Effects of Audio-Visual Stimulation on Hand Hygiene Compliance among Family and Non-Family Visitors of Pediatric Wards: A Quasi-Experimental Pre-post Intervention Study

ABSTRACT Objective: To evaluate the effects that a hand hygiene education program has on the compliance of health professionals in an ICU. Methods: This was a quasi-experimental study with an interrupted time-series design, conducted over a 12-month period: the 5 months preceding the implementation of a hand hygiene education program (baseline period); the 2 months of the intensive (intervention) phase of the program; and the first 5 months thereafter (post-intervention phase). Hand hygiene compliance was monitored by one of the researchers, unbeknownst to the ICU team. The primary outcome measure was the variation in the rate of hand hygiene compliance. We also evaluated the duration of mechanical ventilation (MV), as well as the incidence of ventilator-associated pneumonia (VAP) at 28 days and 60 days, together with mortality at 28 days and 60 days. Results: On the basis of 959 observations, we found a significant increase in hand hygiene compliance rates-from 31.5% at baseline to 65.8% during the intervention phase and 83.8% during the post-intervention phase, corresponding to prevalence ratios of 2.09 and 2.66, respectively, in comparison with the baseline rate (p < 0.001). Despite that improvement, there were no significant changes in duration of MV, VAP incidence (at 28 or 60 days), or mortality (at 28 or 60 days). Conclusions: Our findings indicate that a hand hygiene education program can increase hand hygiene compliance among ICU professionals, although it appears to have no impact on VAP incidence, duration of MV, or mortality.

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Improving hand hygiene compliance among healthcare workers: an intervention study in a Hospital in Guizhou Province, China

The Brazilian Journal of Infectious Diseases ◽

10.1016/j.bjid.2016.04.009 ◽

2016 ◽

Vol 20 (5) ◽

pp. 413-418 ◽

Cited By ~ 13

Author(s):

Xia Mu ◽

Yan Xu ◽

Tingxiu Yang ◽

Ji Zhang ◽

Chong Wang ◽

...

Keyword(s):

Hand Hygiene ◽

Healthcare Workers ◽

Hand Hygiene Compliance ◽

Intervention Study ◽

Guizhou Province ◽

Hygiene Compliance

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How Can We Improve Hand Hygiene Compliance and its Clinical Implications in Healthcare Professionals?

10.28971/442020mm113 ◽

2020 ◽

Author(s):

Marissa Moniz

Keyword(s):

Hand Hygiene ◽

Rhode Island ◽

Hand Hygiene Compliance ◽

Post Intervention ◽

Improve Hand Hygiene ◽

Dialysis Unit ◽

Rhode Island Hospital ◽

Hygiene Compliance ◽

Visual Reminders ◽

Island Hospital

Hand washing is one of the most important things that an individual can do to help prevent and control, the spread of bacteria, infections, and many illnesses from occurring. This study aimed to investigate the importance of hand hygiene compliance in nurses who practice at Rhode Island Hospital (RIH) in Rhode Island. The research in this study focuses on the compliance of hand hygiene created by the nursing staff. The branches of RIH target the Neurosurgery, Pulmonary, Dermatology, and the Dialysis Unit, to examine whether the implementation of visual reminders (i.e., "healthy hands" posters) create awareness amongst the nurses in each department. In this mixed-method, prospective, and quasi-experimental study, self-reporting was used to study the frequency of handwashing before and after the implementation of visual reminders. An additional method was created to measure the amount of Germ X Hand Sanitizer used in collaboration with visual reminders in a pre and post-intervention. A Focus Group Discussion was also conducted with the participants to obtain feedback that would increase hand hygiene awareness and its compliance. The results indicated that visual reminders create awareness and increase handwashing frequency among Rhode Island Hospital nurses. The implementation of visual reminders provided nurses with the knowledge and understanding of the importance of the issue.

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Impact of Replacing Powdered Gloves With Powder-free Gloves on Hand-hygiene Compliance Among Healthcare Workers of an Intensive Care Unit: a Quasi-experimental Study

10.21203/rs.3.rs-81396/v1 ◽

2020 ◽

Author(s):

Mayra Gonçalves Menegueti ◽

Fernando Bellissimo-Rodrigues ◽

Marcia A. Ciol ◽

Maria Auxiliadora-Martins ◽

Anibal Basile-Filho ◽

...

