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Nancy B Bjerke

Publications and source records attributed to Nancy B Bjerke.

3 recordsLinked to original sources

The evolution: Handwashing to hand hygiene guidance.

Handwashing is a fundamental principle and practice in the prevention, control, and reduction of healthcare-acquired infection. Advocated by Semmelweiss (Nursing, The Finest Art: An Illustrated History. St Louis: Mosby; 1985:204) from the 1800s to resolve an obstetric morbidity and mortality occurrence, the simple act of hand cleansing portrays the intuitive benefits to basic hygiene, health continuum, and, most important, disease prevention. According to recently published guidance (MMWR Morb Mortal Wkly Rep. October 25, 2002;51:32-34), the term handwashing is replaced by the new term hand hygiene, which includes hand cleansing, hand disinfecting, and surgical hand scrub. This article focuses on the published guidance, blending the salient aspects of hand hygiene practices from noted champions, reinforcing the aesthetics of meticulous cleansing, to guidance on its practice in healthcare settings. In healthcare, the principle of "clean hands are healing hands" bears value and demands compliance in order to prevent and control infectious processes while protecting the person from acquiring infectious diseases.

Antisepsis↗

Leveraging your culture for change.

The focus of this article is on understanding how to assess the impact that culture has on the acceptance and implementation of new ideas. Some guidance is offered on how to develop a strategy for addressing a unit's local culture to minimize barriers to change and maximize the potential for successful implementation of best practices.

Attitude of Health Personnel↗