I work in a group home with clients who have cerebral palsy, intellectually disability and autism, hygiene is paramount in this environment to avoid spread of any infections. Hand hygiene is the greenest, most active measures for avoiding nosocomial infections (Picheansathian, 2004).I choose evidence based practice in hand hygiene to reduce flu infection, other infectious diseases at workplace and it’s essential in maintaining quality of care for the staffs and clients. Evidence based practice is important in this topic because it will provides up to date and relevant evidence to support current and future practice as well as inspire the conduct of my coworkers. In the past, …show more content…
We added the above mentioned barriers with belief that glove prevent need for hand hygiene; and lack of knowledge of or noncompliance with guidelines and protocols. To put observations into practice, staffs recommended that skin irritation is caused by hand hygiene agents and is an important barrier to appropriate compliance. For example, Alcohol-based formulations for hand disinfection (whether isopropyl, ethyl, or n-propanol, in 60% to 90% vol/vol) are less irritating than antiseptic or nonantiseptic detergents. Staffs experiment shows that, emollients are recommended and may protect against cross-infection by keeping the resident skin flora intact, and hand lotions help protect skin and may reduce microbial shedding (Larson, E 1999). Lack of knowledge and education on this topic is a key barrier to motivation. The significance effective access to hand hygiene materials, such as sink, soap, antiseptic detergent, or waterless alcohol-based hand rub solution, should common to visitors and staffs. Health-care workers need not to walk away from the patient bed to reach a wash basin or a hand antisepsis solution required staffs compliance with hand hygiene as duty (Voss, A. and Widmer, A. 1997). The compliance department recommended that hand hygiene behavior should be carefully monitored to recognize adverse effects of newly …show more content…
2010). According to WHO strategy: ‘Clean Care is Safer Care’ was initiated to staffs, hands-on training, reminder materials such as posters and pens and performance feedback. These interventions include workers or client education and participation, feedback initiatives, Cultural Revolution, administrative change, social promotion, additional sinks or alcohol dispensers for quality health care. Duffin (2004) explains that solely placing alcohol dispensers on the door ways or at client’s bedsides will not advance hand hygiene. Health care workers need to cultivate the habit of using it and the importance of their use as evidence based practice is a form of decision making. This is to implement critically evidence based practice by considering the validity of the research, to prevent wrong evidence (Van Zelm, 2006). According to everyday evidence, support the use of alcohol solutions hand hygiene. Most staffs recommend the use of alcohol rub reduces time spent undertaking performance of hand washing. Educational training program, routine observation, feedback and making hand hygiene possible, easy, and convenient. Making alcohol-based hand rub available (at least in high-demand situations) Clients education, posters for reminder in the workplace and organizational sanctions and rewards to motivate compliance (National Quality Forum 2010). Change in hand-hygiene agent (but not in the