Keyword(s):

Intensive Care Unit ◽

Experimental Study ◽

Hand Hygiene ◽

Healthcare Workers ◽

Hand Hygiene Compliance ◽

Latex Gloves ◽

Before And After ◽

Quasi Experimental ◽

Hygiene Compliance ◽

Powdered Latex Gloves

Abstract Background/Objective. After wearing powdered gloves, healthcare workers (HCW) are supposed to wash their hands instead of using alcohol-based hand-rub (ABHR). Washing hands takes longer than using ABHR, and the use of powdered gloves may be an obstacle to hand-hygiene compliance. This study aimed to evaluate the impact of replacing powdered gloves with powder-free gloves on hand-hygiene compliance among HCW of an intensive care unit (ICU). Methods. A quasi-experimental study was conducted in a general ICU of a tertiary care university hospital in Brazil. From June 1st to July 15th, 2017, all HCW were provided with powdered latex gloves only for all clinical procedures. From July 15th to August 31st, 2017, HCW were provided with nitrile powder-free gloves only. Hand-hygiene compliance was assessed through direct observation, and evaluated according to the World Health Organization (WHO) Hand Hygiene guidelines. We calculated that a sample size of 544 hand hygiene opportunities needed to be observed per period. Data analysis were performed using the STATA SE® version 14, and we compared the individual’s percentage of compliance using the t test for paired data before and after the intervention.Results. Overall, 40 HCW were assessed before and after the introduction of nitrile powder-free gloves, with 1114 and 1139 observations of hand hygiene opportunities, respectively. The proportion of compliance with hand hygiene was 55% (95% Confidence Interval [CI]: 51-59%) using powdered latex gloves and 60% (95% CI: 57-63%) using powder-free gloves. The difference in proportions between the two types of gloves was 5.1% (95% CI: 2.5-7.6%, p<0.001).Conclusion. Our data indicate that replacing powdered gloves with powder-free gloves positively influenced hand-hygiene compliance by HCW in an ICU setting.

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“If the glove fits”: Hospital-wide universal gloving is associated with improved hand hygiene and may reduce Clostridioides difficile infection

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2020.1422 ◽

2021 ◽

pp. 1-5

Author(s):

Paritosh Prasad ◽

Lynne Brown ◽

Shiyang Ma ◽

Andrew McDavid ◽

Andrew Rudmann ◽

...

Keyword(s):

Hand Hygiene ◽

Hand Hygiene Compliance ◽

Fold Increase ◽

Credible Interval ◽

Clostridioides Difficile ◽

Before And After ◽

Clostridioides Difficile Infection ◽

Quasi Experimental ◽

Hygiene Compliance ◽

Hospital Acquired

Abstract Objective: To determine whether a hospital-wide universal gloving program resulted in increased hand hygiene compliance and reduced inpatient Clostridioides difficile infection (CDI) rates. Design: We carried out a multiple-year before-and-after quasi-experimental quality improvement study. Gloving and hand hygiene compliance data as well as hospital-acquired infection rates were prospectively collected from January 1, 2015, to December 31, 2017, by secret monitors. Settings: The University of Rochester Strong Memorial Hospital, an 849-bed quaternary-care teaching hospital. Patients: All adult inpatients with the exception of patients in the obstetrics unit. Interventions: A hospital-wide universal gloving protocol was initiated on January 1, 2016. Results: Hand hygiene compliance increased from 68% in 2015 reaching an average of 88% by 2017 (P < .0002). A 10% increase in gloving per unit was associated with a 1.13-fold increase in the odds of hand hygiene (95% credible interval, 1.12–1.14). The rates of CDI decreased from 1.05 infections per 1,000 patient days in 2015 to 0.74 in 2017 (P < .04). Conclusion: A universal gloving initiative was associated with a statistically significant increase in both gloving and hand hygiene compliance. CDI rates decreased during this intervention.

