Patient experiences of partnering with healthcare professionals for hand hygiene compliance

2017 ◽  
Vol 15 (6) ◽  
pp. 1645-1670 ◽  
Author(s):  
Samantha Butenko ◽  
Craig Lockwood ◽  
Alexa McArthur
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Healthcare Professionals ◽  
Patient Experiences ◽  
Hygiene Compliance

scholarly journals Incubator traffic light: the development of an alcohol-based hand rub dispenser system for neonatal incubators with visual feedback to improve hand hygiene compliance

2019 ◽  
Vol 5 (2-3) ◽  
pp. 70-77
Author(s):  
Ronald H J van Gils ◽  
Onno K Helder ◽  
Linda S G L Wauben
Keyword(s):  
Hand Hygiene ◽  
Behaviour Change ◽  
Visual Feedback ◽  
Hand Hygiene Compliance ◽  
Healthcare Professionals ◽  
Bloodstream Infections ◽  
Traffic Light ◽  
Improve Hand Hygiene ◽  
Drying Time ◽  
Hygiene Compliance

IntroductionSustained high compliance with hand hygiene prior to patient contact in a neonatal intensive care unit (NICU) could reduce the spread of pathogens and incidence of bloodstream infections of preterm infants. These infections are associated with high mortality, morbidity and additional costs. Behaviour change interventions to promote hand hygiene, such as education, have only temporary beneficial effect on compliance. Our aim is to develop a technical intervention that supports a sustainable behaviour change for appropriate hand hygiene among NICU healthcare professionals.MethodsStudents from different disciplines incrementally designed and evaluated solutions in co-creation with healthcare professionals of a NICU in a teaching hospital.ResultsA prototype of the ‘Incubator Traffic Light’ system for neonatal incubators was developed, that is, a touchless alcohol-based hand rub (ABHR) dispenser with integrated colour display and incubator door sensor with lights. The system provides visual feedback to support healthcare professionals’ compliance with the prescribed 30 s drying time for ABHR. After 30 s, green lights indicate that the incubator doors may be opened. In the event that doors are opened without dispensing ABHR or earlier than 30 s, blinking orange lights and a display message urge the person to close the doors. The system documents compliance data in a web-based database.ConclusionsWe developed a sophisticated technical intervention to support hand hygiene compliance. It is ready for clinical tests that should prove that the system contributes to sustainable hand hygiene compliance near neonatal incubators.

scholarly journals Healthcare Professionals Perception of Mobile Phone Usage and Hand Hygiene Adhesion in Intensive Care Units

2020 ◽  
Vol 41 (S1) ◽  
pp. s346-s346
Author(s):  
Evelyn Sanchez ◽  
Lauro Perdigão-Neto ◽  
Sânia Alves dos Santos ◽  
Camila Rizek ◽  
Maria Renata Gomez ◽  
...  
Keyword(s):  
Intensive Care ◽  
Hand Hygiene ◽  
Mobile Phone ◽  
Mobile Phones ◽  
Hand Hygiene Compliance ◽  
Healthcare Professionals ◽  
Molecular Testing ◽  
First Choice ◽  
Mobile Phone Usage ◽  
Hygiene Compliance

Background: The introduction of new technologies into the medical field has the duality of improvement and concerns about correct usage and cleaning. Mobile phones are used by healthcare professionals (HCPs) in the work place, and there is not an official policy about their use in health environment. Methods: We asked 60 intensive care unit (ICU) HCPs from 2 units (the burn unit and the internal medicine unit) to participate in an electronic survey about mobile phone usage and hand hygiene compliance; we also cultured the hands and mobile phones of the participants. Unfortunately, 13 HCPs did not participate. Susceptibility testing of the strains was conducted, as well as molecular testing. Results: Overall, 47 HCPs responded to the inquiry: 19% were nurses (9 of 47), 19% were resident physicians (9 of 47), 17% were nursery technicians (8 of 47), 17% were physiotherapists (8 of 47), 13% were cleaning staff (6 of 47), 11% were consultants (5 of 47), and 4% were technicians (2 of 47). Moreover, 26 of 47 participants (55%) were woman and 21 (45%) were men. From all HCP categories, 39 of 47 respondents (83%) reported that they had optimal hand hygiene compliance. However, 92% of respondents had a colonized hand and 90% had a colonized mobile phone. Also, 44 of 47 HCPs (94%) reported that the took their personal mobile phone into the workplace; 40 (85%) reported that they used it during the work day and 35 (74%) reported that they cleaned it. However, 8 HCPs (26%) reported that they had never cleaned the device. All of the HCPs understood that mobile phones can harbor bacteria, and 27 of 47 HCPs (57.45%) indicated that they use 70% alcohol to clean their mobile phones. In contrast, the first choice for hand hygiene was water and soap in 51% of HCPs (24 of 47). Also, 3 HCPs did not have any colonization in the hand culture but had healthcare-associated infection (HAI) pathogens in the mobile phone culture. Conclusions: A policy regarding mobile phone usage in the healthcare setting should be in place, and cleaning of electronic devices in hospitals should be standardized.Funding: NoneDisclosures: NoneFunding: NoneDisclosures: None

scholarly journals Hand hygiene compliance of healthcare professionals in an emergency department

