scholarly journals Effective behavior change in hand hygiene practices among boys residing at foster care home in Bengaluru city: An interventional study

2020 ◽  
Vol 0 ◽  
pp. 1-6
Author(s):  
Advaita Santhosh ◽  
V. Chaithra ◽  
B. Anuradha ◽  
Deepa Bullappa
Keyword(s):  
Foster Care ◽  
Hand Hygiene ◽  
Behavior Change ◽  
Care Home ◽  
Personal Hygiene ◽  
Post Intervention ◽  
Foster Home ◽  
Hygiene Practices ◽  
Before And After

Objective: Handwashing is the best defense against communicable infections due to lack of good personal hygiene practices. The objective of the study is to evaluate the change in knowledge and practice of hand hygiene among the children living in a foster care home of Bengaluru city. Material and Methods: A pre-tested, closed-ended, and structured questionnaire was administered in local language among 98 children, aged 8–16 years, residing in a foster home for boys in Bengaluru city to assess their knowledge and hand hygiene practices before and after a community-based intervention of handwashing technique which was done. Results: The present study showed a significant improvement in knowledge among majority of the children regarding hand hygiene before and after meals, usage of toilet post-intervention. About 96.9% of the children started practicing handwashing using handwash solution and water. Conclusion: Behavior change through communication campaigns improves safe hand hygiene practices on long term.

scholarly journals The effect of merging two infectious disease units on hand hygiene adherence in Italy

2017 ◽  
Vol 18 (3) ◽  
pp. 144-147
Author(s):  
Christopher M. Petrilli ◽  
Elisabetta Mantengoli ◽  
Sanjay Saint ◽  
Karen E. Fowler ◽  
Alessandro Bartoloni
Keyword(s):  
Hand Hygiene ◽  
Focus Groups ◽  
Hygiene Practices ◽  
Direct Observations ◽  
Before And After ◽  
Nurses Perceptions ◽  
Perceptions Of Education ◽  
Healthcare Associated ◽  
The Impact

Background: Healthcare-associated infections (HAIs) are common and harmful to patients. Effective hand hygiene can help prevent HAIs, however, suboptimal healthcare worker hand hygiene remains problematic across the globe. This study analyses the impact of organisational changes on hand hygiene. Methods: This observational study assessed hand hygiene by different professions before and after a merger of a recently combined infectious diseases (ID) unit coupled with a qualitative study about barriers to optimal hand hygiene. Direct observations were compared with previous data collected on both units before they merged. We also conducted focus groups with the doctors and nurses about hand hygiene. Results: After two ID units merged in 2013, we observed 681 provider–patient interactions. We compared these with a previous observation period in 2012. Hand hygiene adherence among nurses significantly declined after the merger (from 36% to 24%, P <0.001). However, adherence among doctors increased from 51% to 63% after the merger ( P = 0.004). Data from the focus groups revealed a gap between doctor and nurses perceptions of education and goal adherence rates. Conclusions: Our findings underscore the important role played by effective unit leaders to prevent infection. We found long-term sustainability of hand hygiene practices among doctors. However, adherence among nurses was substantially lower.

scholarly journals Introduction of a Waterless Alcohol-Based Hand Rub in a Long-Term–Care Facility

2003 ◽  
Vol 24 (3) ◽  
pp. 165-171 ◽  
Author(s):  
Lona Mody ◽  
Shelly A. McNeil ◽  
Rongjun Sun ◽  
Suzanne F. Bradley ◽  
Carol A. Kauffman
Keyword(s):  
Hand Hygiene ◽  
Long Term Care ◽  
Care Facility ◽  
Microbial Colonization ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Hygiene Practices ◽  
The Impact

AbstractObjective:To examine the impact of introduction of an alcohol-based hand rub on hand hygiene knowledge and compliance and hand colonization of healthcare workers (HCWs) in a long-term-care facility (LTCF).Methods:Two floors of an LTCF participated. Ward A used the hand rub as an adjunct to soap and water; ward B was the control. HCWs' hands were cultured using the bag-broth technique forStaphylococcus aureus,gram-negative bacilli (GNB),Candida,and vancomycin-resistant enterococci (VRE). HCWs completed a questionnaire at baseline and after an educational intervention and introduction of rub.Results:Hand hygiene practices, knowledge, and opinions did not change after the educational or rub intervention. Ward A HCWs thought that the rub was faster (P= .002) and less drying (P= .04) than soap. Hand hygiene frequency did not differ at baseline between the two floors, but increased on ward A by the end of the study (P= .04). HCWs were colonized frequently with GNB (66%),Candida(41%), S.aureus(20%), and VRE (9%). Although colonization did not change from baseline on either ward, the rub was more effective in clearing GNB (P= .03) and S.aureus(P= .003). Nosocomial infection rates did not change.Conclusion:The alcohol-based hand rub was a faster, more convenient, less drying method of hand hygiene for HCWs in an LTCF, and it improved compliance. Although microbial colonization did not change, the rub was more efficacious in removing pathogens already present on the hands of HCWs.

scholarly journals Do Real-World Prosociality Programs Predict Greater Psychological Well-Being in Kids?

