Effectiveness of a training programme to improve hand hygiene compliance in primary healthcare

Martín-Madrazo, Carmen; Dorado, Asunción Cañada; Salinero-Fort, Miguel Á.; Abánades-Herranz, Juan Carlos; Arnal-Selfa, Rosa; García-Ferradal, Inmaculada; Espejo-Matorral, Flora; Pau, Enrique Carrillo de Santa; Soto-Díaz, Sonia

doi:10.1186/1471-2458-9-469

Cited by 34 publications

(38 citation statements)

References 17 publications

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“…Twenty one publications were included: eleven randomised trials [6,7,8,9,10,11,12,13,14,15,16]; one non-randomised trial [17]; and nine interrupted time series [ITS] studies meeting specific criteria adopted by the Cochrane Collaboration [18,19,20,21,22,23,24,25,26].…”

Section: Included Publicationsmentioning

confidence: 99%

“…Similar descriptive themes were apparent in many of the studies. For example the descriptive theme: 'Concerns about the Hawthorne effect and controlling for bias' emerged in twelve publications [6,8,9,11,12,14,16,17,18,20,24] and the descriptive theme: 'Seeking and obtaining organisational support for HHI is important but not always successful' also appeared in a number of publications.…”

Section: Provisional Descriptive Themesmentioning

confidence: 99%

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Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care

et al. 2020

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ObjectivesHand hygiene is considered the most important preventive measure for healthcare-associated infections, but adherence is suboptimal. We previously undertook a Cochrane Review that demonstrated that interventions to improve adherence are moderately effective. Impact varied between organisations and sites with the same intervention and implementation approaches. This study seeks to explore these differences.MethodsA thematic synthesis was applied to the original authors’ interpretation and commentary that offered explanations of how hand hygiene interventions exerted their effects and suggested reasons why success varied. The synthesis used a published Cochrane Review followed by three-stage synthesis.ResultsTwenty-one papers were reviewed: 11 randomised, 1 non-randomised and 9 interrupted time series studies. Thirteen descriptive themes were identified. They reflected a range of factors perceived to influence effectiveness. Descriptive themes were synthesised into three analytical themes: methodological explanations for failure or success (eg, Hawthorne effect) and two related themes that address issues with implementing hand hygiene interventions: successful implementation needs leadership and cooperation throughout the organisation (eg, visible managerial support) and understanding the context and aligning the intervention with it drives implementation (eg, embedding the intervention into wider patient safety initiatives).ConclusionsThe analytical themes help to explain the original authors’ perceptions of the degree to which interventions were effective and suggested new directions for research: exploring ways to avoid the Hawthorne effect; exploring the impact of components of multimodal interventions; the use of theoretical frameworks for behaviour change; potential to embed interventions into wider patient safety initiatives; adaptations to demonstrate sustainability; and the development of systematic approaches to implementation. Our findings corroborate studies exploring the success or failure of other clinical interventions: context and leadership are important.

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Section: Included Publicationsmentioning

confidence: 99%

Section: Provisional Descriptive Themesmentioning

confidence: 99%

Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care

et al. 2020

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“…Hand hygiene is recognized as the leading measure to prevent transmission of pathogenic microorganisms and to reduce the incidence of health care associated infections. It is the simplest and most effective measure to prevent infections and 50% of health care associated infection occurs due to the hands of the health care providers (3) .…”

Section: Introductionmentioning

confidence: 99%

Hand Hygiene Perception and Practice Among Health Care Workers in Saudi Hospitals: A Cross Sectional Survey

Alhosis

2017

IAM

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Hand hygiene is recognized as the leading measure to prevent transmission of microorganisms and to reduce the incidence of health care associated infections in the hospitals. It is estimated that annually millions of patients are suffering from healthcare associated infections; however, hand hygiene is one of the most important contributing factors to healthcare acquired infections. A descriptive cross sectional design was utilized. 160 participants were included consisting of all accessible health care professions. A questionnaire adopted from the World Health Organization perception survey of health care workers was utilized, gathering data about the demographic data, the attitudes, and the opinions toward hand hygiene. The majority of the participants were females, young and from the nursing profession. Most of them reported that they had received previous education and they routinely use alcohol-based hand rub in their daily clinical practice. The majority believes that the availability of alcohol-based hand rubs at each point of care, receiving education on hand hygiene, and the use of hand hygiene posters have a great effect on the compliance with hand hygiene at the hospital. Half of the participants believe that the infection control committee members are the best to remind them to perform hand hygiene; while, most of them doesn't prefer patients or their relatives as a reminder to perform hand hygiene. In conclusion, the respondents reported a high self-efficacy in performing hand hygiene and positive attitudes toward hand hygiene as one of the most effective strategies to reduce health care associated infections.

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“…A moment or indication is when there is a perceived or actual risk of pathogen transmission from one surface to another via the HCWs hands (gloved or ungloved) while undertaking a succession of tasks [28].…”

Section: Definition Of Termsmentioning

confidence: 99%

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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Effectiveness of a training programme to improve hand hygiene compliance in primary healthcare

Cited by 34 publications

References 17 publications

Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care

Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care

Hand Hygiene Perception and Practice Among Health Care Workers in Saudi Hospitals: A Cross Sectional Survey

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

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