Effectiveness of implementing of an infection control link nurse program to improve compliance with standard precautions and hand hygiene among nurses: a quasi-experimental study
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Abstract:
Standard precautions (SPs) including hand hygiene are considered fundamental protective measures to manage health care-associated infections (HCAIs) and to reduce occupational health hazards. The purpose of this research was to examine the effectiveness of an infection control link nurse (ICLN) program on compliance with SPs and hand hygiene among nurses.A quasi-experimental study with a pretest-post-test design was conducted with participating of 154 clinical nurses who worked in different wards of a tertiary referral teaching hospital in Iran. The intervention group (n = 77) had 16 infection control link nurses nominated. The control group (n = 77) received only the standard multimodal approach used in the hospital. Pre- and post-test assessment of compliance with standard precautions and hand hygiene compliance was performed via the Compliance with Standard Precautions Scale (CSPS) and the World Health Organization observational hand hygiene form. Two independent sample t-tests were used to examine differences between Compliance with Standard Precautions and hand hygiene Compliance among nurses in intervention and control group. Multiple linear regression analysis was used to assess the effect size.After developing and implementing the infection control link nurse program, no statistically significant improvement was found in the Compliance with Standard Precautions (β = 5.18; 95% CI= -0.3-10.65, p = 0.064). An improvement in hand hygiene compliance was observed among nurses in the intervention group that improved statistically significant from 18.80% before the program to 37.32% 6 months after the program (β = 20.82; 95% CI 16.40-25.25, p < 0.001).Given the continuing level of interest that exists in improving health care workers' hand hygiene practices, the findings of this study provide significant practical implications for hospitals seeking to improve compliance with hand hygiene among nurses, showing the effectiveness of using infection control link nurse program. Further research is needed to assess effectiveness of using infection control link nurse program to improve compliance with standard precautions.Keywords:
Hand washing
Standard precautions
OBJECTIVE To investigate the current situation of hand hygiene of the nursing staff in operating room so as to improve the awareness of hand hygiene and reduce the incidence of nosocomial infections.METHODS A total of 23nursing staff from four country level hospitals of Xianju were chosen as the study objects,then the hands of the subjects were sampled according to the medical personnel hand hygiene norms of the Ministry of Health,and the questionnaire survey was conducted for the current status of the hand hygiene.RESULTS The bacterial colony count of the operating room nursing staff's hands was(11.25±6.58)CFU/cm2 before the hand washing,(10.35±6.67)CFU/cm2 after the hand washing;the qualified rate of the hand hygiene was 43.5% before the hand washing,47.8% after the hand washing,48.8% ofter contacting the patients and 52.2% ofter contacting the sterilized objects.CONCLUSIONThe current situation of the hand hygiene of operating room nursing staff is not optimistic,with the execution rate of the hand hygiene low,the compliance with hand washing poor.
Hand washing
Washing hands
Christian ministry
Nursing staff
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OBJECTIVE To investigate and analyze the hand hygiene status among clinical medical staff to find the problems and propose the improvement measures so as to reduce the incidence of nosocomial infection.METHODS The medical staff were investigated by questionnaire in conjunction with on-site observation of hand hygiene procedures and sampling methods.The irvestigated topics included hand-washing frequency,hand-washing methods,drying methods,related factors of affecting the implementation of hand hygiene,the awareness of hand hygiene knowledge,and the bacteria status in hand-carrying before and after hand-washing and so on.RESULTS 89.5% of the medical staff had accepted the education about the hand hygiene knowledge,97.6% of the medical staff considered washing hands could reduce the hospital infection,and only 1.1% of them considered hand hygiene had no relation to clinical treating result.Before hand washing the general bacterial count was 54.327 CFU/cm2,and after hand washing,the quantity of bacteria in hand-carrying was significantly lower,the general bacterial count was 8.520 CFU/cm2(P0.001).The bacterial counts of aseptic group of hand-washing before and after were lower than the overall level(P0.05),and the bacterial count of the other group showed no difference with the overall level between the hand-washing before and after.About the correct hand washing methods and passing rate of hand-washing,rate of nurse was significantly higher than that of the doctor.CONCLUSIONS There are the problems of neglect of hand hygiene and non-standard hand-washing methods among the clinical medical staff,so it′s very urgent to strengthen training and education,especially for the medical staff from emergency and medical technology departments.The hospital should strengthen education to enhance knowledge and awareness of hand hygiene,to improve hand hygiene compliance of medical staff and to reduce the incidence of nosocomial infection caused by hand contact.
