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

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.

scholarly journals “The role as a champion is to not only monitor but to speak out and to educate”: the contradictory roles of hand hygiene champions

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Cassie Cunningham Goedken ◽  
Daniel J. Livorsi ◽  
Michael Sauder ◽  
Mark W. Vander Weg ◽  
Emily E. Chasco ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Infection Control ◽  
Informal Education ◽  
Hand Hygiene Compliance ◽  
Ethnographic Study ◽  
Health Administration ◽  
Improve Hand Hygiene ◽  
Frontline Staff ◽  
Hygiene Compliance

Abstract Background Implementation science experts define champions as “supporting, marketing, and driving through an implementation, overcoming indifference or resistance that the intervention may provoke in an organization.” Many hospitals use designated clinical champions—often called “hand hygiene (HH) champions”—typically to improve hand hygiene compliance. We conducted an ethnographic examination of how infection control teams in the Veterans Health Administration (VHA) use the term “HH champion” and how they define the role. Methods An ethnographic study was conducted with infection control teams and frontline staff directly involved with hand hygiene across 10 geographically dispersed VHA facilities in the USA. Individual and group semi-structured interviews were conducted with hospital epidemiologists, infection preventionists, multi-drug-resistant organism (MDRO) program coordinators, and quality improvement specialists and frontline staff from June 2014 to September 2017. The team coded the transcripts using thematic content analysis content based on a codebook composed of inductive and deductive themes. Results A total of 173 healthcare workers participated in interviews from the 10 VHA facilities. All hand hygiene programs at each facility used the term HH champion to define a core element of their hand hygiene programs. While most described the role of HH champions as providing peer-to-peer coaching, delivering formal and informal education, and promoting hand hygiene, a majority also included hand hygiene surveillance. This conflation of implementation strategies led to contradictory responsibilities for HH champions. Participants described additional barriers to the role of HH champions, including competing priorities, staffing hierarchies, and turnover in the role. Conclusions Healthcare systems should consider narrowly defining the role of the HH champion as a dedicated individual whose mission is to overcome resistance and improve hand hygiene compliance—and differentiate it from the role of a “compliance auditor.” Returning to the traditional application of the implementation strategy may lead to overall improvements in hand hygiene and reduction of the transmission of healthcare-acquired infections.

scholarly journals Effects of the implementation of a hand hygiene education program among ICU professionals: an interrupted time-series analysis

2019 ◽  
Vol 45 (5) ◽  
Author(s):  
Diana Marcela Prieto Romero ◽  
Maycon Moura Reboredo ◽  
Edimar Pedrosa Gomes ◽  
Cristina Martins Coelho ◽  
Maria Aparecida Stroppa de Paula ◽  
...  
Keyword(s):  
Time Series ◽  
Hand Hygiene ◽  
Education Program ◽  
Hand Hygiene Compliance ◽  
Interrupted Time Series ◽  
Interrupted Time Series Analysis ◽  
Post Intervention ◽  
Intervention Phase ◽  
Hygiene Compliance ◽  
Hygiene Education

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.

scholarly journals Reducing hospital-acquired infections and improving the rational use of antibiotics in a developing country: an effectiveness study

2014 ◽  
Vol 100 (5) ◽  
pp. 454-459 ◽  
Author(s):  
Indah K Murni ◽  
Trevor Duke ◽  
Sharon Kinney ◽  
Andrew J Daley ◽  
Yati Soenarto
Keyword(s):  
Developing Countries ◽  
Hand Hygiene ◽  
Infection Control ◽  
Antibiotic Stewardship ◽  
Hand Hygiene Compliance ◽  
Antibiotic Use ◽  
Hospital Acquired Infections ◽  
Hygiene Compliance ◽  
Rational Use Of Antibiotics ◽  
Hospital Acquired

BackgroundPrevention of hospital-acquired infections (HAI) is central to providing safe and high quality healthcare. Transmission of infection between patients by health workers, and the irrational use of antibiotics have been identified as preventable aetiological factors for HAIs. Few studies have addressed this in developing countries.AimsTo implement a multifaceted infection control and antibiotic stewardship programme and evaluate its effectiveness on HAIs and antibiotic use.MethodsA before-and-after study was conducted over 27 months in a teaching hospital in Indonesia. All children admitted to the paediatric intensive care unit and paediatric wards were observed daily. Assessment of HAIs was made based on the criteria from the Centers for Disease Control and Prevention. The multifaceted intervention consisted of a hand hygiene campaign, antibiotic stewardship (using the WHO Pocket Book of Hospital Care for Children guidelines as standards of antibiotic prescribing for community-acquired infections), and other elementary infection control practices. Data were collected using an identical method in the preintervention and postintervention periods.ResultsWe observed a major reduction in HAIs, from 22.6% (277/1227 patients) in the preintervention period to 8.6% (123/1419 patients) in the postintervention period (relative risk (RR) (95% CI) 0.38 (0.31 to 0.46)). Inappropriate antibiotic use declined from 43% (336 of 780 patients who were prescribed antibiotics) to 20.6% (182 of 882 patients) (RR 0.46 (0.40 to 0.55)). Hand hygiene compliance increased from 18.9% (319/1690) to 62.9% (1125/1789) (RR 3.33 (2.99 to 3.70)). In-hospital mortality decreased from 10.4% (127/1227) to 8% (114/1419) (RR 0.78 (0.61 to 0.97)).ConclusionsMultifaceted infection control interventions are effective in reducing HAI rates, improving the rational use of antibiotics, increasing hand hygiene compliance, and may reduce mortality in hospitalised children in developing countries.

