scholarly journals Mindful Hand Hygiene and Self-guided Training Using a Mobile Phone App

2021 ◽  
Vol 10 (1) ◽  
pp. 157-164
Author(s):  
Joan Cahill ◽  
Alison Kay ◽  
Vivienne Howard ◽  
Ber Mulcahy ◽  
Mary Forde ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Mobile Phone ◽  
Healthcare Workers ◽  
Self Care ◽  
Design Evaluation ◽  
Counselling Services ◽  
Working Lives ◽  
And Training ◽  
Professional Counselling

This paper presents a preliminary concept for a ‘Mobile Phone App’ providing training in mindful hand hygiene integrated with the WHO hand hygiene protocol. A range of human factors action research methods were used to specify the preliminary concept. This includes stakeholder interviews, workshops, and participatory co-design/evaluation sessions. Mindfulness enables HCW to focus on the correct procedure for HH, along with addressing the need for self-care. The proposed Mobile Phone App enables training in mindful HH, from home. Mindful HH training forms parts of a wider learner journey which includes addressing self-care and training in PPE donning and doffing. Mindfulness is an inexpensive strategy to reduce stress and improve the quality of the working lives of healthcare workers. However, it is not a substitute for professional counselling services.

scholarly journals Professional Quality of Life, Engagement, and Self-Care in Healthcare Professionals in Ecuador during the COVID-19 Pandemic

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 515
Author(s):  
María Elena Cuartero-Castañer ◽  
Paula Hidalgo-Andrade ◽  
Ana J. Cañas-Lerma
Keyword(s):  
Quality Of Life ◽  
Work Engagement ◽  
Healthcare Workers ◽  
Healthcare Professionals ◽  
Self Care ◽  
Life Questionnaire ◽  
Professional Quality Of Life ◽  
Professional Quality ◽  
Care Practices

The COVID-19 pandemic has highlighted the importance of healthcare workers and their professional quality of life. This quantitative cross-sectional study aims at exploring the professional quality of life, work engagement, and self-care of healthcare workers during the COVID-19 pandemic in Ecuador. A convenience sample of 117 participants completed an online voluntary and anonymous survey between April and July 2020. It contained a sociodemographic section, the Professional Quality of Life questionnaire V, the work engagement scale, and the scale of self-care behaviors for clinical psychologists. Results show that healthcare workers have an average quality of life with high levels of compassion satisfaction and average levels of compassion fatigue and burnout. Data also indicate that the sample frequently engaged in self-care practices and had high levels of work engagement. The regression analyses reveal that gender, the number of patients per week, the perceived fairness of the salary, among other variables are possible predictors of professional quality of life, frequency of self-care practices, and engagement. This study contributes to the understanding of these variables among healthcare professionals in Ecuador. These results should be considered when planning policies and prevention intervention efforts to promote professionals’ wellbeing.

scholarly journals Influence of workload, mental health and professional quality of life on healthcare workers’ hand hygiene behavior in medical aid during COVID-19 pandemic

2020 ◽  
Author(s):  
Qian Zhou ◽  
Xinping Zhang
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Hand Hygiene ◽  
Structural Equation ◽  
Healthcare Workers ◽  
Professional Quality Of Life ◽  
Final Model ◽  
Professional Quality ◽  
Hygiene Behavior

Abstract BackgroundAppropriate hand hygiene behavior is much crucial during COVID-19 pandemic, which is influenced by workload, mental health and professional quality of life. The increasing workload, worse mental health and negative professional quality of life are severe challenges for healthcare workers, whereas the evidence of mechanism between them and hand hygiene behavior are limited. This study aimed to understand and model how HCWs’ hand hygiene behaviors were influenced by workload, mental health and professional quality of life.MethodsA total of 1,734 healthcare workers were investigated, covering self-reported hand hygiene behavior, mental health, workload, professional quality of life and socio-demographic characteristics. Structural equation modelling was conducted to confirm interrelationships and parameters among the variables.Findings The final model had a good fit (CFI=0.980; TLI=0.941; RMSEA=0.055). Higher workload was linked to worse mental health (β = 0.165, p < 0.001) and higher burnout (β = 0.183, p < 0.001). Worse mental health was linked to higher burnout (β = 0.339, p < 0.001). The higher burnout was associated with worse self-reported hand hygiene behavior (β = -0.302, p < 0.001).ConclusionWorkload is positively associated with mental health and burnout; mental health is positively related to burnout; burnout is negatively associated with hand hygiene behavior. Thus, hand hygiene behavior can be promoted by the strategy to decrease the workload, burnout and enhance mental health.

