Monday, December 30, 2019
To See, or Not to See. Evil Exists and Grows. - 973 Words
When a small amount of evil is seen yet disregarded, the ignorance breathes life. The evil grows and strengthens, gradually taking over any good that may be left. But when evil is all around and good is hard to come by, does that same evil now become normal? During a time of war, good people become killers and bad people become customary. The fine line between good and evil becomes blurred into a senseless smudge in the eye of reality. The good people now, whilst protecting their freedom and family, are simultaneously destroying the families of those unknown individuals who become numbered fatalities. Ignoring evil allows it to happen, but there comes a time when evil overpowers any good that may try to stop it. Like a single personâ⬠¦show more contentâ⬠¦(Butcher, Mineka, and Hooley ). Wars breed new cases of PTSD regularly, from the bystanders who cannot find the communal strength to dampen the up rise of impending evil, to the soldiers who take lives to save their own. It c an be assumed that Georg Trakl experienced great stress while serving as a chemist in the Austrian army. His poem, ââ¬Å"Grodekâ⬠was his last before he sadly took his own life, unable to live with the painful memories of being in Poland with those suffering soldiers whom he was unable to help. Traklââ¬â¢s poem is a cry out for help, a vivid description of the blood that so many shed. His voice is noticeably depressed and mournful, wishing that things played out differently. When a man who wanted so badly to help his comrades and stop the war is powerless and vulnerable, post traumatic stress disorder can ensue, and prolong the suffering. To learn and grow from both the works of Georg Trakl and Bertolt Brecht, society needs to acknowledge the pain that is caused by war, regardless of position or innocence of character. War makes good people evil, and evil people stand out. There are no winners, yet everyone is susceptible to the suffering that follows. Although Martin Luthe r King suggests that our generation must repent the ââ¬Å"silence and indifference of the good peopleâ⬠, we must also recognize that oneShow MoreRelatedJuvenile Delinquent Essay1102 Words à |à 5 Pagesnot given the same sentences as adults when it comes to the punishment part. The argument for juvenile delinquents is, if they are born evil or is it part of the environment and or society. Are juveniles who commit a crime really naturally evil as many suggest, or are they their own products of the environment/society they live in? Are juveniles naturally born evil is a question that everyone asks. According to society every juvenile that commits a crime is born with it naturally. A Biological TheoryRead MoreThe Logical Problem Of Evil Essay1225 Words à |à 5 PagesIn this paper I will discuss the logical problem of evil and how it seems to reject the existence of God as an omni-3 being. I will first layout the logical problem of evil, and then I will explain why it succeeds in disproving the existence of God. I do this through pointing out the contradictions between the definition of God as an omni-3 being and the problem of redeemed and unredeemed evil. As well as by proving that admittance of evil in any way when in reference to the choices of God invalidatesRead MoreThe Problem of Evil1648 Words à |à 7 PagesThe problem of evil is the notion that, how can an all-good, all-powerful, all-loving God exists when evil seems to exist also. The problem of evil also gives way to the notion that if hell exists then God must be evil for sending anyone there. I believe both of these ideas that God can exist while there is evil and God is not evil for sending anyone to hell. I believe hell exists in light of the idea that God is holy and just. The larger is how anyone can go to heaven. I will try to answer the problemRead More Use of Allegory and Symbols in William Goldgings Lord of the Flies 1346 Words à |à 6 Pagesallegorically shows the good and evil that co-exists in every human being.à Each character and symbol renders this possible by what it represents.à Ralph and Jack allegorically represent opposing political forces: Jack as the dictator or fascist and Ralph as the prototype of a democratic leader.à The island represents the archetypal garden and the conch shell represents power.à Golding uses British schoolboys to show progressive degeneration and to prove that a little bit of evil exists in all of us.