Action research on promoting hand hygiene practices in an intensive care unit

Terho, Kirsi; Rintala, Esa; Engblom, Janne; Salanterä, Sanna

doi:10.1002/nop2.1591

Cited by 2 publications

(1 citation statement)

References 62 publications

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“…Despite the existence of standardized protocols for invasive procedures in the ICU, such as various types of intubation, adherence to these protocols is not always consistent among staff members. Previous studies have highlighted suboptimal rates of hand hygiene compliance among ICU medical staff, inadequate adherence to maximum sterile barrier precautions for central venous catheters, and the need for improved training, supervision, and feedback [7][8][9]. Consequently, experts have suggested that strengthening training in nosocomial infection knowledge is necessary to enhance in-hospital infection management [10].…”

Section: Introductionmentioning

confidence: 99%

Construction of a standardized training system for hospital infection prevention and control for new medical staff in internal medicine ICUs based on the Delphi method

Wu,

Tang,

Zhuang

et al. 2023

PLoS ONE

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In China, studies have shown nosocomial infections contribute to increased mortality rates, prolonged hospital stays, and added financial burdens for patients. Previous studies have demonstrated that effective infection control training can enhance the quality of infection control practices, particularly in intensive care unit (ICU) settings. However, there is currently no universally accepted training mode or program that adequately addresses the specific needs of ICU medical staff regarding nosocomial infection control. The objective of this study was to develop a standardized training system for preventing and controlling hospital-acquired infections among new medical staff in the internal medicine ICU. Our methodology encompassed an extensive literature review, technical interviews focusing on key events, semi-structured in-depth interviews, and two rounds of Delphi expert correspondence. We employed intentional sampling to select 16 experts for the Delphi expert consultation. Indicators were chosen based on an average importance score of >3.5 and a coefficient of variation of <0.25. The weight of each indicator was determined using the analytic hierarchy process. The efficacy of the two rounds of questionnaires was also evaluated. Our findings revealed that the questionnaires achieved a 100% effective recovery rate, with expert authority coefficients of 0.96 and 0.90. The Kendall coordination coefficients for the first-, second-, and third-level indicators in the initial round of expert consultation questionnaires were 0.440, 0.204, and 0.386 (P < 0.001), respectively. In the second round of expert consultation questionnaires, the Kendall coordination coefficients for the first, second, and third-level indicators were 0.562, 0.467, and 0.556 (P < 0.001), respectively. The final training model consisted of four first-level indicators (hospital infection prevention and control training content, training methods/forms, assessment content, and evaluation indicators), 26 second-level indicators, and 44 third-level indicators. In conclusion, the proposed standardized training system for infection prevention and control among new medical staff in the internal medicine ICU is both scientifically sound and practical, which can contribute to improved patient safety, reduced healthcare costs, and enhanced overall quality of care in internal medicine ICUs. Moreover, it can serve as a framework for future training projects.

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Section: Introductionmentioning

confidence: 99%

Construction of a standardized training system for hospital infection prevention and control for new medical staff in internal medicine ICUs based on the Delphi method

Wu,

Tang,

Zhuang

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

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Action research on promoting hand hygiene practices in an intensive care unit

et al. 2023

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Aim Evaluate the intensive care acquired infections incidence and the change over time in infection practices in one intensive care unit. Design We used an action research approach with cyclical activities. Methods Our study included two cycles with hand hygiene observation based on the WHO's five‐moments observation tool, observing hand hygiene practices, analysing the observations, and giving feedback on observations, intensive care acquired infection rates, and alcohol‐based hand rub consumption. The Revised Standards for Quality Improvement Reporting Excellence is the basis for this research report describing research aimed at improving patient safety and quality of care. Results During the study, annual alcohol‐based hand rub consumption increased by 6.7 litres per 1000 patient days and observed hand hygiene compliance improved. In the first cycle of the study, there was a decrease in critical care acquired infection rates, but the improvement was not sustainable.

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Action research on promoting hand hygiene practices in an intensive care unit

Cited by 2 publications

References 62 publications

Construction of a standardized training system for hospital infection prevention and control for new medical staff in internal medicine ICUs based on the Delphi method

Construction of a standardized training system for hospital infection prevention and control for new medical staff in internal medicine ICUs based on the Delphi method

Action research on promoting hand hygiene practices in an intensive care unit

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