Premium Essay

Handwashing Importance in Nicu

In: Science

Submitted By Heidic
Words 6599
Pages 27
Hand Hygiene Practices in a Neonatal Intensive Care Unit: A Multimodal Intervention and Impact on Nosocomial Infection Barbara C.C. Lam, Josephine Lee and Y.L. Lau Pediatrics 2004;114;e565; originally published online October 18, 2004; DOI: 10.1542/peds.2004-1107

The online version of this article, along with updated information and services, is located on the World Wide Web at: http://pediatrics.aappublications.org/content/114/5/e565.full.html PEDIATRICS is the official journal of the American Academy of Pediatrics. A monthly publication, it has been published continuously since 1948. PEDIATRICS is owned, published, and trademarked by the American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk Grove Village, Illinois, 60007. Copyright © 2004 by the American Academy of Pediatrics. All rights reserved. Print ISSN: 0031-4005. Online ISSN: 1098-4275.

Downloaded from pediatrics.aappublications.org at University of Southern Queensland Library on August 5, 2014

Hand Hygiene Practices in a Neonatal Intensive Care Unit: A Multimodal Intervention and Impact on Nosocomial Infection
Barbara C.C. Lam, MBBS, FRCP(Edin, Lond.), FRCPCH(UK), FHKCPaed; Josephine Lee, RN, MSN; and Y.L. Lau, MD (Hons), FRCP(Edin, Glasg. Lond.) FRCPCH(UK)
ABSTRACT. Objective. Health care–associated infections persist as a major problem in most neonatal intensive care units. Hand hygiene has been singled out as the most important measure in preventing hospital-acquired infection. However, hand hygiene compliance among health care workers (HCWs) remains low. The objective of this study was to assess the frequency and nature of patient contacts in neonatal intensive care units and observe the compliance and technique of hand hygiene among HCWs before and after the implementation of a multimodal intervention program. Methods. The nature and frequency of patient contacts, the hand…...

Similar Documents

Premium Essay

Importance of

...Between the 12th and 19th centuries, feudal Japan had an elaborate four tier class system. Unlike European feudal society, in which the peasants (or serfs) were at the bottom, the Japanese feudal class structure placed merchants on the lowest rung. Confucian ideals emphasized the importance of productive members of society, so farmers and fishermen had higher status than shop-keepers in Japan. At the top of the heap was the samurai class. The Samurai Class: Feudal Japanese society was dominated by the samurai warrior class. Although they made up only about 10% of the population, samurai and their daimyo lords wielded enormous power. When a samurai passed, members of the lower classes were required to bow and show respect. If a farmer or artisan refused to bow, the samurai was legally entitled to chop off the recalcitrant person's head. Samurai answered only to the daimyo for whom they worked. The daimyo, in turn, answered only to the shogun. There were about 260 daimyo by the end of the feudal era. Each daimyo controlled a broad area of land, and had an army of samurai. The Farmers / Peasants: Just below the samurai on the social ladder were the farmers or peasants. According to Confucian ideals, farmers were superior to artisans and merchants because they produced the food that all the other classes depended upon. Although technically they were considered an honored class, the farmers lived under a crushing tax burden for much of the feudal era. During the reign......

Words: 1404 - Pages: 6

Premium Essay

Importance of Ias

...[pic]Importance of IaS [pic] Submitted to: Md. Safayat Hossain Lecturer Dept. of Accounting & Information Systems University of Dhaka Submitted by: Md. Nur Alahi Jony ID: 13 105 4th Year, 2nd Semester B.B.A, 13th Batch Dept. of Accounting & Information Systems University of Dhaka. Date of submission: January 11, 2011. IMPORTANCE OF INTERNATIONAL ACCOUNTING STANDARDS INTRODUCTION With globalization everything is spreading worldwide and communication gets importance highly in this regard. Business operations are also spreading globally in an increasing rate. Among other matters, accounting is treated as the “Language of Business”. And the communication of accounting information is must to operate the business. As the consequence, a set of globally accepted accounting standards is necessary to introduce best possible communication of accounting matters worldwide. NEED OF ACCOUNTING STANDARDS Accounting is the art of recording transactions in the best manner possible, so as to enable the reader to arrive at judgments/come to conclusions, and in this regard it is utmost necessary that there are set guidelines. These guidelines are generally called accounting policies. The intricacies of accounting policies permitted Companies to alter their accounting......

