Improving hand hygiene compliance among healthcare workers: an intervention study in a Hospital in Guizhou Province, China

Mu, Xin; Xu, Yan; Yang, Tingzhong; Zhang, Ji; Wang, Chong; Liu, Wei; Chen, Jing; Tang, Luyu; Yang, Huai

doi:10.1016/j.bjid.2016.04.009

Cited by 28 publications

(35 citation statements)

References 21 publications

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“…Findings in this study show that adherence rate to hand hygiene was poor (26.6%), which conformed with reported adherence rates of 20% to 40% (Sakihama et al, ); Scheithauer et al, ). However, adherence to hand hygiene in our study was less than other Chinese studies, with adherence rates reported as 52% to 80% (Mu et al, ; Su et al, ). The most likely cause for these results is that the observations in other studies were primarily conducted for short sessions.…”

Section: Discussioncontrasting

confidence: 83%

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High nursing workload is a main associated factor of poor hand hygiene adherence in Beijing, China: An observational study

Shan

Kong

Lamb

et al. 2019

Int J of Nursing Practice

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Aim The aim of the study was to explore the impact of nurse workloads on adherence to hand hygiene. Background Adherence to hand hygiene and nursing workloads have been linked to quality of patient care. Therefore, it was important to understand the relationship to safe patient care. Design This cross‐sectional study was performed from January 2016 to June 2016. Methods Workloads and adherence to hand hygiene for nurses on 3‐day shifts in a tertiary hospital were investigated in 2016. Actual hours worked per shift were timed using a stopwatch to assess nursing workloads. Descriptive and inferential statistics and multiple variable regression analysis were used to analyse the data. Results Sixty‐four nurses from four wards were observed. The average adherence rate of hand hygiene was 26.6% and the average nursing workload per shift was 6.7 hours. Multiple regression revealed that nursing workload was negatively related to adherence rate of hand hygiene. Conclusion Nurses in this study that had a low rate of adherence with hand hygiene frequently had high workloads. Adherence to hand hygiene was independently associated with actual hours worked per shift.

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Section: Discussioncontrasting

confidence: 83%

“…However, adherence to hand hygiene in our study was less than other Chinese studies, with adherence rates reported as 52% to 80% (Mu et al, 2016;Su et al, 2015). The most likely cause for these results is that the observations in other studies were primarily conducted for short sessions.…”

Section: Relationship Between Nursing Workloads and Adherence To Hacontrasting

confidence: 82%

High nursing workload is a main associated factor of poor hand hygiene adherence in Beijing, China: An observational study

Shan

Kong

Lamb

et al. 2019

Int J of Nursing Practice

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“…The same trend was observed in most departments. Similar results were shown through literature around the world [1,10,12,13,15,17,[29][30][31][32][33] reflecting the ability of multimodal interventions to raise awareness about the HH importance. However, it was not always the case.…”

Section: Discussionsupporting

confidence: 84%

Multimodal intervention program to improve hand hygiene compliance: effectiveness and challenges

Fredj

Cheikh

Bhiri

et al. 2020

J. Egypt. Public. Health. Assoc.

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Background: Hand hygiene (HH) is considered the most important measure to tackle the transmission of healthcare-associated pathogens. However, compliance with recommendations is usually low and effective improvement strategies are needed. We aimed to assess the effectiveness of an intervention targeting hand hygiene promotion among healthcare workers (HCWs). Methods: We conducted a pre-post interventional study design in the university hospital Sahloul, Sousse, Tunisia, from January 2015 to December 2016. The intervention program consisted of training sessions and distribution of posters of hand hygiene guidelines. To assess the evolution of HH observance at pre-and post-intervention, the same observation form was distributed and collected at healthcare workers' workplace. Results: Of the 1201 and 1057 opportunities for hand hygiene observed among all categories of HCWs, overall compliance enhanced significantly from 32.1 to 39.4% (p < 0.001) respectively at pre-and post-intervention. Nurses were the most compliant with a significant improvement from 34.1 to 45.7% (p < 0.001) respectively at pre-and post-intervention. Furthermore, analysis by department showed significant improvement of compliance in orthopedic department (p < 0.001), maxillofacial-surgery department (p < 0.001), pediatrics department (p = 0.013), and emergencies (p = 0.038). Conclusion: This study showed the feasibility and effectiveness of a health-setting-based intervention to enhance hand hygiene observance in the context of a developing country.

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“…In the second phase, an educational campaign armed with data from direct observations of hand hygiene compliance was implemented, targeting multidisciplinary healthcare workers. Hand hygiene compliance improved from 38% to 76% in response to the campaign coupled with a significant increase in product usage over the same time period (Mu et al, 2016).…”

Section: Direct Observation Hand Hygiene Monitoringmentioning

confidence: 97%

“…Ongoing education combined with feedback of hand hygiene compliance data was also successful in a 17-month study conducted in China by Mu et al (2016). In the first phase of the study, increased availability of hand hygiene dispensers and supplies was engineered into the clinical environment.…”

Section: Direct Observation Hand Hygiene Monitoringmentioning

confidence: 99%

Approaches to hand hygiene monitoring: From low to high technology approaches

Masroor

Doll

Stevens

et al. 2017

International Journal of Infectious Diseases

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Hand hygiene is a global and critical infection prevention practice across all healthcare settings. Approaches to monitoring hand hygiene compliance vary from simple methods such as direct observation and product usage to more advanced methods such as automated electronic monitoring systems. Current literature supports a multimodal approach, supplemented by education, to enhance hand hygiene performance.

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Improving hand hygiene compliance among healthcare workers: an intervention study in a Hospital in Guizhou Province, China

Abstract: This study demonstrates that a significant improvement in compliance with HH can be achieved through a systemic, multidimensional intervention approach involving all categories of healthcare workers in a hospital setting, which may result in a decrease of the HAI rate.

Cited by 28 publications

References 21 publications

High nursing workload is a main associated factor of poor hand hygiene adherence in Beijing, China: An observational study

High nursing workload is a main associated factor of poor hand hygiene adherence in Beijing, China: An observational study

Multimodal intervention program to improve hand hygiene compliance: effectiveness and challenges

Approaches to hand hygiene monitoring: From low to high technology approaches

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