The Evidence-Based Practice in nursing is the area of concern for this discussion. An evidence-based practice refers to an approach to problem-solving to clinical decision-making in a healthcare organization. The EBP integrates best available scientific evidence that has best available experiential evidence.
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It helps the nurses in assessing research, clinical guidelines and the other resources in applying the findings to offer a quality care to the patients. Under the Evidence-based practice in nursing, the professionals are entitled to identification of various problems that may be affecting their patients within their line of offering their healthcare to the patients. The possible problem for this case involves how effective is regular hand washing with the regular soap and water vs. alcohol based hand sanitizers in reducing the nosocomial infection (Davies, 2011).
For the nursing practice, the problem is highly significant in that hand hygiene is among the main components of any program of controlling infection and frequently, it is considered to be synonymous with hand washing. However, most of the health care workers do not often wash their hands, and those that comply with this issue rarely exceeds 40% (Babeluk, 2014). In most of the countries, rubbing hands with waterless and alcohol-based rub-in cleanser is mostly use instead of washing the hands. Due to this concern, it is worth assessing the effectiveness of hand washing with regular soap and water versus alcohol-based hand sanitizers in a reduction of nosocomial infection. It is notable that during the daily patient care, rubbing hands with an alcohol-based solution is highly efficient in the reduction of hand contamination than washing hands with the antiseptic soap. In improving compliance with the hand hygiene during patients care, the rubbing of hands with an alcohol-based solution is a suitable substitute for washing hands due to its accessibility and rapid action.
In assessing the problem, the PICOT questions are highly essential. The five most important questions include does washing hands among the health workers reduce the hospital-acquired infections? This is a vital question for assessing the problem.
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