Assistant Professor, Gulf Medical University, Ajman, UAE)
5
(Lecturer, Gulf Medical University, Ajman, UAE)
Corresponding author: Ms. Vimala Varatharajan
ABSTRACT :A Quantitative Research approach with a Cross sectional descriptive survey design was used in
the study. 100 Nurses from Thumbay University Hospital, Ajman, UAE who met the sampling criteria were
selected. Written consent was taken. A structured questionnaire to elicit the demographic profile, as well as a
modified Self-reported hand hygiene practice scale, was used online to assess the practice of five moments of
hand hygiene.The majority of the nurses 94-99 % of them had moderate to adequate hand hygiene practice
during the five moments of hand hygiene of which 99% before touching the patients, 95 % before carrying out
clean and aseptic procedures, and after body fluid exposure, 96 % after touching patient unit and 94 % after
touching patient surroundings. Overall, 90 % of the nurses had good hand hygiene practice. No significant
association was found between hand hygiene practices among the nurses with their demographic variables.
KEYWORDS: Five moments, Hand Hygiene, Infection, Nurses.
I. INTRODUCTION
The act of hand rubbing with an alcohol-based antiseptic solution or hand washing with soap and water
to reduce or inhibit the growth of micro-organisms on the hands is referred to as hand hygiene1
. For several
decades‟ hand hygiene has been known to be a very simple and effective measure for preventing Healthcare
Associated Infections (HCAIs)2,3
, but compliance with recommended standards for hand hygiene among
Healthcare Workers (HCWs) has not been satisfactory globally4
. Studies in Nigeria have also shown that hand
hygiene compliance among Nigerian HCWs is very poor 5,6
. The implication of this is a high prevalence of
HCAIs with an associated increase in morbidity, mortality, and cost of healthcare in a country battling with a
high burden of preventable infectious diseases.
To improve compliance with hand hygiene as well as provide a solid basis to understand, teach, monitor,
and report hand hygiene practices, the World Health Organization (WHO) in collaboration with some patient
safety and infection control experts developed a concept referred to as „Five Moments for Hand Hygiene‟7.
This
concept defines key moments during routine patient care activities when hand hygiene is required to stop the
transmission of infectious organisms via the hands in healthcare settings. It represents a shift from the traditional
„two moments‟ view of hand hygiene which emphasizes hand hygiene immediately before and at the end of
patient care activity. The traditional view is an oversimplification of hand hygiene and practice may not be as
effective as the „five moments‟ approach in preventing HCAI when applied. This is because the hands can be
contaminated during the process of care making it possible to transmit pathogens from a colonized to a sterile
body site on the same patient.
According to the „five moments‟ concept, healthcare workers should perform hand hygiene „before
touching a patient, „after touching a patient, „before any sterile or aseptic procedure‟, „after touching the
patient‟s environment‟, and „after exposure to blood or body fluids. The “before” moments are aimed at
preventing the risk of transmitting pathogens to the patient and from one body site to a sterile site on the same
patient while the “after” moments are intended to prevent the transmission of pathogens from the patient to the
healthcare worker, the healthcare environment, and other patients. Several studies on hand hygiene in the
2. American Journal of Humanities and Social Sciences Research (AJHSSR) 2022
A J H S S R J o u r n a l P a g e | 18
healthcare setting have simply and broadly described compliance in terms of before and after patient care
activity 8
. This approach falls short of describing the most critical indications for hand hygiene during the
sequence of care. This study was designed to study compliance with hand hygiene with a view to describing
compliance with each of the key moments for hand hygiene during routine patient care activity.
