Skip to content

Diarrhea Nursing PICOT Paper Example

Below is a sample nursing PICOT paper on diarrhea.

PICOT Research Question: In elderly individuals residing in long-term care facilities (P), does improved hand hygiene practices (I) compared to standard hand hygiene practices (C) decrease the rate of infectious diarrhea outbreaks (O) over a period of 6 months (T)?

Review: Nursing PICOT Papers Writing Guide

  1. List of Suitable Nursing PICOT Questions
  2. Other Sample Nursing PICOT Papers:

Sample PICOT Paper on Diarrhea

Title: “Impact of Improved Hand Hygiene Practices on Infectious Diarrhea Outbreaks in Elderly Residents of Long-Term Care Facilities: A 6-Month Study”

Abstract:

Background: Diarrhea outbreaks in long-term care facilities pose significant risks to elderly individuals. Improved hand hygiene practices have been recognized as a crucial preventive measure. This paper aims to explore the impact of enhanced hand hygiene practices on reducing the rate of infectious diarrhea outbreaks in elderly individuals residing in long-term care facilities.

Methods: A comprehensive literature review was conducted, utilizing various databases and inclusion criteria. The selected articles were analyzed and synthesized to evaluate the level of evidence, identify themes and categories, and examine the strengths and weaknesses of the research.

Results: The compiled evidence supports the effectiveness of improved hand hygiene practices in decreasing the rate of infectious diarrhea outbreaks among elderly individuals in long-term care facilities. Proper hand hygiene, including handwashing with soap and water or the use of alcohol-based hand sanitizers, has been consistently demonstrated as a critical component in infection prevention and control.

Conclusion: The findings highlight the practical significance of implementing enhanced hand hygiene practices in long-term care settings. They inform evidence-based nursing practice by guiding interventions, patient care, and policy development. The evidence suggests that improved hand hygiene practices can significantly reduce infectious diarrhea outbreaks in elderly residents. However, further research is needed to address variations in interventions and strengthen the evidence base.

Keywords: diarrhea, elderly, long-term care facilities, hand hygiene, infectious outbreaks, evidence-based practice

Chapter 1: Introduction

Diarrhea is a common and debilitating condition that significantly affects the health and well-being of elderly individuals residing in long-term care facilities. It is characterized by the passage of loose or watery stools, often accompanied by abdominal pain, cramps, and dehydration. The impact of diarrhea outbreaks in these settings is not only limited to the affected individuals but also extends to the overall quality of care provided. ?Start with an introductory statement that grabs the reader’s attention

I. Prevalence/Incidence:

Globally, diarrhea is a major health concern among elderly individuals in long-term care facilities. According to data from the World Health Organization (WHO), diarrhea accounts for approximately 8% of all deaths in this population, with an estimated 300,000 deaths annually. These figures highlight the substantial burden of diarrheal diseases and the urgent need for effective prevention strategies [Add in-text citation]. ?The prevalence/incidence should move from general (international/global) to specific (national level; local level).

At the national level, studies conducted in various countries have reported high rates of diarrhea outbreaks in long-term care facilities. For instance, a national survey conducted in Country X revealed that approximately 20% of elderly residents experienced at least one episode of diarrhea in the past year. Similarly, a study conducted in Country Y found that the incidence of diarrhea in long-term care facilities was as high as 30%, indicating the widespread nature of this problem [Add in-text citation].

Moving to the local context, within the specific region or community, the prevalence of diarrhea outbreaks can vary. Local studies conducted in City Z have shown that up to 40% of elderly individuals in long-term care facilities have been affected by diarrhea within a given year. These findings highlight the local impact of this issue and the need for targeted interventions to address and mitigate the occurrence of outbreaks.

The populations most susceptible to infectious diarrhea outbreaks in long-term care facilities include elderly individuals with weakened immune systems, underlying health conditions, and reduced physiological reserves. Furthermore, residents with compromised cognitive abilities or functional impairments are at an even higher risk due to challenges in maintaining proper hygiene practices. ?Finally, identify the populations that are particularly susceptible to the issue i.e. age groups, genders, races, cultures, or subgroups.

II. Key Statements:

Leading international organizations such as the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) have recognized the significance of addressing infectious diarrhea outbreaks in long-term care facilities. They emphasize the importance of implementing effective preventive measures to control the spread of diarrheal infections and improve the overall well-being of elderly residents [Add in-text citations]. ?Key statements support the need for addressing the problem.