scholarly journals Strategy for Increasing Alcohol Gel Consumption Based on Realistic Simulation, Opinion of Healthcare Workers, Structure Adequacy and Change in Alcohol Product

2020 ◽  
Vol 41 (S1) ◽  
pp. s391-s392
Author(s):  
Ligia Abraao ◽  
Sandra Nascimento dos Anjos ◽  
Chayenne Mika Matsumoto Pinto Tonheiro ◽  
la Souza Lima ◽  
Mariana Sarkis Braz ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Infection Control ◽  
Healthcare Workers ◽  
Realistic Simulation ◽  
First Semester ◽  
Hand Hygiene Campaign ◽  
Educational Campaign ◽  
And Behavior ◽  
And Training ◽  
Sustained Increase

Background: Healthcare-related infections (HAIs) imply higher morbidity and mortality, length of hospitalization, and costs to institutions and the health system. An important practice for HAI control is hand hygiene. Due to the need for greater adherence to the practice of hand hygiene, as well as understanding about behavior and motivations related to actions associated with infection control, we conducted this study based on inquiry and intervention. Objectives: To describe the increase in adherence to hand hygiene through a multimodal strategy based on realistic simulation, inquiry, change of alcohol and training on actions related to infection control. Methods: In May 2018, a survey was administered to healthcare workers (HCW) regarding structure, process, and behavior related to hand hygiene. Training was also performed, which simulated a bed marked with GloGerm (later revealed with the application of black light), performing tasks by professionals, and completing a test. In November 2018, the structure of hand hygiene and points at which the alcoholic product was offered were redefined, and the alcohol-based product and its dispensers were exchanged. In December 2018, an educational campaign on hand hygiene and change disclosure was held. In February 2019, a new survey was applied to employees. Alcohol consumption was measured per patient day in the periods and compared with the historical average. Results: In the first application of the survey, 263 HCW reported dissatisfaction with hand hygiene structure (46% preferred water and soap). Most reported that training and structure would improve adherence. The training took place for 540 HCWs from many different professional positions. Alcohol gel consumption had a sustained increase from an average of 37 mL per patient day in the first semester to 49 mL per patient day in the second semester. After the product change and the new hand hygiene campaign, a second relevant and sustained increase has took place: the first 4-month average in 2019 was 67 mL per patient day. In the second survey, conducted with 187 HCWs, there was an increase in preference for alcohol-based product from a wall dispenser (from 38% to 62%).Funding: NoneDisclosures: None

scholarly journals Assessment of Fidelity in Interventions to Improve Hand Hygiene of Healthcare Workers: A Systematic Review

2016 ◽  
Vol 37 (5) ◽  
pp. 567-575 ◽  
Author(s):  
Jackson S. Musuuza ◽  
Anna Barker ◽  
Caitlyn Ngam ◽  
Lia Vellardita ◽  
Nasia Safdar
Keyword(s):  
Systematic Review ◽  
Hand Hygiene ◽  
Behavioral Interventions ◽  
Healthcare Workers ◽  
Cochrane Library ◽  
Intervention Fidelity ◽  
Improve Hand Hygiene ◽  
Participant Responsiveness ◽  
Fidelity Measures

OBJECTIVECompliance with hand hygiene in healthcare workers is fundamental to infection prevention yet remains a challenge to sustain. We examined fidelity reporting in interventions to improve hand hygiene compliance, and we assessed 5 measures of intervention fidelity: (1) adherence, (2) exposure or dose, (3) quality of intervention delivery, (4) participant responsiveness, and (5) program differentiation.DESIGNSystematic reviewMETHODSA librarian performed searches of the literature in PubMed, Cumulative Index to Nursing and Allied Health (CINAHL), Cochrane Library, and Web of Science of material published prior to June 19, 2015. The review protocol was registered in PROSPERO International Prospective Register of Systematic Reviews, and assessment of study quality was conducted for each study reviewed.RESULTSA total of 100 studies met the inclusion criteria. Only 8 of these 100 studies reported all 5 measures of intervention fidelity. In addition, 39 of 100 (39%) failed to include at least 3 fidelity measures; 20 of 100 (20%) failed to include 4 measures; 17 of 100 (17%) failed to include 2 measures, while 16 of 100 (16%) of the studies failed to include at least 1 measure of fidelity. Participant responsiveness and adherence to the intervention were the most frequently unreported fidelity measures, while quality of the delivery was the most frequently reported measure.CONCLUSIONSAlmost all hand hygiene intervention studies failed to report at least 1 fidelity measurement. To facilitate replication and effective implementation, reporting fidelity should be standard practice when describing results of complex behavioral interventions such as hand hygiene.Infect Control Hosp Epidemiol2016;37:567–575