à Each ofRead MoreNatural Evil826 Words à |à 4 Pagesfree o f sin and where we could co-exist with wild animals, the lion with the sheep eating side by side and with us, without fear. I want to start form the beginning so we can understand how and when sin and evil entered the world. This happened when man (Adam) sinned against God; Adam disobeyed God by eating the fruit that God had said not to eat. There is wayââ¬â¢s to see this problem of what we call evil, not sin since sin is against God. We can see in Job all the evil that came to him (it wasnââ¬â¢t fromRead MoreEssay on One Argument for Gods Existence1441 Words à |à 6 Pagesexplanations that explain if God truly does exist. One such explanation is the Teleological Argument, which bases its explanation of the existence of God on the design and purpose of known things. For instance, we know that there are trees and plants, and that they need sunlight and water in order to grow. Those trees and plants grow from the ground, which is part of the earth. The earth is part of th e universe and God had created the universe hence God does exist. The universe works all too perfectRead MoreThe Argument Of God s Existence1737 Words à |à 7 PagesBEST EXPLANATION Does God exist? This question has been in debate for centuries with many opposing views, some arising from philosophers on the same side while others refute Gods existence altogether. However for this particular paper I will be taking the best explanations approach. What I mean by this is I do not have proof of Godââ¬â¢s existence but the existence of God is the best explanation for the universe around me. With this statement in mind we will discuss arguments in support of Godââ¬â¢s existenceRead MoreEthics Is Subjective, Good, And Bad1746 Words à |à 7 Pagesand protecting other people from harm. However, there are others on this earth that are raised to believe that killing and stealing is neutral and not evil in any way. This idea can be thought of as this: it is possible to grow up in the United States, where it is common knowledge of what neutral, good, and bad are. However it is also possible to grow up in a terrorist organization somewhere else in the world. Growing up in this type of environment would promote killing the innocent and stealing fromRead More Good and Evil in Beowulf Essay830 Words à |à 4 PagesGood and Evil in Beowulf à à à à à In Beowulf, the conflict between good and evil is the poems main and most important aspect. The poet makes it clear that good and evil do not exist as only opposites, but that both qualities are present in everyone. Beowulf represents the ability to do good, or to perform acts selflessly and in help of others. Goodness is also showed throughout this epic as having the ability to cleanse evil. Even though evil is presented by Grendel, Grendels mother, andRead More Evil and Morality Essay1266 Words à |à 6 Pagesdeal too many people; however does his existence mean that he can control evil and morality in humans? Human beings are born every second, minute, and hour of the day. Each human being born will hopefully grow up and make something of themselves, to ultimately become contributing members of society. In order to do so, each individual human being may battle what many before him or her may battle each day, and that is evil and morality and possibly the existence of a God that could control one or
Sunday, December 22, 2019
Masculinity as Homophobia by Michael S. Kimmel - 1532 Words
As with a great majority of men in the world today, it is easier for me to give hugs than to accept them. This is not my own doing, but rather centuries of men before myself being taught that the outward expression of emotion, in any facet, was a direct form of weakness. This has led to adverse affects in regards to a new generation of man that I find myself apart of now. This belief has forged a lack of sentiment within men, all in the name of ââ¬Å"being a man.â⬠Do not take it the wrong way, as if to say a lack of compassion is a bad thing, they teach young men. It is actually the contrary in a growing market economy. As we shift to a more global marketplace, empathy of any sort is the cog in the wheel that holds a man back in an attempt toâ⬠¦show more contentâ⬠¦Men are all putting on a mask, in an attempt to hide their true selves from other males. Kimmel suggest that society begins to use politics of inclusion or that the definition of manhood be widened to help en d the gender struggle. For good or for worse, young boys have continuously been shaped in history to suppress any femininity. Yes, centuries ago this was a very helpful trait seeing how wars were being waged and exploration was at its height, but like anything times have changed. Increases in feminist and LGBTQ movements have given men the ability to fully embrace who they really are, yet times have not caught up to this fact. Men continue to put on a faà §ade for one another that inhibit them. Behind closed doors, men are fully able to embrace their true selves, but the moment they are confronted with other males, the battle of machismo begins: If I catch any one man, and hes alone, I get along fine with him. But just let two of the guys get together an you wont talk. Jus nothing but madâ⬠¦. Youre all scared of each other, thats what. Ever one of yous scared the rest is goin to get something on you (Steinbeck). There is a constant unspoken ââ¬Å"battle of brawnâ⬠being waged by men in society. It is what causes us to have to get the fastest car or the cutest girl. There is always room to do better thanShow MoreRelatedMasculinity As Homophobia By Michael S. Kimmel898 