III. Implications of the Problem:

The implications of infectious diarrhea outbreaks are multi-faceted. Besides the physical discomfort experienced by affected individuals, these outbreaks can lead to serious complications, including dehydration, electrolyte imbalances, malnutrition, and increased morbidity and mortality rates. Additionally, the financial burden associated with managing outbreaks and implementing infection control measures places significant strain on healthcare systems [Add in-text citations]. ?Implications include associated financial costs, physical, emotional, and spiritual effects.

IV. Significance of the Topic:

The topic of reducing infectious diarrhea outbreaks through improved hand hygiene practices is of great significance to nursing practice. Nurses play a pivotal role in ensuring the health and safety of residents in long-term care facilities. By implementing evidence-based strategies to promote proper hand hygiene, nurses can help prevent and control diarrhea outbreaks, reduce healthcare-associated infections, and enhance the quality of care provided to elderly individuals. ?Add a succinct and compelling argument of the significance for conducting the project to healthcare and advanced practice.

V. Problem Statement:

The problem at hand is the high rate of infectious diarrhea outbreaks among elderly individuals residing in long-term care facilities. These outbreaks have a significant impact on the health and well-being of the residents, leading to increased morbidity, mortality, and healthcare costs. ?Start by stating the actual problem without stating the solution

The current hand hygiene practices in long-term care facilities, which are crucial for preventing the spread of infectious diseases, are often inconsistent and inadequate. Standard hand hygiene practices, including handwashing with soap and water or using alcohol-based hand sanitizers, are employed, but their implementation and adherence vary among staff members and residents. ?Next, state current practice

This problem can be categorized as a clinical problem with a focus on preventing infectious diarrhea outbreaks among elderly residents in long-term care facilities. ?Next, state the focus of the problem i.e. clinical, policy, educational, administrative. The problem was identified through various methods. A needs assessment was conducted to evaluate the prevalence and impact of infectious diarrhea outbreaks within the facility. Objective data, including surveillance reports and outbreak investigations, were analyzed to identify the patterns and contributing factors. Measured outcomes, such as infection rates and resident feedback, provided insights into the extent of the problem and its consequences. ?Next, state how you identified the problem.

The problem primarily affects elderly individuals residing in long-term care facilities. The focus is on improving hand hygiene practices to prevent and mitigate the occurrence of infectious diarrhea outbreaks within the institutional setting. ?Finally, state the parameters of the problem.

  • This problem statement provides a clear understanding of the issue at hand, the current practices, and the specific focus of the problem in relation to infectious diarrhea outbreaks among elderly residents in long-term care facilities.
  • It also highlights the methods used to identify the problem and the parameters that define its scope.
  • Shortened Problem Statement Example: The problem at hand is the high rate of infectious diarrhea outbreaks among elderly individuals residing in long-term care facilities. The current hand hygiene practices in these facilities are often inconsistent and inadequate, leading to increased morbidity, mortality, and healthcare costs. This clinical problem requires a focused approach to improve hand hygiene practices and prevent infectious diarrhea outbreaks. The identification of the problem involved a needs assessment, objective data analysis, and measured outcomes, highlighting the need for intervention. The problem primarily affects elderly residents in long-term care facilities, making it essential to address this issue to ensure their health and well-being.

VI. PICOT Research Question:

In elderly individuals residing in long-term care facilities (P), does improved hand hygiene practices (I) compared to standard hand hygiene practices (C) decrease the rate of infectious diarrhea outbreaks (O) over a period of 6 months (T)? ?A clear and focused research question in PICOT format that will guide your evidence-based paper.

VII. Purpose:

The purpose of this project is to investigate the impact of improved hand hygiene practices on reducing the rate of infectious diarrhea outbreaks among elderly individuals in long-term care facilities. By conducting this study, we aim to provide evidence-based recommendations and interventions to enhance hand hygiene protocols in these settings and ultimately improve patient outcomes. ?State the aim of your project, directly relating it back to your PICOT question.

VIII. Objectives:

  1. Evaluate the current hand hygiene practices in long-term care facilities and identify areas for improvement.
  2. Implement targeted interventions to promote and enhance hand hygiene practices among healthcare staff and residents.
  3. Monitor and measure the impact of the interventions on the rate of infectious diarrhea outbreaks over a period of six months.
  4. Assess the sustainability and feasibility of the improved hand hygiene practices in long-term care facilities.
  5. Develop guidelines and recommendations based on the findings to support evidence-based hand hygiene practices in similar healthcare settings.
  • Use a numbered list
  • Use a SMART format: specific, measurable, attainable, realistic, and time-limited, allowing for a systematic approach to achieving the project’s purpose.

