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Healthcare-Associated Infections: The Nursing Perspective

Jaynelle F. Stichler, DNSc, RN, EDAC, NEA-BC, FACHE, FAAN Healthcare-associated infections (HAIs) have been a concern of nurses since the time of Florence Nightingale, who first introduced the concept as important to patient outcomes with the soldiers in the Crimean war. Nightingale’s notations about the importance of clean air and ventilation, light, cleanliness, noise, variety, and sanitation are the foundations for the concept of “healing environments” today and the first recognition that infectious diseases could be transmitted from patient to patient, patient to caregiver, and caregiver to patient (Nightingale, 1992).