Impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach in five intensive care units in three cities of China

Su, Danxia; Hu, Bijie; Rosenthal, Víctor D.; Li, R.; Hao, Chunxia; Pan, Wenqin; Tao, Lili; Gao, Xiaodong; Liu, K.

doi:10.1016/j.puhe.2015.02.023

Cited by 27 publications

(23 citation statements)

References 36 publications

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“…Findings in this study show that adherence rate to hand hygiene was poor (26.6%), which conformed with reported adherence rates of 20% to 40% (Sakihama et al, ); Scheithauer et al, ). However, adherence to hand hygiene in our study was less than other Chinese studies, with adherence rates reported as 52% to 80% (Mu et al, ; Su et al, ). The most likely cause for these results is that the observations in other studies were primarily conducted for short sessions.…”

Section: Discussioncontrasting

confidence: 83%

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High nursing workload is a main associated factor of poor hand hygiene adherence in Beijing, China: An observational study

Shan

Kong

Lamb

et al. 2019

Int J of Nursing Practice

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Aim The aim of the study was to explore the impact of nurse workloads on adherence to hand hygiene. Background Adherence to hand hygiene and nursing workloads have been linked to quality of patient care. Therefore, it was important to understand the relationship to safe patient care. Design This cross‐sectional study was performed from January 2016 to June 2016. Methods Workloads and adherence to hand hygiene for nurses on 3‐day shifts in a tertiary hospital were investigated in 2016. Actual hours worked per shift were timed using a stopwatch to assess nursing workloads. Descriptive and inferential statistics and multiple variable regression analysis were used to analyse the data. Results Sixty‐four nurses from four wards were observed. The average adherence rate of hand hygiene was 26.6% and the average nursing workload per shift was 6.7 hours. Multiple regression revealed that nursing workload was negatively related to adherence rate of hand hygiene. Conclusion Nurses in this study that had a low rate of adherence with hand hygiene frequently had high workloads. Adherence to hand hygiene was independently associated with actual hours worked per shift.

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Section: Discussioncontrasting

confidence: 83%

“…However, adherence to hand hygiene in our study was less than other Chinese studies, with adherence rates reported as 52% to 80% (Mu et al, 2016;Su et al, 2015). The most likely cause for these results is that the observations in other studies were primarily conducted for short sessions.…”

Section: Relationship Between Nursing Workloads and Adherence To Hacontrasting

confidence: 82%

High nursing workload is a main associated factor of poor hand hygiene adherence in Beijing, China: An observational study

Shan

Kong

Lamb

et al. 2019

Int J of Nursing Practice

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“…11 Furthermore, our findings were in consonance with other studies which used multi-interventional approaches with administrative support in ICUs. 12,13 Administrative support had a positive effect on efforts improving HH adherence. 14 Education and training were also included, which were identified by other researchers as an important HH promotive activities improving HCWs compliance.…”

Section: Discussionmentioning

confidence: 99%

Improving hand hygiene compliance among healthcare workers in intensive care unit: an interventional study

Abdo

Al-Fadhli

2018

Int J Community Med Public Health

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Background: Hand hygiene (HH) is one of the most important measures to prevent healthcare-associated infections. The objective of the study was to assess the effectiveness of the augmented multi-interventional approaches on HH compliance rate among intensive care unit (ICU) healthcare workers (HCWs) of Farwaniya Hospital, Kuwait.Methods: An interventional study was conducted in four phases throughout eight months among adult ICU HCWs. First; HCWs, HH compliance rates and alcohol-based hand rub consumption rate (ABHR) were assessed secondly; an augmented multi-interventional approach was implemented, which included administrative support, observation and reporting, education & training, recruiting champions, and maintenance of HH supplies & reminders. Then a washout phase. Finally, re-assessment of HH compliance rates and ABHR.Results: Following the interventions, the overall HCWs’ HH compliance rate increased significantly from 58.81% to 73.17% (p=0.000), for doctors (39.82% vs. 64.93%) and nurses (68.24% vs. 80.18%), p>0.001. Significant improvement of HH compliance rates for most of HH moments, after moments were higher than before moments, p=0.000. ABHR increased significantly from 77.45 ml to 133.33 ml per patient day (95% CI=54.37-57.39, p<0.0001).Conclusions: The applied augmented multi-interventional approach was effective in improving HH compliance rates among ICU HCWs. Sustainability is warranted by continues implementation of this approach.

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“…An example is the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach (IMHHA), which includes administrative support, availability of supplies, education and training, reminders, process surveillance, and performance feedback. Previous studies have reported significant improvement in adherence to hand hygiene with the implementation of the IMHHA in ICUs in various countries [17][18][19][20][21][22][23].…”

Section: Introductionmentioning

confidence: 97%

Predictors of hand hygiene practice among Saudi nursing students: A cross-sectional self-reported study

Cruz

Bashtawi

2016

Journal of Infection and Public Health

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Hand hygiene is an important component of infection control, which is critical to ensuring patients' safety in hospitals. Nursing students are regarded as healthcare workers in training and can also be vehicles of cross-contamination within the hospital. Thus, this study aimed to identify the predictors of hand hygiene practice among Saudi nursing students. A descriptive, cross-sectional, self-reported study was conducted among 198 Saudi nursing students. Knowledge, attitude, and practice of hand hygiene were assessed using the WHO Hand Hygiene Knowledge Questionnaire for Health-Care Workers and its adopted scales. A regression analysis was performed to identify the predictors of hand hygiene practice. The respondents demonstrated moderate knowledge of hand hygiene (mean 13.20±2.80). The majority displayed a moderate attitude toward hand hygiene (52.1%), while only a few reported a poor attitude (13.1%). Approximately 68.7%, 29.8%, and 1.5% of the respondents reported moderate, good, and poor practice of hand hygiene, respectively. Having a good attitude toward hand hygiene, being male, being aware that hand hygiene is an effective intervention in preventing healthcare-associated infections (HAIs), attendance at hand hygiene trainings and seminars, and being in the lower academic level of nursing education were identified as predictors of better hand hygiene practice. The importance of ensuring a positive attitude toward hand hygiene and improving awareness of hand hygiene is emphasized, as are educational interventions. Educational interventions should be implemented to reinforce knowledge and instill a positive attitude toward hand hygiene.

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Impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach in five intensive care units in three cities of China

Cited by 27 publications

References 36 publications

High nursing workload is a main associated factor of poor hand hygiene adherence in Beijing, China: An observational study

High nursing workload is a main associated factor of poor hand hygiene adherence in Beijing, China: An observational study

Improving hand hygiene compliance among healthcare workers in intensive care unit: an interventional study

Predictors of hand hygiene practice among Saudi nursing students: A cross-sectional self-reported study

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