Although some of the populations were in a hospital setting, it still is applicable, as hemodialysis patients have a high hospitalization rate, and are also likely to receive dialysis over the course of their admission. The last sample population noted were healthcare employees, observing their hand hygiene technique and times performed. This, I found, was particularly critical to my proposal, as hand hygiene is a crucial intervention to break the chain and spread of infection.
7 PREVENTING HEALTHCARE-ASSOCIATED INFECTIONS IN HEMODIALYSIS There were a few limitations noted in these studies. One being the difficulty in observing each employee each time hand hygiene is directed, so the most common method to link staff to HAI data was to assess staffing two to four days prior to HAI onset, and then look at that patient’s individual data. Contaminated healthcare employee hands being linked to HAIs are not the only cause, as patient hygiene can impact these rates, too. Other limitations noted included; short staffing, demanding nurse to patient ratios, education and re-education. The healthcare workforce is making progress in infection control and prevention, but there is still more work to be done. Hemodialysis patients are continuously at high risk for infection and are facing potential infection when they enter their clinic to receive life sustaining treatments regularly. Nurses, among other professionals, must be held accountable to perform not only proper hand hygiene technique, but also be responsible to perform it each time it is indicated. In order to do this, there are several interventions that must take place, individual to each facility. By making small changes, enforcing current policies, and by holding staff and patients accountable, the high rates of HAIs can be decreased, making these outpatient dialysis clinics safer for patients and employees. There are numerous benefits to enforcing proper hand hygiene. The two largest benefits would be a decrease in rate of healthcare-associated infections, or prevention completely, and the financial savings that Dialysis Clinic Inc, DCi, would see. If a patient is infected due to the facility or staffing measures, or omission of measures, then the company is to pay for that infection which includes medications and treatments. Research has proven that hand hygiene, either by hand washing or use of alcohol-based rub, is the number one way to prevent infection, so that needs to be enforced as strict as possible, in my opinion.
8 PREVENTING HEALTHCARE-ASSOCIATED INFECTIONS IN HEMODIALYSIS Nursing Theory Evidence-based practice is the application of the best research findings on clinical decision making (Mohammadi, Poursaberi, & Salahshoor, 2018). Nursing theories help with implementing change and also promote an organized way to do so. Everette Rogers viewed the innovation-decision process as five phases; Knowledge, Persuasion, Decision, Implementation, and Confirmation. The first phase, knowledge, is when the person is exposed to the innovation or idea and acquires an understanding.
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