Your staff development PPT presentation will include the information from your written paper in 10-12 slides (including a title and reference slide in APA format). Make sure to include speaker notes at the bottom of your slide to explain the content of your slide.


In A Community Setting, How Effective Is Proper Hand Washing Compared To Alcohol-based Hand Rubbing, In Preventing The Spread Of Microorganism, Within 2 Months Of Having The Flu Breakout?

The Reason for Choosing the Topic

Hand hygiene is an important topic because people’s hands are exposed to various bacteria and the high rate of infection transmissions requires evidence-based interventions that can mitigate or eliminate cross-transmission of infections, mainly through hand contact (Ghazali et al., 2018). In this case, hand hygiene is an effective intervention that helps in the prevention of infections, which can increase treatment cost, mortality, and morbidity rates. Therefore, it is crucial to determine the most effective form of hand hygiene in a community setting for better health outcomes.

The PICOT Question

In A Community Setting (P), How Effective Is Proper Hand Washing (I) Compared To Alcohol-based Hand Rubbing (C), In Preventing The Spread Of Microorganism (O), Within 2 Months Of Having The Flu Breakout (T)?

Possible Integration of the Evidence found in Clinical Practice

Research findings show that proper handwashing is still less effective than alcohol-based rubbing in preventing the spread of infection. The Center for Disease Control and Prevention (CDC) recommend alcohol-based rubbing as a highly effective intervention for controlling and preventing infections because it is rapid, convenient and safe (Rathore, Jackson & AAP Committee On Infectious Diseases, 2017). Therefore, when comparing alcohol-based hand rubbing and hand washing, the former is commonly used in various settings. There is strong evidence that alcohol-based products reduce microorganisms from hands significantly. Hence, within two months of a flu breakout, in a community setting hands are highly likely to be contaminated, and rapid intervention is necessary to curb the spread of microorganisms. While handwashing works to remove bacteria and germs from the hands, alcohol-based hand rubbing kills the microorganisms (Rathore, Jackson & AAP Committee On Infectious Diseases, 2017). Thus, handwashing, which involves soap and water, lets the germs and bacteria linger for some time before the individuals achieve hand hygiene. Also, the microorganisms might not be eliminated from the hands entirely because they are suspended in water. Surgeons use alcohol-based hand rubbing products before they operate on patients.Apart from requiring less time for disinfection, there are less skin irritation possibilities when using alcohol-based solutions as compared to hand washing. Health care workers become highly compliant with hand hygiene guidelines when they integrate alcohol-based hand rubbing in their tasks (Ghazali et al., 2018). Hand washing requires more time and irritates hands more often than alcohol-based hand rubbing. The most effective alcohol-based solution is that which contains 60% or more alcohol (Rathore, Jackson & AAP Committee On Infectious Diseases, 2017). The individual should put enough sanitizer on his or her hands so that it covers all surfaces and then rub the hands together until they are dry.

Methods to Evaluate the Effectiveness of Implementation

The evaluation of the effectiveness of the alcohol-based hand rubbing implementation can be determined through comparative experiments and analyses. For example, in one comparative, randomized clinical trial, health care workers were enrolled as participants in the research process, and some were assigned alcohol-based hand rubbing solutions while others were assigned handwashing solutions randomly before and after patient care (Munoz-Figueroa & Ojo, 2018). The independent researchers collected their palm and fingertip imprints of their dominant hands before and after the procedure. The microbiological outcomes were determined by comparing the blinded bacterial counts. The monitoring and assessment of patient care activities performed by the health care workers as well as microbiological sampling and processing in this context determine the effectiveness of implementation. In the study, the palm and fingertip imprints of each participant were pressed on contact agar plates which had neutralizers. The plates were incubated under aerobic conditions at 37°C for 48 hours (Munoz-Figueroa & Ojo, 2018). The results for the participants who used alcohol-based solutions showed the lack of microorganisms, while the other plates showed the presence of some microorganisms. Concisely, alcohol-based hand rubbing is more effective than hand washing because it kills microorganisms rapidly.


Ghazali, A. D., Deilhes, E., Thomas, J., Laland, C., Thévenot, S., Richer, J. P., & Oriot, D. (2018). Impact of a simulation-based training in hand hygiene with alcohol-based hand rub in emergency departments. Infection Control & Hospital Epidemiology, 39(11), 1347-1352.

Munoz-Figueroa, G. P., & Ojo, O. (2018). The effectiveness of alcohol-based gel for hand sanitising in infection control. British Journal of Nursing, 27(7), 382-388.

Rathore M.H., Jackson M.A. & AAP Committee On Infectious Diseases. (2017). Infection Prevention and Control in Pediatric Ambulatory Settings. Pediatrics, 140(5): e20172857

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