Hand hygiene has been recognized as a leading measure to prevent the spread of infection especially
during the COVID-19 pandemic. To address this issue, continuous efforts are being made to identify effective
and sustainable strategies especially among health care providers with the introduction of an evidence-based
concept of “My five moments for hand hygiene” (WHO). Despite the relative simplicity of this procedure,
compliance with proper hand hygiene is a matter of concern during the COVID-19 post lockdown period as
many countries are still reporting a resurgence of COVID-19 infection. Health care workers are the most
common vehicle for the transmission of infection from patient to patient and within the healthcare environment
and nurses constitute the largest percentage of the health care workers (HCW) and they are the “nucleus of the
health care
II. LITERATURE REVIEW
According to WHO, The WHY, HOW, and WHEN of hand hygiene practices emphasizes that
thousands of people die every day around the world from infections acquired while receiving health care as
Hands are the main pathways of germ transmission during health care. Hence, any healthcare worker, caregiver,
or person involved in direct or indirect patient care needs to be concerned about hand hygiene and should be
able to perform it correctly and at the right time. Cleaning hands by rubbing them with an alcohol-based
formulation is the preferred means for routine hygienic hand antisepsis if hands are not visibly soiled. It is
faster, more effective, and better tolerated by your hands than washing with soap and water. Wash hands with
soap and water when hands are visibly dirty or visibly soiled with blood or other body fluids or after using the
toilet. On exposure to potential spore-forming including outbreaks of Clostridium difficile, hand washing with
soap and water is the preferred means (WHO 2009)9
.
Health care workers are the most common vector in the transmission of microorganisms causing
infections. This fact comes as a surprise since Ignaz Semmelweiz established the connection between mortality
and contaminated hands more than 150 years, since then hundreds of reports and research articles have
identified the imperative actions for proper hygiene among those caring for hospital patients. Yet, compliance
rates in most reports remain less than 50 %. Clearly, lack of hand hygiene by health care workers continues to
be a challenge (DavidBirnback, 2017)18
.
A cross-sectional study by Zeyad A. Sallami (2016), the university of Aden to assess hand hygiene attitude,
knowledge, and practice among Health Science Students revealed that almost all participants were aware of
hand hygiene, however, knowledge and practice were below 100% score for the correct response in particular
knowledge and practice. and this was an indication that any future training would reinforce the safe practice of
hand hygiene as an important component of controlling HCAIs 10
.
A descriptive cross-sectional study carried out by Deham R (2018) in Arar city, Northern Saudi Arabia
aimed to assess the knowledge, attitude, and practice of hand washing among health care workers (HCW) in
health care units based on WHO‟s, Five Moments of Hand Hygiene Questionnaire‟. 116 respondents were
involved which included 32 residents, 92 nurses and 37 nursing assistants enrolled. The majority of the
participants (90.5%) had a high level of knowledge of hand hygiene. The attitude level was found to be
moderate at 81.9% and high at only 17.2%. The level of the practice of hand hygiene was hath in 23.3%,
moderate at 75.9% and almost none of the participants had a low level of practice11
.
III. METHODOLOGY
A Quantitative research approach with a Cross sectional descriptive survey was used to assess the practice of
five moments of hand hygiene.All the nurses who provided routine patient care in the wards and OPDs at
Thumbay University Hospital who fulfil the inclusion criteria during the period of study were included as
samples which were around 100 nurses. A defined population sampling technique was used to select all the
nurses involved in routine patient care during the period of study. Tools were a structured questionnaire used to
assess the demographic profile and a Standardized Self-reported hand hygiene practice scale used to assess the
practice of five moments of hand hygiene. It consisted of 17 items with a four-point Likert scale as- Always (4),
Often (3), Sometimes (2), Seldom (1) & Never (0) and the Total Score was 68. Content validity was obtained
from Nursing Expert. The Reliability of the Research instrument was 0.94 (Cronbach‟s alpha value) which was
good and hence was used for the main study without any changes.
3. American Journal of Humanities and Social Sciences Research (AJHSSR) 2022
A J H S S R J o u r n a l P a g e | 19
IV. DATA ANALYSIS AND RESULTS
Hospital permission was procured following which electronic informed consent was obtained from the nurses
willing to participate in the study. An Electronic survey was carried out using the structured questionnaire to elicit
the profiles of the nurses and self-reported practice of five moments of hand hygiene was obtained using the Self-
reported hand hygiene practice scale. Informed consent from the nurses was obtained before the conduct of the
studyas well IRB approval was obtained.
Descriptive statistics like frequency and percentage were used to describe the profile of the nurses, average and
dispersion were used to describe the total score of hand hygiene practices, and Inferential statistics like Fischer's
exact test was used to find the association between the practice of five moments of hand hygiene and selected
demographic variables. Descriptive statistics like frequency and percentage were used to describe the profile of the
nurses, average and dispersion were used to describe the total score of hand hygiene practices, and Inferential
statistics like Fischer's exact test was used to find the association between the practice of five moments of hand
hygiene and selected demographic variables.