Words à |à 4 Pagesthat generation proceeded to teach their children the same thing. Although many views have changed, homophobia is still a big issue in society, no matter whom it is learned from. Essay 4 in The Matrix Reader ââ¬Å"Masculinity as Homophobiaâ⬠by Michael S. Kimmel explains the definition of manhood and how it has helped to create the concept of homophobia in a societal sense rather than a scientific one. Kimmel states that ââ¬Å"Manhood is neither static nor timeless; it is historical,â⬠and ââ¬Å"â⬠¦not the manifestationRead MoreHomophobia in Society1323 Words à |à 6 PagesExplain and critique masculinity as homophobia. Homophobia: -noun irrational fear of, aversion to, hatred of, or discrimination against homosexuality or homosexuals. According to Merriam-Websters Medical Dictionary, that is the definition of homophobia. Interesting isnt it? to see homophobia on the same page as hepatitis, herpes, and HIV among others. Before this class I wouldnt have expected to find it there. I mean honestlyRead MoreGay, Latino, And Macho By Albert Serna Jr. And The Essay, Masculinity As Homophobia Essay1109 Words à |à 5 PagesMachoâ⬠by Albert Serna Jr. and the essay ââ¬Å"Masculinity as Homophobiaâ⬠by Michael S. Kimmel, the authors both address how Masculinity and Homophobia are both effect by the gender scripts that are established by institutions. However, Kimmel and Serna bring light upon the issues in different manners. Kimmel states that Masculinity is a mental burden upon men who are unable to truly express themselves without being seen by society as a ââ¬Å"sissy, untough, uncoolâ⬠(Kimmel, 44). Consequently, this leads many heterosexualRead MoreMasculinity Theory1630 Words à |à 7 PagesGoogl e defines masculinity as a possession of qualities traditionally associated with men, using, handsome, muscled, and driven, hes a prime example of masculinity as their example. Although this definition of masculinity is common, it is undeveloped and exclusive to other forms of masculinity. Sociologists such as Raewyn Connell, Eric Anderson and Michael Kimmel have formed their own theories and definitions of masculinity. In this course, we have read an excerpt from Eric Andersonââ¬â¢s, InclusiveRead MoreWhat Defines Our Gender? : Development Of A Societal Standard For Men1898 Words à |à 8 Pagestimes are changing, Michael Kimmel firmly believes that the ââ¬Å"Guy Codeâ⬠is engrained in the minds of men forever; in fear of being emasculated, men will jump hurdles to prove themselves, even with the psychological repercussions. The profound idea of the ââ¬Å"Guy Codeâ⬠has been around for generations. When trying to clearly define the rules of the ââ¬Å"Guy Code,â⬠Kimmel revisited the work of Psychologist Michael Brannon. In 1976, Brannon summarized the four basic rules of masculinity in The Forty-Nine PerRead MoreEssay on Masculinity and Race1594 Words à |à 7 PagesMasculinity and Race Historically, masculinity in the United States has been constructed as being White Protestant Anglo-Saxon, furthermore heterosexual and in charge of all matters, and this definition sets standards against which other men are measured an evaluated. Michael Kimmel provides a good definition: [â⬠¦], Young, married, white, urban heterosexual, Protestant father of college education, fully employed, of good complexion, weight and height and a recent record in sports(271). Read MoreModern Day American Society By Aaron Devor s Bros Before Hos : The Guy Code ``1635 Words à |à 7 PagesMeanings of Gender,â⬠and Michael Kimmelââ¬â¢s ââ¬Å"Bros Before Hos: The Guy Code,â⬠both argue that the gender hierarchy America has been built upon is the product of socialization. Devor s essay, written more like a research paper, focuses on explaining the origins of the gender myth through well-researched scientific evidence and logos. To reflect his writing style, he mainly talks about the physical effects this has had on male and female characteristics. In his essay, Kimmel talks about The Bro CodeRead MoreMasculinity And Masculinity, By Michael Kimmel Essay1976 Words à |à 8 Pagesmen are often subject to extreme methods of proving their masculinity, and to reinfor ce what it truly means to be a man. Michael Kimmel, famous sociologist said, ââ¬Å"Masculinity is the relentless repudiation of the feminineâ⬠(Kimmel, 2015), which not only reflects how men think about themselves but how North Americans as an entire culture think about masculinity and manhood. The following pages will be centered on issues of the lens of masculinity in contexts such as the sphere of education, the predominanceRead MoreA World Engrossed By Blurbs And Snippets Essay1901 Words à |à 8 Pagesman in today s world. This documentary is a film that parents need to be made aware of and need to be made to watch. There are eye-opening interviews with experts, inspiring teachers, athletes, and other role models. Young boys, teens, and grown men, also chime in, and discuss their experiences, both positive and negative. They often share moving, emotional, and intense memories and feelings. There are frank discussions and sometimes-graphic footage related to sexuality, homophobia, sexism, pornographyRead MoreSexuality is Socially Constructed Essay1885 Words à |à 8 Pagesreproductive organs he/she possesses at birth. The gender one is expected to align themselves with is the one that tends to follow the established social guidelines for their sex. Thus, a male is one with a penis who, as Michael S. Kimmel relates in his article ââ¬Å"Masculinity as Homophobia: Fear, Shame, and Silence in the Construction of Gender Identity,â⬠is given power, wealth, and status in society, who must ââ¬Å"never do anything that remotely suggests femininity,â⬠who does not show emotions, and who ââ¬Å"exudes
