The impact of an education program on hand hygiene compliance and nosocomial infection incidence in an urban Neonatal Intensive Care Unit: An intervention study with before and after comparison

Helder, Onno K.; Brug, Johannes; Looman, Caspar W. N.; Goudoever, Johannes B. van; Kornelisse, René F.

doi:10.1016/j.ijnurstu.2010.03.005

Cited by 101 publications

(99 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, this strategy has been evaluated with mixed results [34][35][36]. For example, in one study nurses' hand washing intentions were influenced by peer pressure from physicians and administrators [37] while another study reported that peer feedback on hand hygiene performance whilst effective in the intervention period, was not sustainable [38].…”

Section: Discussionmentioning

confidence: 99%

A qualitative study of senior hospital managers¿ views on current and innovative strategies to improve hand hygiene

et al. 2014

View full text Add to dashboard Cite

Background: Despite universal recognition of the importance of hand hygiene in reducing the incidence of healthcare associated infections, health care workers' compliance with best practice has been sub-optimal. Senior hospital managers have responsibilities for implementing patient safety initiatives and are therefore ideally placed to provide suggestions for improving strategies to increase hand hygiene compliance. This is an under-researched area, accordingly the aim of this study was to identify senior hospital managers' views on current and innovative strategies to improve hand hygiene compliance. Methods: Qualitative design comprising face-to-face interviews with thirteen purposively sampled senior managers at a major teaching and referral hospital in Sydney, Australia. Data were analysed thematically. Results: Seven themes emerged: culture change starts with leaders, refresh and renew the message, connect the five moments to the whole patient journey, actionable audit results, empower patients, reconceptualising non-compliance and start using the hammer. Conclusions: To strengthen hand hygiene programmes, strategies based on the five moments of hand hygiene should be tailored to specific roles and settings and take into account the whole patient journey including patient interactions with clinical and non-clinical staff. Senior clinical and non-clinical leaders should visibly champion and mandate best practice initiatives and articulate that hand hygiene non-compliance is culturally and professionally unacceptable to the organization. Strategies that included a disciplinary component and which conceptualise hand hygiene non-compliance as a patient safety error may be worth evaluating in terms of staff acceptability and effectiveness.

show abstract

Section: Discussionmentioning

confidence: 99%

A qualitative study of senior hospital managers¿ views on current and innovative strategies to improve hand hygiene

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Unobtrusive observation has been employed in a number of studies 23,25,36 . The authors do not provide details of how the procedure was undertaken or how its effectiveness was assessed, not surprisingly as the WHO guidelines 5 do not give advice on either issue.…”

Section: Approaches To Overcoming the Hawthorne Effect During Directlmentioning

confidence: 99%

Impact of observing hand hygiene in practice and research: a methodological reconsideration

Gould

Creedon

Jeanes

et al. 2017

Journal of Hospital Infection

View full text Add to dashboard Cite

This is the accepted version of the paper.This version of the publication may differ from the final published version. Direct observation is the recommended audit method but is associated with a number of disadvantages, including potential for being observed to alter usual behaviour. The Hawthorne effect in relation to hand hygiene is equated with productivity by increasing the frequency that hand hygiene is undertaken. Permanent repository linkUnobtrusive and/or frequent observation to accustom staff to the presence of observers are considered acceptable ways of reducing the Hawthorne effect but little has been written about how to implement these techniques or assess their effectiveness. There is evidence that awareness of being watched can disrupt the usual behaviour of individuals in complex and unpredictable ways other than simple productivity effect. Health workers might defer or avoid activities that require hand hygiene in the presence of auditors but these issues are not

show abstract

“…Helder et al 34 studied the effectiveness of a hand hygiene education program on the incidence of infection in an urban neonatal ICU. Hand hygiene compliance increased before patient contact (88% versus 65%, p < 0.001) with a statistically significant decrease in infection rates.…”

Section: Standard Precautions Compliance In Icusmentioning

confidence: 99%

The fundamental role of educational intervention on improving health care workers’ knowledge, attitude and practice towards infection control precautions

Bassyouni¹,

Wegdan²,

El-Sherbiny³

2016

Int. j. infect. control

View full text Add to dashboard Cite

To evaluate the role of educational intervention on health care workers' (HCWs) compliance to infection control precautions and cleaning of frequently touched surfaces at critical care units, forty-nine HCWs at 2 intensive care units (ICUs) and one neonatology unit at Fayoum University hospital were evaluated for knowledge, attitude and practice (KaP) towards standard precautions as well as obstacles affecting their compliance to standard precautions before and after a 32-hour purposed-designed infection control education program. a structured self-administrated questionnaire as well as observational checklists were used. assessment of Environmental cleaning was investigated by observational checklist, aTP bioluminescence and aerobic bacteriological culture for 118 frequently touched surfaces. Pre-intervention assessment revealed that 78.6% of HCWs were with good knowledge, 82.8% with good attitude and 80.8% had good practice. Obstacles identified by HCWs were as follow: making patient-care very technical (65.3%), deficiency of hand washing facilities (59.2%), skin irritation resulting from hand hygiene products (51%), and unavailability of PPE (38.8%). High significant improvements of knowledge, attitude and practice were detected after one month of educational intervention (P < 0.001). During the pre-interventional period only 30.5% of surfaces were considered clean versus 97.45% post intervention (P< 0.05). The highest Median ATP bioluminescence values were obtained from telephone handset, light switches and blood pressure cuffs. Staphylococcus aureus was the most commonly isolated organism followed by Enterococcus spp. and Escherichia coli (52, 38 and 19 surfaces respectively). In conclusion, training of HCWs on standard precautions should be considered a mandatory element in infection control programmes.

show abstract

The impact of an education program on hand hygiene compliance and nosocomial infection incidence in an urban Neonatal Intensive Care Unit: An intervention study with before and after comparison

Cited by 101 publications

References 36 publications

A qualitative study of senior hospital managers¿ views on current and innovative strategies to improve hand hygiene

A qualitative study of senior hospital managers¿ views on current and innovative strategies to improve hand hygiene

Impact of observing hand hygiene in practice and research: a methodological reconsideration

The fundamental role of educational intervention on improving health care workers’ knowledge, attitude and practice towards infection control precautions

Contact Info

Product

Resources

About