'Now please wash your hands': the handwashing behaviour of final MBBS candidates

Feather, Adam; Stone, Sheldon; Wessier, A.; Boursicot, Katharine; Pratt, Charlotte

doi:10.1053/jhin.1999.0705

Cited by 97 publications

(100 citation statements)

References 4 publications

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“…They reported an increase in the knowledge of medical students (Calabro et al, 1998) but long-term retention of this knowledge was reported as poor (Calabro et al, 2000). A few other studies which utilised the WHO's HH scenarios and posters to prompt students to HH also reported an increase in short-term knowledge around HH of medical students following HH educational interventions (Feather et al, 2000;Fisher et al, 2010;Hunt et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

“…Despite the well-recognised importance of education and training in improving hand hygiene (HH) of medical students (Feather et al, 2000;Stone et al, 2012;van de Mortel et al, 2010van de Mortel et al, , 2012 it is an increasingly neglected part of medical education. Medical students receive very little formal training around HH while at medical school, due to the pressure placed on curriculum developers to dedicate time to the teaching of core clinical concepts about treatment and diagnosis (Kaur et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Development and appraisal of a hand hygiene teaching approach for medical students: a qualitative study

Kaur

Razee

Seale

2016

Journal of Infection Prevention

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Background: Poor hand hygiene (HH) practices among medical students have previously been attributed to students not being exposed to sufficient teaching materials during their training. Aim:To develop and evaluate a teaching module directed at improving the knowledge and attitudes of undergraduate medical students towards HH. Methods:The HH teaching module was designed based on educational materials used by the World Health Organization and other patient safety organisations. The development was also informed by the findings from two previous studies including qualitative interviews with staff and students and a survey of Australian medical schools. In-depth group interviews were undertaken with 24 undergraduate medical students.Results: Favourable feedback was received from the interviewed medical students towards the developed scenariobased learning activity; however, the group interview activity was not received well by students. They suggested that the HH teaching activities should be compulsory and not optional for medical students. In order to reinforce good HH practices and to improve knowledge around HH and healthcare-associated infections, they felt that the activities should be repeated during each phase of their degree. Conclusions:There is a need to change the approach to training in education, particularly to engage students in topics such as HH which are often seen as unimportant.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Development and appraisal of a hand hygiene teaching approach for medical students: a qualitative study

Kaur

Razee

Seale

2016

Journal of Infection Prevention

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“…Microbial flora was found to be high in those who use rings hence implying that wearing hand jewels is a risk factor for contamination [5]. The emergence of antibiotic resistant bacteria is considered an increasing problem globally and is associated with increased length of hospital stay, health-care costs, patient morbidity, and mortality [6][7][8][9]. Mortality among patients with methicillin resistant S. aureus (MRSA) and vancomycin-resistant enterococci bacteremia is significantly higher than mortality among patients with susceptible forms of the same bacteria [10,11].…”

Section: Introductionmentioning

confidence: 99%

Bacterial Contamination of Hands of Medical Interns and Undergraduate Students

Senthil

Hegde

Kulkarni

et al. 2017

Asian J Pharm Clin Res

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Objective: Cross-transmission by the hands of health-care workers is considered the main route of spread of nosocomial infections. Awareness among medical students and interns about the importance of hand hygiene practices and facilities for its adherence can play a major role in reducing disease transmission. The objectives of the present study were: (1) To determine the level and type of microbial contamination present on the hands of medical students and interns from a teaching hospital of Mangalore, Karnataka, and (2) to evaluate the relationship between hand contamination and knowledge, attitude, and practices of hand hygiene.Methods: Swabs were obtained from the dominant hand and the skin surface beneath the rings of participants during their routine work hours. Laboratory analysis was carried out within one hour of collection of samples. The participants were asked to fill a questionnaire on hand hygiene. Descriptive statistics and analysis was done by Chi-square test.Results: Of the 70 study participants, 35 (50%) were medical undergraduate students and 35 (50%) were medical interns. The contamination rate was higher among the undergraduates (91.4% [32/35]) compared to interns (77.1% [27/35]). 38 (54%) participants hands were contaminated with Staphylococcus aureus, of which 17 (44.7%) were methicillin-resistant S. aureus. Although overall knowledge status about hand hygiene was good, concepts about certain key elements in hand hygiene were not clearly understood by the participants. Knowledge about alcohol-based hand rubs was not up to the mark. The level of knowledge was found to be similar between UGs and interns and between the genders. Wearing ring while handling patients had an influence on hand contamination. Conclusions:Although the overall knowledge about hand hygiene was good, very few participants knew that hand hygiene after exposure to immediate surroundings of patient can prevent cross-transmission. Health-care workers may unknowingly carry antibiotic-resistant bacteria on their hands. Being unaware of this fact may have serious repercussions as the students and interns may serve as a medium for the spread of nosocomial infections.

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“…One of the WHO multimodal strategies to increase awareness and knowledge about HH is the training about HH understanding and practices (WHO, 2009). Numerous authors have conducted studies to assess the HH knowledge of undergraduate students and their level of knowledge was rather low (Nair et al, 2014;Van de Mortel et al, 2010;Herbert et al, 2013;Feather et al, 2000;Thakker&Jadhav, 2015;Garcia-Zapata et al, 2009;Kelcíkova et al, 2012). Therefore, the inclusion of HH in the undergraduate curriculum is considered an emergency issue (Chatterjee et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Hand Hygiene Training and Its Impact on the Knowledge of Undergraduate Nursing Students in Kosovo

Sopjani¹,

Jahn²,

Behrens³

2017

GJHS

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Background: Hand hygiene (HH) performing is a must in health care settings because it affects the human lives. Health Care Workers (HCW) must be aware and be trained continuously as regards hand hygiene. Aim:The aim of this article was to evaluate and compare the knowledge before and after an educational training of undergraduate nursing students at an educational institution in Pristine, Kosovo. Methods:A pre-post survey was conducted in February 2016 at an educational institution in Pristine, Kosovo. The World Health Organization (WHO) questionnaire for hand hygiene knowledge of Health Care Workers (HCW) was used to collect the data.Results: From a total of 100 students, only 13 (13 %) were men and 87 (87%) were women. Their ages ranged between 18-23 years old. Only 55 (55 %) had poor knowledge level, 42 (42%) had moderate knowledge level and only 3 (3%) had good knowledge about HH practices before the training and after the training only 1 (1%) participant was found with poor knowledge, 61 (61%) moderate knowledge and 38 (38 %) good knowledge. The training had a significant impact on the acquisition of HH' knowledge. This was shown by the significant difference between the total points before and after the training (p <0.001). Conclucion:The training should be done consistently and be part of the nursing school curriculum, maintaining a satisfactory level of knowledge about hand hygiene as these students in a near future will face with Hand Hygiene (HH) issues in their daily clinical work.

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'Now please wash your hands': the handwashing behaviour of final MBBS candidates

Cited by 97 publications

References 4 publications

Development and appraisal of a hand hygiene teaching approach for medical students: a qualitative study

Development and appraisal of a hand hygiene teaching approach for medical students: a qualitative study

Bacterial Contamination of Hands of Medical Interns and Undergraduate Students

Hand Hygiene Training and Its Impact on the Knowledge of Undergraduate Nursing Students in Kosovo

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