Literature Evaluation Table

Literature Evaluation Table

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Change Topic: The topic involves the application of hand hygiene initiative to enhance care and avoid infections to patients. Hospital-acquired infections are among the most common challenges affecting the safety of patients while receiving care. Therefore, it is imperative to implement effective interventions, such as hand washing to prevent infections. The reviewed articles relate to the change topic.

Criteria Article 1 Article 2 Article 3 Article 4
Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

Jackson, C., Lowton, K., & Griffiths, P.

Pakistan Journal of Medical Sciences.

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https://www.researchgate.net/publication/255692045_Infection_prevention_as_a_show_A_qualitative_study_of_nurses’_infection_prevention_behaviours

Septimus, E., Weinstein, R. A., Perl, T. M., Goldmann, D. A., & Yokoe, D. S.

Infection Control & Hospital Epidemiology

https://www.jstor.org/stable/pdf/10.1086/676535.pdf

Barnes, S. L., Morgan, D. J., Harris, A. D., Carling, P. C., & Thom, K. A. Infection Control & Hospital Epidemiology

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4204209/

Marimuthu, K., Pittet, D., & Harbarth, S. Antimicrobial Resistance and Infection Control

https://aricjournal.biomedcentral.com/track/pdf/10.1186/2047-2994-3-34

 

Article Title and Year Published Infection prevention as “a show”: a qualitative study of nurses’ infection prevention behaviours (2014) Approaches for Preventing Healthcare-Associated Infections: Go Long or Go Wide? (2014) Preventing the transmission of multidrug-resistant organisms: modeling the relative importance of hand hygiene and environmental cleaning interventions (2014) The effect of improved hand hygiene on nosocomial MRSA control (2014)
Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study The study presented the need to understand nurses’ infection prevention behaviors as a way of preventing infections in acute settings. To analyze the recommendations for the prevention of central line-associated bloodstream infections and the prevention of methicillin-resistant Staphylococcus aureus transmission and infection. To investigate the role of hand hygiene and environmental cleaning as strategies for preventing hospital infections.

 

The study was aimed at examining previous research that investigated the relationship between hand hygiene improvement and control of methicillin-resistant
Design (Type of Quantitative, or Type of Qualitative) An interpretative-qualitative study A review of clinical guidelines Quantitative study A systematic review of studies
Setting/Sample Acute hospital setting

20 RNs

Not applicable A 20-patient ICU Not applicable
Methods: Intervention/Instruments Semi-structured interviews Review of the “Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals: 2014 Updates” An agent-based model of patient-to-patient transmission Review of literature
Analysis Thematic content analysis Systematic review Statistical analysis Systematic review
Key Findings The results of the study revealed that nurses desired to give a positive impression and prove their knowledge, but did not always follow the infection control policy and procedures. The study revealed the need for reliable implementation infection control strategies, both vertical and horizontal, to be effective.

 

Hand hygiene is the most important strategy in the prevention of infection, although environmental cleaning is also beneficial.  Hand hygiene should remain a priority for infection control programs, but environmental cleaning can have significant benefit for hospitals or individual hospital units that have either high hand hygiene compliance levels or low terminal cleaning thoroughness.

Hand hygiene should remain a priority for infection control programs, but environmental cleaning can have significant benefit for hospitals or individual hospital units that have either high hand hygiene compliance levels or low terminal cleaning thoroughness.

Hand hygiene should remain a priority for infection control programs, but environmental cleaning can have significant benefit for hospitals or individual hospital units that have either high hand hygiene compliance levels or low terminal cleaning thoroughness.

 

An appropriately implemented hand hygiene strategy is effective in preventing MRSA
Recommendations The study recommended actual observation of behaviors, such as hand hygiene, instead of relying fully on the nurse’s perception. The researchers propose the need for integrating new strategies such as hand hygiene into care to effectively prevent infections. The need to integrate hand hygiene as part of routine care and also maintaining a clean environment to successfully prevent infections. The need to implement effective hand hygiene interventions during patient care to prevent hospital-acquired infections.
Explanation of How the Article Supports EBP/Capstone Project The study makes an important contribution to the establishment of the effective strategies (such as hand hygiene compliance) as nurse’s behavioral strategies, to prevent hospital-acquired infections. The article relates to the effective implementation of infection control strategies to improve care through infection prevention. The article is important in infection control using hand hygiene and environmental cleanliness. The role of using hand hygiene as part of the routine care process to prevent infections at the hospital.

