Summary of NSQHS standards: Prevention and management of health care-related diseases

Introduction To NSQHS Standards

The National Safety and Quality Health Service (NSQHS) specifications have been developed by the Australian Health Safety and Quality Commission in collaboration with the Australian government, territories, financial industry administration, doctors and disciplines. National health service quality and safety standards are designed to protect communities from injury while improving the quality of health care delivered (Healy, 2016). In this function, they serve as a quality assurance process, checking that the necessary processes are in place to ensure that the correct quality and safety standards are met. High prevalence adverse events, medical contamination, drug safety, comprehensive treatment, therapeutic interactions, treatment and pressure control, fall reduction, and treatment harm reduction are all included in the study. National Health Safety and Quality Standard (NSQHS). On the internet you can find NSQHS standards (Healy, 2016). Customers should expect a certain level of care from their healthcare providers, consistent with national standards for quality in health systems, has developed a statement. consistent country. These prerequisites are quite important. The main objective of this paper is to objectively evaluate the prevention, management and control criteria of hospitals by highlighting the five hand hygiene moments and their relationship to the role of the person in charge. practice, nursing interventions and primary health care. assessment in an acute care setting.

Hospitals and clinics rely on infection prevention and control guidelines to help them prevent, control, and respond to infections that cause pandemics or epidemics, as well as emerging and new diseases. . However, in response to the COVID-19 pandemic that occurred in 2019, standards were revised and improved in 2021, marking the first time this has happened in the industry (Quality and Safety Committee). Health Australia, 2017). An important factor in the decision to make these modifications was the presence of uncertainties and gaps in the proposed responses during the feedback process. Due to their actions, nurses who do not comply with these standards become a serious concern as they put patients’ lives at risk of new diseases as a result of their actions. While working as graduate students in the surgery department of Curtin Hospital, six patients approached the department director to express dissatisfaction with the nurses for not following hygiene recommendations. five minutes from the hospital. Because of these circumstances, company management commissioned a team of clinical and registered nurses to conduct an in-depth literature review on the topic.

Nurses failed to adhere to hand hygiene regulations within five minutes, according to a complaint about the cleanliness of their hands in an investigated case study. A working group appointed by the World Health Organization was tasked with developing five hand hygiene moments to follow. Each of these five cases is critical to stopping the transmission of infections and preventing disease development. Nursing care performance is influenced by the nurse’s core beliefs and values ​​as well as the attitudes and information available to her during these five critical times. As stated by Soesanto (2020), nurses should be aware of the five hygiene moments as they are closely related to their professional role as nurses. With the exception of the surgery department at Curtin Hospital, the vast majority of nurses in the world know nothing of the so-called “clean five seconds”. According to the results of research conducted by Soesanto, there is a significant gap in the level of understanding of nurses about the 5 hygiene moments (2020). According to the same study, healthcare managers can reduce knowledge gaps by providing more frequent and timely training to their staff. Hospitals should communicate these principles to nurses so that they are properly trained and aware of their responsibilities when working in the surgical department. From their actions, it is clear that the nurses and non-medical staff have a positive attitude towards their work. Providing continuing education for nurses has the potential to improve nurse compliance. This is important because it will allow nurses to retain the lessons learned throughout their learning, which will allow them to deepen their knowledge and understanding, which will have an beneficial effect on their actions. Viruses and other infectious diseases should be avoided and managed as much as possible. It all comes down to risk assessment and mitigation, according to Volgenant et al. (2020). Despite the fact that it is not possible to completely eliminate all potential risks, establishing guidelines and following them can help minimize their impact on the environment. It is certain that care-related conditions may arise if these criteria are not meaningfully taken into account. According to Haque et al. (2018), nosocomial infections (HAIs) are illnesses that occur as a result of medical treatment. According to the Australian Commission on Accreditation of Healthcare Institutions, there are a number of factors that affect patient safety and healthcare quality in 2017. Various factors include irresponsibility. Nursing responsibilities, hospital hygiene standards, and the nurse’s inability to adhere to stated standards and guidelines may all play a role in this situation. A patient is admitted to the hospital and the infection begins to appear 48 hours or more after the patient’s admission. It is worth noting that it occurred 30 days after the patient received medical treatment. Hand hygiene has been recognized as the most effective strategy to reduce the frequency of infections associated with surgical services. Despite the fact that infection prevention and control standards must be met in all areas of the hospital, the surgical department must pay special attention to these requirements. Nosocomial infections (IAS) are a serious public health hazard, and their frequency and severity are increasing. They are responsible for prolonged hospital stays, increased morbidity, and disproportionate number of hospital deaths (BMC, 2019). Performing surgery in surgical departments further increases the likelihood of HAL in patients.

