Improvement of hand hygiene compliance among health care workers in intensive care units

Anwar, Manal M.; Elareed, Heba R.

doi:10.15167/2421-4248/jpmh2019.60.1.918

Cited by 9 publications

(8 citation statements)

References 28 publications

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Section: Discussionsupporting

confidence: 66%

“…The data obtained in this study are also similar to those of a research that sought to assess HH compliance among health professionals in an Intensive Care Unit (ICU) before and after the educational intervention ( 26 ) . The results proved to be efficient regarding global HH compliance, obtaining a significant increase from 30.9% to 69.5% after intervention ( 26 ) . Although this study worked with an adult population, the findings showed that offering educational actions, such as simulated scenarios, is effective in contributing to increased compliance with activities based on patient care.…”

Section: Discussionsupporting

confidence: 66%

See 1 more Smart Citation

Compliance with central venous catheter infection prevention practices after intervention with simulation

Oliveira,

Marcatto,

Corrêa

et al. 2023

Rev. Bras. Enferm.

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Objectives: to assess the effect of an educational intervention based on clinical simulation on nursing professionals’ compliance with practices to prevent peripherally inserted central venous catheter-associated primary bloodstream infections in a Neonatal Intensive Care Unit. Methods: a quasi-experimental study, with preand post-intervention assessment with a single group. The population consisted of 41 nursing professionals, with 31 observations being made before and after the intervention. Analyzes were performed using descriptive statistics and the McNemar non-parametric test. A significance level of 5% was adopted. Results: after the intervention, there was an increase in compliance with prevention practices of surgical antisepsis and professional hand hygiene, skin antisepsis with chlorhexidine, waiting for the time of the effect of alcoholic chlorhexidine and compliance with the sterile technique. Conclusions: the educational intervention showed an effect on increasing compliance with catheter-associated infection prevention practices.

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Section: Discussionsupporting

confidence: 66%

Section: Discussionsupporting

confidence: 66%

Compliance with central venous catheter infection prevention practices after intervention with simulation

Oliveira,

Marcatto,

Corrêa

et al. 2023

Rev. Bras. Enferm.

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“…Globally, most studies have shown poor compliance to essential practices such as HH and significant improvement after simple interventions such as teaching and direct observation. Anwar et al found overall HH compliance increased significantly from 30.9% (95% confidence interval (CI): 27.2-34.6%) before intervention to 69.5% (95% CI: 65.2-72.6%) post-intervention, with the highest HH compliance rate among nurses compared to physicians and workers (p = 0.001) [5]. In our study, HH compliance improved from 40.6% to 69.8% when pre-and post-intervention data were compared.…”

Section: Discussionmentioning

confidence: 99%

“…Simple measures such as teaching, lectures, videos, and demonstration of proper HH methods can be effective for improving compliance. Furthermore, informed observation of the HH procedure has been found to increase HH compliance [5].…”

Section: Introductionmentioning

confidence: 99%

Improvement of Hand Hygiene Compliance Using the Plan-Do-Study-Act Method: Quality Improvement Project From a Tertiary Care Institute in Bihar, India

