JM Week 3 CLC Presentation 5 slides

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Karachi School for Business & Leadership *

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MISC

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Nursing

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Nov 24, 2024

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docx

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Evidence-based practice in Nightingale’s Environmental Theory  According to Riegel and colleagues (2021 ), evidence-based practice (EBP) refers to the integration of patient values, clinical practice and best research evidence when making decisions in patient care.  Nightingale outlines various environmental measures that could evidently lead to quality patient care and recovery  Proper ventilation  Proper self and bed hygiene  Nurse hygiene Evidence-Based Practice Example #1 The effectiveness of hand sanitization and hygiene in infection control Maintain hand hygiene decreases the chance of spreading infections among patients and healthcare practitioners. The two recommended techniques are washing hands with soap and water and alcohol-based sanitizers. CDC maintains that alcohol-based sanitizers are the most efficient in reducing germs and are preferable in acute care settings (2021). Clinical settings have implemented the ‘Gel in and gel out’ practice. Washing hands with soap and water is utilized before and after eating, after using the restroom, when hands are visibly soiled or when in contact or suspect spore exposure ( Hussain & Karim, 2020) . Jewelry, gel nail polish or artificial nails are discouraged because they can harbor germs and natural nails need to be less than a quarter inch. According to Nightingales’ theory of environmental change, cleanliness is a factor I preventing infections. The evidence-based infection control policy allows nurses to play significant roles in preventing infections in healthcare facilities ( Riegel et al., 2021) . Their tasks and responsibilities are linked to infection control with the critical intention being ensuring that the environment is free from germs and infections, ensuring hand hygiene, using personal protective equipment and executing isolation protocols. Evidence-Based Practice Example #2 Good Personal and Bed Hygiene Good personal hygiene leads to increased self-esteem, good quality of life and skin integrity. Bathing essentially contributes to hygiene and comfort. However, there are other benefits

such as removal of contaminants, stimulating circulation, and eliminating microbes on the skin that could cause infections ( Hussain & Karim, 2020) . Some patients are immobile and would require bad-bathing. The first-line of defense for the body against infections is intact skin. Thus, using emollient and cleanser wipes for patients who require bed-bathing helps in restoring the skin integrity ( Gilbert, 2020) . Also, bed-bathing increases relaxation, comfort and an opportunity to assess skin integrity. Nightingale’s environmental change theory states that personal hygiene is a significant factor that promotes healing and comfort and reduced the chance of hospital acquired infections ( Gilbert, 2020) . Evidence-Based Practice Example #3 Ventilation (Sunshine and Fresh Air) Patients are likely to heal and recover well when their windows are open and the room is bright and sufficiently ventilated. Light influences healing and health as it has a positive impact on the body’s mood, circadian rhythm and perception ( Hussain & Karim, 2020) . In addition, light promotes chemical reactions within the body. Patients with dementia benefit from light exposure as it reduced agitation and depression and decreases their pain and increase their awareness of day and night. Exposure to sunshine also promotes utilization of vitamin D ( Riegel et al., 2021) . Patients need exposure to both artificial and natural light to aid their health process and improve their overall health. Access to daylight and windows have also proven to have positive impacts when moderating medical errors among healthcare practitioners. References Center for Disease Control. (2021). Introduction to Hand Hygiene. Retrieved from https://www.cdc.gov/handhygiene/providers/index.html Gilbert, H. A. (2020). Florence Nightingale's Environmental Theory and its influence on contemporary infection control. Collegian , 27 (6), 626-633. Hussain, A., & Karim, K. (2020). Enhancing Patient's Surrounding: Application of Nightingale's Environmental Theory Into Nursing Practice. i-Manager's Journal on Nursing , 10 (1), 45.

Riegel, F., Crossetti, M. D. G. O., Martini, J. G., & Nes, A. A. G. (2021). Florence Nightingale’s theory and her contributions to holistic critical thinking in nursing. Revista Brasileira de Enfermagem , 74 .

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