Hand hygiene: nurses’ adherence after training

Graveto, João; Rebola, Rita Isabel Figueira; Fernandes, Elisabete Amado; Santos-Costa, Paulo

doi:10.1590/0034-7167-2017-0239

Cited by 30 publications

(29 citation statements)

References 6 publications

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“…Chart 1 shows the search mechanism used in each database and the number of articles retrieved. Publications excluded because they are unavailable and/or are not original articles and/or do not answer the guiding question (n=8,835) 9,109 publications were found and 25 articles were eligible in order to compose the sample of the present study ( Figure 1).…”

Section: Methodsmentioning

confidence: 99%

“…Recent research has demonstrated the importance of promoting adequate HH technique compliance among health professionals in order to reduce the high rates of infections caused by multidrug resistant microorganisms (4)(5)(6)(7)(8)(9) . However, low compliance with these practices remains a challenge for practitioners and health institutions, especially in developing countries, which may present an HCAI rate up to 20 times higher than in developed countries (10) .…”

Section: Introductionmentioning

confidence: 99%

“…In this context, the multimodal strategy has been encouraged by several health agencies worldwide as a complete tool to achieve satisfactory results, since only the educational training does not guarantee the continuous improvement of HH practice (8) . Accordingly, the active participation of the heads and managers of the institutions was also highlighted, since the valuation of the change to maintain the favorable security environment can be considered effective for the change and maintenance of the indexes of improvement of HH compliance throughout the time (9,13) .…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of the multimodal strategy for Hand Hygiene compliance: an integrative review

et al. 2019

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Objective: Evaluate, from the literature, the effectiveness of the implementation of the multimodal strategy for health professionals compliance with Hand Hygiene and its sustainability over time. Method: Integrative review, with a view to answering the following question: “Is the implementation of the multimodal strategy effective in health professionals compliance with Hand Hygiene and can it be sustained over time?”. The MEDLINE, SCOPUS, LILACS and CINAHL databases were used to retrieve the primary articles. Results: Twenty-five studies were analyzed. Among the components of the multimodal strategy, three need to be better worked: health education, feedback from practices and management involvement. Although it needs to focus more on its five elements, interventions based on the multimodal strategy have favored HH compliance and its long-term sustainability. Conclusion: The strategy proved to be effective for HH compliance, especially when all integrating components are adequately addressed.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Efficacy of the multimodal strategy for Hand Hygiene compliance: an integrative review

et al. 2019

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“…Among the challenges faced in the health area, measures oriented toward preventing and controlling infections stand out. The consequences of healthcare-associated infections (HAIs) can be seen in morbimortality rates and the increase in healthcare-related costs (1)(2) .…”

Section: Introductionmentioning

confidence: 99%

“…Although careful hand hygiene is the most effective measure to prevent infections (2,(5)(6) , adherence to this practice remains low even in environments where resources and conditions are available (5)(6)(7)(8)(9) . Additionally, few interventions are considered long-lasting (7) .…”

Section: Introductionmentioning

confidence: 99%

Self-efficacy of health professionals in hand hygiene practice: is it possible to measure?

et al. 2020

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Objective: To identify in the literature the tools used to measure self-efficacy of health professionals in hand hygiene. Methods: Integrative literature review carried out by consulting the databases PubMed, Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature, Europe PubMed Central, and Science Direct using the descriptors Self Efficacy, Hand Hygiene, and Health Personnel. Results: Six articles, all of which with observational design, were selected. It was possible to infer that four studies used validated instruments to measure self-efficacy of health professionals in the conformity with the recommendations for hand hygiene. The other studies used questionnaires that were not validated. Final considerations: Despite the extensive literature on hand hygiene, there is a lack of scientific evidence regarding the use of validated instruments to measure self-efficacy of health professionals in the procedure. The use of properly validated psychometric instruments is useful to guarantee the quality of results in studies.

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Influence of the Internet of Things management system on hand hygiene compliance in an emergency intensive care unit

Liu

Feng

et al. 2021

Journal of Hospital Infection

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Background: Hand hygiene is a critical strategy for infection prevention in all healthcare settings. Automated electronic monitoring systems are expected to improve hand hygiene performance. Aim: To investigate the impact of the Internet of Things (IoT) management system on hand hygiene compliance among medical staff in an emergency intensive care unit (EICU). Methods: This retrospective observational study was conducted between July 1 st , 2017 and February 28 th , 2018 in a 19-bed EICU. The changes in hand hygiene compliance among 54 members of medical staff and the incidence of hospital infections were compared, counted, and analysed before and after implementing the IoT management system in the EICU that was initiated on November 1 st , 2017. Findings: After the application of the IoT management system, the hand hygiene compliance rates among the members of the medical staff before (29.5% (3347/11,338) vs 57.9% (4690/8094), P < 0.001) and after (59.9% (9915/16,556) vs 73.8% (17,194/23 286), P < 0.001) the contact with patients and surrounding environment significantly improved. However, hand hygiene compliance among three cleaning staff did not significantly improve after the application. Moreover, there was no significant difference in healthcareacquired infection rates (2.535% (9/355) vs 2.047% (7/342), P ¼ 0.667) nor in the detection rates of the four major multidrug-resistant bacteria in the EICU before and after the application of the IoT management system (P > 0.05). Conclusion:The IoT management system significantly improved hand hygiene compliance among medical staff, except cleaners, in the EICU of one provincial hospital; however, the rates of nosocomial infection did not significantly decrease. The quality of hand hygiene implementation needs to be improved.

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Hand hygiene: nurses’ adherence after training

Abstract: After training, nurses' adherence to hand hygiene improved, particularly when compared to the other professionals involved. Despite its simplicity, the implementation of a training program and its subsequent follow-up have a positive on nurses' attitudes and adherence to hand hygiene.

Cited by 30 publications

References 6 publications

Efficacy of the multimodal strategy for Hand Hygiene compliance: an integrative review

Efficacy of the multimodal strategy for Hand Hygiene compliance: an integrative review

Self-efficacy of health professionals in hand hygiene practice: is it possible to measure?

Influence of the Internet of Things management system on hand hygiene compliance in an emergency intensive care unit

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