I’m as a staff nurses, I give moral support to built patient confidence level and avoid depression. Health education also might be useful for the patient facing with their condition. Nurses should foster better work among the many disciplines, improved the nurses reflection on their clinical and ultimately procedure better nurse practitioners.

Once patient can be discharge, some of them though they are fully recovered, therefore they neglected the proper hygiene in daily living activities in other habit for patients are not coming for the appointment and did not taken antibiotics as ordered. Before patients discharge from hospital, decisions will be made about their continuing health needs. Information will be provided on the need further medical care including any necessary medicine, or services such as home nursing and delivered meals can be obtained.

Educational strategies need to be specifically targeted to meet the needs of different professional groups and levels of expertise to maximize effectiveness. An example of this would be the appropriate preparation of clinical leaders such as specialist nurses so that they are equipped with the skills, knowledge and implement evidence-based wound care locally. According to Lucker and Kenrick, (1995), is also helps to create effective role models as health professionals are more likely to implement the good practice demonstrated by a colleague than good practice read about in a journal. In recent years it has become common for education to work in collaboration with clinicians, industry and wound organizations to provided more effective educational initiatives that provided an opportunity to network, while keeping abreast of current opinions and developing critical thinking skills.

Although hand washing may see a simple process, it is often performed incorrectly. Healthcare settings must continually remind a practitioner especially nurses and visitors and the proper procedure in washing the hand to comply with responsible hand washing. Elliott (1996) believes that education and training adequate about hand washing is important safe practice for professional healthcare workers. Therefore all visitors must follow the same procedures as hospital staff to adequately control to spread of infection especially before entered and after leaving an isolation room’s post TKR patient. In this situation, patient and family members also must learn how to do proper hand washing whether at home to promote safety life. “Many patients treated in hospital develop infections after discharge, for example 50-70% of surgical wounds infections become apparent after discharge but these are not monitored” NAO (2004).

Knowledgeable are important among healthcare professional of preventing infection. Gould’s (1995) mention that nurses’ theoretical and knowledge of universal precautions is useful to prevent infection and ability assimilate theoretical knowledge into practice. Knowledge followed by standard precaution can give a best treatment to the patients, therefore it can decrease infection problem. “The nurse with limited background knowledge will lack the tools needed from experience and the scope of practice will be limited by background the nurse to the clinical situation” (Banner 1984).

Guidelines and policies should clear to describe wound care dressing. Gould (2002) says that a general rules was recommended for healthcare workers to breaking the chain of infection. New protocol and guidelines may lead to clearer definitions of terms being developed. Educating healthcare works on protocol and guidelines may be equally and beneficial in encouraging to them. “Infection control nurses or their link nurses could undertake this teaching at ward level as this is viewed as best place to teach good clinical practice” (Gould 1996). However, this could be lacking and vague in evidence based guidelines and a clear documented standard principle are needed. Pratt et al (2000) mentions that The Epic Projects was designed to develop guidelines and standard principles for preventing Healthcare associated infection (HAIs). Therefore, failure technique of dressing among the healthcare workers especially staff nurse cause of failure of guidelines.

From the literature it is clear that poor wound dressing care by healthcare workers increase the risk of infection. “Most infections in hospitals and other settings where health and social care are delivered are transmitted to patients directly via the hand of health workers” (Gould et al 2008). Evidence indicates that many factors to contribute infection among healthcare staff. Confidential Enquire into Stillbirth and Deaths in Infancy CESDI (1999) study that around 5% of the death analyses cause of infection. Factors influence to infection such as lack of knowledge, lack of attitude, lack of facilities, lack of technique and lack of times. An intervention to promote wound dressing care plays an important role in the prevention of infection in hospitals.


As a conclusion, this assignment show that wound infections are preventable via integrated and collaborative effort among patient as a client, nurses as professional health care services. Therefore all medical staff must follow prevention of wound infection and improved their knowledge and training to know what it is, thus allowing workers to create a safe environment. However the setting of the work place needs to be conducive to allow workers to be empowered to do this.

In nursing practices reflection are important thing to nurses and management. Nurses must take accountability in practice setting and work efficiently through integrated self awareness, descriptive and critical reflection also evaluation reflection toward excellent patient’s care.

Modification of work practice such an appropriate handling of wound infection, the adoption of the concept of universal precaution and compliance with use of personal protective barriers should be emphasized. The primary goal of Infection Control is to educate all staff and family members to practice good infection prevention technique to protect patients from spreading infection. Guidelines and protocols should therefore be clear to encourage universal compliance to best practice. This topic becomes important in view of its ramifications to the accountability and accreditation of hospitals and staff. Therefore self awareness about the important of standard nursing skill is priority in whatever condition appears.

Using a few strategies discussed in this paper it helpful to reduced wound infection. Therefore patients are safe and receive quality care and can save cost of treatment because they do not stay in hospital for long period of time. Hospital and staff also get good image from public and this can improving productivity among medical workers.

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