The role of hand hygiene in infection prevention and control

Conclusion

Many concerns have been expressed about the role of nurses in protecting people from infection during surgery. Postoperative hospital admissions for surgical site infections have risen to the top of the list of nosocomial infections across Europe, and especially in Germany. Hand hygiene in nursing is associated with multiple, now identified risk factors. According to Russo et al. (2020), wound infection has surpassed all other causes of postoperative problems to become the most common cause. Due to SSI, an enormous clinical and economic burden is placed on healthcare systems and nurses, as well as their patients. One of the reasons why nurses do not meet prevention and control standards is that most hospital systems lack the physical resources and well-defined safety culture policies, all of which are available in most hospitals. To ensure that nurses adhere to hand hygiene requirements, such as the use of gloves, while responding to individual patients, it is essential to have robust monitoring methods in place. Accordingly, the hospital should develop a well-developed design, implement a critical monitoring system and ensure that all nurses are adequately trained. According to Mahfouz et al (2013), a training program and local hand hygiene assistants are essential to ensure effective and efficient hand hygiene implementation in all components of the health care management in surgical services, including operating rooms.

In summary, the medical community is very concerned about the challenges of infection control and prevention in general, as well as specific infections. Furthermore, because of the above, the nurse’s role in ensuring that the patient is protected from infection after surgery becomes increasingly important. Despite the fact that it is not possible to completely eliminate all potential risks, establishing guidelines and following them can help minimize their impact on the environment. Hospital-acquired infections (HAIs) are among the deadliest and rapidly spreading public health problems, leading to longer hospital stays, increased morbidity, and estimated mortality. Hospital deaths increase due to transmission. In addition, surgical site infections overtook all other causes of postoperative complications, accounting for nearly half of all cases. Due to SSI, an enormous clinical and economic burden is placed on healthcare systems and nurses, as well as their patients. One of the reasons why nurses do not adhere to prevention and control measures is that most hospital systems lack a clear concept, sufficient physical resources, and a culture of safety policy. To reduce this gap, hospitals should implement a well-developed design, operate a critical monitoring system and ensure that all nurses are adequately trained. By participating in handwashing and training programs in the local community, surgical departments will be better equipped to properly and effectively wash hands in all aspects of patient care and treatment, including including surgery.

References

Australian Commission on Safety and Quality in Health Care. (2017). 2021 Preventing and Controlling Infections Standard.

 BMC. (2019). Abstracts from the 5th International Conference on prevention & infection control (ICPIC 2019). Antimicrobial Resistance & Infection Control, 8(S1). https://doi.org/10.1186/s13756-019-0567-6

Haque, M., Sartelli, M., McKimm, J., & Abu Bakar, M. B. (2018). Health care-associated infections – an overview. Infection and Drug Resistance, 11, 2321- 2333. https://doi.org/10.2147/idr.s177247

Healy, J. (2016). Improving health care safety and quality: reluctant regulators. Routledge. Russo, P. L., Cheng, A. C., Richards, M., Graves, N., & Hall, L. (2015). Variation in health care-associated infection surveillance practices in Australia. American journal of infection control, 43(7), 773-775.

Mahfouz, A. A., El Gamal, M. N., & Al-Azraqi, T. A. (2013). Hand hygiene non-compliance among intensive care unit health care workers in Aseer central hospital, south-western Saudi Arabia. International Journal of Infectious Diseases, 17(9), e729- e732. https://doi.org/10.1016/j.ijid.2013.02.025

Russo, P., Saguil, E., Chakravarthy, M., Lee, K., Ling, M., Morikane, K., Spencer, M., Danker, W., Yu, N., & Edmiston, C. (2021). Improving surgical site infection prevention in Asia-Pacific through appropriate surveillance programs: Challenges and recommendation. Infection, Disease & Health, 26(3), 198- 207. https://doi.org/10.1016/j.idh.2021.03.003

Soesanto, D. (2018). The influence of nurse’s knowledge level on behaviour changes, attitude and 5 moments of hand hygiene compliance. Indian Journal of Public Health Research & Development, 9(11), 1808. https://doi.org/10.5958/0976-5506.2018.01708.4

Tan, C. (2012). Hand hygiene compliance sustenance program among registered and enrolled nurses in a hematology-oncology unit. PACEsetterS, 9(1), 26- 33. https://doi.org/10.1097/01.jbi.0000413337.16946.0a

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