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Journal ArticleDOI

Promotion of Successful Hand Hygiene practices in the Intensive Care Units of a Tertiary Care Hospital

01 Sep 2015-Journal of Patient Safety and Infection Control (No longer published by Elsevier)-Vol. 3, Iss: 3, pp 130-133
TL;DR: The study revealed that hand hygiene compliance can be effectively increased among HCWs by regular reminders and surveys and training programs on hand hygiene should be systematically planned, regularly conducted, and evaluated for staff nurses so as to keep them motivated.
Abstract: Background Control of nosocomial infections is a major health concern in a hospital setting and hand hygiene is considered as the most important tool in nosocomial infection control. Methods This prospective study about the practice of hand washing by 106 HCWs (Health Care Workers) working in Intensive Care Unit (ICU) before and after patient contact in a tertiary care hospital was conducted to find out the hand washing compliance rate in ICU of GB Pant Institute of Postgraduate Medical Education and Research and the factors associated with noncompliance and to find out the impact of a task-orientated hand hygiene education and intervention program. Results 462 opportunities of hand hygiene were observed in the ICUs over 30 h. Adherence was found to be 52%. A positive intention to comply with hand hygiene was found among 94% of the respondents. Most respondents (78.2%) believed that they could improve compliance with hand hygiene on their own. Intervention included education on hand hygiene indications and technique, hand hygiene performance feedback, and discussion of the previous assessment of HCWs’ beliefs toward hand hygiene. After intensive promotion of hand hygiene, observation sessions were performed on 98 nursing staff, which provided 425 opportunities of hand hygiene, and hand hygiene adherence was increased to 63% as an impact of measures taken. Conclusions The study revealed that hand hygiene compliance can be effectively increased among HCWs by regular reminders and surveys. Training programs on hand hygiene should be systematically planned, regularly conducted, and evaluated for staff nurses so as to keep them motivated.
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Journal ArticleDOI
TL;DR: The strategies that go beyond teaching techniques such as lectures may be more effective at increasing hand hygiene compliance and combined approaches to learning/instruction improve user satisfaction by enabling self-management, flexibility, and repetition.
Abstract: Background: Patient safety is a priority of any healthcare system, and one of the most effective measures is hand hygiene. For this, it is important that health staff have correct adherence and perform the technique properly. Otherwise, the incidence of nosocomial infections can increase, with consequent complications. The aim here was to analyze hand hygiene training and the effectiveness of different methods and educational strategies among nurses and whether they maintained correct adherence over time. Methods: A systematic review was conducted in the sources CINAHL (Cumulative Index to Nursing and Allied Health Literature), Dialnet, Lilacs (Latin American and Caribbean Health Sciences Literature), ProQuest (Proquest Health and Medical Complete), Medline, SciELO (Scientific Electronic Library Online), and Scopus. The search equation with Medical Subject Headings (MeSH) descriptors was “Nurs* AND (handwashing OR hand hygiene) AND clinical trial”. The review was performed following the recommendations of the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Results: n = 17 clinical trials were included, with a total of 5747 nurses and nursing students. Strategies such as reminder sounds, practical simulations, videos, and audiovisual media improved handwashing compliance. Adherence overtime increased by up to 60%. The greatest effectiveness was related to the use of povidone–iodine, which reduced colony formation compared Hand hygiene teaching strategies among nursing staff: a systematic review to soap. Conclusions: The strategies that go beyond teaching techniques such as lectures may be more effective at increasing hand hygiene compliance. Combined approaches to learning/instruction improve user satisfaction by enabling self-management, flexibility, and repetition.

37 citations


Cites background from "Promotion of Successful Hand Hygien..."

  • ...It has been observed that although nurses may be perfectly acquainted with the underlying ideas of hand hygiene and may be willing to put them into practice (up to 94% agree with these statements), the technique is performed correctly by only 52% of nurses [7], and sometimes by even fewer....