Kumar¹,

Kumar²,

Gupta³

et al. 2022

Cureus

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BackgroundHospital-acquired infections (HAIs) are the most severe complications of intensive care stay, especially in pediatric patients. Proper hand hygiene (HH) is the cheapest, simplest, but often neglected method to prevent HAIs. The World Health Organization (WHO) has formulated and promoted a standardized recommendation for HH. Both the WHO and the Centers for Disease Control and Prevention (CDC) recommend the use of soap and water for handwashing whenever there is visible dirt on the hands. In all other situations, an alcohol-based hand rub is an effective alternative. The quality improvement (QI) methodology has been widely followed in many countries to improve basic and advanced healthcare systems. The QI strategy follows the plan-do-study-act (PDSA) method. MethodologyThis quasi-experimental (pre-and post-intervention), prospective, QI study was conducted at the neonatal intensive care unit and pediatric intensive care unit of the pediatrics department in a tertiary care hospital in Bihar, India. A QI team was formed. The study was divided into four phases. WHO charts for assessing HH compliance were used for observation and data collection. The EQUATOR Checklist (Squire Checklist) was used to accurately report the QI work. Epi Info™ (version 7.2.5) was used for statistical analysis. The chisquare test was used to measure the statistical difference between pre-and post-intervention HH compliance (proportions). ResultsIn the pre-intervention phase, a total of 106 HH opportunities were observed. The HH compliance at this stage was 40.6%. The QI team conducted several meetings, and a root cause analysis was performed with the help of the Fishbone diagram. It was decided to target three probable causes, namely, (a) less awareness, (b) inconvenient locations of hand rub dispensers, and (c) forgetfulness. The QI team decided to run three PDSA cycles. In the last phase, 212 HH opportunities were observed with a compliance percentage of 69.8%. There was a significant improvement when data of pre-and post-intervention HH compliance were compared in all categories of healthcare workers (HCWs), except doctors, where the improvement was not statistically significant. When the cumulative data of all subtypes of HCWs were analyzed, there was a significant improvement (p < 0.0001). Run charts and box plots were used for the easy depiction of the results. ConclusionsAdopting proper HH methods remains the most effective way of preventing nosocomial infections, especially in intensive care units. We used the WHO model of HH in our study. The pre-intervention HH compliance was 40.6%. QI methodology using root cause analysis and implementation of three PDSA cycles were used to increase the HH compliance percentage. Post-intervention HH compliance increased to 69.8% and the effect was sustained. The study highlights the usefulness of the QI methodology in bringing small but important changes in clinical practice for better patient care.

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“…This compliance level can increase if a person follows the WHO (World Health Organization) strategy, multimodal (system changes, training and education, monitoring and feedback, reminders and communication, and patient safety culture). The last article, namely research conducted by Anwar & Elareed (2019) conducted at Beni Suef University Hospital Egypt for six months (March to August 2017) with 177 respondents, showed that health workers' level of compliance was still low. The low level of adherence is not known for the exact cause.…”

Section: Discussionmentioning

confidence: 99%

The Level of Compliance of Healthcare Workers in Performing Hand Hygiene: A Literature Review

Rahayu

Susilaningsih

Komariah

2021

JNC

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Compliance level of healthcare workers in performing hand hygiene is a significant aspect of patient safety goals. However, it is still not optimal and is one of the critical problems of many hospitals globally, including in Indonesia. The non-optimal consequence of hand hygiene compliance is hospital-associated infections since hands are an intermediary medium for transmitting infection. This literature aims to determine the level of compliance of health workers in performing hand hygiene and find out several matters that can be done so that the health worker's compliance can be optimal or increased. Review of articles through several electronic databases including PubMed and ProQuest, with the keywords "Compliance", "Hand Hygiene", "Health Workers", and "Hospital". Inclusion criteria include articles published between 2005 and 2019, health worker respondents, English language, full text and observation, or interview data collection techniques. The literature search found 212 articles, and after manual review, ten articles were identified and assessed using the JBI form (Joanna Briggs Institute). The literature review findings suggest that, following the intervention, the level of compliance of health workers in performing hand hygiene is still lacking and growing. The conclusion is that more significant support from the hospital (e.g., role models, audits, adequate infrastructure, education and repeated training), the greater the compliance of health workers in performing hand hygiene.

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Improvement of hand hygiene compliance among health care workers in intensive care units

Cited by 9 publications

References 28 publications

Compliance with central venous catheter infection prevention practices after intervention with simulation

Compliance with central venous catheter infection prevention practices after intervention with simulation

Improvement of Hand Hygiene Compliance Using the Plan-Do-Study-Act Method: Quality Improvement Project From a Tertiary Care Institute in Bihar, India

The Level of Compliance of Healthcare Workers in Performing Hand Hygiene: A Literature Review

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