Words: 529 - Pages: 3

Premium Essay

Handwashing

...Chamberlain College of Nursing Research Summary Table: Handwashing Author, Year of Publication | Purpose | Sample | Design | Findings | Limitations | Creedon, S. (2005) | The purpose of this study is to show hand hygiene from a prospective of clinical behaviors. | A total of 314 hand hygiene observations were reviewed for changes in behavioral patterns, and a total of 62 questionnaires were completed. | A quasi-experimental design with a convenient sample was used. | Improvement in hand hygiene and a decrease in infections was noted at 83%. | No comparison group or random assignment to group | Bisset, L.(2003) | The purpose of this study was to identify whether different healthcare professionals understand the definitions of proper handwashing. | A total of n=105 nurses and n=18 doctors | The design used to complete this study was through questionnaires. | The findings revealed additional training and changes to policy and procedures need to be implemented. The study revealed over 60% of the staff did not know the correct definition of hand hygiene. | No inferential statistics were offered.No comparison group or random assignment to groupNo educational resources were completed. | Smith, S. (2009) | To identify the most effective handwashing practice. | The sample consisted of 5000 deaths that were reviewed. | The design was a systemic review. | Few studies described the effectiveness of handwashing. | No comparison between TBL courses and non-TBL......

Words: 668 - Pages: 3

Premium Essay

Alcohol-Based Hand Rubs vs Handwashing

...     1   Language and Communication: Final Dianne Pacifico QBT1: Task 4 - Revisions January 29, 2013 Western Governors University Alcohol-­‐Based  Hand  Rubs  vs.  Handwashing   Alcohol-Based Hand Rubs versus Handwashing Efficacy Hand hygiene has been the foundation of preventing nosocomial infections throughout the hospital. It has been taught for several generations that hand hygiene is effectively accomplish through the use of handwashing with soap and water. Unfortunately, studies have shown that handwashing practices have fallen out, which have led to a noticeably low compliance rate with health care workers. This in turn has led to an increase of nosocomial infections, and has had a negative impact on improving the health of patients who rely on physicians, nurses and other ancillary staff who have direct contact with them. Fortunately, an introduction of a new product has been able to change the statistical data with low compliance rate for hand hygiene. Some facilities have introduced the use of alcohol-based hand rubs as an alternative to the conventional handwashing techniques to help decrease the rate of nosocomial infections. There are several factors that indicate a better efficacy rate with using hand rubs versus handwashing. Studies have shown that health care workers have listed barriers and constraints that prevent them from practicing proper hand hygiene; therefore, leading to a low compliance rate. The effect of this......

Words: 2416 - Pages: 10

Premium Essay

Importance of Sleep

...Topic : Importance of Sleep General Purpose : To inform Specific Purpose : To inform my audience about the importance of sleep. Central Idea : Sleep is very important to people because it helps to control weight issues and boosting our memory. I would like to share about the importance of sleep that leads to control weight issues and boosting our memory. Main Idea : 1. Boost our memory 2. Control weight issues Introduction Attention Getter “A good laugh and a long sleep are the best cures in the doctor's book”, which is from one of the Irish proverbs. Due to more laughter and sufficient sleep, we could live longer. As a teenager, we need to get at least 8 hours of sleep every day. So, are you getting enough sleep? Reveal Topic For your information, in average, human will spend about 20-25 years sleeping time over 75 years of life span. That is about one-third of our life time. This figure is quite shocking as we never realise that sleeping has become our essential life process. According to the National Sleep Foundation (NSF), sleeping plays a crucial role in good health and well-being throughout our life. Sleep is the golden chain that ties health and our bodies together. Moreover, sleeping will bring positive effects to our daily health, including the most important defence of our body, the immune system. Thus, getting less sleep than the recommended time per night may reduce the effectiveness of our immune system. Establish ......

Words: 1270 - Pages: 6

Premium Essay

Importance of Communication

...Importance of Writing and Communication Abstract From a business’s point of view having the ability to write and communicate well is a fundamental attribute one must have in order to move forward. Writing intellectually and reading will ultimately equip an individual with the communication skills one needs to participate effectively amongst their peers. Your writing will reveal to the readers who you are and how much pride you take in your work. It will be foretelling about your educational background and even your level of business expertise. By developing your writing skills early in life, this can help you enhance your ability to solve problems and think critically. It is very important to use correct grammar as well as spelling as this will say many things about your character. Communicating impeccably during an interview helps sell yourself and present to the potential employer what type of conversationalist you will be and how well you will be understood by your coworkers and management. Importance of Writing and Communication Especially in the over stimulating technological world we live in I feel that it is extremely important to hold on to our writing and communicating abilities. We are no longer following the regulations of proper writing and communication. People now are failing to use correct verbiage and punctuation due to the auto correction of everything option. Today, technology has constructed numerous principles of writing that is simply......

