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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

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