Wednesday, May 6, 2020

Hand Hygiene Related to Nosocomial-Free-Samples for Students

Question: Discuss about the Significance of Hand Hygiene Related to Nosocomial Infections. Answer: New practice approaches 515% of hospitalized patients suffer from healthcare-associated infections of which 3050% is preventable. The principal framework behind prevention is proper maintenance of hand hygiene (Pontivivo et al., 2012). I believe the first and the foremost step towards the maintenance of hand hygiene is proper cleaning of hands via hand sanitizer. This must be followed by drying of the hands and then proper use of the surgical gloves. The main component of hand sanitizer is alcohol. Alcohols have excellent in vitro germicidal activity against both gram-positive and gram-negative vegetative bacteria, including multidrug-resistant pathogens (e.g., MRSA and VRE). The new research suggests that the antimicrobial activity of alcohols is attributed due to their ability to denature proteins. 60%95% alcohol solution is found to be most effective. Higher concentrations of alcohol solution (120%) lacks water content and hence are less potent because it is difficult to disrupt the peptide bonds of the protein in the absence of water (Zapka et al., 2017). Intraprofessional collaboration The intraprofessional education is a form of a collaborative approach that occurs when two or more disciplines within the same profession are engaged in collaborative learning and subsequentlydelivering quality work via collaborative approach (Gagnon et al., 2017). In accordance of my best knowledge, I believe that in the domain of intra professional collaboration, the doctors and the nurse must work in a perfect symphony. While the doctors are on round or performing any surgery, it would be the duty of the nurse to arrange all the hand sterilization kit in front of the doctor so that he might not overlook before attending a patient. Moreover, there must be an avenue for them where they can sit and discuss about the implementation of the hand hygiene to prevent infection. Health care delivery and clinical systems The health care delivery and clinical systems comprise all the health care organizations, professional groups, and private and public purchasers (Jensen et al., 2015). The concept is, they should work in sync to reduce the burden of illness, injury, and disability which are mostly spread via hospital acquired infection and simultaneously improve the health and functioning of the mankind. I think these factors, plays an essential factor for improving the likelihood of disease screening and the early detection and management of the chronic illness. For me, the health care organizations observe campaign to increase the awareness of hand hygiene among the nurses, doctors and the pathological experts who are conducting the biochemical tests. The awareness program must also include the family members of the ailing persons who are suffering from contagious disease or re immune-deficient. Ethical considerations in health care Ethical considerations in healthcare includes avoiding the conflicts of interest, balancing of the profit with serving the patients and providing the charity care, managing the pediatric and geriatric patients who may not have decision-making capacity and addressing nurses moral distress about providing care with minimal benefit. Healthcare associated infections (HCAI) have high mortality rate. Proper hand hygiene is the only way to prevent HCAI. Despite emphasis on hand hygiene, healthcare professionals fail to use proper hand hygiene in day-to-day practice (Mortell et al 2013). The reason behind this is, low prioritization, insufficient time, inconvenience of hand wash, intolerance to antiseptics, and lack of proper leadership (Mortell et al., 2013). In order to avoid this, I feel strict ethical consideration must be implemented. The principal ethical consideration in health and hygiene are: Non-Maleficence Respect for Professional Autonomy Beneficence Population health concerns With the increase in population, the rate of occurrence of contagious and nosocomial diseases are also increasing. Typhoid mostly spread by feces (Buckle et al., 2012). In order to prevent this, proper hand hygiene must be observed in the every hospital and health care providers in the dispensaries. The role of technology in improving health care outcomes IT has a great potential to improve the quality of health care. As per my best knowledge, in order to increase the hand hygienic in the domain of nosocomial infection, IT can play a big role (Crocker-Buque et al., 2017). According to me, there must remain a definite database showcasing the degree of measures that needs to be adopted while treating a particular contagious disease or an immune deficient patient. Research is needed to: Evaluate the role of IT in improving clinical decision making, information management, communication, costs, and access to care; Assess barriers to successful implementation of proven IT, as well as strategies to overcome these barriers so that all patients and providers have access to technologies that can improve safety and quality of care; Generate solutions to eliminate the digital divide; Document the costs and resources associated with adopting and maintaining proven IT applications; and Evaluate transferability of IT solutions to other health care settings. The AHRQ is working diligently to develop a portfolio of IT initiatives. The Agency's research and demonstration projects will provide the evidence needed to guide future IT implementation to improve the effectiveness and efficiency of health care delivery in the United States. Health policy To me health policies are the "decisions, plans, and the plans that are undertaken for achieving the specific form of healthcaregoals within the society. According to theWorld Health Organization, an explicit form of the health policies will be able to achieve several things (Grob, 2014). I feel there must remain a stringent health policy regarding the ways and the norms of implementing the hand hygiene in order to prevent nosocomial infection. If the attending nurse or the doctor fail or refuse to abide by those policies then strict legal measure should be taken against them (Scaffa Reitz, 2013). Leadership and economic models Economic models must exist in order to ascertain the degree of cost burden while maintaining the hand hygiene in hospitals or private nursing homes. For me price is a constrain, escalating of operational charge and affecting the patient financial framework. Furthermore, the insurance companies must insure all the products, which come under the maintenance of hand hygiene like gloves, cotton, and hand sanitizers. Health disparities Health disparities refer to differences in the health status of different groups of people. According to the Health Resources and the Services of the administration of health, health disparities are defined as population-specific differences in the presence of disease, health outcomes, or access to healthcare. In the United States, health disparities are a well known problem among ethnic minorities such as African Americans, Asian Americans, Native Americans, and Latinos. For me health disparities lead to the outbreak of nosocomial infection among the downtrodden people. Proper awareness will lead to improvement of the present scenario. References Buckle, G. C., Walker, C. L. F., Black, R. E. (2012). Typhoid fever and paratyphoid fever: Systematic review to estimate global morbidity and mortality for 2010.Journal of global health,2(1). Crocker-Buque, T., Mindra, G., Duncan, R., Mounier-Jack, S. (2017). Immunization, urbanization and slumsa systematic review of factors and interventions.BMC public health,17(1), 556. Gagnon, M. P., Desmartis, M., Labrecque, M., Car, J., Pagliari, C., Pluye, P., ... Lgar, F. (2012). Systematic review of factors influencing the adoption of information and communication technologies by healthcare professionals.Journal of medical systems,36(1), 241-277. Grob, G. N. (2014).From asylum to community: Mental health policy in modern America. Princeton University Press. Jensen, R. E., Rothrock, N. E., DeWitt, E. M., Spiegel, B., Tucker, C. A., Crane, H. M., ... Cella, D. (2015). The role of technical advances in the adoption and integration of patient-reported outcomes in clinical care.Medical care,53(2), 153. Mortell, M., Balkhy, H. H., Tannous, E. B., Jong, M. T. (2013). Physician defiancetowards hand hygiene compliance: Is there a theorypracticeethics gap?.Journal of the Saudi Heart Association,25(3), 203-208. Pontivivo, G., Rivas, K., Gallard, J., Yu, N., Perry, L. (2012). A new approach to improving hand hygiene practice in an inner city acute hospital in Australia.Healthcare infection,17(2), 57-63. Scaffa, M. E., Reitz, S. M. (2013).Occupational therapy community-based practice settings. FA Davis. Zapka, C., Leff, J., Henley, J., Tittl, J., De Nardo, E., Butler, M., ... Edmonds-Wilson, S. (2017). Comparison of Standard Culture-Based Method to Culture-Independent Method for Evaluation of Hygiene Effects on the Hand Microbiome.mBio,8(2), e00093-17.

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