IX. Background:

The project site is a long-term care facility catering to elderly individuals requiring assistance with daily living activities. It is important to note that long-term care facilities often have a high concentration of vulnerable individuals with compromised immune systems, making them more susceptible to infectious diseases such as diarrhea. ?Provide specific characteristics of the project site.

Evidence from previous studies conducted in similar long-term care facilities supports the necessity of this project. Research studies have shown that inadequate hand hygiene practices among healthcare staff and residents contribute to the transmission of infectious diarrhea within these settings (Smith et al., 20XX; Johnson et al., 20XX). Furthermore, epidemiological data from national and international health organizations indicate an increasing trend of infectious diarrhea outbreaks in long-term care facilities, emphasizing the urgency to address this issue (World Health Organization, 20XX; Centers for Disease Control and Prevention, 20XX).

The data specific to our project site substantiates the need for immediate intervention. In the past six months, the facility has experienced a significant rise in the number of infectious diarrhea cases among residents, resulting in hospital admissions and adverse health outcomes. Quality improvement indicators, such as increased rates of healthcare-associated infections and resident complaints related to hygiene practices, further emphasize the urgency to address this problem in this particular context. ?Explain why the project is necessary at this time in this particular context.

By incorporating the existing evidence and considering the local data, this project aims to implement evidence-based strategies and interventions to improve hand hygiene practices and reduce the rate of infectious diarrhea outbreaks in the specific long-term care facility.

X. Concepts:

  1. Hand hygiene practices: Hand hygiene refers to the act of cleaning hands to prevent the transmission of microorganisms. It includes techniques such as handwashing with soap and water, or using hand sanitizers containing alcohol. In this project, hand hygiene practices will be operationalized as the adherence to recommended hand hygiene protocols and guidelines by healthcare staff and residents in the long-term care facility.
  2. Infectious diarrhea outbreaks: Infectious diarrhea refers to the passage of loose or watery stools caused by infectious agents such as bacteria, viruses, or parasites. Outbreaks refer to the occurrence of a higher number of cases than expected within a specific period and setting. In this project, infectious diarrhea outbreaks will be operationalized as the occurrence of an increased number of diarrhea cases among residents in the long-term care facility within a defined timeframe.
  3. Rate of infectious diarrhea outbreaks: The rate of infectious diarrhea outbreaks refers to the frequency or incidence of such outbreaks within a specific time period. It can be measured as the number of new cases or the number of outbreaks per unit of time (e.g., per month or per year) in the long-term care facility.
  • By clearly defining and operationalizing these key concepts, it ensures a common understanding and enables effective communication and measurement throughout the project.

XI. Conceptual/Theoretical Framework:

The theoretical framework for this project is based on the Health Belief Model (HBM). The Health Belief Model is a widely recognized theoretical framework used in healthcare research to understand individuals’ beliefs, attitudes, and behaviors related to health and illness. It posits that people’s health-related behaviors are influenced by their perceived susceptibility to a health problem, the perceived severity of the problem, the perceived benefits and barriers to taking preventive actions, and their self-efficacy in carrying out those actions. ?Provide an overview of the theoretical or conceptual framework that underpins your project.

The Health Belief Model will guide this project by providing a theoretical foundation to understand and address the factors influencing hand hygiene practices among elderly individuals in long-term care facilities. It will help us identify the perceived susceptibility and severity of infectious diarrhea outbreaks, assess the perceived benefits and barriers to improved hand hygiene practices, and explore strategies to enhance self-efficacy in practicing proper hand hygiene. By applying this framework, we aim to develop targeted interventions and educational programs that are aligned with the underlying beliefs and motivations of the target population, ultimately leading to improved hand hygiene practices and a reduction in infectious diarrhea outbreaks in long-term care facilities. ?Describe the framework that will guide the project.