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Washing hands
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Effective hand-washing, including drying to decrease skin surface microbial counts, is recognized as a critical factor in infection control policies. It is also recognized that hand-washing is not always undertaken as it should be. Spending large amounts of time with the hands in water is not enough to control infection as the technique of washing hands is more important than merely the length of time under water. Therefore, ways of promoting hand hygiene must be found, as well as finding ways of ensuring that healthcare workers follow hygiene guidelines.
Hand washing
Washing hands
Cross infection
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Objective
To explore the effect of behavioral change theory in improving hand hygiene knowledge and hand hygiene compliance of medical staff.
Methods
180 cases of medical staff were applicated of behavioral change theory for hand hygiene knowledge and hand-washing compliance from January 2016 to December 2016. The health knowledge and hand hygiene compliance of medical staff before and after implementation were compared.
Results
The awareness rates of medical staff on the 6-step washing method, hand washing time, hand washing times, hand washing materials, hand washing range and other knowledge after implementation were 98.89%, 97.77%, 96.67%, 97.22%, 95.55%, higher than those before implementation (82.22%, 83.33%, 78.89%, 78.89%, 77.22%) (P<0.05). The compliance rate of hand washing, accuracy rate of hand washing, hand hygiene qualification rate, patient satisfaction rate after implementation were 95.55%, 97.78%, 98.88%, 97.00%, higher than those before implementation (86.11%, 82.78%, 82.22%, 75.00%) (P<0.05). The detection rate of hand bacterial colony after implementation was lower than that before implementation (1.11% vs.17.78%, P<0.05).
Conclusion
The behavioral change theory can improve the awareness rate of hand hygiene knowledge, improve the compliance of hand-washing and hand-washing hygiene pass rate of medical staff, and helps to prevent the occurrence of iatrogenic infection.
Key words:
Behavior change theory; Medical staff; Hand washing; Hand hygiene knowledge; Pass rate
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Washing hands
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OBJECTIVE To evaluate the hand hygiene-related knowledges,and hand washing compliance rates,after full participation standard hand-washing Week.METHODS Development of standard hand-washing Week program,and conduct it,then followed up a month,from the post-activities to preliminary evaluation of create a three A-level cancer hospital.441 medical staff on hand hygiene and hand-washing technology related knowledge assessment questions,and observed 238 medical staff hand hygiene before and after operation,analysis the observations and assessment.RESULTS Through standard hand-washing Week,doctors,nurses,workers and service personnel knowledge of hand hygiene awareness,proper hand washing and hand-washing compliance rate has been significantly improved both.hand hygiene-related knowledge awareness were 87.69%,94.17%,77.47%;proper hand washing compliance rates were 88.46%,95.83%,94.37%;wash their hands before operating compliance of 82.61%,respectively,91.60%,76.32%,Wash hands after handling compliance was 91.30%,97.71%,92.11%.CONCLUSION Through Standard hand-washing Week activities,the hand hygiene knowledge the quality of hand washing and hand-washing compliance of medical staff are improved,showing the standard hand-washing week after the effectiveness of hand hygiene to further promote the work.
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Washing hands
Hand sanitizer
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This study was performed to better assess the perceptions, motivating factors, and behaviors associated with the use of hand washing to prevent H1N1 influenza transmission during the peak pandemic period in Korea.A cross-sectional survey questionnaire was completed by 942 students at a university campus in Suwon, Korea, between December 1 and 8, 2009. The survey included questions regarding individual perceptions, motivating factors, and behaviors associated with hand washing for the prevention of H1N1 influenza transmission.Compared to one year prior, 30.3% of participants reported increasing their hand washing frequency. Female students were more likely to practice more frequent hand washing. Women also perceived the effectiveness of hand washing to be lower, and illness severity and personal susceptibility to H1N1 infection to be higher. Study participants who were female (OR: 1.79-3.90) who perceived of hand washing to be effective (OR: 1.34-12.15) and illness severity to be greater (OR: 1.00-3.12) washed their hands more frequently.Korean students increased their frequency of hand hygiene practices during the pandemic, with significant gender differences existing in the attitudes and behaviors related to the use of hand hygiene as a means of disease prevention. Here, the factors that affected hand washing behavior were similar to those identified at the beginning of the H1N1 or SARS pandemics, suggesting that public education campaigns regarding hand hygiene are effective in altering individual hand hygiene habits during the peak periods of influenza transmission.