Saturday, December 14, 2019
Proposal Argument Free Essays
ââ¬Å"PLATOONâ⬠¦ DISMISSED! â⬠said the platoon sergeant. Without skipping a heart beat a platoon of 45 marines responded ââ¬Å"DISMISSED, I SIR! â⬠They all took one step back, they smartly raised their right arms with elbows at a 45 degree bend, their fingers joined and aligned to the tip of their cover rendering a salute. The platoon sergeant saluted the platoon back and returned his arm back to his side. We will write a custom essay sample on Proposal Argument or any similar topic only for you Order Now In unison the platoon about faced and let out a thunderous ââ¬Å"00H RAH! â⬠It is payday Friday, two days of liberty waits with no signs of the typical angry Staff Sergeant or at least until Monday.There is no greater feeling of proudly serving this country, but getting paid in the process is definitely a plus. Being a single marine stationed in Beaufort, SC living in the barracks at the rank of E-4 with more than 3 years of active duty service makes a gross monthly income of 2,094 dollars (DFAS). A single marineââ¬â¢s married counterpart with the same rank of E-4, with the same amount of active duty service makes the same amount of monthly income, but he or she also receives an extra 1,179 dollars a month known as BAH or basic allowance for housing (VA). How is that fair to all the single military members of the United States?Other than supposedly finding love, what makes being married special in the military? The U. S military is the only organization that pays more if one has a family. Congress should implement a new bill that would allow single members of the service the option of living off base or choosing the housing allowance to match the rates of married military personnel. As a civilian working for Boeing or the Saint Maryââ¬â¢s county police department one wouldnââ¬â¢t get paid more because they have a spouse with 2 children. Income is determined by hourly rate times hours worked regardless of marital status.By giving single military personnel the option t o live off base, this would give them the opportunity to get away from the confines of the typical barracks room, where they have to follow the regulations of the barracks; keeping the rooms neatly organized as well as the weekly room inspections to make sure that the rules are being followed. Implementing this solution will not be a problem and should be accomplished fairly quickly. Once the single military member elects to live off base he or she would have to sign papers pertaining to their selection of moving off base.It will be routed up and signed by everyone in the chain of command. Now that everything has been signed and the decision is final. The BAH would then get deposited at the first of every month for the amount of the total rent. Those single military personnel are free to live where ever, with who ever, and how they want to. The next question would be what should we do with all the newly freed up space in the barracks? The barracks could possibly be converted into some sort of education center, complete with its own library and media centers for those military seeking higher education. Maybe having a communication room that allows spouses of those deployed to Iraq and other parts of the world to communicate with each other through video chat or something similar. These military installations can host fund raisers to help with the cost of building a new floor plan for the old barracks. Of course there will be some single military personnel that might not want to leave their comfort of their barracks room. They have the choice of living out in town and they refused that option. Next option would be to give them the BAH rate as if they were married.One might wonder and ask themselves why? How would this do any justice to solve the issue? First of all just by offering the married pay rate to the single members, it eliminates any complaints that arise from the initial difference in pay. Second, there are married military members who choose not to bring their families to live with them. In these circumstances they can move off base into a small apartment or they can reside in the barracks. But residing in the barracks requires them to pay a fee to live in those rooms.If all the singles start receiving BAH they too should be liable to pay for their own