Setting the right foundations: improving the approach used to teach concepts of hand hygiene to medical students

Kaur, Rajneesh; Razee, Husna; Seale, Holly

doi:10.1016/j.jhin.2017.01.006

Cited by 10 publications

(17 citation statements)

References 10 publications

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“…As far as we know, only one study has investigated how to improve EMS-related HH, and the authors reported that a theoretically based PowerPoint presentation on HH importance and practice, along with increased access to HH supplies, and visually reminding posters, improved the hygiene awareness and motivation 18. Also, a recent Australian study reported that situation-based learning had a positive impact on medical students’ knowledge and attitudes towards HH 19. Future studies elucidating motivational factors in relation to EMS HH compliance are highly recommended to strengthen future multimodal improvement strategies.…”

Section: Discussionmentioning

confidence: 99%

Compliance with hand hygiene in emergency medical services: an international observational study

Vikke

Vittinghus²,

Giebner

et al. 2019

Emerg Med J

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IntroductionHealthcare-associated infection caused by insufficient hygiene is associated with mortality, economic burden, and suffering for the patient. Emergency medical service (EMS) providers encounter many patients in different surroundings and are thus at risk of posing a source of microbial transmission. Hand hygiene (HH), a proven infection control intervention, has rarely been studied in the EMS.MethodsA multicentre prospective observational study was conducted from December 2016 to May 2017 in ambulance services from Finland, Sweden, Australia and Denmark. Two observers recorded the following parameters: HH compliance according to WHO guidelines (before patient contact, before clean/aseptic procedures, after risk of body fluids, after patient contact and after contact with patient surroundings). Glove use and basic parameters such as nails, hair and use of jewellery were also recorded.ResultsSixty hours of observation occurred in each country, for a total of 87 patient encounters. In total, there were 1344 indications for HH. Use of hand rub or hand wash was observed: before patient contact, 3%; before clean/aseptic procedures, 2%; after the risk of body fluids, 8%; after patient contact, 29%; and after contact with patient-related surroundings, 38%. Gloves were worn in 54% of all HH indications. Adherence to short or up done hair, short, clean nails without polish and no jewellery was 99%, 84% and 62%, respectively. HH compliance was associated with wearing gloves (OR 45; 95% CI 10.8 to 187.8; p=0.000) and provider level (OR 1.7; 95% CI 1.1 to 2.4; p=0.007), but not associated with gender (OR 1.3; 95% CI 0.9 to 1.9; p=0.107).ConclusionHH compliance among EMS providers was remarkably low, with higher compliance after patient contacts compared with before patient contacts, and an over-reliance on gloves. We recommend further research on contextual challenges and hygiene perceptions among EMS providers to clarify future improvement strategies.

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Section: Discussionmentioning

confidence: 99%

Compliance with hand hygiene in emergency medical services: an international observational study

Vikke

Vittinghus²,

Giebner

et al. 2019

Emerg Med J

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“…Based on the fact that (hand) hygiene in basic hygienic understanding is intrinsically indispensable for patient safety, the adopted learning and competence objectives were also compared with the learning objective catalogues for patient safety (see table 1 (Tab. 1) [ http://www.nklm.de ], [ 13 ], [ 14 ], [ 15 ]). As part of the following teaching descriptions, table 1 (Tab.…”

Section: Project Descriptionmentioning

confidence: 99%

“…In joint recommendations of the Association of German Faculties (MFT) and the Commission for Hospital Hygiene and Infection Prevention (KRINKO) at the Robert Koch Institute for the education of hospital hygiene at German universities it is emphasised that it is not only the theoretical teaching of hospital hygiene measures which is important, but also that the practical relevance is established and measures are trained to prevent infection [ 10 ]. This aspect has also been taken up internationally by the World Health Organisation (WHO), whereupon the requirement of changed teaching methods and modules becomes apparent, so that the students’ level of knowledge for the prevention of infections and dealing safely with the prevention measures can be improved [ 11 ], [ 12 ], [ 13 ]. Furthermore conveying up-to-date hygienic teaching content at German universities, e.g.…”

Section: Introductionmentioning

confidence: 99%

Hygiene in medical education – Increasing patient safety through the implementation of practical training in infection prevention

Richter

Chaberny

Surikow

et al. 2019

GMS Journal for Medical Education; 36(2):Doc15

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“…Physicians are ranked among the worst of all healthcare workers (HCW) for compliant handrubbing [1,2] with its origin probably being the failure to learn this essential behavior during undergraduate medical studies. Despite the fact that past studies recommended an increased emphasis on HH in undergraduate teaching [1][2][3][4][5], very few studies to date explore the development and testing of HH education modules, particularly for the youngest medical students [6][7][8]. The focus is more on being compliant with HH indications than HH techniques.…”

Section: Introductionmentioning

confidence: 99%

Using an ultraviolet cabinet improves compliance with the World Health Organization’s hand hygiene recommendations by undergraduate medical students: a randomized controlled trial

Dray

Lehingue

Valéra

et al. 2020

Antimicrob Resist Infect Control

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Background: Appropriate hand hygiene (HH) is key to reducing healthcare-acquired infections. The World Health Organization (WHO) recommends education and training to improve HH knowledge and compliance. Physicians are ranked among the worst of all healthcare workers for compliant handrubbing with its origin probably being the failure to learn this essential behavior during undergraduate medical studies. This study evaluated if the use of Ultraviolet-cabinets (UVc) for fluorescent-alcohol-based handrubs (AHR) during an undergraduate medical student training improved the compliance rate to the WHO hand hygiene recommendations (completeness of AHR application and HH opportunities). Methods: This randomized trial compared a HH training with personal feedback (using UVc) to a control group. The first year, the students (2nd degree) were convened by groups (clusters) of 6-9 for a demonstration of the correct execution of WHO procedure. Randomization by cluster was done prior HH training. In the control group, the students hand rubbed under visual supervision of a tutor. In the intervention group after the same visual supervision, completeness of fluorescent-AHR hand application was recorded under UVc and was shown to the student. The intervention group had free access to the UVc until complete application. HH practices were included in simulation sessions for the both groups. One year after (3rd degree), all the students were asked to hand rub with fluorescent-AHR. A tutor (blinded to the study group) assessed the completeness of hand application under UVc and the compliance with the WHO opportunities. Complete application of AHR was defined as fluorescence for all the surfaces of hands and wrists.

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Setting the right foundations: improving the approach used to teach concepts of hand hygiene to medical students

Cited by 10 publications

References 10 publications

Compliance with hand hygiene in emergency medical services: an international observational study

Compliance with hand hygiene in emergency medical services: an international observational study

Hygiene in medical education – Increasing patient safety through the implementation of practical training in infection prevention

Using an ultraviolet cabinet improves compliance with the World Health Organization’s hand hygiene recommendations by undergraduate medical students: a randomized controlled trial

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