scholarly journals Assessing the impact of a motivational intervention to improve the working lives of maternity healthcare workers: a quantitative and qualitative evaluation of a feasibility study in Malawi

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Abi Merriel ◽  
Zione Dembo ◽  
Julia Hussein ◽  
Michael Larkin ◽  
Allan Mchenga ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Healthcare Workers ◽  
Psychological Needs ◽  
Basic Psychological Needs ◽  
Motivational Intervention ◽  
Work Related ◽  
Working Lives ◽  
Postnatal Women ◽  
Related Quality

Abstract Background Globally too many mothers and babies die during childbirth; 98% of maternal deaths are avoidable. Skilled clinicians can reduce these deaths; however, there is a world-wide shortage of maternity healthcare workers. Malawi has enough to deliver 20% of its maternity care. A motivating work environment is important for healthcare worker retention. To inform a future trial, we aimed to assess the feasibility of implementing a motivational intervention (Appreciative Inquiry) to improve the working lives of maternity healthcare workers and patient satisfaction in Malawi. Methods Three government hospitals participated over 1 year. Its effectiveness was assessed through: a monthly longitudinal survey of working life using psychometrically validated instruments (basic psychological needs, job satisfaction and work-related quality of life); a before and after questionnaire of patient satisfaction using a patient satisfaction tool validated in low-income settings with a maximum score of 80; and a qualitative template analysis encompassing ethnographic data, semi-structured interviews and focus groups with staff. Results The intervention was attended by all 145 eligible staff, who also participated in the longitudinal study. The general trend was an increase in the scores for each scale except for the basic psychological needs score in one site. Only one site demonstrated strong evidence for the intervention working in the work-related quality of life scales. Pre-intervention, 162 postnatal women completed the questionnaire; post-intervention, 191 postnatal women participated. Patient satisfaction rose in all three sites; referral hospital 4.41 rise (95% CI 1.89 to 6.95), district hospital 10.22 (95% CI 7.38 to 13.07) and community hospital 13.02 (95% CI 10.48 to 15.57). The qualitative data revealed that staff felt happier, that their skills (especially communication) had improved, behaviour had changed and systems had developed. Conclusions We have shown that it is possible to implement Appreciative Inquiry in government facilities in Malawi, which has the potential to change the way staff work and improve patient satisfaction. The mixed methods approach revealed important findings including the importance of staff relationships. We have identified clear implementation elements that will be important to measure in a future trial such as implementation fidelity and inter-personal relationship factors.

Achtsamkeit in der Heilpädagogik

2021 ◽  
Author(s):  
Kristina Gottschall
Keyword(s):  
Health Care ◽  
Literature Search ◽  
Self Care ◽  
Adults With Disabilities ◽  
Youth Welfare ◽  
The Relationship ◽  
And Training

Mindfulness can increase the quality of therapeutic pedagogical work in several ways: the relationship with clients gains in presence and depth, and professionals are provided with validated methods of self-care and health-care. Based on a selective literature search, this work uncovers theoretical and practical parallels between the concept of mindfulness and the therapeutic pedagogical discipline. An ethical and application-oriented perspective emerges that includes all system-relevant participants. Kristina Gottschall works as a pedagogical therapist and educator in outpatient youth welfare and integration assistance for adults with disabilities. She is responsible for the guidance and training of inclusion specialists.

