Literature Evaluation Table Student Name: Sheila Bravo RN Change Topic (2-3 sentences): HAI’s can be controlled in the OR. Nurses can control what they do before and after patient care. Washing hands pre-and post op stop the infection rate among patients in the OR. Criteria Article 1 Article 2 Article 3 Article 4 Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article Beyfus, R.T., Danner, M, R.-B., Rawal, M.B., Gruber, P.E., Dawson, M.N., & Petrou, M.S Dourado de Almeida lima, MSc, J.L., Lopes Pessoa de Aguiar, MD, PhD, R., Leite, MD, PhD, H., Martins Silva, H., Meria de Oliveira, W., Tomas da Cunha Sacramento, J., Maia de Castro Romanelli, MD, PhD, R. Forwalt, RN, CIC, L., Ennis, MD, D., & Stibich, PhD, M. Lloyd-Smith, PhD, E., Curtin, RN, J., Gilbart, RN, W., & Romney, MD FRCPC, M. G Article Title and Year Published The use of Passive Visual Stimuli to Enhance Compliance with Handwashing in a Perioperative Setting 2016 Surveillance of Surgical Site Infection After Cesarean Section and Time of Notification 2016 Influence of a Total Joint Infection Control Bundle on Surgical Site Infection Rates 2016 Qualitative Evaluation and Economic Estimates of an Infection Control Champions Program 2014 Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study Would passive visual stimuli help medical staff remember to wash hands before patient care. How long after a cesarean section were infections reported. Are hands being washed as well as surface areas cleaned well before and after surgery. Does making sure to have Infection Control Champion in house help rates of Infection reduce. Design (Type of Quantitative, or Type of Qualitative) Quantitative Qualitative Quantitative Qualitative Setting/Sample OR OR OR OR Methods: Intervention/Instruments Posters with hand washing or a face with a note making sure you washed your hands. Telephone calls 30 days postop to ask patients if there were any problems existing. Chlorhexidine hand wash, body wash and prepping. Making sure policies and procedures were being followed through and that all employees were educated. Analysis Testing how much was dispensed as to how the rate of HAI’s were acquired or not acquired during the testing time. By calling the mothers post op, monitoring patient for post op significantly lowered the rate of infection. Surface contamination can affect hands, wounds and instrument contamination. Having a designated person to have direct care with patient that knew policy and procedure to make sure infection rates were reduced. Key Findings Passive visual stimuli were effective. Most infections were found in first 10 day compared to only 4% in 30 days. With chlorhexidine washes patient infections were reduced. The outcomes were different for each different group as some didn’t follow through with program Recommendations Postings should be by sinks or on OR doors Monitoring surgical patients after they are discharged to monitor wound healing. Early ambulation, chlorhexidine washes prior to surgery Study needed to be revisited with all people involved finishing the program to get correct findings. Explanation of How the Article Supports EBP/Capstone Project Making sure you wash your hands prior to patient care lowers the rate of HAI’s Monitoring patient, making sure that they are keeping on top of their surgical site and cleanliness. Lowering the rate of OR infection. Having an infection control specialist train medical personnel in hope of lowering infection rates. Criteria Article 5 Article 6 Article 7 Article 8 Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article Rahmqvist, P.M. Mitchell, PhD, MAdvPrac, B.G., Hall, PhD., L., Macbeth, PhD, D., Gardner, PhD, A., & Halton, PhD, K. Purva, M. Ho, MBBS, MPH, H.J., PoH, BS, B-F., Choudhury, MBBS, FRCPA, FRCPath, S., Krishnan, MBBS, MD, FRCPath, P., Ang, MBBS, MPH, B., % Chow, MBBS, MPH, MS, Phd, A. Article Title and Year Published Direct Health Care Costs and Length of Hospital Stay Related to HAI’s in Adult Patients based on Point Prevalence Measurements 2016 Hospital Infection Control units: Staffing, Costs and Priorities. 2015 Hand Hygiene; Back to the Basics of Infection Control 2012 Alcohol Hand rubbing and Chlorhexidine handwashing are equally effective in removing MRSA from Health care workers’ hands: A randomized controlled trial. 2015 Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study How much time and money is spent on HAI’s. What are the costs to prevent infection and having proper staffing in each unit? Will proper hand hygiene cut down on infections? Which type of solution cleansed hands better. Design (Type of Quantitative, or Type of Qualitative) Quantitative Qualitative Quantitative Qualitative Setting/Sample OR/ Hospital Hospital Hospital OR Methods: Intervention/Instruments Monitoring the rate of admission and readmission with HAI’s through the hospital Proper staffing and education for infection control to lower rates and costs to take care of patients with infection. Proper hand washing skills. Use of alcohol or chlorhexidine hand wash prior to patient care. Analysis Men had a higher rate of readmission due to HAI’s than women and children Larger hospitals compare to private smaller hospitals were analyzed Making sure proper hand washing is completed before and after patient care. Two types of hand wash and steps were used to conduct study Key Findings Most readmissions were within 30 days of being admitted Larger hospitals were clearly staffed with more ICP’s and has lower rates of HAI’s. Lower infection rates and HAI’s with proper hand washing Both were equally effective Recommendations Following up with patients post discharge, teaching about hand washing germs and other infections. Proper education and staffing reduces the rate of HAI’s as well as lowering costs of readmission. Making sure that everyone knows the correct way to cleanse hands. Introducing alcohol rub technique is faster than other techniques and just as effective if done properly. Explanation of How the Article Supports EBP/Capstone Readmission can most definitely happen after a patient leaves the OR and is admitted to the med surg unit. Making sure that there is enough staff throughout the hospital for medical personnel to be trained and made aware of new policies. Proper hand washing, which is done prior to surgery, should be done by all staff. Time spent preparing for patient care and effectiveness can be lowered by using alcohol had rub.