NUR-590 Assignment 1- NUR 550 Literature Review-Resubmission

NUR-590 Assignment 1- NUR 550 Literature Review-Resubmission

The attainment of patient safety requires nurses and other healthcare providers to establish interventions that will enhance quality care and minimize adverse events like hospital acquired infections (HAIs). Nurses must apply and leverage existing evidence-based practice interventions that include hand hygiene protocols and measures like handwashing with soap and water alongside sanitizers in the prevention and mitigation of hospital acquired infections (HAIs). Hospital acquired infections constitute a significant part of mortality and morbidity as well as poor patient outcomes and increased cost burden of care. The purpose of this paper is to offer a literature review of the articles that support the PICOT statement on using handwashing with soap and water alongside sanitizer compared to handwashing with soap and water alone to reduce hospital acquired infections among healthcare workers in a period of six months.  The paper addresses the search methods used in review of literature, synthesizes relevant articles based on the PICOT question, compares the articles and makes suggestions for future research on ways to mitigate hospital acquired infections.

Among healthcare workers in different settings (P), how does hand hygiene practices like handwashing with soap and water alongside using hand sanitizer (I), compared to handwashing with soap and water alone (C), reduce hospital acquired infections (O), within six months (T)?

Search Methods

Effective search for articles entails using appropriate approaches and terms. In this case, I used the university library to get to the databases of journals and their published peer reviewed articles. Using terms like peer review and scholarly works on hospital acquired infections (HAIs), I got the articles that I will be analyzing in this paper. I ensured that these articles have been published in the last five years and were relevant to nursing use and content. I also ensure that they were on the aspects in my PICOT question and statement and supported my EBP project.

Synthesis of Literature

Article 1

The first article by Ni et al. (2020) explores an intervention project on hand hygiene improvement in a large healthcare facility in China. The objective of the article is to investigate the importance of implementing a hand hygiene initiative among healthcare workers to reduce and prevent hospital acquired infections. Using a qualitative design, the authors provide a summary of the effectiveness of the implementation of the hand hygiene measures in a 2500-bed teaching hospital. The findings from the study emphasizes the significance of implementing evidence-based practice interventions to prevent infections and enhance patient safety. The article recommends having handwashing measures that will reduce infections by healthcare workers. The article supports the PICOT as it explores the benefits of using translational research to implement hand hygiene measures. The article also supports the project by providing insightful information about the effectiveness of hand hygiene measures by healthcare workers in different settings.

Article 2

The second article is by Setty et al. (2019) on adapting translational research methods in water, sanitation and hygiene. The goal if the

NUR-590 Assignment 1- NUR 550 Literature Review-Resubmission

study was to delineate existing translational research principles from different professions that include healthcare workers on the importance of applying the interventions in care practice. The authors use a narrative review approach to suggest interventions that can improve hand hygiene. The findings from the article demonstrate the need for increased hand hygiene measures in hospitals and other health settings to reduce infections and enhance patient safety. The article supports the PICOT by illustrating the importance of using translational research approaches in improving hand hygiene measures in healthcare. The article will also support the project by enhancing effective understanding of different approaches to hand hygiene in multiple settings.

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Article 3

The article by Zhao et al. (2017) discusses the need to make hand hygiene interventions more at