Chapter 2: Synthesis of Evidence

Below is how the evidence search was conducted for this project:

  1. Search Strategy:
    1. Search Terms: The search terms used for the literature search included “elderly individuals,” “long-term care facilities,” “hand hygiene practices,” “infectious diarrhea outbreaks.”
    2. Databases Used: PubMed, CINAHL, Scopus.
    3. Inclusion Criteria: The search was limited to articles published in English, focused on elderly individuals residing in long-term care facilities, and published within the last 10 years. Only peer-reviewed journals were included in the search.
    4. Types of Subjects: The subjects of interest were elderly individuals residing in long-term care facilities.
    5. Types of Journals: Peer-reviewed journals were included in the search.
    6. Journal Parameters: No specific journal parameters were set.
  2. Search Results:
    • Number of Articles Initially Obtained: The initial search yielded 150 articles from the selected databases.
    • System for Narrowing the Search: The articles were screened based on their titles and abstracts to exclude irrelevant studies. Additionally, full-text articles were reviewed to assess their relevance to the research question.
    • Final Number of Selected Articles: After the screening and review process, a total of 12 articles were selected for further analysis and inclusion in the literature review. These articles were deemed most relevant to the research question and provided valuable insights into the relationship between improved hand hygiene practices and the rate of infectious diarrhea outbreaks in elderly individuals residing in long-term care facilities.

II. Summary and Critique of Research Literature

  1. Level of Evidence:
    • The overall level of evidence for the body of compiled evidence on the impact of improved hand hygiene practices on the rate of infectious diarrhea outbreaks in elderly individuals residing in long-term care facilities varies across the included studies.
    • The evidence base consists of randomized controlled trials, prospective cohort studies, and systematic reviews, providing a range of study designs and methodologies.
    • The studies demonstrate varying sample sizes and levels of rigor in research methodology, with some studies exhibiting stronger methodological quality than others.
    • While the evidence base offers valuable insights into the impact of improved hand hygiene practices on reducing infectious diarrhea outbreaks in long-term care facilities, further high-quality research is needed to strengthen the evidence and enhance its applicability to the PICOT question.
  2. Description of Research Studies: The research studies included in the literature review address the problem of infectious diarrhea outbreaks in elderly individuals residing in long-term care facilities.
    • Smith et al. (20XX) conducted a randomized controlled trial with the aim of investigating the effectiveness of improved hand hygiene practices in reducing the incidence of diarrhea outbreaks.
    • Johnson et al. (20XX) conducted a prospective cohort study to identify the risk factors associated with infectious diarrhea in this population.
    • Brown et al. (20XX) conducted a systematic review to synthesize evidence from multiple studies on interventions aimed at preventing diarrhea in long-term care settings.
    • These studies collectively contribute to understanding the problem and offer insights into potential interventions to address it.
  3. Description of Research Methods: The research methods employed in the studies varied across the included research articles.
    • Smith et al. (20XX) implemented a randomized controlled trial design, utilizing a standardized approach for data collection, randomization of participants, and statistical analysis to assess the impact of improved hand hygiene practices on diarrhea outbreaks.
    • Johnson et al. (20XX) employed a prospective cohort design, collecting data through surveys and observation to identify risk factors associated with infectious diarrhea in long-term care facilities.
    • Brown et al. (20XX) conducted a systematic review, employing rigorous methods to identify, select, and synthesize relevant studies on interventions to prevent diarrhea in this population.
    • The research methods employed in these studies demonstrate strengths such as rigorous data collection and analysis techniques, but they also have limitations in terms of generalizability and potential biases.
  4. Major Findings and Conclusions: The major findings and conclusions of the research studies provide valuable insights into the relationship between improved hand hygiene practices and infectious diarrhea outbreaks in long-term care facilities.
    • Smith et al. (20XX) found that implementing improved hand hygiene practices significantly reduced the rate of diarrhea outbreaks in the facilities.
    • Johnson et al. (20XX) identified several risk factors, such as inadequate hand hygiene compliance and contaminated food and water sources, contributing to the incidence of infectious diarrhea in this population.
    • Brown et al. (20XX), through their systematic review, highlighted the effectiveness of certain interventions, such as staff education and environmental sanitation, in preventing diarrhea in long-term care settings.
    • These findings contribute to the body of evidence by highlighting the importance of implementing effective interventions and improving hand hygiene practices to reduce the occurrence of infectious diarrhea outbreaks in elderly individuals residing in long-term care facilities.

    Overall, the evidence suggests a moderate to strong level of support for the effectiveness of improved hand hygiene practices in reducing the incidence of infectious diarrhea in this population. The studies provide consistent findings that demonstrate a significant association between improved hand hygiene practices and a decreased rate of infectious diarrhea outbreaks in long-term care facilities. However, it is important to consider the limitations and potential biases of individual studies when interpreting the overall level of evidence.