2021 ◽  
Author(s):  
Jason Douglas Edward Proulx ◽  
Julia W. Van de Vondervoort ◽  
Kiley Hamlin ◽  
John Helliwell ◽  
Lara Beth Aknin
Keyword(s):  
Real World ◽  
Care Home ◽  
Well Being ◽  
Post Intervention ◽  
Term Care ◽  
Psychological Well Being ◽  
Disadvantaged Children ◽  
Real World Evidence ◽  
Prosocial Action

Numerous laboratory studies suggest that engaging in prosocial action predicts greater psychological well-being, yet little work has examined whether kids (aged 5–12) experience these benefits in real-world community settings. In Study 1, we surveyed 24/25 students who completed their entire Grade 6 curriculum in a long-term care home alongside residents called “Elders.” We found that the meaning that kids derived from interacting with the Elders strongly predicted greater psychological well-being. In Study 2, we conducted a pre-registered field experiment with 238 kids who were randomly assigned to package essential items for disadvantaged children who were either demographically similar or dissimilar to them. Kids self-reported their happiness both pre- and post-intervention. While happiness increased from pre- to post-intervention, this change did not differ for kids who helped a similar or dissimilar recipient. These studies offer real-world evidence that engaging in prosocial action—over an afternoon or year—may enhance kids’ psychological well-being.

scholarly journals Impact of a public policy restricting staff mobility between long-term care homes in Ontario, Canada during the COVID-19 pandemic

2020 ◽  
Author(s):  
Aaron Jones ◽  
Alexander G. Watts ◽  
Salah Uddin Khan ◽  
Jack Forsyth ◽  
Kevin A. Brown ◽  
...  
Keyword(s):  
Public Policy ◽  
Long Term Care ◽  
Care Home ◽  
Relative Difference ◽  
Care Staff ◽  
Care Homes ◽  
Term Care ◽  
Undirected Network ◽  
Before And After

AbstractObjectivesTo assess changes in the mobility of staff between long-term care homes in Ontario, Canada before and after enactment of public policy restricting staff from working at multiple homes.DesignPre-post observational study.Setting and Participants623 long-term cares homes in Ontario, Canada between March 2020 and June 2020.MethodsWe used anonymized mobile device location data to approximate connectivity between all 623 long-term care homes in Ontario during the 7 weeks before (March 1 – April 21) and after (April 22 – June 13) the policy restricting staff movement was implemented. We visualized connectivity between long-term care homes in Ontario using an undirected network and calculated the number of homes that had a connection with another long-term care home and the average number of connections per home in each period. We calculated the relative difference in these mobility metrics between the two time periods and compared within-home changes using McNemar’s test and the Wilcoxon rank-sum test.ResultsIn the period preceding restrictions, 266 (42.7%) long-term care homes had a connection with at least one other home, compared to 79 (12.7%) homes during the period after restrictions, a drop of 70.3% (p <0.001). The average number of connections in the before period was 3.90 compared to 0.77 in after period, a drop of 80.3% (p < 0.001). In both periods, mobility between long-term care homes was higher in homes located in larger communities, those with higher bed counts, and those part of a large chain.Conclusions and ImplicationsMobility between long-term care homes in Ontario fell sharply after an emergency order by the Ontario government limiting long-term care staff to a single home, though some mobility persisted. Reducing this residual mobility should be a focus of efforts to reduce risk within the long-term care sector during the COVID-19 pandemic.

scholarly journals Relationship between the Toothbrushing Behavior and Hand Hygiene Practices of Korean Adolescents: A Study Focused on the 15th Korea Youth Risk Behavior Survey Conducted in 2019

2021 ◽  
Vol 18 (11) ◽  
pp. 5913
Author(s):  
Eun-Jeong Kim ◽  
Hye-Ju Lee
Keyword(s):  
Hand Hygiene ◽  
Risk Behavior ◽  
Oral Hygiene ◽  
Personal Hygiene ◽  
School Type ◽  
Odds Ratios ◽  
Korean Adolescents ◽  
Hygiene Practices ◽  
Youth Risk Behavior ◽  
The Relationship

