ion control.
Baran (2002) maintains that long fingernails, both natural and artificial can facilitate the colonization of bacteria on the hands by making hand washing less effective and the use of gloves less practical. The longer the fingernail, the more likely it is that bacteria reside under its free edge. Indeed, Baran (2002) stated that anecdotal reports from the United States have suggested that nurses who wear acrylic fingernails become colonized or infected by Candida and thus, become a possible risk to susceptible patients.
The Association of Operating Room Nurses (AORN) has recommended that artificial nails should not be worn by operating room personnel, citing reports of fungal and bacterial infections associated with such nails. In addition, concerns have been raised by others that the use of artificial fingernails and nail polish may discourage vigorous hand washing. Therefore, Baran (2002) has noted that many hospitals have adopted the AORN guidelines and some have even extend
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