  5. Themes and Categories: From the overall body of evidence, several common themes and categories emerge.
    1. Firstly, the studies consistently emphasize the significance of hand hygiene practices in preventing infectious diarrhea outbreaks in long-term care facilities. They highlight the importance of improving compliance with hand hygiene protocols among staff and residents.
    2. Secondly, interventions targeting environmental sanitation and food/water safety also play a crucial role in reducing the incidence of diarrhea.
  6. Similarities and Differences: In terms of similarities across the literature review, the purpose of the studies is aligned, focusing on identifying risk factors, evaluating interventions, and assessing the impact of improved hand hygiene practices. The studies employ various research methods, including randomized controlled trials, prospective cohort designs, and systematic reviews. This diversity in research methods strengthens the overall evidence base by providing a comprehensive understanding of the topic from different perspectives.
  7. Variations in the Outcomes: While the studies generally demonstrate consistency in highlighting the effectiveness of improved hand hygiene practices, there are variations in the outcomes reported. Some studies report a significant reduction in infectious diarrhea outbreaks following the implementation of improved hand hygiene practices, supporting the positive impact of these interventions. However, a few studies may report less pronounced or inconclusive results, potentially due to methodological limitations, variations in sample characteristics, or differences in the specific interventions implemented.
  • Overall, the body of evidence suggests that improved hand hygiene practices, along with other interventions targeting environmental sanitation and food/water safety, can contribute to a reduction in infectious diarrhea outbreaks in long-term care facilities.
  • The similarities in purpose, research methods, and general findings across the studies enhance the consistency and reliability of the evidence.
  • However, the presence of variations and inconsistencies in outcomes indicates the need for further research to better understand the contextual factors that may influence the effectiveness of interventions and to establish more definitive conclusions.

Chapter 3: Findings

  1. Current Evidence: In summary, the current evidence on the topic of improved hand hygiene practices and the rate of infectious diarrhea outbreaks in long-term care facilities indicates that these interventions can have a positive impact. The literature review reveals consistent findings that emphasize the importance of hand hygiene, along with other preventive measures, in reducing the incidence of infectious diarrhea.
  2. Gaps: There are several gaps and areas that require further research.
    1. Firstly, while the existing evidence supports the effectiveness of improved hand hygiene practices, there is a need for more studies that specifically focus on the long-term care setting.
    2. Additionally, the literature would benefit from more rigorous randomized controlled trials with larger sample sizes to strengthen the evidence base and provide more conclusive results.

    The current state of the evidence highlights the significance of implementing and promoting improved hand hygiene practices in long-term care facilities. However, there is still a gap between the current evidence and the desired state of having a comprehensive understanding of the most effective strategies and interventions. Further research is needed to explore the contextual factors, implementation strategies, and long-term sustainability of these practices.

  3. Strengths and Weaknesses of the Evidence: The strengths of the evidence include the use of diverse research methods and the presence of studies with robust methodologies and large sample sizes. These aspects enhance the reliability and generalizability of the findings. However, the evidence also has some weaknesses, such as the limited number of studies specific to the long-term care setting and the potential for biases in observational studies. Inconsistent results across studies further emphasize the need for more high-quality research to address these limitations.

In conclusion, while the current evidence supports the role of improved hand hygiene practices in reducing infectious diarrhea outbreaks in long-term care facilities, there is a need for further research to fill existing gaps, strengthen the evidence base, and provide more definitive conclusions. By addressing these limitations, future studies can contribute to enhancing the effectiveness and implementation of preventive measures in this setting.

Chapter 4: Practical or Clinical Significance

The findings from the reviewed literature have significant practical and clinical implications for evidence-based nursing practice. Improved hand hygiene practices in long-term care facilities can have a profound impact on patient outcomes, infection prevention, and overall quality of care.

Implementing evidence-based practices, such as rigorous hand hygiene protocols, can help reduce the incidence of infectious diarrhea outbreaks among elderly individuals in long-term care facilities. By emphasizing the importance of proper hand hygiene, healthcare providers can minimize the transmission of pathogens, prevent infections, and enhance patient safety.

The gathered evidence informs and shapes nursing practice by serving as a foundation for evidence-based interventions and guidelines. Nurses can utilize the findings to guide their practice, ensuring they adhere to best practices in hand hygiene and infection control. This knowledge empowers nurses to educate patients, families, and fellow healthcare professionals on the significance of hand hygiene and its role in preventing infectious diarrhea.

Furthermore, the reviewed literature can inform policy development at both institutional and broader healthcare system levels. The evidence supports the need for policies and protocols that promote and enforce improved hand hygiene practices in long-term care settings. By incorporating evidence-based recommendations into policy frameworks, healthcare organizations can establish a culture of safety and infection prevention.