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01 Jan 2017
TL;DR: Demographic Factors Associated with Consistent Hand Hygiene Adherence Among ICU Nurses and Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Public Health Walden University February 2017.
Abstract: Demographic Factors Associated with Consistent Hand Hygiene Adherence Among ICU Nurses by Sharon L. Kurtz MPH, Capella University BSN, Baylor University BA, Pittsburg State University Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Public Health Walden University February 2017

20 citations


Cites background from "Promotion of Successful Hand Hygien..."

  • ...The number one 4 way to prevent HAIs is through the simple act of hand hygiene (APIC Guide to Hand Hygiene, 2015; Azim et al., 2016; Eveillard et al., 2011; Jansson et al., 2016; Kingston et al., 2016; Sax et al., 2009; Sunkesula et al., 2015; Taneja & Mishra, 2015; Thu et al., 2015; Watson, 2016)....

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  • ...…Professionals in Infection Control and Epidemiology [APIC], Guide to Hand Hygiene, 2015; Azim, Juergens, & McLaws, 2016; Eveillard et al., 2011; Jansson et al., 2016; Kingston, O’Connell, & Dunne, 2016; Pittet, 2001; Pittet et al., 2006; Sax et al., 2009; Taneja & Mishra, 2015; Thu et al, 2015)....

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  • ...Studies currently being done are showing some success with a multidisciplinary approach (Castro-Sánchez, Chang, Vila-Candel, Escobedo, & Holmes, 2016; Kingston et al., 2016; Sadatsafavi, Niknejad, Zadeh, & Sadatsafavi, 2016; Taneja & Mishra, 2015; Watson, 2016)....

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  • ...…2016; Eveillard et al., 2011; Jain et al., 2015; Jansson et al., 2016; Kapil, Bhavsar, & Madan, 2015; Kingston et al., 2016; McGuckin & Govednik, 2015; Pittet, 2001; Pittet et al., 2006; Sax et al., 2009; Taneja & Mishra, 2015; Thu et al, 2015; White et al., 2015; World Health Organization, 2009)....

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  • ...…Jansson et al., 2016; Kingston et al., 2016; Linam, Honeycutt, Gilliam, Wisdom, Bai, & Deshpande, 2016; Medeiros et al., 2015; Salmon, Tran, Bùi, Pittet, & McLaws, 2014a; Siddiqui, Srivastava, Aneeshamol, & Prakash, 2016; Stock et al., 2016; Su et al., 2015; Taneja & Mishra, 2015; Watson, 2016)....

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Journal ArticleDOI
TL;DR: Information identified during hand hygiene surveillance periods at 5 intensive care units (ICUs) (4 hospitals) in Texas revealed barriers to HHC that can be used as teaching interventions.

12 citations


Additional excerpts

  • ...Female nurses (n = 46) 13 (28) 23 (50) 10 (22)...

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Journal ArticleDOI
TL;DR: In this paper, the authors search the UK Google Play and Apple App stores for hand hygiene smartphone apps aimed at adults and identify smartphone apps that support hand hygiene practice and assess their content, technical and functional features, and quality.

12 citations

Journal ArticleDOI
TL;DR: There was good infection control practice in ICUs, however, ICUs did not have isolation policies for all the infections listed in the ICAT and did not screen visitors to the ICU.
Abstract: Background:Appropriate infection control policies and practices are key to reducing the risk of healthcare-associated infections in patients in intensive care units (ICUs).Objective:To evaluate infection control in ICUs using the Infection Control Assessment Tool (ICAT).Methods:Six public and five private adult ICUs were included. Seven modules from the ICAT were administered including ICU, hand hygiene, and isolation and standard precautions. Modules were scored on a quantitative scale as per the tool guidelines and trained independent nurses observed practices.Results:All ICUs reported to have a 1:1 nurse-to-patient ratio. One public ICU did not have the required 1:2 hand wash basin-to-bed ratio. We observed 100% adherence to handwashing or alcohol rub at each of the five moments of hand hygiene; however, the correct amount of alcohol rub was used in only 2% (n = 2) of the 117 observations. The median score for isolation and standard precautions was 79%.Discussion:There was good infection control practi...