 

 

 

Criteria Article 5 Article 6 Article 7 Article 8
Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

Martínez-Reséndez, M. F., Garza-González, E., Mendoza-Olazaran, S., Herrera-Guerra, A., Rodríguez-López, J. M., Pérez-Rodriguez, E., … & Camacho-Ortiz, A.

American Journal of Infection Control

https://www.researchgate.net/profile/Elvira_Garza_Gonzalez/publication/267906871_Impact_of_Daily_Chlorhexidine_Bath_and_Hand_Hygiene_on_the_Nosocomial_Infection_Rate_in_Critically_Ill_Patients/links/55b234f208ae092e96503930/Impact-of-Daily-Chlorhexidine-Bath-and-Hand-Hygiene-on-the-Nosocomial-Infection-Rate-in-Critically-Ill-Patients.pdf

 

Srigley, J. A., Furness, C. D., Baker, G. R., & Gardam, M. BMJ Qual Saf

https://qualitysafety.bmj.com/content/qhc/23/12/974.full.pdf

Lambrechts, A. A., Human, I. S., Doughari, J. H., & Lues, J. F. R.

Pakistan Journal of Medical Sciences

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4121692/

Haverstick, S., Goodrich, C., Freeman, R., James, S., Kullar, R., & Ahrens, M

Critical care nurse

http://ccn.aacnjournals.org/content/37/3/e1.full.pdf

 

 

Article Title and Year Published Impact of daily chlorhexidine baths and hand hygiene compliance on nosocomial infection rates in critically ill patients

(2014)

Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study

(2014)

Bacterial contamination of the hands of food handlers as an indicator of hand washing efficacy in some convenient food industries in South Africa

(2014)

Patients’ handwashing and reducing hospital-acquired infection (2017)
Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study The study aimed at evaluating the effectiveness of chlorhexidine (CHX) bathing and hand hygiene (HH) compliance in reducing hospital infections in the ICU. The study aimed at determining whether auditing of hand hygiene would improve compliance among health care providers. The research aimed at assessing the effectiveness of handwashing behavior as well as sanitation in preventing infections. The objective of the study was to improve the hand hygiene practice among patients by promoting and usage of handwashing with soap and water, hand sanitizer, or both to reduce infections at the hospital.
Design (Type of Quantitative, or Type of Qualitative) Quantitative design Quantitative study Quantitative study Quantitative study
Setting/Sample 1007 ICU patients w 12 audits in an academic acute care hospital  230 samples in food handling settings An adult 36-bed cardiothoracic postsurgical step-down unit
Methods: Intervention/Instruments Pre- post-intervention A retrospective cohort study Randomized experimental study Intervention study
Analysis Statistical analysis Statistical analysis Statistical analysis Statistical analysis using SPSS version 21.
Key Findings The combined intervention was found to be effective in reducing the global and specific rate of hospital infections such as VAP-related infections and CAUTI The study revealed that the rates of hand hygiene events were about threefold higher when the actions were audited compared with periods without audit.

 

The results revealed that unsatisfactory hand hygiene practices in food handling might be highly responsible for the spread of infections. The results of the study revealed that the patient’s improved hand hygiene compliance can help in reducing the rate of hospital-acquired infections.

 

Recommendations The importance of implementing a combined intervention to reduce the general and specific rates of various hospital infections.

 

The importance of auditing and monitoring in health care settings to improve hand hygiene among health care providers. The need to improve hand hygiene among food handlers to prevent infections The importance of promoting hand hygiene compliance and practice among hospitalized patients to reduce the rate of infections in hospitals.
Explanation of How the Article Supports EBP/Capstone The need to identify and implement effective strategies in a multimodal approach to prevent various types of infections in the ICU. The study revealed the need to ensure accountability through auditing to promote hand hygiene and prevent infections. The implications of the study relate to the need to improve hand hygiene practices in various settings, including food handling, to reduce the rate of infections and promote the health of individuals and communities. The implications involve empowering patients to be part of infection control in hospitals by adopting hand hygiene practices.

 

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