Hand washing
Pandemic
Personal hygiene
Medical microbiology
Cross-sectional study
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<p><strong>Aim<br /></strong> Hand hygiene practice is still burdened by inadequate compliance, whether in the professional sphere by health professionals or in the non-professional sphere by lay population. Aim of this study was to map the hand hygiene knowledge and its compliance in the monitored group of people.<br /><strong> Methods<br /></strong>The research was conducted at the Jessenius Faculty of Medicine in Martin of Comenius University in Bratislava (JFM CU) among seventy 3 rd year students of General Medicine (medical study program), and Nursing, Midwifery and Public Health (non-medical study programs). Knowledge of hygienic hand washing according to the WHO guidelines from 2009 was investigated, as well as differences in the level of microbial contamination of hands after routine hand washing between the group that had been acquainted with hand hygiene protocols and the group that had not sufficiently. <br /><strong>Results<br /></strong>The results have shown that 32.9% of the students did not perform hygienic hand washing properly. The differences between the groups of students with and without the proper hand hygiene compliance in routine hand washing were not statistically significant. <strong>Conclusion <br /></strong>The results of our survey have suggested that the reasons for decreased compliance with hand washing protocols may be related to forgetting to wash the hands or not being acquainted with hand washing protocols at all. The strategies focused only on one aspect of hand hygiene are, according to scientific literature, ineffective in the long term.</p>
Hand washing
Washing hands
Health Professionals
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Introduction- Hand washing with soap (HWWS) was suggested as effective measure for preventing SARS Cov -2 transmission and apart from COVID infection in has benet in prevention of gastrointestinal infection, soil borne parasitic infection and other respiratory infection therefore this hand hygiene practice if adopted as a life style change could prevent other infections. Study design- The present study is a questionnaire based one to access the compliance of general public if they could sustain hand hygiene practices in post pandemic period for better prevention of possible outbreaks in near future. Results– The total of 319 respondents participated in the study with 141(44.20%) males and 178 (55.8%) females. The frequency of hand washing in COVID19 pandemic was more than ten times a day as reported by 176(55.2%) of respondents followed by ve to ten times per day by 107(33.5%) and less than ve times a day by 36(11.3%) of respondents. The post pandemic hand washing frequency showed a decrease as 36(11.3%) respondents reported hand washing frequency of more than ten times a day, 29(9.1%) reporting ve to ten times a day and 254(79.60%) respondents with less than ve times a day. 204(63.9%) of respondents did not intend to follow hand hygiene practices after COVID19 pandemic phase is over in comparison to 115(36.10%) who wish to follow in post pandemic era.315 (98.80%) did wash hands after going for toilet, 142 (44.5%) before preparing food, 314(98.4%) before eating food, 82(25.70%) on arrival at home, 81(25.43%) after work , 95(29.80%) before touching face and 273(85.6%) after sneezing and coughing. However the sex wise difference was not statistically signicant. The frequencies of hand washing in pandemic and post pandemic time which shows decline in adoption of hand washing frequencies and the result was statistically signicant, p value <.05. Conclusion- Hand hygiene should be emphasized, nurtured by frequent awareness programs and education so that our population adopts safe hygiene practices as hand hygiene is by far most effective way in curtailing spread of communicable and infectious disease making our masses prepared for future outbreaks.
Hand washing
Pandemic
Toilet
Personal hygiene
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Hospital-acquired infections with drug-resistant organisms, such as methicillin-resistant Staphylococcus aureus, pose threats to healthcare workers and patient safety. Authors discuss the Centers for Disease Control and Prevention (CDC) guidelines that introduced "Standard Precautions." Proposed in 1996, the Standard Precautions guidelines are a new, two-tiered approach to infection control. These CDC guidelines take a broader approach than Universal Precautions, offering infection control precautions that are standard for all patients and include bloodborne, airborne, and epidemiologically important pathogens. Specific applications of Standard Precautions and implications for IV therapy nurses are presented.
Standard precautions
Universal precautions
Disease Control
Cross infection
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Objective To investigate the relationship between the hand hygiene and hospital infection to maintain hand hygiene.Methods The discover connections among hand contamination,washing hand and hospital infection as well as improve the measure against the hand contamination.Results The hand of pollution is the main approach to hospital infection,hand washing is the necessary means of maintaining the primary hand hygiene which can be effective in reducing hospital infections,but the clinical implementation of strict hand disinfection is not.Their hands with the help of raising awareness of hand washing,providing the conditions for washing hands,choosing the right time and way to wash your hands,select the appropriate hand disinfectant,hand washing enhance compliance and improve the effectiveness of hand disinfection.Conclusion The hand contamination with the hospitalis closely related to hospital infection so measures should be taken to improve the hand hygiene.
Hand washing
Washing hands
Disinfectant
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