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This is a "Design for Change Proposal paper". Here is the PICO question that I'm addressing My PICO question is: Can nurses and healthcare workers in a clinical setting use a waterless, alcohol-based hand rubbing solution versus soap and water for hand hygiene to reduce the spread of nosocomial infections? P-Nurses and healthcare workers in a clinical environment I- Using a waterless, alcohol based rubbing solution C- Soap and water for hand hygiene O- reduction of nosocomial infections AND HERE ARE THE ATTACHED GUIDELINES AND TEMPLATE NEEDED. Thanks

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