Teaching hand hygiene to medical students using a hands-on approach

Fisher, Dale; Pereira, Letícia dos Santos; Ng, Tat Ming; Patlovich, K.; Teo, Felicia; Hsu, Li Yang

doi:10.1016/j.jhin.2010.04.007

Cited by 15 publications

(25 citation statements)

References 8 publications

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“…They used germ simulation to illustrate the transmission of bacteria and reported heightened awareness of the importance of hand hygiene and aseptic precautions among students after these training sessions. Fisher et al [29] suggest formal teaching of hand hygiene in medical schools using a hand-on approach. Feather et al [14] stress the need for hand hygiene to be made an educational priority and suggest that compliance be made part of assessment tools like OSCE checklists as student learning is highly focused by formative and summative assessments.…”

Section: Discussionmentioning

confidence: 99%

Hand Hygiene Practices among Medical Students

Kadi

Salati

2012

Interdisciplinary Perspectives on Infectious Diseases

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Background. Hand hygiene is a cost-effective method in preventing infection transmission. Hand hygiene practices have been found to be faulty in most healthcare settings. We conducted a study to evaluate the awareness, and compliance of hand hygiene among undergraduate medical students during their clinical phase in Qassim College of Medicine, Saudi Arabia. Methods. A questionnaire based on World Health Organization's concept of “Five Moments for Hand Hygiene” was used to evaluate the awareness of the indications for hand hygiene and compliance was observed during Objective Structured Clinical Examination (OSCE) sessions. Sixty students including thirty-six males (60%) and twenty-four females (40%) participated voluntarily in the study. Results. The average awareness regarding the positive indications of hand hygiene was 56%. Rest of the 44% of students were either not sure or unaware of the indications of hygiene. Only 29% of students were able to identify all the five indications for hand hygiene in the questionnaire. Compliance as assessed during OSCE sessions was only 17% with no significant difference between the genders. Conclusion. It was concluded that serious efforts are needed to improve the hand hygiene practices among medical students.

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Section: Discussionmentioning

confidence: 99%

Hand Hygiene Practices among Medical Students

Kadi

Salati

2012

Interdisciplinary Perspectives on Infectious Diseases

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“…It established an approach to promote better hand hygiene practice among nursing students as well as to drive an innovative learning experience based on previous positive results with medical students [9]. …”

Section: Methodsmentioning

confidence: 99%

A novel approach to improve hand hygiene compliance of student nurses

Salmon

Wang

Seetoh

et al. 2013

Antimicrob Resist Infect Control

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BackgroundThe National University Hospital, Singapore routinely undertakes standardized Hand Hygiene auditing with results produced by ward and by staff type. In 2010 concern was raised over consistently low compliance by nursing students averaging 45% (95% CI 42%–48%) prompting us to explore novel approaches to educating our next generation of nurses to improve their hand hygiene practice.We introduced an experiential learning assignment to final year student nurses on attachment to NUH inclusive of hand hygiene auditor training followed by a period of hand hygiene observation. The training was based on the World Health Organisation (WHO) “My 5 moments for hand hygiene” approach. Upon completion students completed an anonymous questionnaire to evaluate their learning experience.FindingsBy 2012, nursing students were 40% (RR: 1.4, 95% CI 1.3–1.5, p<0.001) more likely to comply with hand hygiene practices. 97.5% (359/368) of nursing students felt that the experience would enhance their own hand hygiene practice and would recommend participating in audits as a learning instrument.ConclusionsWith consideration of all stakeholders a sustainable, flexible, programme was implemented. Experiential learning of hand hygiene was a highly valued educational tool and in our project was directly associated with improved hand hygiene compliance. Feedback demonstrated popularity amongst participants and success in achieving its program objectives. While this does not guarantee long term behavioural change it is intuitive that instilling good habits and messages at the early stages of a career will potentially have significant long-term impact.

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“…the feeling of secondary importance of HH in healthcare [22,23]. Even compared to other healthcare-related majors, medical students have worse knowledge on nosocomial infections [6,17,[24][25][26].…”

Section: Acta Microbiologica Et Immunologica Hungarica 63 2016mentioning

confidence: 99%

Education of hand rubbing technique to prospective medical staff, employing UV-based digital imaging technology

Lehotsky

Szilágyi

Demeter-Iclănzan

et al. 2016

Acta Microbiologica et Immunologica Hungarica

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The aim of this study was to objectively assess the hand hygiene performance of medical students. Hand rubbing technique was evaluated by employing innovative UV-light-based imaging technology, identifying patterns and trends in missed areas after applying WHO's six-step protocol. This specially designed hand hygiene education and assessment program targeted 1,344 medical students at two distant sites in Central Europe. Students were introduced to a short video, presenting the basics of hand hygiene, and then received further demonstration from professional trainers, focusing on the correct execution of WHO's six-step technique. To verify the acquired skill, participants rubbed their hands with UV-marked alcohol-based solution. Digital images of the hands were recorded under UV light, followed by computer evaluation and assessment. Immediate objective visual feedback was given to the participants showing missed areas on their hands. The statistical analysis of missed spots was based on retrospective expert-driven manual evaluation. Significant difference in rubbing quality was found between female and male participants [35.3% (CI 95%: 33-38%) versus 29.0% (CI 95%: 27-31%), p < 0.001], dominant and non-dominant hands [43.4% (CI 95%: 39-48%) versus 34.9% (CI 95%: 32-38%), p = 0.002], and various zones of the hands' dorsal side. Based on the participants' feedback and the evaluation of the infection control specialists, it can be stated that the identification of typically missed patterns and the instant visual feedback have a vital role in improving the hand hygiene technique of prospective medical staff. Keywords: hand hygiene assessment, fluorescein trial, medical students training Introduction "Have we forgotten the lesson of Semmelweis?" -stands the question in Lancet [1], referring to the generally weak hand hygiene (HH) performance of physicians in hospitals. Fortunately, the 4% compliance rate reported at a gynecology ward represents an extremely low value [2], but the usually reported rates of 20-50% are still far below expectations [3][4][5]. The main reported reasons for this poor performance include the tight time schedules, forgetfulness, unsatisfactory knowledge on HH guidelines, denying the importance of hands as a source of infection, negative influence of older, more experienced specialists, and skin irritations caused by hand rub solutions [6,7]. Education and training play a vital role in promoting HH [8,9].It is a widely shared concept that the nursing staff shows a better compliance on average than the physicians [3,10]. The unsatisfactory quality of knowledge is clearly supported by the observation that according to physicians' opinion, less HH moments are enough than the amount believed necessary by other healthcare workers [11]. As an interesting analogy, the question of antibiotic resistance is generally believed of high importance by medical students; however, it will be treated superficially during their later work as physicians, similarly to the question of HH [12]. Nurses consider the d...

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Teaching hand hygiene to medical students using a hands-on approach

Cited by 15 publications

References 8 publications

Hand Hygiene Practices among Medical Students

Hand Hygiene Practices among Medical Students

A novel approach to improve hand hygiene compliance of student nurses

Education of hand rubbing technique to prospective medical staff, employing UV-based digital imaging technology

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