Transferring knowledge into practice: a multi-modal, multi-centre intervention for enhancing nurses' infection control competency in Bangladesh

Ara, Lutfe; Bashar, Farzana; Tamal, Ehsanul Haque; Siddiquee, Noor Kutubul Alam; Mowla, Syed Mohammad Niaz; Sarker, Shafiqul Alam

doi:10.1016/j.jhin.2018.07.042

Cited by 13 publications

(17 citation statements)

References 27 publications

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“…The study identi ed that HH compliance was 4.6 times more among trained HCPs on HH than those who were not trained. This is consistent with what has been found in previous studies conducted in Bangladesh (Ara et al, 2019), Taiwan (Huang and Wu, 2008), Brazil (Santana et al, 2007), and India (Suchitra JB, 2007) reported that training on HH increases HH compliance among HCPs. Research conducted in a teaching hospital in Ethiopia found a signi cant association with HH compliance at the baseline and follow-up period after training.…”

Section: Discussionsupporting

confidence: 93%

“…HH has been acknowledged as an important measure to prevent and control infectious diseases in primary healthcare settings (WHO, 2012). In Bangladesh, various studies have reported HH practices among HCPs in secondary and tertiary healthcare facilities (Horng et al, 2016;Ara et al, 2019), but no study to date has examined the compliance of HH practices among HCPs in primary healthcare facilities.…”

Section: Introductionmentioning

confidence: 99%

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Hand hygiene practice and determinant factors among Community Health Care Providers in Community Clinic: an observational study in Bangladesh

Khan

et al. 2021

Preprint

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Background Healthcare-associated infections caused by poor hand hygiene (HH) practices can affect both the care seekers and the health care providers (HCPs) while providing primary health care. No study has been conducted on the compliance of HH practices among the primary level HCPs in Bangladesh. Objective The study aimed to assess the compliance rates of HH and its determinant factors among Community Health Care Providers (CHCPs) in Community Clinics (CC). Methods A cross-sectional study was conducted from September 2019 to February 2020 among 150 randomly selected CHCPs with functional HH facilities in Patuakhali district, Bangladesh. Structured interviews and observation tools were used to collect data. Results Good HH compliance among CHCPs was found to be 16.7% (95% CI: 11.3–21.3). Out of all 1218 possible HH opportunities, only 255 (20.9%) resulted in any HH action. Presence of 70% alcohol-based hand sanitizer at the point of care (aOR: 6.4, 95% CI: 1.1–38.3), HH training (aOR: 4.6, 95% CI: 1.1–18.9), displayed visual cues (aOR: 4.4, 95% CI: 1.1–17.7), knowledge about HH (aOR: 3.8, 95% CI: 1.1–13.6, p = 0.04), and number of HH opportunities (aOR: 0.6, 95% CI: 0.4–0.8) were factors associated with HH compliance. Discussion Overall HH compliance among CHCPs was quite low. It was recommended to implement multimodal HH improvement strategies including a continuous training program, supply of alcohol-based hand rub, reminder, provision of five moments of HH in the training modules, and feedback on HH performance.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Hand hygiene practice and determinant factors among Community Health Care Providers in Community Clinic: an observational study in Bangladesh

Khan

et al. 2021

Preprint

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“…Accordingly, hospital staff have a high compliance score to key performance indicators for patient safety outcomes in terms of infection control [16]. A study in Bangladesh shows a significant improvement in the infection control practices among health practitioners [17]. Furthermore, anecdotal reports from management showed statistical significant improvements in healthcare worker's compliance with basic infection control practices [18].…”

Section: Discussionmentioning

confidence: 99%

Compliance with Infection Control Practices among Healthcare Practitioners in Saudi Arabia during Coronavirus Pandemic: Cross-Sectional Study

Alqahtani¹

2020

MEJIM

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“…Furthermore, in a multi-modal study conducted by Ara et al with several activities including for example theoretical education and practical training in standard precautions and aseptic technique, visual reminders, monitoring and feedback on a regular basis resulted in a significant overall improvement of aseptic maintenance of sterile equipment [ 25 ]. This multi-modal intervention approach for prevention of HAI is also advocated by the World Health Organization (WHO) in Guidelines on Core Components of Infection Prevention and Control Programmes at the national and acute health care facility level [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

The impact of guidelines on sterility precautions during indwelling urethral catheterization at two acute-care hospitals in Sweden - a descriptive survey

2021

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Background To support a uniform and evidence-based practice for indwelling urinary catheterization in adults The European association of Urology Nurses (EAUN) published guidelines for this procedure in 2012. The Swedish national guidelines are based on the sterility precautions advocated by EAUN. Some hospitals have local guidelines with other requirements concerning sterility and leave to staff to decide how to perform the catheterization. The aim of this descriptive survey was to investigate the nurses´ self-reported sterility precautions during indwelling urethral catheterization at two acute-care hospitals, where the local guidelines differ in their sterility requirements. The study also aimed to analyze factors affecting conformity with sterility precautions in the EAUN-guidelines. Methods A structured questionnaire with questions concerning the participant, working conditions and performance of indwelling urethral catheterization was left to 931 nurses in two acute care hospitals. Chi-square test, Fisher’s exact test and Mann-Whitney U-test were used for descriptive statistics. Logistic regression was used to analyze variables associated with practicing the sterility precautions in the EAUN-guidelines. Results Answers were obtained from 852 persons (91.5%). Most of the participants called their insertion technique “non-sterile”. Regardless of designation of the technique the participants said that the indwelling urinary catheter (IUC) should be kept sterile during procedure. Despite that not everyone used sterile equipment to maintain sterility of the catheter. The nurses´ conformity with all the sterility precautions in the EAUN-guidelines were associated with working at departments for surgery and cardiology (OR 2.35, 95% CI 1.69–3.27), use of sterile set for catheterization (OR 2.06, 95% CI 1.42–2.97), use of sterile drapes for dressing on insertion area (OR 1.91, 95% CI 1.24–2.96) and using the term “sterile technique” for indwelling urethral catheterization (OR 1.64, 95% CI 1.11–2.43). Conclusions Only 55–74% of the nurses practiced one or more precautions that secured sterility of the IUC thus demonstrating a gap between the EAUN-guidelines and the actual performance. Adherence to the guidelines was associated with factors that facilitated an aseptic performance such as using a sterile set and sterile drapes. Healthcare-settings should ensure education and skill training including measures to ensure that the IUC is kept sterile during insertion.

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Transferring knowledge into practice: a multi-modal, multi-centre intervention for enhancing nurses' infection control competency in Bangladesh

Cited by 13 publications

References 27 publications

Hand hygiene practice and determinant factors among Community Health Care Providers in Community Clinic: an observational study in Bangladesh

Hand hygiene practice and determinant factors among Community Health Care Providers in Community Clinic: an observational study in Bangladesh

Compliance with Infection Control Practices among Healthcare Practitioners in Saudi Arabia during Coronavirus Pandemic: Cross-Sectional Study

The impact of guidelines on sterility precautions during indwelling urethral catheterization at two acute-care hospitals in Sweden - a descriptive survey

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