Words: 915 - Pages: 4

Free Essay

The Importance

...ago, 18 flags Evidence Of Pre-Columbian Trade Between Asia And The Americas Found Ancient & Lost Civilizations : 16 hours ago, 16 flags Monsanto Patents GMO Cannabis General Conspiracies : 4 hours ago, 16 flags U.S. House passes estate tax repeal Degree 6 Duration: 7 months The sixth Initiate degree presents the physical, mental, emotional and spiritual components of health and disease. You will learn specific Rosicrucian healing techniques. Topics include: Health and Illness Physiological Evolution of Humans The Skeleton Digestion and Nutrition Spiritual Dimension of Food Breathing and Respiratory Health Composition of Blood Heart and Circulatory System The Lymph and Lymphatic System Liver, Spleen, kidneys Importance of Water Cell Consciousness and Cellular Health Cerebro‐spinal Nervous System Autonomic Nervous System Sympathetic Division of the Autonomic Nervous System The Sympathetic Energy Influence of Stress on Digestion and Breathing Sympathetic Ganglions and their Connections Rosicrucian Therapy Disorders associated with the Cervical, Thoracic, and Lumbar Ganglions Rosicrucian Treatments Personal Treatment to Restore your Psychic Equilibrium http://www.abovetopsecret.com/forum/thread1064310/pg1 US Political Madness : 10 hours ago, 13 flags HEAD of the FBI’s Anthrax Investigation Says the Whole Thing Was a SHAM Other Current Events : 9 hours ago, 13 flags I've missed y'all!!! Introductions : 11 hours ago, 12......

Words: 4563 - Pages: 19

Premium Essay

Diversity Conflicts in the Nicu

...order provide effective and efficient health services; health care organizations need to develop cultural and linguistic competence (Gordon, 2013). The aim for health care organizations is to achieve cultural competence as evidenced by every patient regardless of race, ethnicity, culture or language receiving the highest-quality care (Betancourt, Green, Carrillo, & Park, 2005). Betancourt, Green, Carillo, and Ananeh-Firempong II (2003) defined a cultural competent health care organization as one that recognizes and integrates the importance of culture, cultural differences, cultural knowledge and services to meet the distinctive needs of the culture. This cultural competence encompasses integration and interaction of beliefs, behaviors, disease prevalence and incidence and treatment outcomes for diverse patient populations (Betancourt et al., 2003). In the case study: Diversity Conflicts in the NICU the manager has identified practices in the NICU that are not representative of a culturally competent organization. While reflecting on the diverse population that her staff comprises of the manager debates changing her hiring practices to avoid the amount of growing conflicts. Gordon (2013) discusses how health care organizations have an obligation to develop policies and practices that will assist in recruiting, retaining, and managing the various cultures represented in the workforce to offer both culturally appropriate care and improved access to care. The Commonwealth......

Words: 1900 - Pages: 8

Free Essay

Nursing Research in the Nicu

...Linnette Nolte, RN Introduction and Purpose Nearly 400,000 infants are admitted to the Neonatal Intensive Care Unit (NICU) each year. This can be an intensely overwhelming, stressful, and emotionally draining experience for the families and, especially the parents, of the infants requiring care in the NICU. With the help of an emerging care delivery model known as family centered care, health care providers can ease some of the stress during a NICU stay by involving the parents in the cares of their infant. Basic ideas of family centered care include: parental involvement in the cares of their infant, unrestricted parental presence in the NICU, and open communication between parents and all care provider team members (Griffin, T., 2006). Griffin states that family centered care is “a philosophy of care that embraces a partnership between staff and families.” As this type of delivery care model is becoming more the norm in NICUs across the world, many researchers have posed the question of the parents and their feelings of the overall environment and care of their infant. Making the parents feel like they have control over certain areas of the entire NICU experience can make the difference between a smooth hospital stay and one that is not ridden with problems. 1.) In the qualitative research article Mothers in the NICU: Outsider to Partner by Judith A. Heermann, Margaret E. Wilson, and Patricia A. Wilhelm the main focus was to examine the......