rooms. This will add revenue that in return can be used to beautify the surrounding areas of the barracks or can be used to help build the new floor plan for the future learning media center. The pay difference isnââ¬â¢t the only problem that exists in the branches of the armed forces. In recent investigations contract marriages are increasing in the service. Contract marriages are fraud and chargeable under federal law. As per the current order on BAH, in order to receive the BAH one has to be me married.If one is married, in love, and truly with their significant other then there is nothing to worry about, but if someone gets married for the sole purpose of getting extra cash now this becomes a problem. A contract marriage is a scheme to gain monetary gains from the United States government. On May 5, 2010, 17 people were indicted on charges which were a broad conspiracy scheme to recruit U. S. Navy personnel to engage in fraudulent marriages to Russian foreign nationals (Wavy-News). This show that the pay differences among the ranks and between single and married military members have some making terrible decisions. None the less the pay gap needs to be resolved in order to make everyone of equal rank and equal pay. It is obvious that in this time of declining enrollments the military must bring its compensation system more in line with that of private industry. Protecting and serving this great country is not an easy task. Congress has to realize that in order to have the troops ready to bear arms at a momentââ¬â¢s notice they must be compensated for justly; paying service members based on the work they do, not on their family size or marital status. How to cite Proposal Argument, Papers
Friday, December 6, 2019
Strategies For Achieving Hand Hygiene In A Clinical Settingâ⬠Free Samp
Question: Discuss about the Strategies For Achieving Hand Hygiene In A Clinical Setting. Answer: Introduction In every clinical setting, a safe delivery of healthcare is essential to enable a positive outcome for the patients and nurses. Clinical risk management helps in improving safe delivery and the quality of healthcare, as it introduces systems which aid in the identification and prevention of circumstances that can put patients at risk of any harm (Whitcomb, 2014). The knowledge and role of nurses in the management of clinical risks are hence very important so as to enable the identification of any possible risks not only to the patient but also to the general clinical setting. The aim of this paper is to show a clear demonstration of the evaluation and understanding regarding the role of nurse leadership based on managing clinical risks as well as the Australian Commission for Quality and Safety in the healthcare standards forAustralians. The paper focuses on the identification of relevant strategies that can be adopted within a clinical setting to improve the compliance of hand hygie ne and the implications of nurses in ensuring thatthe identified strategies are implemented. Strategies for Effective hand Hygiene According to Stock et al. (2016), healthcare-associated infections often occur when the disease-causing organisms are transferred when the hands of healthcare providers come into contact with patients and the infected areas during the process of duty. The same study points out that most of the common infections are related to surgical sites and urinary tract infections while infections of the bloodstream and pneumonia occur as a result of multi-drug resistant germs like MRSA. On the other hand, Waltman et al. (2011) denote that in every 100 patients hospitalized in a clinical setting, at least ten in developing countries and seven in developed countries will often acquire infections associated with healthcare. However, the figure often rises to thirty perhundredadmitted patients. For these reasons, Alemagno et al. (2011) indicate that practicing effective and continuous hand hygiene is essential in reducing these infections as well as any possible spread of antimicrobial resistance w ithin the workplace. With the increase in the level of resistance to key medicine and antibiotics in healthcare settings, Pan et al. (2016) point out that it is more necessary than ever to aim to reduce the number of avoidable hospital infections. As a result, prevention of cross-transmission of disease-causing germs is the best way of reducing the number of infections of this kind, as well as antimicrobial resistance. Ensuring hand hygiene is one essential strategy that can be adopted in a healthcare setting to protect staff from the related infections thus preventing the spread of resistant germs. Mortland (2016) also denotes that infection control and prevention is one of the key policy pillars recommended by the Australian Commission for Quality and Safety to combat the growing challenge of antimicrobial resistance. Other pillars recommended by the organization include appropriate and relevant national disease policies and plans as well as improving the surveillance of the pathogens causing resistant