Table 1: Frequency and Percentage distribution of the Demographic variables of the Nurses
n = 100
Demographic Variables Frequency Percentage (%)
Gender
Male 14 14.0
Female 86 86.0
Age(Years)
<=35 42 42.0
36-50 53 53.0
>50 5 5.0
Professional Qualification
Diploma Nursing 28 28
Bachelor‟s degree 66 66
Master‟s degree 5 5
Ph.DNursing 1 1
Years of experience (Years)
<= 10 43 43.0
11-20 46 46.0
>20 11 11.0
Nursing Unit currently working
Surgical Ward 15 15
Medical Ward 9 9
OPDs 55 55
Post natal Ward 11 11
Long Term Care Unit 10 10
Exposure to Information
Hand Hygiene
Yes 98 98
No 2 2
IfYes,SourceofInformation
Mass Media 21 21
Attend Training Program 79 79
Hand Hygiene Practice
Soap and water 3 3
Sanitizer - -
Both 97 97
4. American Journal of Humanities and Social Sciences Research (AJHSSR) 2022
A J H S S R J o u r n a l P a g e | 20
Table1 describes the demographic characteristics of the nurses such as gender, age, professional
qualification, years of experience, the nursing unit currently working, exposure to information on hand hygiene,
source of exposure to information on hand hygiene, and hand hygiene practice.
Concerning gender of the nurses, the majority of the nurses, nearly 86 % were females. 53% of the
nurses were in the age group of 36 – 50 years. The majority of the nurses, nearly 66 % had a bachelor‟s degree
in nursing. 46 % of the nurses had to their credit 11-20 years of clinical experience. Nearly 55 % of the nurses
were currently employed in OPDs. 98 % of the nurses had prior exposure to information on hand hygiene of
which 79 % of them received information on hand hygiene by attending a training program on hand hygiene.
Nearly 97 % of the nurses use both s4oap and water and hand sanitizer to practice hand hygiene.
Table 2: Distribution of Total score of the practice of five moments of hand hygiene
Average
Dispersion Total
Score(
17*4=68)
Before
touching
patient
(4*3=12
)
BeforeClean
/Aseptic
Procedure
(4*4=16)
After Body Fluid
Exposure(/6*4=2
4)
After touching
Patient
unit(1*
4=4)
After
Touching
Patient
Surroundings
g(4*3=12)
Mean 62.95 11.58 14.7 22.24 3.57 10.86
Median 68.0 12.0 16.0 24.0 4.0 12.0
Minimum 12.0 3.0 0 0 0 0
Maximum 68.0 12.0 16.0 24.0 4.0 12.0
Range 57.0 10.0 16.0 24.0 4.0 12.0
Table 2 describes the average and dispersion distribution of the total score of the practice of five
moments of hand hygiene along with the total score distribution under each domain of five moments of hand
hygiene.
The total score of the practice of five moments of hand hygiene is 68.0 with interquartile range of 57.0. The total
score is distributed among the five domains of practice of five moments of hand hygiene as the total score of 12
with a range of 10.0 before touching the patient, the total score of 16 with a range of 16 before carrying out
clean and aseptic procedures, the total score of 24 with a range of 24 after body fluid exposure, the total score of
4 and range of 4 after touching patient unit and a total score 12 with a range of 12 after touching patient
surrounding.
Figure 1:Overall Hand Hygiene Practice among the Nurses
OverallHand HygienePracticeamongthe Nurses
Nurses
3% 5%
2%
Poorpractice ofhand
hygiene
Inadequate practice
ofhandhygiene
Moderately
adequatepracticeofha
ndhygiene
Good hand
hygienepractice
90%
5. American Journal of Humanities and Social Sciences Research (AJHSSR) 2022
A J H S S R J o u r n a l P a g e | 21
Table 3: Association of Total hand Hygiene Practice Scores with selected demographic
variables.