Words: 1469 - Pages: 6

Free Essay

British Columbia Nicu Bed Allocation Case Analysis

...British Columbia NICU Bed Allocation Case Analysis Background: The executive director of BC’s Neonatal Services Program (BCNSP) and the officials of BC’s Ministry of Health Services (MHS) have been trying to decide whether or not to increase the neonatal ICU bed capacity in the province. This was due to a report in 2007 – 2008 that indicated that the province sent 98 expectant mothers and newborns to the US for treatment. This decision needed to be made also due to pressure coming from the media. For example it was an article by the Globe and Mail that was discussing the need for more beds and an actual national birthing plan. This is when the director was asked to suggest bed allocations among over areas of improvements for the situation. Issues: It states in the case itself that this is an issue because health care costs in BC were rising and the provincial government was pressuring them to avoid increasing spending. At the same time it’s also very expensive to send these mothers and newborns all the way to the US to get treatment. Not only is this costly but sending these patients over also places emotional stress on families. Some other issues could be projected as risks that involve scope and functionality, including the budget, schedule for this decision n and operations associated. If this decision isn’t carried out properly or isn’t performed optimally, it’ll result in less efficient operations, user dissatisfaction and overall lower functionality. There’s......

Words: 1060 - Pages: 5

Premium Essay

Importance

...IMPORTANCE OF EDUCATION IN MODERN WORLD In the modern city, education is essential for every child. Education is a preparation for students before entering the society. School play the important role in educates and provoke the talent of the young generation to become a successful person in the future. Parents pinned their hopes, ambitions, and dream on their children. With this in mind, many parents try their best to let their children enroll in high qualification school. High qualification school will provide the good learning facilities, good learning atmosphere and environment to students. According to the historical record, the famous Chinese philosopher Mencius moved home three times due to his mother wants Mencius to improve his education. Besides, Kautilya, he is a philosopher, royal adviser, professor of economics and political science in India. He sufficient emphasis on the importance of education. Another key thing to remember that even a poor family also insists that send their children to school to get an education. In this day and age, provides a good education to every child is a contentious issue. Hence, the three discussion of the importance of education in the modern world is to change people’s life , to improve personal development and to innovative and improve technology. The importance of education is to change people’s Life. According to Anonymous (2012), education not only to get a job and also let people to leading a better future......

Words: 760 - Pages: 4

Premium Essay

Effect of Antiseptic Handwashing vs Alcohol Hand Sanitizer

...Effect of Antiseptic Handwashing vs Alcohol Sanitizer on Health Care- Associated Infections in Neonatal Intensive Care Units Introduction This article seeks to determine if alcohol hand sanitizers are as effective as antiseptic handwashing at reducing or eliminating health care associated infections in a neonatal intensive care unit. The Centers for Disease Control and Prevention, Atlanta, GA, recommends use of waterless alcohol hand products in lieu of traditional handwashing for patient care, but there is little data demonstrating the impact of this recommendation on health-associated infections. Protection of Human Participants 76.8% (119/155) of eligible nurses agreed to participate in the study and had one or more hand cultures performed. The primary reason nurses refused to participate was unwillingness to perform study procedures, such as completing diary cards. Over the course of the study, 12 nurses withdrew, 9 because they left the study NICU, and 3 because they no longer wanted to participate. Nurses completed 1070 daily dairy cards. No informed consent was obtained. Data Collection A clinical trial using a crossover design in two neonatal ICU’s in Manhattan, NY from 3-1-2001 to 1-31-2003, including 2,932 neonatal hospital admissions (51,760 patient days) and 119 nurse participants. Two hand hygiene products were tested, a traditional antiseptic handwash and an alcohol hand sanitizer....