6 citations


Cites result from "Promotion of Successful Hand Hygien..."

  • ...It is also higher than more recent reports from ICUs at a tertiary hospital in India (52% before and 63% after a HH education program) (Taneja and Mishra, 2015) and in multiple ICUs in Japan (Sakihama et al....

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  • ...It is also higher than more recent reports from ICUs at a tertiary hospital in India (52% before and 63% after a HH education program) (Taneja and Mishra, 2015) and in multiple ICUs in Japan (Sakihama et al., 2016)....

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References
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01 Jan 2009
TL;DR: The World Health Organization's Guidelines on Hand Hygiene in Health Care provide a comprehensive overview of essential aspects of hand hygiene in health care, evidence- and consensus-based recommendations, and lessons learned from testing their Advanced Draft and related implementation tools.

584 citations

Journal ArticleDOI
TL;DR: The World Health Organization's Guidelines on Hand Hygiene in Health Care have been issued by WHO Patient Safety on 5 May 2009 on the occasion of the launch of the Save Lives: Clean Your Hands initiative as mentioned in this paper.
Abstract: The World Health Organization's Guidelines on Hand Hygiene in Health Care have been issued by WHO Patient Safety on 5 May 2009 on the occasion of the launch of the Save Lives: Clean Your Hands initiative. The Guidelines represent the contribution of more than 100 international experts and provide a comprehensive overview of essential aspects of hand hygiene in health care, evidence- and consensus-based recommendations, and lessons learned from testing their Advanced Draft and related implementation tools.

562 citations

Journal ArticleDOI
TL;DR: It was concluded that gram-negative bacteria are much more prevalent on normal skin than generally thought and handwashing regimens used by hospital personnel were reducing numbers of organisms without shifting the ecologic balance of bacterial populations on the hands.

154 citations

Journal ArticleDOI
TL;DR: Levels of compliance were higher compared with previous reported estimates and medical staff had the lowest level of compliance and this continues to be a concern which warrants specific future interventions.

137 citations

Journal ArticleDOI
TL;DR: The data highlight the importance of the opinions of superiors and a strong perceived controllability over the difficulty to perform hand hygiene as possible internal factors that may influence hand hygiene compliance.
Abstract: BACKGROUND: Infectious complications are frequent among critically ill neonates. Hand hygiene is the leading measure to prevent healthcare-associated infections, but poor compliance has been repeatedly documented, including in the neonatal setting. Hand hygiene promotion requires a complex approach that should consider personal factors affecting healthcare workers' attitudes. OBJECTIVE: To identify beliefs and perceptions associated with intention to comply with hand hygiene among neonatal healthcare workers. METHODS: An anonymous, self-administered questionnaire (74 items) based on the theory of planned behavior was distributed to 80 neonatal healthcare workers to assess intention to comply, attitude toward hand hygiene, behavioral and subjective norm perceptions, and perception of difficulty to comply. Variables were assessed using multi-item measures and answers to 7-point bipolar scales. All multi-item scales had satisfactory internal consistency (alpha > 0.7). Multivariate logistic regression identified independent perceptions or beliefs associated with a positive intention to comply. RESULTS: The response rate was 76% (61 of 80). Of the 49 nurses and 12 physicians responding, 75% believed that they could improve their compliance with hand hygiene. Intention to comply was associated with perceived control over the difficulty to perform hand hygiene (OR, 3.12; CI95, 1.12 to 8.70; P =.030) and a positive perception of how superiors valued hand hygiene (OR, 2.89; CI95, 1.08 to 7.77; P =.035). CONCLUSION: Our data highlight the importance of the opinions of superiors and a strong perceived controllability over the difficulty to perform hand hygiene as possible internal factors that may influence hand hygiene compliance.

133 citations