The Impact of Role Models on Hand Hygiene Compliance

Dombecki, Carolyn; Shah, Muazzum M.; Eke-Usim, Angela; Akkina, Sarah R.; Ahrens, Melissa; Sturm, Lisa; Washer, Laraine; Foxman, Betsy

doi:10.1017/ice.2015.20

Cited by 4 publications

(2 citation statements)

References 11 publications

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“…One of the important but frequently overlooked reasons for non-adherence to the IPC practices is suboptimal role models [ 14 ]. The influence of role models for IPC in the context of hand hygiene is well documented in the literature [ 15 , 16 ]. During our training sessions, we could identify the popular and influential staff among their colleagues and encourage their leadership during duty hours.…”

Section: Discussionmentioning

confidence: 99%

Implementation of infection prevention and control practices in an upcoming COVID-19 hospital in India: An opportunity not missed

et al. 2022

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Infection prevention and control (IPC) program is obligatory for delivering quality services in any healthcare setup. Lack of administrative support and resource-constraints (under-staffing, inadequate funds) were primary barriers to successful implementation of IPC practices in majority of the hospitals in the developing countries. The Coronavirus Disease 2019 (COVID-19) brought a unique opportunity to improve the IPC program in these hospitals. A PDSA (Plan—Do—Study- Act) model was adopted for this study in a tertiary care hospital which was converted into a dedicated COVID-19 treatment facility in Varanasi, India. The initial focus was to identify the deficiencies in existing IPC practices and perceive the opportunities for improvement. Repeated IPC training (induction and reinforce) was conducted for the healthcare personnel (HCP) and practices were monitored by direct observation and closed-circuit television. Cleaning audits were performed by visual inspection, review of the checklists and qualitative assessment of the viewpoints of the HCP was carried out by the feedbacks received at the end of the training sessions. A total of 2552 HCP and 548 medical students were trained in IPC through multiple offline/onsite sessions over a period of 15 months during the ongoing pandemic. Although the overall compliance to surface disinfection and cleaning increased from 50% to >80% with repeated training, compliance decreased whenever newly recruited HCP were posted. Fear psychosis in the pandemic was the greatest facilitator for adopting the IPC practices. Continuous wearing of personal protective equipment for long duration, dissatisfaction with the duty rosters as well as continuous posting in high-risk areas were the major obstacles to the implementation of IPC norms. Recognising the role of an infection control team, repeated training, monitoring and improvisation of the existing resources are keys for successful implementation of IPC practices in hospitals during the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 99%

Implementation of infection prevention and control practices in an upcoming COVID-19 hospital in India: An opportunity not missed

et al. 2022

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“…Addressing workload as a barrier to adherence to RP can be difficult under current healthcare system constraints such as lack of staffing and complexity of patient care, while interventions related to negative role models have focused on having students and nurses work with positive role models (13,14). Because it may not always be possible to change the location of ABHR dispensers and hand wash sinks, therefore, nursing students need to be prepared through specific strategies to deal with the influence of these barriers on their adherence to RP.…”

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confidence: 99%

Problem-solving training: effects on nursing students’ adherence, confidence, and application of problem solving to deal with the barriers to adherence to routine infection control practices

Hamed,

Moralejo,

Pike

et al. 2023

IJIC

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Background: Adherence to routine practices (RP) in infection control can be influenced by a number of barriers, which can potentially be dealt with using problem solving (PS) as a new approach. Aim: This study examined the effects of a problem-solving educational program (PSEDP) on nursing students’ adherence, confidence, and application of PS to address the three identified common barriers to RP adherence. Method: A controlled before and after study was conducted at two nursing schools in Eastern Canada. A total of 94 nursing students participated, with 62 students in the intervention group and 32 in the control group. Students in the intervention group received the PSEDP, while the control group received no intervention. Data from both groups were collected using a problem-solving questionnaire. Results: Overall, no significant differences were found between the intervention and control groups in their adherence to RP (P = 0.580), confidence in using PS (P = 0.602), and application of PS (baseline P = 0.161, post-program P = 0.618) to deal with the three identified barriers to RP adherence. However, we found significant differences in the subscale analysis of student confidence to deal with the barrier of high nursing workload (P = 0.032) and student adherence to some of the RP components (P < 0.05). Conclusion: The educational program provided an opportunity for the students to learn about PS to address the three identified barriers. Some improvements were found but they were smaller than expected, possibly due to limited time for practice in the clinical setting following the intervention.

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