scholarly journals Impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach over 13 Years in 51 Cities of 19 Limited-Resource Countries from Latin America, Asia, the Middle East, and Europe

2013 ◽  
Vol 34 (4) ◽  
pp. 415-423 ◽  
Author(s):  
Victor D. Rosenthal ◽  
Mandakini Pawar ◽  
Hakan Leblebicioglu ◽  
Josephine Anne Navoa-Ng ◽  
Wilmer Villamil-Gómez ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Nosocomial Infection ◽  
Infection Control ◽  
Performance Feedback ◽  
Hand Hygiene Compliance ◽  
Administrative Support ◽  
Univariate Analysis ◽  
Limited Resource ◽  
Improve Hand Hygiene ◽  
Hygiene Compliance

Objective.To assess the feasibility and effectiveness of the International Nosocomial Infection Control Consortium (INICC) multi-dimensional hand hygiene approach in 19 limited-resource countries and to analyze predictors of poor hand hygiene compliance.Design.An observational, prospective, cohort, interventional, before-and-after study from April 1999 through December 2011. The study was divided into 2 periods: a 3-month baseline period and a 7-year follow-up period.Setting.Ninety-nine intensive care unit (ICU) members of the INICC in Argentina, Brazil, China, Colombia, Costa Rica, Cuba, El Salvador, Greece, India, Lebanon, Lithuania, Macedonia, Mexico, Pakistan, Panama, Peru, Philippines, Poland, and Turkey.Participants.Healthcare workers at 99 ICU members of the INICC.Methods.A multidimensional hand hygiene approach was used, including (1) administrative support, (2) supplies availability, (3) education and training, (4) reminders in the workplace, (5) process surveillance, and (6) performance feedback. Observations were made for hand hygiene compliance in each ICU, during randomly selected 30-minute periods.Results.A total of 149,727 opportunities for hand hygiene were observed. Overall hand hygiene compliance increased from 48.3% to 71.4% (P < .01). Univariate analysis indicated that several variables were significantly associated with poor hand hygiene compliance, including males versus females (63% vs 70%; P<.001), physicians versus nurses (62% vs 72%; P<.001), and adult versus neonatal ICUs (67% vs 81%; P<.001), among others.Conclusions.Adherence to hand hygiene increased by 48% with the INICC approach. Specific programs directed to improve hand hygiene for variables found to be predictors of poor hand hygiene compliance should be implemented.

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

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.

The effect of random voice hand hygiene messages delivered by medical, nursing, and infection control staff on hand hygiene compliance in intensive care

2006 ◽  
Vol 34 (10) ◽  
pp. 673-675 ◽  
Author(s):  
Maryanne McGuckin ◽  
Arlene Shubin ◽  
Patricia McBride ◽  
Stephen Lane ◽  
Kevin Strauss ◽  
...  
Keyword(s):  
Intensive Care ◽  
Hand Hygiene ◽  
Infection Control ◽  
Hand Hygiene Compliance ◽  
Hygiene Compliance

Automated Measures of Hand Hygiene Compliance among Healthcare Workers Using Ultrasound: Validation and a Randomized Controlled Trial

2013 ◽  
Vol 34 (9) ◽  
pp. 919-928 ◽  
Author(s):  
Dale A. Fisher ◽  
Theresa Seetoh ◽  
Helen Oh May-Lin ◽  
Sivakumar Viswanathan ◽  
Yanling Toh ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Control Method ◽  
Controlled Trial ◽  
Teaching Hospitals ◽  
Health Staff ◽  
Ultrasound Monitoring ◽  
Individual Feedback ◽  
Hygiene Compliance ◽  
The Impact

Objective.The primary objective of this study was to validate a novel method of assessing hand hygiene compliance using ultrasound transmitters in patient zones and staff tagged with receivers. The secondary objective was to assess the impact of audio reminders and quantified individual feedback.Design.An observational comparison against manual assessment followed by assessment using an open-label randomized control method.Setting.Patient zones were established in 3 wards of 2 large teaching hospitals, including 88 general and 18 intensive care unit ward beds.Participants.Consented regular ward nursing, medical, and allied health staff.Methods.Concordance between 40 hours of manual observation using trained hand hygiene auditors and automated measures of opportunities and compliance. Subsequent measured interventions were reminder beeps and written individual feedback.Results.When compared with manual observations, ultrasound monitoring underestimated percentage compliances by a nonsignificant mean (95% confidence interval [CI]) difference of 5.2% (−20.1% to 9.8%; P = .491). After the intervention, adjusted multivariate analysis showed mean (95% CI) overall compliance in the intervention arm was 6.8% (2.5%−11.1%; P = .002) higher than in the control arm. Results stratified by compliance at entry and exit showed that the effect of intervention was stronger for compliance at exit than at entry.Conclusions.Our automated measure of hand hygiene compliance is valid when compared with the traditional gold standard of manual observations. As an interventional tool, ultrasound-based automated hand hygiene audits have significant benefit that can be built upon with enhancements and find increasing acceptance with time.

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