The implementation of evidence-based practices based on the reviewed literature can lead to improved patient outcomes, reduced healthcare-associated infections, and enhanced overall quality of care. By prioritizing and integrating effective hand hygiene practices into routine nursing care, healthcare professionals can contribute to better health outcomes and a safer environment for elderly individuals in long-term care facilities.

Overall, the practical and clinical significance of the findings underscores the importance of evidence-based nursing practice in preventing infectious diarrhea outbreaks and promoting patient safety. The reviewed literature serves as a valuable resource for healthcare providers, informing their decision-making, interventions, and policies to improve the quality of care in long-term care settings.

Chapter 5: Conclusion

Based on the findings and conclusions drawn from the literature review, it can be concluded that improved hand hygiene practices in elderly individuals residing in long-term care facilities can significantly decrease the rate of infectious diarrhea outbreaks over a period of 6 months.

The evidence supports the effectiveness of enhanced hand hygiene practices in preventing and reducing the transmission of infectious agents, which is crucial in long-term care settings where vulnerable populations are at higher risk of infections. The literature consistently demonstrates that proper hand hygiene, including thorough handwashing with soap and water or the use of alcohol-based hand sanitizers, is a critical component in infection prevention and control.

However, it is important to note that while the reviewed literature provides strong evidence supporting the impact of improved hand hygiene practices, there may be variations in the specific interventions or strategies employed across the studies. Factors such as the specific hand hygiene protocols, compliance rates, and environmental factors may influence the effectiveness of interventions.

Additionally, the available evidence may have some limitations, such as variations in study designs, sample sizes, or potential biases. Despite the overall positive findings, it is essential to consider the specific context of each study and the generalizability of the results to different long-term care facilities or populations.

Therefore, while the evidence supports the effectiveness of improved hand hygiene practices in reducing infectious diarrhea outbreaks in elderly individuals in long-term care facilities, further research is still needed to validate and strengthen these findings. Future studies should focus on standardized interventions, larger sample sizes, longer follow-up periods, and comprehensive evaluation of outcomes to provide a more definitive answer to the PICOT question and address any remaining uncertainties.

In conclusion, based on the available evidence, it can be stated that implementing improved hand hygiene practices in long-term care facilities is an effective approach to decrease the rate of infectious diarrhea outbreaks among elderly residents. However, further research is warranted to enhance the evidence base and establish clear guidelines for hand hygiene interventions in this specific population.

Appendix

A. Literature Summary Table:

Please note that this table is a simplified example, and you may include additional columns or modify it according to your specific requirements.

Authors Title Publication Date Problem Purpose Data Collection and Research Methods Sample Major Findings/Conclusions
Smith et al. Hand hygiene practices in LTCF 2020 Lack of adherence to proper hand hygiene practices in long-term care facilities (LTCFs) To assess the current hand hygiene practices in LTCFs and identify areas for improvement Observational study: Direct observation and recording of hand hygiene compliance using a standardized checklist 5 LTCFs with a total of 200 residents Low hand hygiene compliance observed, highlighting the need for interventions to improve adherence
Johnson et al. Impact of improved hand hygiene 2018 Impact of improved hand hygiene practices on reducing the incidence of infectious diarrhea in LTCFs To evaluate the effectiveness of an intervention promoting improved hand hygiene practices Randomized controlled trial: Intervention group received education and training on proper hand hygiene practices, control group received standard care 3 LTCFs with a total of 150 residents (75 in intervention group, 75 in control group) Significantly lower incidence of infectious diarrhea in the intervention group compared to the control group, indicating the effectiveness of improved hand hygiene practices
Chen et al. Hand hygiene education program in LTCF 2017 Inadequate hand hygiene knowledge and practices among staff in LTCFs To develop and implement an educational program to improve hand hygiene knowledge and practices Quasi-experimental study: Implementation of a hand hygiene education program with pre- and post-assessments of knowledge and practices among LTCF staff 1 LTCF with a total of 50 staff members Significant improvement in hand hygiene knowledge and practices among staff following the implementation of the educational program
Miller et al. Role of environmental contamination 2019 Role of environmental contamination in the transmission of infectious diarrhea in LTCFs To examine the association between environmental contamination and the occurrence of infectious diarrhea Cross-sectional study: Environmental sampling for detection of enteric pathogens and comparison with clinical data of residents with diarrhea 4 LTCFs with a total of 300 residents High prevalence of environmental contamination with enteric pathogens, suggesting its role in the transmission of infectious diarrhea in LTCFs

Nursing Writing Lab