Educating healthcare workers to optimal hand hygiene practices: addressing the need

Mathai, E.; Allegranzi, Benedetta; Seto, W. H.; Chraïti, M-N; Sax, Hugo; Larson, Elaine; Pittet, Didier

doi:10.1007/s15010-010-0047-7

Cited by 52 publications

(33 citation statements)

References 64 publications

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“…14 But in spite of the available evidence, implementation is still a problem both for HCOs and HCWs. [15][16][17] It is therefore essential to promote competence-based training of specialists in IC/HH, as well as HCWs more generally, to make them aware of HCAI risks and capable of implementing appropriate recommendations.…”

Section: Introductionmentioning

confidence: 99%

Harmonizing and supporting infection control training in Europe

Brusaferro¹,

Arnoldo²,

Cattani³

et al. 2015

Journal of Hospital Infection

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Healthcare-associated infection (HCAI), patient safety, and the harmonization of related policies and programmes are the focus of increasing attention and activity in Europe. Infection control training for healthcare workers (HCWs) is a cornerstone of all patient safety and HCAI prevention and control programmes. In 2009 the European Centre for Disease Prevention and Control (ECDC) commissioned an assessment of needs for training in infection control in Europe (TRICE), which showed a substantial increase in commitment to HCAI prevention. On the other hand, it also identified obstacles to the harmonization and promotion of training in infection control and hospital hygiene (IC/HH), mostly due to differences between countries in: (i) the required qualifications of HCWs, particularly nurses; (ii) the available resources; and (iii) the sustainability of IC/HH programmes. In 2013, ECDC published core competencies for infection control and hospital hygiene professionals in the European Union and a new project was launched ['Implementation of a training strategy for infection control in the European Union' (TRICE-IS)] that aimed to: define an agreed methodology and standards for the evaluation of IC/HH courses and training programmes; develop a flexible IC/HH taxonomy; and implement an easily accessible web tool in 'Wiki' format for IC/HH professionals. This paper reviews several aspects of the TRICE and the TRICE-IS projects.

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Section: Introductionmentioning

confidence: 99%

Harmonizing and supporting infection control training in Europe

Brusaferro¹,

Arnoldo²,

Cattani³

et al. 2015

Journal of Hospital Infection

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show abstract

“…2008 ;Wachter and Pronovost 2009 ;Mathai et al . 2010 ) highlight that attitudes of HCW often lack an acceptance of personal responsibility for correct IC/HH and the need for sustained improvements in IC/HH practices, showing there is still room for improvement and as a consequence such training must be considered a priority.…”

Section: Educationmentioning

confidence: 99%

Infection control in Europe

Brusaferro

2014

Decontamination in Hospitals and Healthcare

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“…Safdar & Abad (2008) reviewed educational interventions to prevent HCAI and concluded that educational interventions may reduce HCAI considerably. A systematic review by Mathai et al (2010) looked at educational interventions to improve hand hygiene but did not explicitly focus on compliance, and found that healthcare professional education has a positive impact on improving hand hygiene and reducing healthcare-associated infection. Aboelela et al (2007) considered the effectiveness of bundled behavioural interventions on reducing HCAI.…”

Section: Practice Pointsmentioning

confidence: 99%

Features of educational interventions that lead to compliance with hand hygiene in healthcare professionals within a hospital care setting. A BEME systematic review: BEME Guide No. 22

et al. 2012

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Background: In the United Kingdom, there are approximately 300,000 healthcare-associated infections (HCAI) annually, costing an estimated £1 billion. Up to 30% of all HCAI are potentially preventable by better application of knowledge and adherence to infection prevention procedures. Implementation of Department of Health guidelines through educational interventions has resulted in significant and sustained improvements in hand hygiene compliance and reductions in HCAI. Aim: To determine the features of structured educational interventions that impact on compliance with hand hygiene in healthcare professionals within a hospital care setting. Methods: Sixteen electronic databases were searched. Outcomes were assessed using Kirkpatrick's hierarchy and included changes in hand hygiene compliance of healthcare professionals, in service delivery and in the clinical welfare of patients involved. Results: A total of 8845 articles were reviewed, of which 30 articles met the inclusion criteria. Delivery of education was separated into six groups. Conclusions: It was not possible to identify individual features of educational interventions due to each study reporting multicomponent interventions. However, multiple, continuous interventions were better than single interventions in terms of eliciting and sustaining behaviour change. Data were not available to determine the time, nature and type of booster sessions with feedback needed for a permanent change in compliance.

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Educating healthcare workers to optimal hand hygiene practices: addressing the need

Cited by 52 publications

References 64 publications

Harmonizing and supporting infection control training in Europe

Harmonizing and supporting infection control training in Europe

Infection control in Europe

Features of educational interventions that lead to compliance with hand hygiene in healthcare professionals within a hospital care setting. A BEME systematic review: BEME Guide No. 22

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