Comparative Analysis of Handwashing with Soap and Hand Rubbing with Handrub: Efficacy and Practical Implications among Nurses
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Abstract
Hand hygiene stands as a cornerstone in infection prevention within healthcare settings, with implications for patient safety and healthcare worker well-being. This research delves into the comparative effectiveness of two fundamental hand hygiene methods handwashing with soap and hand rubbing with handrub specifically among nurses, who play a pivotal role in the frontline defense against infectious threats. A prospective, randomized controlled trial design was employed to compare the efficacy of handwashing with soap and hand rubbing with handrub among a diverse cohort of 100 registered nurses. Randomization and allocation concealment were implemented to minimize biases. The primary outcome measure was the reduction in bacterial counts on the hands of nurses, assessed through standardized swabbing techniques and microbiological cultures at baseline, immediately post-intervention, and at follow-up intervals. The findings reveal a statistically significant superiority of hand rubbing with handrub over handwashing with soap in reducing bacterial counts among nurses. Immediate post-intervention assessments demonstrated a marked reduction in bacterial counts in the hand rubbing group, with sustained effects observed over follow-up intervals. Subgroup analyses across different clinical units and years of nursing experience consistently favored hand rubbing.
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Bloomfield, S. F., Aiello, A. E., Cookson, B., O’Boyle, C., & Larson, E. L. (2007). The effectiveness of hand hygiene procedures in reducing the risks of infections in home and community settings including handwashing and alcohol-based hand sanitizers. American Journal of Infection Control, 35(10), S27–S64.
Chatfield, S. L., Nolan, R., Crawford, H., & Hallam, J. S. (2016). Experiences of hand hygiene among acute care nurses: An interpretative phenomenological analysis. SAGE Open Medicine, 4, 2050312116675098.
De Vries, R., & De Vries, R. G. (2004). A pleasing birth: midwives and maternity care. Temple University Press.
Deaton, A., & Cartwright, N. (2018). Understanding and misunderstanding randomized controlled trials. Social Science & Medicine, 210, 2–21.
Dhole, S., Mahakalkar, C., Kshirsagar, S., & Bhargava, A. (2023). Antibiotic prophylaxis in surgery: current insights and future directions for surgical site infection prevention. Cureus, 15(10).
Evans, G. (2014). APIC 2014: Saudi IPs say MERS is ‘our challenge,’but tide is turning with aggressive new measures. Hospital Infection Control & Prevention, 41(7), 61–64.
Group, C. E. P. and O. of C., Houghton, C., Meskell, P., Delaney, H., Smalle, M., Glenton, C., Booth, A., Chan, X. H. S., Devane, D., & Biesty, L. M. (1996). Barriers and facilitators to healthcare workers’ adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Cochrane Database of Systematic Reviews, 2020(8).
Ibbotson, J. (2018). Antimicrobial hand rub: an investigation of the various chemicals used in the concentrate skin formula to enhance the product performance. University of Salford (United Kingdom).
Jordan, B. (1992). Birth in four cultures: A crosscultural investigation of childbirth in Yucatan, Holland, Sweden, and the United States. Waveland press.
Kingston, L. M., O’Connell, N. H., & Dunne, C. P. (2018). A comparative study of hand hygiene and alcohol-based hand rub use among Irish nursing and medical students. Nurse Education Today, 63, 112–118.
Kondaguli, S. V. (2023). Sharat’s Proposed Model of Standard Nursing Care: Anchored in Knowledge and Practice.
Organization, W. H. (2006). WHO guidelines on hand hygiene in health care (advanced draft): global safety challenge 2005-2006: clean care is safer care. World Health Organization.
Price, P. B. (1938). The bacteriology of normal skin; a new quantitative test applied to a study of the bacterial flora and the disinfectant action of mechanical cleansing. The Journal of Infectious Diseases, 301–318.
Roe, E., Veal, C., & Hurley, P. (2019). Mapping microbial stories: Creative microbial aesthetic and cross‐disciplinary intervention in understanding nurses’ infection prevention practices. Geo: Geography and Environment, 6(1), e00076.
Sands, M. (2020). Developing and Evaluating A Novel Intervention to Improve the Hand Hygiene Behaviour of Nurses In Acute Care Hospital Units in the United States. London School of Hygiene & Tropical Medicine.
Schmidt, N. A., & Brown, J. M. (2024). Evidence-based practice for nurses: Appraisal and application of research. Jones & Bartlett Learning.
Suleyman, G., Alangaden, G., & Bardossy, A. C. (2018). The role of environmental contamination in the transmission of nosocomial pathogens and healthcare-associated infections. Current Infectious Disease Reports, 20, 1–11.
Vermeil, T., Peters, A., Kilpatrick, C., Pires, D., Allegranzi, B., & Pittet, D. (2019). Hand hygiene in hospitals: anatomy of a revolution. Journal of Hospital Infection, 101(4), 383–392.
Watson, J. A. (2014). The Role of a Multimodal Educational Strategy on Healthcare Workers’ Hand Washing. Walden University.
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