Successful development of a direct observation program to measure health care worker hand hygiene using multiple trained volunteers

Linam, W. Matthew; Honeycutt, Michele; Gilliam, Craig; Wisdom, Christy; Bai, Shasha; Deshpande, Jayant K.

doi:10.1016/j.ajic.2015.12.019

Cited by 10 publications

(18 citation statements)

References 21 publications

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“…One way to account for these differences between outcome measures would be to observe clinicians actually performing the behaviours, as is routinely done in the area of hand hygiene (Linam et al . ). This could be the focus of future methodological work.…”

Section: Discussionmentioning

confidence: 97%

The Acute Aphasia IMplementation Study (AAIMS): a pilot cluster randomized controlled trial

Shrubsole

Worrall

Power

et al. 2018

Intl J Lang & Comm Disor

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This study showed that a tailored implementation intervention targeting acute SLTs' aphasia management practices was feasible to deliver and acceptable for most participants. In addition, the interventions were potentially effective, particularly for the information provision behaviour targeted by Intervention A. It was possible partially to explain the mechanisms of behaviour change that occurred during the study.

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Section: Discussionmentioning

confidence: 97%

The Acute Aphasia IMplementation Study (AAIMS): a pilot cluster randomized controlled trial

Shrubsole

Worrall

Power

et al. 2018

Intl J Lang & Comm Disor

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“…The WHO also provides a standardized tool to calculate hand hygiene opportunities, which has been effective in some institutions and reduces overestimation of opportunities (Steed et al, 2011). If employment of hand hygiene observers is a financial burden, utilizing healthcare provider volunteers may be an alternative method (Linam et al, 2016).…”

Section: Direct Observation Hand Hygiene Monitoringmentioning

confidence: 99%

Approaches to hand hygiene monitoring: From low to high technology approaches

Masroor

Doll

Stevens

et al. 2017

International Journal of Infectious Diseases

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Hand hygiene is a global and critical infection prevention practice across all healthcare settings. Approaches to monitoring hand hygiene compliance vary from simple methods such as direct observation and product usage to more advanced methods such as automated electronic monitoring systems. Current literature supports a multimodal approach, supplemented by education, to enhance hand hygiene performance.

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“…It should be noted that these two collection steps occurred independently and were performed by different researchers, to minimize the Hawthorne effect. To minimize bias it was developed a HH observation using multiple trained researcher volunteers capable of accurately measuring HH behavior as corroborated by Linam et al (11) . After observation of nursing professional, they were invited to give their consent and sign the Term of Informed Consent.…”

Section: Methodsmentioning

confidence: 99%

Adherence and factors related to acceptance of alcohol for antiseptic hand rubbing among nursing professionals

Oliveira

Gama

Paula

2017

Rev. esc. enferm. USP

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Objective: Identify rates of adhesion and related factors to acceptance of an alcohol based preparation to hands antiseptic friction among nursing professionals in a unit of intensive therapy. Method: A cross-sectional study, which involved direct observation of hand hygiene opportunities and nursing professionals' completion of questionnaires, was conducted at a university hospital between January and July 2015. Descriptive and univariate analyses were performed, with a 5% significance level. Results: It was observed 956 opportunities of hand hygiene among 46 nursing professionals. The rate of adhesion to alcohol-based handrub (ABH) was 34.8% and about 87.0% preferred handwashing. Nurses used ABH more frequently than nursing technicians (p <0.001), and the report of feeling of clean hands after using the alcohol product was directly related to higher rates of adherence to antiseptic friction through observation (P <0.05). Conclusion: The finding indicating low ABH usage highlights the need for greater institutional investment in strategies that help health professionals to recognize the advantages of this type of HH with respect to time spent, ease of access to dispensers, effectiveness in eliminating microorganisms, and maintaining skin moisturization.

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Successful development of a direct observation program to measure health care worker hand hygiene using multiple trained volunteers

Cited by 10 publications

References 21 publications

The Acute Aphasia IMplementation Study (AAIMS): a pilot cluster randomized controlled trial

The Acute Aphasia IMplementation Study (AAIMS): a pilot cluster randomized controlled trial

Approaches to hand hygiene monitoring: From low to high technology approaches

Adherence and factors related to acceptance of alcohol for antiseptic hand rubbing among nursing professionals

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