2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Caroline Zottele ◽  
Tania Solange Bosi de Souza Magnago ◽  
Angela Isabel dos Santos Dullius ◽  
Adriane Cristina Bernat Kolankiewicz ◽  
Juliana Dal Ongaro
Keyword(s):  
Emergency Department ◽  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Healthcare Professionals ◽  
Participant Observation ◽  
Compliance Rate ◽  
University Hospital ◽  
Hygiene Practices ◽  
Resident Physicians ◽  
Hygiene Compliance

Abstract OBJECTIVE To analyze compliance with hand hygiene by healthcare professionals in an emergency department unit. METHOD This is a longitudinal quantitative study developed in 2015 with healthcare professionals from a university hospital in the state of Rio Grande do Sul. Each professional was monitored three times by direct non-participant observation at WHO’s five recommended moments in hand hygiene, taking the concepts of opportunity, indication and action into account. Descriptive and analytical statistics were used. RESULTS Fifty-nine healthcare professionals participated in the study. The compliance rate was 54.2%. Nurses and physiotherapists showed a compliance rate of 66.6% and resident physicians, 41.3%. When compliance was compared among professional categories, nurses showed greater compliance than resident physicians (OR = 2.83, CI = 95%: 1.09-7.34). CONCLUSION Hand hygiene compliance was low. Multidisciplinary approaches could be important strategies for forming partnerships to develop learning and implementation of hand hygiene practices.

scholarly journals Hand hygiene: a review of understanding and attitudes of healthcare professionals

2014 ◽  
Vol 5 (6) ◽  
pp. 142-150
Author(s):  
Jéssica Raunne Moreira De Sousa ◽  
Luiz Felipe Duarte Dos Santos ◽  
Ana Amélia de Carvalho Melo Cavalcante ◽  
Maria do Carmo Mascarenhas ◽  
Tatiana Vieira Souza Chaves ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Health Professionals ◽  
Public Hospital ◽  
Hand Hygiene Compliance ◽  
Healthcare Professionals ◽  
Professional Activity ◽  
Know How ◽  
Insufficient Time ◽  
Correct Technique ◽  
Hygiene Compliance

Objective: Evaluate hand hygiene performed by health professionals in a public hospital and identify non-adherence factors for the correct technique. Methods: The professionals were submitted to a questionnaire, testing their knowledge of Hand Hygiene Compliance for Health Professionals and were observed while hand washing. Results: 62.5% received training either during undergraduation course, or by the hospital, while 37.5% did not know how to do the technique. Regarding the reason for the noncompliance of proper hygiene techniques, 61.1% of professionals said that excessive professional activity, and insufficient time are the main causes. 44.4% mentioned the lack of priority of the institution as to the procedure and 16.6% lack the time to perform the technique. Conclusion: It appears that most of the professionals interviewed did not obey the rules recommended hand hygiene and the main reason is no time due to excessive workload. Descriptors: Infection, Hand hygiene, health professionals.

scholarly journals A Decade in Trying to Increase Hand Hygiene—Finally Success

2020 ◽  
Vol 41 (S1) ◽  
pp. s93-s94
Author(s):  
Linda Huddleston ◽  
Sheila Bennett ◽  
Christopher Hermann
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Compliance Rate ◽  
Bloodstream Infections ◽  
Central Line ◽  
Second Phase ◽  
Two Phase ◽  
Hygiene Compliance ◽  
Tract Infections ◽  
The Voice

Background: Over the past 10 years, a rural health system has tried 10 different interventions to reduce hospital-associated infections (HAIs), and only 1 intervention has led to a reduction in HAIs. Reducing HAIs is a goal of nearly all hospitals, and improper hand hygiene is widely accepted as the main cause of HAIs. Even so, improving hand hygiene compliance is a challenge. Methods: Our facility implemented a two-phase longitudinal study to utilize an electronic hand hygiene reminder system to reduce HAIs. In the first phase, we implemented an intervention in 2 high-risk clinical units. The second phase of the study consisted of expanding the system to 3 additional clinical areas that had a lower incidence of HAIs. The hand hygiene baseline was established at 45% for these units prior to the voice reminder being turned on. Results: The system gathered baseline data prior to being turned on, and our average hand hygiene compliance rate was 49%. Once the voice reminder was turned on, hand hygiene improved nearly 35% within 6 months. During the first phase, there was a statistically significant 62% reduction in the average number of HAIs (catheter associated urinary tract infections (CAUTI), central-line–acquired bloodstream infections (CLABSIs), methicillin-resistant Staphylococcus aureus (MRSA), multidrug-resistant organisms (MDROs), and Clostridiodes difficile experienced in the preliminary units, comparing 12 months prior to 12 months after turning on the voice reminder. In the second phase, hand hygiene compliance increased to >65% in the following 6 months. During the second phase, all HAIs fell by a statistically significant 60%. This was determined by comparing the HAI rates 6 months prior to the voice reminder being turned on to 6 months after the voice reminder was turned on. Conclusions: The HAI data from both phases were aggregated, and there was a statistically significant reduction in MDROs by 90%, CAUTIs by 60%, and C. difficile by 64%. This resulted in annual savings >$1 million in direct costs of nonreimbursed HAIs.Funding: NoneDisclosures: None

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