Quality of Hand Hygiene in a Pediatric Hospital in Rio de Janeiro, Brazil

2007 ◽  
Vol 28 (05) ◽  
pp. 622-624 ◽  
Author(s):  
C. B. Hofer ◽  
T. F. Abreu ◽  
E. G. Silva ◽  
C. A. Sepúlveda ◽  
F. A. Gibara ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Hand Hygiene ◽  
Rio De Janeiro ◽  
Healthcare Workers ◽  
Pediatric Hospital ◽  
Correct Performance

We assessed the quality of hand hygiene among healthcare workers at a pediatrics hospital in Rio de Janeiro, Brazil. Hand hygiene was performed in 491 (34%) of 1,455 opportunities. Of these hand hygiene events, correct performance was observed in only 173 (35%). Multivariate analysis revealed that correct performance of hand hygiene was associated with the use of an alcohol-based product and a lack of jewelry (for all events) and employment in an infirmary with a comparatively higher ratio of nurses to patients (for events involving nurses).

scholarly journals Hitek és tévhitek, azaz vitatott esszenciális kérdések a kézhigiénéről az evidencia tükrében

2017 ◽  
Vol 158 (6) ◽  
pp. 212-219
Author(s):  
Borbála Szél ◽  
Kamilla Nagy ◽  
Márta Milassin ◽  
Gyula Tálosi
Keyword(s):  
Hand Hygiene ◽  
Healthcare Workers ◽  
Negative Influence ◽  
Healthcare Associated Infections ◽  
Know How ◽  
Quality Of Patient Care ◽  
Hygiene Compliance ◽  
High Level ◽  
Healthcare Associated

Abstract: Contaminated hands can play pivotal role in the development and spread of healthcare-associated infections. Consequently hand hygiene practice performed with adequate technique and with adequate timing is an essential implement for patient safety. Inhibition of the practice of high level hand hygiene by the misconceptions or deficient knowledge of healthcare workers may lead to negative influence on the quality of patient care. Erroneous beliefs or “rumourous knowledge” acquired from colleagues can not only influence the attitude of healthcare workers, but can also give rise to insufficient hand hygiene compliance. Finding, interpreting and imparting the related evidence by delivering continuing education and lectures, highlighting the theoretical and practical know-how on hand hygiene could help to understand and imprint the evidence-based practice and adequate technique in the essential issue of hand hygiene. Orv. Hetil., 2017., 158(6), 212–219.

scholarly journals Prevalence and impact of burnout, secondary traumatic stress and compassion satisfaction on hand hygiene of healthcare workers in medical aid team during COVID-19 pandemic

2020 ◽  
Author(s):  
Qian Zhou ◽  
Xiaoquan Lai ◽  
Chaoyang Wan ◽  
Xinping Zhang ◽  
Li Tan
Keyword(s):  
Quality Of Life ◽  
Hand Hygiene ◽  
Traumatic Stress ◽  
Healthcare Workers ◽  
Compassion Satisfaction ◽  
Professional Quality Of Life ◽  
Medical Aid ◽  
Professional Quality ◽  
Hygiene Behavior

Abstract Background Healthcare workers suffered mental burden, especially in the period of COVID-19. Professional quality of life quality is suitable to measure how healthcare workers feel in medical aid team. Current evidence of impact of professional quality of life on hand hygiene behavior or even IPC measures was limited, especially in emerging infectious disease period. This study aimed to assess the prevalence of burnout, secondary traumatic stress and compassion satisfaction and explore their impact on self-reported hand hygiene behavior among medical aid team in Wuhan, China, where strict management was conducted to prevent COVID-19 spread and guarantee healthcare workers’ health. Results A cross-sectional study was conducted using online questionnaire covering professional quality of life and self-reported hand hygiene behavior based on COVID-19 guideline. A total of 1,734 healthcare workers were surveyed. The prevalence of burnout, secondary trauma and compassion satisfaction were low and average levels (69.61 and 30.39%), low and average levels (33.33 and 66.21%), average and high levels (49.65 and 49.71%), respectively. Burnout was negatively associated with overall hand hygiene (Coef. =-0.088, p<0.001), low hand hygiene (Coef. =-0.109, p<0.001), medium hand hygiene (Coef. =-0.088, p<0.001) and high hand hygiene (Coef. =-0.065, p<0.001). Conclusions Healthcare workers with higher compassion satisfaction reported higher hand hygiene compared to the lower. Healthcare workers in medical aid team experience lower level burnout, and higher level of compassion satisfaction during COVID-19 pandemic compared to the general period. The lower burnout and higher compassion satisfaction are associated with higher self-reported hand hygiene behavior. Burnout and compassion satisfaction in healthcare workers should be emphasize and need interventions targeting. The management of healthcare workers in Wuhan, China may be constructive for the future medical aid team.

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