Changes in knowledge and attitudes of hospital environmental services staff: The Researching Effective Approaches to Cleaning in Hospitals (REACH) study

Mitchell, Brett G; White, Nicole; Farrington, Alison; Allen, Michelle; Page, Katie; Gardner, Anne; Halton, Kate; Riley, Thomas V.; Gericke, Christian A.; Paterson, David L.; Graves, Nicholas; Hall, Lisa

doi:10.1016/j.ajic.2018.02.003

Cited by 36 publications

(39 citation statements)

References 14 publications

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“…Our study has provided evidence of how difficult it is to implement communication change, reflecting the reality of large hospitals being complex institutions, usually with cleaning staff at the lower end of a strong and culturally-embedded staff hierarchy [17,21]. Nine of our 11 sites had some gaps in communication practices observed at baseline, and only three of these were able to record improvements in their communication component score.…”

Section: Discussionmentioning

confidence: 87%

“…At each hospital during the pre-intervention period, the study team collected extensive baseline data about infection prevention and hospital cleaning using staff questionnaires [17], interviews, discussion groups, and the document review and hospital profile templates. For each hospital, contextual data were then systematically mapped against the implementation framework (additional file 2) and assessed to determine three separate sets of scores.…”

Section: Quantifying Implementationmentioning

confidence: 99%

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Effectiveness of a structured, framework-based approach to implementation: the Researching Effective Approaches to Cleaning in Hospitals (REACH) Trial

Hall

White

Allen³

et al. 2020

Antimicrob Resist Infect Control

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Background: Implementing sustainable practice change in hospital cleaning has proven to be an ongoing challenge in reducing healthcare associated infections. The purpose of this study was to develop a reliable framework-based approach to implement and quantitatively evaluate the implementation of evidence-based practice change in hospital cleaning. Design/methods: The Researching Effective Approaches to Cleaning in Hospitals (REACH) trial was a pragmatic, stepped-wedge randomised trial of an environmental cleaning bundle implemented in 11 Australian hospitals from 2016 to 2017. Using a structured multi-step approach, we adapted the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework to support rigorous and tailored implementation of the cleaning bundle intervention in eleven diverse and complex settings. To evaluate the effectiveness of this strategy we examined post-intervention cleaning bundle alignment calculated as a score (an implementation measure) and cleaning performance audit data collected using ultraviolet (UV) gel markers (an outcome measure). Results: We successfully implemented the bundle and observed improvements in cleaning practice and performance, regardless of hospital size, intervention duration and contextual issues such as staff and organisational readiness at baseline. There was a positive association between bundle alignment scores and cleaning performance at baseline. This diminished over the duration of the intervention, as hospitals with lower baseline scores were able to implement practice change successfully. Conclusion: Using a structured framework-based approach allows for pragmatic and successful implementation of clinical trials across diverse settings, and assists with quantitative evaluation of practice change.

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Section: Discussionmentioning

confidence: 87%

Section: Quantifying Implementationmentioning

confidence: 99%

Effectiveness of a structured, framework-based approach to implementation: the Researching Effective Approaches to Cleaning in Hospitals (REACH) Trial

Hall

White

Allen³

et al. 2020

Antimicrob Resist Infect Control

Self Cite

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“…Studies indicate that improving cleaning compliance and environmental surface cleanliness may be achieved with education and training utilizing auditing systems. [33,39,[57][58][59][60][61][62][63][64][65][66][67][68][69][70][71][72][73][74][75][76] However, a recent study by Mitchell, White [77] reported that EVS staff have a high level of understanding in knowledge and of the importance of their role, but that there is a perceived lack of organizational support, investment in cleaning resources and feedback. When aiming to improve hospital cleanliness, the morale and attitudes of EVS staff must be considered as a determinant of the cleaning protocol.…”

Section: Discussionmentioning

confidence: 99%

Cleaning and disinfecting protocols for hospital environmental surfaces: A systematic review of the literature

Taylor

Harris

2019

JHA

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Background: Healthcare associated infections are a leading cause of illness and death in the United States and across the world. Environmental surfaces are considered non-critical, although recent evidence suggests that the built environment may contribute to the transmission of pathogens. Ineffective cleaning and disinfecting of environmental non-critical surfaces may increase risk of transmitting nosocomial pathogens leading to hospital acquired infections among hospital patients.Objective: This systematic review identifies elements of cleaning and disinfecting protocols, synthesizing the evidence to evaluate cleaning protocols that effectively reduce surface contamination and minimize risk of hospital acquired illness.Methods: A systematic literature review was conducted with a clearly formulated research question and systematic approach to identify publications, select relevant studies, critically appraise the research through analysis of reported data, and reported the results according to the Cochrane methodology.Results: In total, 245 studies were initially identified with 19 studies meeting inclusion criteria. Emerging categories include chemical application methods, chemical application time, cleaning type and frequency, and interventions for training and monitoring.Conclusions: Establishing adequate cleaning protocols for hospital environments is a complex process which requires consideration of multiple components including mechanical action, chemical application materials, types of cleaning, chemical contact times, education and training of EVS staff, cleaning monitoring and feedback, no-contact cleaning methods, and self-disinfecting surfaces. Recommendations for protocol development based on the study results are provided.