Demographic
Variables
Hand Hygiene PracticeScores Test value Pval
ue
Inadequate -
Poor Hand
Hygiene
Practice(0-34)
Moderate –Good
Hand Hygiene
Practice(35- 68)
Gender Fischer‟sE
xactTest
0.596 *
Male 0(0.0%) 14(100 %)
Female 8(9.3%) 78(90.7%)
Age
<=35 4(9.5%) 38(90.5%)
36-50 4(7.5%) 49(92.5%)
>50 0(0.0%) 5(100.0)
Marital Status
Single 0(0%) 6(100%)
Married 4(9.1%) 40(90.9%)
Professional
Qualification
Diploma Nursing 3(10.7%) 25(89.3%)
Bachelor‟sDegree 4(6.1%) 62(93.9%)
Master‟s Degree 0(0.0%) 5(100.0%)
Ph.Din nursing 1(100.0%) 0(0.0%)
Nursing Unit
currently
working
Surgical ward 0(0.0%) 15(100.0%)
Medical Ward 2(22.2%) 7(77.8%)
OPDs 6(10.9%) 49(89.1%)
Postnatal ward 0(0.0%) 11(100.0%)
Long term care Units 0(0,0%) 10(100.0%)
Exposure to
information
onFive
moments of
hand hygiene
Fischer’sExa
ctTest
.846 *
Yes 8(8.2%) 90(91.8%)
No 0(0.0%) 2(100.0%)
Source of exposure Fischer’sExa
ctTest
.058 *
Mass Media 4(19.0%) 17(81.)
Attended
TrainingProgram
4(5.1%) 75(94.9%)
*P>0.05
There was no statistically significant association between hand hygiene practices among the nurses with their
selected demographic variables.
Hence the Hypothesis, H0: There is no significant association between five moments of hand hygiene and
selected demographic variables is accepted.
6. American Journal of Humanities and Social Sciences Research (AJHSSR) 2022
A J H S S R J o u r n a l P a g e | 22
V. DISCUSSION AND CONCLUSION
In the present study, majority of the nurses 94-99 % of them had moderate to adequate hand hygiene
practice during the five moments of hand hygiene of which 99% before touching the patients, 95 % before
carrying out clean and aseptic procedures and after body fluid exposure, 96 % after touching patient unit and 94
% after touching patient surroundings.
Supportive study findings include a cross-sectional study in Rwanda by Uwimana& Mbombo
201512
which revealed a self-reported hand washing compliance rate of 82% with the highest rate of hand
washing (89.33%) reported after new-borns body fluids exposure. However, the results showed that nurses
performed less hand washing after touching objects surrounding the client (73.43%).
However, in an epidemiological study on hand washing practices among healthcare workers in India
conducted by Kumar & Dileep 201313
revealed low hand washing rates of 28% for nurses and 23 % for
doctors. Perceived barriers to practicing hand washing included increased workload (71.3 %), lack of time
(66.7%), location and shortage of sinks (62.8%), lack of encouragement (60.5%) hand dryness and irritation
(55%), lack of role model from senior (54.3%) and shortage of water (45.0%).
So also, Busaidi 2013 14
, stipulated that nurses often do not practice hand hygiene because of being
busy and often perceive that gloves use can be an alternative to hand hygiene. In addition, it was also claimed
that nurses avoid hand hygiene because of fearing skin problems that could develop especially with alcohol
hand-rub use. Other barriers enumerated in the same literature that contributed to poor hand hygiene compliance
included over workload, understaffing, lack of role models among colleagues and seniors, lack of organizational
pledge to good hand hygiene practice, lack of hand hygiene products and facilities, and lack of motivation.
Interestingly, the same literature highlighted that patient involvement by simply reminding healthcare providers
to wash hands raises hand hygiene compliance by 50 %.
The major findings of the study are revealed as follows. The total score of the practice of five moments
of hand hygiene was 68.0 with interquartile range of 57.0, the total score of 12 with a range of 10.0 before
touching the patient., the total score of 16 with a range of 16 before carrying out clean and aseptic procedures,
the total score of 24 with a range of 24 after body fluid exposure, total score of 4 and range of 4 after touching
patient unit and total score 12 with a range of 12 after touching patient surrounding.The majority of the nurses
94-99 % of them had moderate to adequate hand hygiene practice during the five moments of hand hygiene,
99% before touching the patients, 95 % before carrying out clean and aseptic procedures and after body fluid
exposure, 96 % after touching patient unit and 94 % after touching patient surroundings. 90 % of the nurses had
an overall good hand hygiene practice. UsingFisher‟s exact test of association, no significant association was
found between hand hygiene practices among the nurses with their demographic variables. Hence the
Hypothesis, H0: There is no significant association between five moments of hand hygiene and selected
demographic variables is accepted.