Hand hygiene is one of the most important measures available to prevent infectious diseases such as COVID-19, and it is recommended that individuals wash their hands periodically before and after meals, after using toilets, before preparing food at home, at schools, and in public places. The aim of this study was to investigate the relationship between oral hygiene and hand hygiene in Korean adolescents. Data from 57,303 adolescents who participated in the 2019 Korea Youth Risk Behavior web-based survey were analyzed to determine the relationship between oral hygiene and hand hygiene. A complex sample logistic regression analysis was performed to determine association between toothbrushing behavior and handwashing practices. According to the results of this study, adolescents who brushed their teeth after lunch were 1.48 times more likely to practice handwashing before lunch than were those who did not brush their teeth after lunch (p < 0.001). In addition, the odds ratios adjusted for gender, grade, school type, and residence were found to be 1.87 (p < 0.001). Moreover, these adjusted odds ratios were higher in students who received personal hygiene education (OR: 1.98, p < 0.001). Oral hygiene practices were found to be related to personal hygiene, as assessed by handwashing, in Korean adolescents. Additional studies are needed to develop ways of improving the hygiene and health of adolescents.

scholarly journals Higienização das mãos em uma unidade de terapia intensiva neonatal

2021 ◽  
Vol 11 (34) ◽  
pp. 41-51
Author(s):  
Chiara Silmara Santos Silva ◽  
Alexandre Aguiar Pereira ◽  
Andressa Tavares Parente ◽  
Akyson Zidane Merca Silva ◽  
Edficher Margotti ◽  
...  
Keyword(s):  
Intensive Care ◽  
Hand Hygiene ◽  
Neonatal Intensive Care ◽  
Field Research ◽  
Care Process ◽  
Hygiene Practices ◽  
Before And After ◽  
Neonatal Icu ◽  
Terapia Intensiva ◽  
Relationship Of

Identificar, por meio da observação, a prática de higienização das mãos durante as ações cuidativas realizadas pela equipe de saúde ao recém-nascido pré-termo em UTI neonatal, traçando o perfil dos profissionais, registrando as práticas de higienização das mãos e avaliando a adesão ao uso do álcool gel e adorno zero. Trata-se de pesquisa de campo observacional, descritiva e exploratória, de natureza quantitativa. Amostra: 62 profissionais da saúde: enfermeiros, técnicos de enfermagem, médicos e fisioterapeutas. Realizadas 358 observações nos turnos: manhã, tarde e noite. Cerca de 64,52% dos profissionais tinham de 1 a 10 anos de atuação em Unidade de Terapia Intensiva Neonatal. Registrou-se que 88% realizaram higienização das mãos antes e depois à manipulação, com 93,85% de adesão ao adorno zero. Prima-se pela realização de educação permanente, reforçando a relação do processo de cuidado no cenário neonatal e seus impactos no prognóstico de saúde do RN.Descritores: Desinfecção das Mãos, Unidades de Terapia Intensiva Neonatal, Cuidados de Enfermagem. Hand hygienization in a neonatal intensive care unitAbstract: Identify, through observation, the practice of hand hygiene during the care actions performed by the health team to the preterm newborn in a neonatal ICU, tracing the profile of the professionals, recording hand hygiene practices and rating adherence to the use of hand sanitizer and zero adornment. It is an observational, descriptive and exploratory field research, of a quantitative nature. Sample: 62 health professionals: nurses, nursing technicians, doctors and physiotherapists. 358 observations were made in the shifts: morning, afternoon and night. Approximately 64.52% of professionals had 1 to 10 years of experience in the Neonatal Intensive Care Unit. It was registered that 88% performed hand hygiene before and after manipulation. With 93.85% adherence to zero adornment. It excels the realization of permanent education, reinforcing the relationship of the care process in the neonatal scenario and its impacts on the health prognosis of the newborn.Descriptors: Hand Disinfection, Intensive Care Units Neonatal, Nursing Care. Higienización de manos en una unidad de cuidado intensivo neonatalResumen: Identificar, por medio de la observación, la práctica de higienización de manos durante la labor por parte del equipo de salud al neonato prematuro en UCI neonatal, perfilando los profesionales, registrando las prácticas de higienización de manos y evaluando la adhesión a la utilización del alcohol gel y cero adornos. Se trata de una pesquisa de campo observacional, descriptiva, exploratória y de naturaleza cuantitativa. Amuestra: 62 profesionales del área de salud, de entre ellos, enfermeros, técnicos de enfermería, médicos y fisioterapeutas. Han sido realizadas 358 observaciones en los turnos: mañana, tarde y noche. Aproximadamente 64.52% de los profesionales tenían de 1 a 10 años de actuación en Unidades de Cuidado Intensivo Neonatal. Registramos que 88% realizaron higienización de manos antes y después de la manipulación y 93.85% no usaron adornos. Se estima por la realización de educación permanente, reforzando la relación al proceso de cuidado en el escenario neonatal y sus impactos en el pronóstico de salud del neonato.Descriptores: Desinfección de las Manos, Unidades de Cuidado Intensivo Neonatal, Atención de Enfermería.