Words: 729 - Pages: 3

Free Essay

Handwashing

...Reabsorption of Sodium Chloride — Lessons from the Chloride Channels PERSPECTIVE prostaglandin inhibitors, and the molecular challenge is substantial as well. The molecular delineation of the genetic defects that result in tubulopathies can lead to a better understanding of their physiology. However, the DNA sequencing of the genes that encode transporters and channels (as well as their subunits) is not a trivial matter and must be complemented by experiments determining expression patterns. The Xenopus oocytes that have been used for such studies are transfected cells rather than “real” polarized cells of the thick ascending limb of the loop of Henle surrounded by the sophisticated hypertonic environment of the renal medulla. The complex polyuria–polydipsia syndrome described by Schlingmann et al. is attributable to the concomitant loss-of-function mutations in both CLCNKA and CLCNKB; the syndrome results in ion selectivity, demonstrating the means whereby a renal tubular cell lets one type of ion (chloride) through the lipid membrane to the exclusion of others. It thus provides yet another example of the molecular basis of Bartter’s syndrome (see Figure). The contributions of Roderick McKinnon and Peter Agre to solving these two complementary problems of the resorption of renal solute and renal solvent earned them the 2003 Nobel Prize in chemistry.5 We live in a fascinating time in which clinical syndromes can be deciphered at the molecular......

Words: 3296 - Pages: 14

Free Essay

Prevention of Nosocomial Infection of Neonates in the Nicu

...neonates in the NICU Nosocomial bloodstream infections play a big part in infections that affect the very premature low birth weight infants in the Neonatal Intensive Care Units which can cause morbidity and mortality. Numerous attempts have been made to prevent infections and the outcomes have gone both ways with mixed results. The rates have varied from unit to unit and research has been performed to distinguish if the models that are used in each unit have made a difference in the prevention of infection. The population of the NICU is vulnerable and the effects of infection can increase the length of stay and the cost of the hospitalization. Many efforts have been successful but some variances in the rates still exist. Strategies have been attempted to be identified to minimize the risks of nosocomial infection in low-birth-weight infants (Newby, 2008, p. 421). In the NICU population the nosocomial infection rate is the highest in the VLBW (very low birth weight) infants. They are amongst the largest of the groups of infants that require more interventions and support procedures that come along. The smaller, less mature infants are more prone to infection since they have sensitive and immature skin that from any portal of entry, the higher infection rates are almost impossible to overcome. There are several factors to consider such as if the problem exists because of the prematurity of the infant or is it the effect of the environment or treatment given in the......

Words: 874 - Pages: 4

Premium Essay

Prayer Importance

...THE IMPORTANCE OF PRAYER The importance of Islam cannot be understated. It is the first pillar of Islam that the prophet (peace upon him) mentioned after mentioning the testimony of faith, by which one becomes a Muslim. It was made obligatory upon all the prophets and for all the peoples. Allah has declared his obligatory status under majestic circumstances. For example, when Allah spoke directly to Moses, He said, ‘and I have chosen you, so listen to that which is inspired to you. Verify, I am Allah! There is none worthy of worship but I, so worship Me and offer prayer perfectly for my remembrance.’ ( Taha 13-14) Similarly, the prayers were made obligatory upon the prophet Muhammad (peace be upon him) during his ascension to heaven. Furthermore, when Allah praises the believers, such as in the beginning of surah al-Muminoon, one of the first descriptions He states is there adherence to the prayers. Once a man asked the prophet (peace be upon him) about the most virtuous. The prophet (peace be upon him) stated that the most virtuous deed is the prayer. The man asked again and again. The first three times, the prophet (peace be upon him) again answered, ‘The prayer,’ then one of the fourth occasion he stated, ‘Jihad in the way of Allah.’ The importance of prayer is demonstrated in the many of the prophet’s statement. For example, the prophet (peace be upon him) said, ‘The first matter that the slave will be brought to account for on the Day of Judgment is the prayer. If...

Words: 521 - Pages: 3

Wildlife2018104 min +31 | Kaaval (2015) DVDRip Full Hindi Dubbed Movie Watch Online Watch Kaaval (2015) DVDRip Full Hindi Dubbed Movie & Download Free. Hindi Dubbed Movie Kaaval (2015) DVDRip Full Cast and Crew Details. Film Name :- Kaaval (2015) DVDRip Film Directed By :- V.R. Nagendran Film Written by -- V.R. Nagendran Starring of the Film :- Vimal, Samuthirakani, ‘Punnagai Poo’ Geetha Genres -: Thriller Origin Country -- India Film Language -- Hindi Dubbed   Option -1 NetuTV Player 1 Option -2 WatchVideo Player 2 Option -3 Openload Player 3 Option -4 VideoMega Player ... | Organized Kindle MOBI Library 13 000 Books Part 2 of 2 K-Z