infections. The organization also recommends an uninterrupted access to high-quality and essential medication, proper use of prescribed medicine the patients, in addition to more training and research on new treatment developments. For effective hand hygiene strategies, the compliance by the Australian Commission for Quality and Safety consists of five major components. These include ensuring that the healthcare providers have access to alcohol-based hand rub for disinfection during hand washing, education and training forhealthcare workers on the essential times in the healthcare for hand hygiene, effective monitoring and feedback on compliance, creating a culture of attention to the safety of both healthcare workers and patients within healthcare institutions, and the use of visual reminders at different points of care in the workplace. In this scenario, the hand hygiene strategies recommended for healthcare include; Education: In many cases, Chhapola and Brar (2011) denote that many people often suffer due to a lack of understanding on the essentiality of hand hygiene,both inhospitalsand residences alike. Despite knowing the importance of hand hygiene in a clinical setting and the risks involved when it is not practiced, most clinical staff only practice hand washing after some specific procedures while ignoring other vital but risky roles within the healthcare setting. In a systematic review, Rahim and Barnett (2011) point out that the knowledge on hand hygiene should not be ignored despite medical staff having a professional awareness of the risks involved. According to the Australian Commission for Quality and Safety guidelines, hand washing should be practiced in five key areas when working with patients and preferably using an alcohol-based rub as a detergent or soap with water in a visibly dirty hand. Hands should be washed before touching any patients; before any cleaning or aseptic procedure, after the nurses contact withbody fluids, subsequent to touching a patient, and after touching the surrounding environment where the patient isin. The aforementionedstrategies of the Australian Commission for Quality and Safety are recommended by the Joint Commission International,the European and the US Centers for Disease Control, and all other health professional guidelines. In their review, Aunger and Schmidt (2012) also point out that these compliance guidelines to hand washing and hygiene have been implemented globally in over 15700 clinical settings in over 168 countries globally. The same study denotes that over 68 governments have based their hand hygiene campaigns on these guidelines. Installation of stainless steel sinks in designated areas of the hospital for hand-washing: The uses of stainless steelclinical sinks are some common healthcare fixtures known in hospitals and healthcare. According to Marques (2017), the sinks have a hard metallic surface that reduces the ability of the bacteria to adhere to the walls and survive when properly maintained, hence reducing the chances of microorganisms and molds that can cause infections. The same study denotes that it is often the first choice for use in strict hygienic conditions due to its cleanabilitythus recommended for hospital installations and healthcare. The use of Medi Sinks (figure 1) can also be adapted for easy use and maintenance, as it offers accessible facility for hand-washing, at a lower cost than what could have been quoted for installing plumbing materials (Deyneko et al., 2016). The strategy will also enable the organization to meet the requirement for hand-washing as per the Australian Commission for Quality and Safety guidelines for body art and personal care for healthcare providers. These sinks are easy to access, use, and maintain and often used as a cost-effective solution for hospitals with low budget according to Lorenzi (2017). Kotay et al. (2017) also denote that the sinks can be fixed or positioned at any appropriate location giving the users flexibility thus allowing the hand-wash basin to be placed where it is needed. Strategic relationship with the national standards and how they will increase compliance In their study, Lee and Greig (2010) signify that infections are often caused by various factors that are related to processes and systems of care provision and human behavior. These behaviors are often conditioned by economic, political, and educational constraints in addition to societal beliefs and norms. However, most of these infections are often preventive according to Kotay et al. (2017). The same studyshows that hand hygiene is the primary measure that should be adopted in hospitals, workplaces, and residential areas to reduce preventable infections. In their study, Rahim and Barnett (2011) denotethat proper hand hygiene compliance is a major challenge faced by many global healthcare providers. As a result, many approaches and strategies are recommended that can influence hand hygiene compliance in addition to new approaches and promotional strategies (Duval, 2010). In the case study, education