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Impact of replacing powdered gloves with powder-free gloves on hand-hygiene compliance among healthcare workers of an intensive care unit: a quasi-experimental study

Antimicrobial Resistance and Infection Control ◽

10.1186/s13756-020-00877-5 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Mayra Gonçalves Menegueti ◽

Fernando Bellissimo-Rodrigues ◽

Marcia A. Ciol ◽

Maria Auxiliadora-Martins ◽

Anibal Basile-Filho ◽

...

Keyword(s):

Intensive Care Unit ◽

Experimental Study ◽

Hand Hygiene ◽

Healthcare Workers ◽

Hand Hygiene Compliance ◽

Latex Gloves ◽

Before And After ◽

Quasi Experimental ◽

Hygiene Compliance ◽

Powdered Latex Gloves

Abstract Background/objective After wearing powdered gloves, healthcare workers (HCW) are supposed to wash their hands instead of using alcohol-based hand-rub (ABHR). Washing hands takes longer than using ABHR, and the use of powdered gloves may be an obstacle to hand-hygiene compliance. This study aimed to evaluate the impact of replacing powdered gloves with powder-free gloves on hand-hygiene compliance among HCW of an intensive care unit (ICU). Methods A quasi-experimental study was conducted in a general ICU of a tertiary care university hospital in Brazil. From June 1st to July 15th, 2017, all HCW were provided with powdered latex gloves only for all clinical procedures. From July 15th to August 31st, 2017, HCW were provided with nitrile powder-free gloves only. Hand-hygiene compliance was assessed through direct observation, and evaluated according to the World Health Organization Hand Hygiene guidelines. We calculated that a sample size of 544 hand hygiene opportunities needed to be observed per period. Data analysis were performed using the STATA SE® version 14, and we compared the individual’s percentage of compliance using the t test for paired data before and after the intervention. Results Overall, 40 HCW were assessed before and after the introduction of nitrile powder-free gloves, with 1114 and 1139 observations of hand hygiene opportunities, respectively. The proportion of compliance with hand hygiene was 55% (95% confidence interval [CI] 51–59%) using powdered latex gloves and 60% (95% CI 57–63%) using powder-free gloves. The difference in proportions between the two types of gloves was 5.1% (95% CI 2.5–7.6%, p < 0.001). Conclusion Our data indicate that replacing powdered gloves with powder-free gloves positively influenced hand-hygiene compliance by HCW in an ICU setting.

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Effectiveness of an Intervention Program to Improve Compliance with Hand Hygiene among Health Staff in NAFH

Journal of Health and Allied Sciences NU ◽

10.1055/s-0040-1708689 ◽

2017 ◽

Vol 07 (01) ◽

pp. 016-020

Author(s):

Imed Harrabi ◽

Saad Al-Ghamdi ◽

Paolo Cubelo

Keyword(s):

Hand Hygiene ◽

Infection Control ◽

Hand Hygiene Compliance ◽

Intervention Program ◽

Health Staff ◽

Positive Trend ◽

Post Intervention ◽

Positive Interaction ◽

Hygiene Compliance ◽

Pilot Intervention

Abstract Background: Hand Hygiene, either by hand washing or hand disinfection, remains the single most important measure to prevent nosocomal infections. Objective: To increase Hand Hygiene compliance to at least 10% among health care staffs in female and medical wards after six months of a pilot intervention program. Methods: It was a pre-post intervention study in Najran Armed forces Hospital during the year 2015. knowledge was assessed using WHO's hand hygiene questionnaire Measurement of attitude was done on the basis of 13 questions where the subjects had to give their opinion on a 1 to 5 point Liker Scale ranging from strongly disagree to strongly agree. Compliance was measured and directly observed by experienced infection control linkers. Results: the results of our study showed a positive effect of the pilot intervention program on knowledge, attitude and compliance on hand hygiene. An increase in compliance of 6.44% and 7.56% were observed in Female Ward and Male Ward respectively in post-intervention. Conclusions: All should be done to maintain the positive trend of hand hygiene compliance. The infection control team should be encouraged to maintain a continuous monitoring of hand hygiene compliance and have a positive interaction with the health staff.