REFERENCES
[1]. AkyolA,UlusoyH,Özen I.RETRACTED: Handwashing:asimple,economical, and effective method for
preventing nosocomial infections inintensive care units. Journal of Hospital Infection. 2006 Apr
1;62(4):395-405.
[2]. Mathai E, Allegranzi B, Kilpatrick C, Pittet D. Prevention, and control of health care-associated
infections through improved hand hygiene.
IndianJournalofMedicalMicrobiology.2010Apr1;28(2):100-6.
[3]. Backman C, Zoutman DE, Marck PB. An integrative review of the currentevidence on the relationship
between hand hygiene interventions and theincidenceofhealthcare–
associatedinfections.Americanjournalofinfectioncontrol.2008Jun1;36(5):333-48.
[4]. Pereira B, Duarte E, Ayanoglu H. A serious game to promote compliance with hand hygiene among
healthcare workers: Results from user research stage. InInternational Conference on Healthcare
Ergonomics and PatientSafety2019Jul3(pp.373-385).Springer,Cham.
[5]. Sritharan T. Hand hygiene: A simple strategy for health care-
associatedinfectionpreventionandcontrolwithimplicationsfor controlofthecurrentCOVID-
19outbreak.HealthScienceInquiry.2020 Aug 10;11(1):136-9.
[6]. Ogbonnaya GU, Ogbonnaya UL, Nwamoh UN, Nwokeukwu HI, OdeyemiKA.Fivemomentsforhand
hygiene:astudyofcomplianceamonghealthcare workers in a tertiary hospital in southeast Nigeria.
Journal ofCommunityMedicine andPublic HealthCare.2015;2(010).
[7]. Mathai E, Allegranzi B, Kilpatrick C, Pittet D. Prevention and control of health care-associated
infections through improved hand hygiene.
7. American Journal of Humanities and Social Sciences Research (AJHSSR) 2022
A J H S S R J o u r n a l P a g e | 23
IndianJournalofMedicalMicrobiology.2010Apr1;28(2):100-6.
[8]. OnyedibeKI,ShehuNY,PiresD,IsaSE,OkoloMO,GomerepSS,IbrahimC,Igbanugo SJ,OdesanyaRU,
Olayinka A,EgahDZ.Assessmentofhand hygienefacilitiesandstaffcomplianceinalargetertiaryhealthcare
facility in northern Nigeria: a cross-sectional study. Antimicrobial Resistance
&InfectionControl.2020Dec1;9(1):30.
[9]. Ekwere TA, Okafor IP. Hand hygiene knowledge and practices
amonghealthcareprovidersinatertiaryhospital,southwest,Nigeria.InternationalJournalofInfectionControl.
2013Oct17;9(4).
[10]. Ogbonnaya GU, Ogbonnaya UL, Nwamoh UN, Nwokeukwu HI, OdeyemiKA.Fivemomentsforhand
hygiene:astudyofcomplianceamonghealthcare workers in a tertiary hospital in southeast Nigeria.
Journal of community medicineandPublic HealthCare.2015;2(010).
[11]. MehtaY,GuptaA,TodiS,MyatraSN,SamaddarDP,PatilV,BhattacharyaPK,RamasubbanS.Guidelinesforpr
eventionofhospitalacquiredinfections. Indian journal of critical care medicine: peer-reviewed,
officialpublicationofIndianSocietyofCriticalCareMedicine.2014Mar;18(3):149.
[12]. Uwimana P, Mbombo N. Hand Washing Compliance among Nurses andMidwives Caring for
Newborn Babies in Selected Health Facilities of theEasternProvince,Rwanda.Rwanda
Journal.2015;2(2):110-.
[13]. HN HK, Dileep D. An epidemiological study on hand washing
practicesamonghealthcareworkersinhospitalsofMangaloreCity.NationalJournalofCommunityMedicine.2
013;4(2):261-6.
[14]. Al-Busaidi S. Healthcare workers and hand hygiene practice: a
literaturereview.UCLanJournalofUndergraduate Research.2013;6(1).