will help in creating awareness amongst staff and the public who interact within the organization. Through education, they will have a clear evaluation and understanding of the nature of disease transmission while nurses will be more updated on drug resistance infections that can be easily prevented through simple but regular hand-washing. Education will also help in advocating for other essential health compliance guidelines that might have been neglected by staff but can have a direct or indirect effect on their health as well as that of the patient. The management of the organization together with the staff will also have education forums, campaigns, and events that will not only help them to adopt change within the organization, but would also encourage the public (visitors, patients, friends, and families) to practice hand-washing in their residences. According to the Australian Commission for Quality and Safety guidelines, health and safety of the staff and patients should be the number one goal of every healthcare provider or organization. As a result, the resources and facilities that are vital for achieving this standard should always be safe and accessible to all within the healthcare facility as per Kotay et al. (2017). Adapting the use of sinks within the organization is necessary while the management should always ensure that the sinks have safe and clean water constantly running for hand-washing at all times. As the sinks are placed or fixed in accessible locations with alcohol-based detergent or soap, the service is made available to for use to ensure hand hygiene and hence increases the compliance as per the guidelines. Implications for Professional Nursing Practice in the Implementation of the Strategies According to Tsalik et al. (2011), hand hygiene is considered among the most important measures that should be adopted in both clinical and residential settings with the aim of preventing the spread of infections. Research proves that one in five hospitals do not fully comply with the strategies and guidelines recommended for healthcare settings (Duval, 2010). However, Barrow, Mehler, and Price (2012) refute this claim by blaming the management of these organizations for their failure to ensure these strategies are in place. According to him, the commitment of leadership in hand hygiene should be engaging and visible to the public and the organization through hand hygiene education, formal communication, event sponsorships, and promotions. However, professional nursing practices often view hand hygiene as a common-sense concept refuting the saying common sense is not common for everybody. In this case, the Nursing Unit Department should establish continuous and periodical monitoring and report on the rate of infections such as the emerging drug-resistant pathogens and tracking endemics that are related to hand hygiene for nurses and patients. In his study, Kingston, O'Connell, and Dunne (2017) denote that it is an essential aspect of the professional nursing practices to help in creating a multidisciplinary response and design team led by the senior leaders within the organization with the aim of making emphasis on the commitment of the organization towards hand hygiene compliance. Such a multidisciplinary response is essential for providing a base of training and education for the patients, staff, visitors, and families as well as creating awareness on hand hygiene through brochures, instructive posters, and pocket cards as pointed out by Lee and Greig (2010). With sinks designed at strategic points within the clinical setting, training and awareness strategies, the use of the sinks for hand-washing before and after essential produces will increase. With the help of leadership, professional nurses should also ensure that relevant resources for hand hygiene can be easily accessed throughout the organizations including corridors for patient care, exits and entrance points of the staff and patient rooms. In a systematic review, Whitcomb (2014) denotes that making the hand hygiene resources available helps in reinforcing the accountability and behavioral adoption for hand-washing not only among the staff but even the public (patients, visitors, and families). The same study denotes that other organizations have often been successful in conducting various contests and later recognizing the healthcare workers and medical staff who comply with the hand hygiene guidelines. Ford et al. (2014) also assert that there is a need of developing a continuous monitoring program that would post weekly or monthly compliance information in the clinic websites and units, and discuss the findings with staff during regular professional meetings. Such strategies will be beneficial in encouraging the use of sinks and the understanding of the importance of detergents used with the aim of reducing hand hygiene related infections. Conclusion In summary, although it is accepted that hand hygiene is one of the most critical patient and staff safety practices in reducing infections