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Running head: EFFECTS OF HAND HYGIENE RELATED INFECTIONS 1 Effects of Hand Hygiene Related Infections among Hemodialysis Patients Farzana Dhanani Grand Canyon University NRS-441V: Professional Capstone Sheila Hicks, RN, MSN November 9th, 2014
EFFECTS OF HAND HYGEINE RELATED INFECTIONS AMONG HEMODIALYSIS PATIENTS 2Abstract Effects of hand-hygiene practices of healthcare workers on healthcare associated infections (HAIs) are amongst the primary causes of preventable deaths among hemodialysis patients with end stage renal disease (ESRD). Patients on hemodialysis (HD) with ESRD are more vulnerable to device related infections due to their immunocompromised status and frequently accessing HD ports or catheters poses higher risk of mortality and morbidity. Catheter related infections (CRIs) and HAIs are the significant threat to patient’s safety and pose tremendous financial burden on healthcare system associated with increased healthcare cost. Research evidence supports that HAIs significantly be prevented simply by proper hand hygiene practices and compliances of healthcare workers through providing continuous education, frequent reminders, and enhancing knowledge which ultimately affects their behavior of hand hygiene compliance and influence practices. Various research studies also revealed significant improvements’ in hand hygiene practices and compliances if monitored hand hygiene practices via audits as compared to honor system of healthcare workers’ has significantly reduced the number of HAIs. The following report covers hand-hygiene as an extremely important issue in the dialysis settings as the renal community is fighting to reduce infections and increase the quality of patient care. Therefore a variety of tools and guides are available to help renal experts to follow proper hand hygiene practice and compliances which can help improve dialysis care in the facility and in the United States in general. Key words: Hand Hygiene, Catheter related infections (CRIs), Healthcare associated infections (HAIs), Healthcare workers (HCWs), End Stage Renal Disease (ESRD), Audit, Surveillance, Honor system. Knowledge.
EFFECTS OF HAND HYGEINE RELATED INFECTIONS AMONG HEMODIALYSIS PATIENTS 3Effects of Hand Hygiene Related Infections among Hemodialysis Patients Problem and Solution Statement The biggest problem that has been recognized by the writer is the lack of hand hygiene practice in the midst of health care workers (HCW) in dialysis units in long term acute care, which is the major source of health care associated infections (HCAIs), and demands engagements to expand compliance with hand hygiene protocols (Alemagno, Guten, Warthman, Young, & Mackay, 2010). Hand washing is the first and most basic step in the prevention of transmission of the infection, but lapse in infection control practices occurs more frequently than it should and healthcare professionals must provide quality, safe and basic infection control care and practices for the immunocompromised especially dialysis patients and should be integrated into the routine provision of dialysis care (Duval, 2014).