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Hand hygiene practices and perceptions among healthcare workers in Ghana: A WASH intervention study

The Journal of Infection in Developing Countries ◽

10.3855/jidc.11045 ◽

2019 ◽

Vol 13 (12) ◽

pp. 1076-1085 ◽

Cited By ~ 1

Author(s):

Appiah Labi ◽

Noah Obeng-Nkrumah ◽

Benjamin Demah Nuertey ◽

Sheila Issahaku ◽

Ndeye Fatou Ndiaye ◽

...

Keyword(s):

Hand Hygiene ◽

Healthcare Workers ◽

Hand Hygiene Compliance ◽

Relative Rate ◽

Water Source ◽

Relative Increase ◽

Hygiene Practice ◽

Post Intervention ◽

Hygiene Practices ◽

Hygiene Compliance

Introduction: We aimed to investigate whether the provision of water, sanitation, and hand hygiene (WASH) interventions were associated with changes in hand hygiene compliance and perceptions of healthcare workers towards infection control. Methodology: The study was conducted from June 2017 through February 2018 among healthcare workers in two Northern districts of Ghana. Using a pretest-posttest design, we performed hand hygiene observations and perception surveys at baseline (before the start of WASH interventions) and post-intervention (midline and endline). We assessed adherence to hand hygiene practice using the WHO direct observation tool. The perception study was conducted using the WHO perception survey for healthcare workers. Study outcomes were compared between baseline, midline and endline assessments. Results: The hand hygiene compliance significantly improved from 28.8% at baseline through 51.7% at midline (n = 726/1404; 95% CI: 49.1-54.2%) to 67.9% at endline (n = 1000/1471; 95% CI: 65.6-70.3%). The highest increase in compliance was to the WHO hand hygiene moment 5 after touching patients surrounding (relative increase, 205%; relative rate, 3.05; 95% CI: 2.23-4.04; p < 0.0001). Post-intervention, the top three policies deemed most effective at improving hand hygiene practice were: provision of water source (rated mean score, n = 6.1 ± 1.4), participation in educational activities (rated mean score 6.0 ± 1.5); and hand hygiene promotional campaign (6.0 ± 1.3). Conclusion: Hand hygiene compliance significantly improved post-intervention. Sustaining good hand hygiene practices in low resource settings should include education, the provision of essential supplies, and regular hand hygiene audits and feedback.

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The Effectiveness of a Poster Intervention on Hand Hygiene Practice and Compliance When Using Public Restrooms in a University Setting

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16245036 ◽

2019 ◽

Vol 16 (24) ◽

pp. 5036 ◽

Cited By ~ 3

Author(s):

Aaron Lawson ◽

Marie Vaganay-Miller

Keyword(s):

Hand Hygiene ◽

Hand Hygiene Compliance ◽

Hygiene Practice ◽

Post Intervention ◽

Improve Hand Hygiene ◽

University Population ◽

Hygiene Compliance ◽

The Uk ◽

The University ◽

Observation Period

Background: Most research on hand hygiene compliance in community settings indicates that compliance is poor. It is not conclusive as to whether poster interventions are effective at improving compliance. Methods: An independent, self-designed poster intervention was installed in one set of male and female public restrooms in a university campus in the UK. The hand hygiene practice and compliance of the university population was measured via indirect observation over a 60 day period. Results: During the pre-intervention observation period, 51.09% of the university population practiced basic hand hygiene compliance (washed hands with water, soap and dried afterwards), and 7.88% practiced adequate hand hygiene compliance (washed hands with water and soap for 20 s or more and dried afterwards for 20 s or more). During the post-intervention observation period, 55.39% of the university population were observed practicing basic hand hygiene compliance, and 7.97% practicing adequate hand hygiene compliance. Gender differences revealed that more females practiced basic hand hygiene in the post-intervention observation period (62.81%) than during the pre-intervention period (49.23%) and this was statistically significant (χ2 = 13.49, p = < 0.01). Discussion: The poster intervention had a limited effect on improving the basic and adequate hand hygiene compliance of the general population when using public restrooms. The use of independent, self-designed posters to improve hand hygiene practice and compliance is largely ineffective in the short term and should be used with caution in future intervention strategies.

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