associated with healthcare settings, there is a low compliance with the practice in many healthcare providers. Many studies have different concepts concerning the hand hygiene compliance with interventions lacking in most organizations. However, healthcare-associated infections are caused by various factors and affect millions of patients and professionals globally every year. These infections can lead to more complicated illnesses, induced long-term health complications, high cost of care forpatients and their families, the massive financial burden on the healthcare systems, prolonged hospital stay, and tragic loss of life in worst cases. Education is hence necessary for both the staff and public, with the aim of creating awareness on the basic knowledge of hand hygiene and the importance of thorough hand washing before or after handling a patie nt. Installation of sinks is also an effective strategy, as it provides easy access for hand washing, in designated places. References Alemagno, S. A., Guten, S. M., Warthman, S., Young, E., Mackay, D. S. (2010). Online Learning to Improve Hand Hygiene Knowledge and Compliance Among Health Care Worker's.Journal Of Continuing Education In Nursing,41(10), 463-471. Aunger, R., Schmidt, W. (2012).Experimental Pretesting of Hand-Washing Interventions in a Natural Setting.American Journal Of Public Health,99S405-S411. Barrow, B., Mehler, P., Price, C. (2012). A communications campaign designed to improve hand hygiene compliance and reduce infection rates.Journal Of Communication In Healthcare,2(1), 61-77. Chhapola, V., Brar, R. (2015).Impact of an educational intervention on hand hygiene compliance and infection rate in a developing country neonatal intensive care unit.International Journal Of Nursing Practice,21(5), 486-492. doi:10.1111/ijn.12283 Deyneko, A., Cordeiro, F., Berlin, L., Ben-David, D., Perna, S., Longtin, Y. (2016).Impact of sink location on hand hygiene compliance after care of patients with Clostridium difficile infection: a cross-sectional study.BMC Infectious Diseases,161-7.doi:10.1186/s12879-016-1535-x Duval, L. (2010). CNE: Continuing Nursing Education. Infection Control 101.Nephrology Nursing Journal,37(5), 485-489. Ford, E. e., Boyer, B. T., Menachemi, N., Huerta, T. R. (2014). Increasing Hand Washing Compliance With a Simple Visual Cue.American Journal Of Public Health,104(10), 1851-1856. Kingston, L. l., O'Connell, N. H., Dunne, C. P. (2017). Survey of attitudes and practices of Irish nursing students towards hand hygiene, including handrubbing with alcohol-based hand rub.Nurse Education Today,5257-62. Kotay, S., Weidong, C., Guilford, W., Barry, K., Mathers, A. J. (2017). Spread from the Sink to the Patient: In Situ Study Using Green Fluorescent Protein (GFP)-Expressing Escherichia coli To Model Bacterial Dispersion from Hand-Washing Sink-Trap Reservoirs.Applied Environmental Microbiology,83(8), 1-12. doi:10.1128/AEM.03327-16 Lee, M. B., Greig, J. D. (2010). A Review of Gastrointestinal Outbreaks in Schools: Effective Infection Control Interventions.Journal Of School Health,80(12), 588-598. Lorenzi, N. (2017). Hospital plumbing system advances.Health Facilities Management,30(3), 41-44. Marques, R., Gregrio, J., Pinheiro, F., Pvoa, P., da Silva, M. M., Lapo, L. V. (2017). How can information systems provide support to nurses' hand hygiene performance? Using gamification and indoor location to improve hand hygiene awareness and reduce hospital infections.BMC Medical Informatics Decision Making,171-16.doi:10.1186/s12911-017-0410-z Mortland, S. (2012). Hospitals taking extra care in preventing infections.Crain's Cleveland Business,28(49), 7. Pan, S., Sheng, W., Tien, K., Chien, K., Chen, Y., Chang, S. (2016). Promoting a Hand Hygiene Program Using Social Media: An Observational Study.Journal Of Medical Internet Research,18(2), 1. doi:10.2196/publichealth.5101 Rahim, R. A., Barnett, T. (2013).Reducing nosocomial infection in neonatal intensive care: An intervention study.International Journal Of Nursing Practice,15(6), 580-584. doi:10.1111/j.1440-172X.2009.01800.x Stock, S. s., Tebest, R. r., Westermann, K. k., Samel, C. c., Strohbcker, B. b., Stosch, C. c., ... Redalli, M. m. (2016). Implementation of an innovative hands-on training to improve adherence to hygiene rules: A feasibility Study.Nurse Education Today,36407-411. Tsalik, E. L., Cunningham, C. K., Cunningham, H. M., Lopez-Marti, M. G., Sangvai, D. G., Purdy, W. K., ... Hendershot, E. F. (2011). An Infection Control Program for a 2011 Influenza A H1N1 Outbreak in a University-Based Summer Camp.Journal Of American College Health,59(5), 419-426. Waltman, P. A., Schenk, L. K., Martin, T. M., Walker, J. (2011). Effects of Student Participation in Hand Hygiene Monitoring on Knowledge and Perception of Infection Control Practices.Journal Of Nursing Education,50(4), 216-221. Whitcomb, K. k. (2014). Using a Multidimensional Approach to Improve Quality Related to Students Hand Hygiene Practice.Nurse Educator,39(6), 269-273.
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