Aseptic technique: evidence-based approach for patient safety.
The fact that there is a relationship between the standards of aseptic technique performance and the rise in hospital infection rates has been suggested by the Department of Heath's (DoH's, 2004) 'Winning Ways' document. This literature review considers how the aseptic technique is performed in the UK, and examines the nature of ritualistic and evidence-based practice underpinning this skill-based procedure. The findings have identified an emerging glove culture and continuing poor hand-hygiene practices. The alternative 'clean technique' is also adopted widely in clinical practice which confuses the aseptic theory-practice gap. While it is hard to pinpoint an actual time or event that causes infection, it is unlikely nurses will ever become involved in litigation as a result of a poorly performed aseptic technique. However, the review concludes that nurses should not become too complacent. It briefly considers how performance of the aseptic technique can be improved, through creative educational strategy, applied risk assessment and clinical audits of nurses' practices.
Preston
Rosemary M
RM
University of Luton.
D001207:Asepsis / Q000379:methods* / Q000592:standards; D002983:Clinical Competence / Q000592:standards; D003428:Cross Infection / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D004509:Education, Nursing, Continuing / Q000458:organization & administration; D019317:Evidence-Based Medicine; D017575:Gloves, Protective / Q000592:standards; D006235:Hand Disinfection / Q000379:methods / Q000592:standards; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017053:Infection Control / Q000379:methods* / Q000592:standards; D007318:Inservice Training / Q000458:organization & administration; D009731:Nursing Audit; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology; D018570:Risk Assessment; D017751:Safety Management / Q000379:methods* / Q000592:standards; D006113:United Kingdom / Q000453:epidemiology; D016635:Universal Precautions / Q000379:methods