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“…Pengetahuan perawat dapat berpengaruh terhadap peningkatan layanan rumah sakit dengan menjalankan praktik sesuai dengan SPO (Standart Operasional Prosedur) yang berlaku (Mitchell et al, 2018). Pengetahuan yang dimiliki oleh perawat merupakan ujung tombak dalam memberikan tindakan keperawatan pada pasien selama masa penugasan.…”

Section: Self-efficacyunclassified

Self-Efficacy of Instrument Nurse during the Assignment of Earthquake Disaster in Nusa Tenggara Barat (NTB)

Hidayati

Wahyudi

Tirmidzi

2019

CMSNJ

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ABSTRAKPendahuluan: Perawat yang betugas didaerah terpencil dan daerah bencana akan mengalami beberapa kendala diantaranya jarak ketempat rujukan, kejenuhan saat bekerja, tekanan psikologis, maupun sulitnya mengontrol tingkat personal-profesional perawat selama bertugas. Penelitian ini bertujuan untuk mendeskripsikan self-efficacy perawat instrumen dalam respon gempa bumi di Nusa Tenggara Barat.Metode: Penelitian menggunakan desain kualitatif dengan pendekatan fenomenologi deskriptif. Populasi penelitian adalah perawat instrumen yang bertugas di dalam respon gempa bumi di Nusa Tenggara Barat (NTB), sampel penelitian diperoleh dengan snowball sampling menggunakan pesan whatsapp. Partisipan adalah 16 perawat instrumen. Metode pengumpulan data menggunakan wawancara mendalam. Alat pengumpulan data yang digunakan adalah voice recorder, pedoman wawancara, dan catatan lapangan. Data diolah dengan analisis tematik menurut Colaizzi.Hasil: Self-efficacy perawat dapat dilihat dari penilaian positif terhadap kapabilitas dirinya dibuktikan dengan mengungkapkan pengertian, terbentuknya tim, dan tujuan umum dibentuknya tim tanggap darurat. Selain itu, perawat memiliki motivasi melakukan penugasan. Partisipan menunjukkan sikap positif saat ditunjuk untuk ditugaskan di Nusa Tenggara Barat (NTB) Kesimpulan: Self-efficacy dapat dipengaruhi oleh beberapa aspek, diantaranya adalah pemahaman tentang suatu hal (pengetahuan), sikap atau perilaku, dan motivasi. Perawat yang memiliki self-efficacy tinggi yakin akan kemampuan yang dimiliki dalam melaksanakan tugasnya, akan mampu menjalankan tugas dengan baik meskipun tuntutan dan beban kerja yang tinggi. Kata KunciSelf-efficacy, perawat instrumen, gempa bumi. ABSTRACTIntroduction: Nurses who are tasked in remote areas and disaster areas will experience several obstacles including distance to the nearest health services, tired of working, psychological distress, or the difficulty in controlling the level of nurse personalities while on duty. This study aims to describe self-efficacy of instrument nurse during the assignment period. Method:The study used a qualitative design with descriptive phenomenology approach. Populations were instrument nurse who assigned to the earthquake in West Nusa Tenggara (NTB), participants obtained by snowball sampling, which every participant approached by Whatsapp Messenger. Total participants were 16 instrument nurses. Method of collecting data using in-depth interview. Data collection tools used are voice recorder, interview guideline, and field note. Data was processed by thematic analysis Colaizzi.Result: Nurses' self-efficacy can be seen from a positive assessment of their capabilities as evidenced by expressing understanding, forming a team, and establishing an

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Changes in knowledge and attitudes of hospital environmental services staff: The Researching Effective Approaches to Cleaning in Hospitals (REACH) study

Cited by 36 publications

References 14 publications

Effectiveness of a structured, framework-based approach to implementation: the Researching Effective Approaches to Cleaning in Hospitals (REACH) Trial

Effectiveness of a structured, framework-based approach to implementation: the Researching Effective Approaches to Cleaning in Hospitals (REACH) Trial

Cleaning and disinfecting protocols for hospital environmental surfaces: A systematic review of the literature

Self-Efficacy of Instrument Nurse during the Assignment of Earthquake Disaster in Nusa Tenggara Barat (NTB)

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