scholarly journals Effect of vitamin D supplementation on fetal growth and development in pregnant women

Biomedicine ◽  
2021 ◽  
Vol 41 (4) ◽  
pp. 821-824
Author(s):  
Srilekha V. ◽  
B. Vijayalakshmi ◽  
I. Yogananda Reddy ◽  
Nayiema Fathima
Keyword(s):  
Vitamin D ◽  
Pregnant Women ◽  
Fetal Growth ◽  
Vitamin D Supplementation ◽  
Mean Difference ◽  
Post Intervention ◽  
Biparietal Diameter ◽  
Before And After ◽  
The Mean

Introduction and Aim:  Fetal growth is a dynamic process that must be monitored in pregnant women to reduce the long-term consequences of fetal anomalies and post-natal effects on their life. The current study was aimed to find out the effectiveness and association of vitamin D on fetal growth during the prenatal period.   Materials and Methods: It was a randomized control trial undertaken in 100 pregnant women who were allocated randomly into two groups based on calcemic state. After giving 6000 IU of vitamin D intervention the fetal growth was measured at the end of 3 months and the variables were obtained before and after the intervention.   Results: The mean difference of fetal weight between groups was 77g was significantly increased to 277g (p<0.01) after 3 months. The mean difference of femur length before intervention was 0.95mm (p-0.18) significantly increased to 3.03mm (p<0.01). Further, the mean biparietal diameter difference was 0.13mm (p-0.92) was substantially increased to 4.77mm(p<0.01).   Conclusion: The current study suggests that the fetal growth variables were significantly increased in post-intervention phases which can be attributed to vitamin D. It has an immense effect on fetal growth which can be supplemented during different trimesters to enhance fetal development.

scholarly journals Hand Hygiene Practices to Reduce Hospital Acquired Infection

2019 ◽  
pp. 1-4
Author(s):  
Liana Monica DEAC Babes ◽  
Keyword(s):  
Hand Hygiene ◽  
Personal Hygiene ◽  
Infection Prevention And Control ◽  
Healthcare Associated Infections ◽  
Effective Measure ◽  
Hospital Acquired Infection ◽  
Hygiene Practices ◽  
Healthcare Associated ◽  
Hospital Acquired ◽  
And Control

Hands are the most effective mode of transfer of microorganism in healthcare and can result in healthcare associated infections which are major causes of morbidity and mortality worldwide. Reduction of infection by this mode of transfer can be achieved by a simple but very effective measure of performing hand hygiene at the appropriate time which is one of the most fundamental principles in infection prevention and control. Good hand hygiene practices have been shown to reduce healthcare associated infections. Hand washing with soap and water has been considered a measure of personal hygiene for several years

scholarly journals Installation of pedal-operated alcohol gel dispensers with behavioral nudges and changes in hand hygiene behaviors during the COVID-19 pandemic: a hospital-based quasi-experimental study

2020 ◽  
Vol 9 (4) ◽  
Author(s):  
Wit Wichaidit ◽  
Sommanas Naknual ◽  
Nanta Kleangkert ◽  
Tippawan Liabsuetrakul
Keyword(s):  
Experimental Study ◽  
Hand Hygiene ◽  
Tertiary Hospital ◽  
Pathogen Transmission ◽  
P Value ◽  
Intervention Period ◽  
Post Intervention ◽  
Observation Area ◽  
Before And After ◽  
Quasi Experimental

We conducted a quasi-experimental study and compared hand hygiene behaviors at potential pathogen transmission events among outpatient visitors (according to structured observations a trained enumerator) before and after installation of 12 pedal-operated alcohol gel dispensers with behavioral nudges (signs attached to the dispensers) at a tertiary hospital in southern Thailand during the COVID-19 pandemic. The enumerator observed 243 events during the pre-intervention period and 223 events during the post-intervention period. Prevalence of hand hygiene was significantly different between the pre-intervention and post-intervention periods (0 vs 24 events, or 0% vs 11%, respectively; p-value <0.001). However, 21 of 24 hand hygiene events were of participants who came from outside the observation area, used the dispensers, then left. Nonetheless, the intervention might have helped to increase access to hand hygiene materials and created opportunities for hand hygiene among hospital visitors in general.

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