Evidence-based practices to increase hand hygiene compliance in health care facilities: An integrated review

Neo, Jun Rong Jeffrey; Sagha-Zadeh, Rana; Vielemeyer, Ole; Franklin, Ella

doi:10.1016/j.ajic.2015.11.034

Cited by 45 publications

(58 citation statements)

References 88 publications

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“…They include essential structural framework conditions through which competence resources of clinical personnel can be realized. They include personnel structures (sufficient number and competence of personnel, [24]), material and spatial conditions (sufficient number of disinfectant dispensers, reasonably placed sinks, hospital clothing, [14], [24], [40], [41]), and guidelines on the topics of clothing, jewelry, and fingernails (artificial nails, nail grooming, [14], [40], [41]). First and foremost, the provision of these enablers lies in the responsibility of the institution.…”

Section: Further Development Of the Model Of Hygiene Competence And Cmentioning

confidence: 99%

“…This includes factors that contribute to the promotion of hygiene competence, e.g. workshops or training sessions [9], [28], [41]). Besides, communication seminars for employees can also be beneficial – especially when they aim at maintaining hygiene rules within the team (nursing staff, therapists, physicians, [42]).…”

Section: Further Development Of the Model Of Hygiene Competence And Cmentioning

confidence: 99%

“…Besides, communication seminars for employees can also be beneficial – especially when they aim at maintaining hygiene rules within the team (nursing staff, therapists, physicians, [42]). Furthermore, increased attention promotes hygiene competence, for example implemented through evaluations, mentoring, feedback, institution-internal and national/international campaigns [1], [41]) or awareness-focused programs [29]. A further aspect important in this respect are role-models, who influence young clinicians in their behavior [30], [31], [43], [44].…”

Section: Further Development Of the Model Of Hygiene Competence And Cmentioning

confidence: 99%

See 2 more Smart Citations

Why hand hygiene is not sufficient: modeling hygiene competence of clinical staff as a basis for its development and assessment

Gartmeier

Baumgartner

Burgkart

et al. 2019

GMS Journal for Medical Education; 36(4):Doc39

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Section: Further Development Of the Model Of Hygiene Competence And Cmentioning

confidence: 99%

Section: Further Development Of the Model Of Hygiene Competence And Cmentioning

confidence: 99%

Section: Further Development Of the Model Of Hygiene Competence And Cmentioning

confidence: 99%

See 1 more Smart Citation

Why hand hygiene is not sufficient: modeling hygiene competence of clinical staff as a basis for its development and assessment

Gartmeier

Baumgartner

Burgkart

et al. 2019

GMS Journal for Medical Education; 36(4):Doc39

View full text Add to dashboard Cite

“…Zakażenia szpitalne skutkują wydłużeniem pobytu w szpitalu, a co za tym idzie -wzrostem kosztów ponoszonych przez placówki opieki zdrowotnej. W 2011 roku rząd Stanów Zjednoczonych wydał z tego powodu około 35 miliardów dolarów, natomiast w Europie roczne wydatki szacuje się na 13-24 miliardów euro [1,4].…”

Section: Wstępunclassified

“…Biorąc pod uwagę złożo-ność procesu zmiany zachowania, trzeba rozważyć wprowadzanie innowacyjnych metod opartych na środowiskowej psychologii, naukach behawioralnych, a być może nawet na systemie finansowych kar i nagród. Wcześniejsze interwencje już na poziomie akademickim mogą ułatwić to postępowanie, jednak wymagane są dalsze badania w tym kierunku, oparte na dowodach naukowych [4,7].…”

Section: Podsumowanieunclassified

Higiena rąk wśród personelu medycznego – co jeszcze można zrobić

Potocka¹,

Rożkiewicz²

2016

Forum Zakażeń

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STRESZCZENIE:Higiena rąk jest postrzegana jako najprostsza, a zarazem najważniejsza metoda zapobiegania infekcjom w oddziałach szpitalnych. Pomimo tego wskaźnik przestrzegania wytycznych higieny rąk wśród pracowników ochrony zdrowia, a szczególnie wśród lekarzy, pozostaje na niskim poziomie. W ostatnich latach przeprowadzono wiele kampanii promują-cych higienę rąk. Mimo intensywnych starań wskaźnik przestrzegania higieny rąk -po począt-kowej poprawie -wciąż pozostaje na niskim poziomie. Dokonano analizy czynników mogą-cych mieć wpływ na to zjawisko, takich jak: brak wiedzy naukowej, przepracowanie, zmęcze-nie kampaniami itp. Szczególnie podkreślono rolę indywidualnego zachowania, złych nawyków oraz etycznego kryzysu wśród pracowników ochrony zdrowia, które mogą być odpowiedzialne za nieprzestrzeganie higieny rąk podczas opieki nad pacjentem.SŁOWA KLUCZOWE: etyka, higiena rąk, kampanie promujące, negatywne czynniki, personel medyczny, wskaźnik przestrzegania higieny rąk ABSTRACT: Hand hygiene has been identified as one of the simplest, but most important, methods to prevent cross-infection in healthcare facilities. In spite of this fact, the hand hygiene compliance rate remains low among healthcare workers, especially among physicians. In recent years a lot of promotional campaigns for hand hygiene were performed. Despite these intensive efforts compliance about hand hygiene after initial improved is still poor. We investigated factors associated with this phenomenon, such as lack of scientific information, overwork, campaign fatigue etc. We want to emphasize the role of individual behavior, bad habits of employees and an ethical crisis among healthcare workers in low hand hygiene compliance during patient care.

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Hospital Infection Prevention and Control (IPC) and Antimicrobial Stewardship (AMS): Dual Strategies to Reduce Antibiotic Resistance (ABR) in Hospitals

Gilbert

Kerridge

2020

Ethics and Drug Resistance: Collective Responsibility for Global Public Health

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In this chapter we review the development of hospital infection prevention and control (IPC) since the nineteenth century and its increasingly important role in reducing the spread of antibiotic resistance (ABR). Excessive rates of hospital-acquired infection (HAI) fell dramatically, towards the end of the nineteenth century, because of improved hygiene and surgical antisepsis, but treatment remained rudimentary until effective antibiotics became widely available in the mid-twentieth century. While antibiotics had profound clinical benefits, their widespread appropriate and inappropriate use in humans and animals inevitably led to the emergence of antibiotic resistance (ABR). Within 50 years, this could no longer be offset by a reliable supply of new drugs, which slowed to a trickle in the 1980s. In hospitals, particularly, high rates of (often unnecessary) antibiotic use and ABR are exacerbated by person-to-person transmission of multi-drug resistant organisms (MDRO), which have, so far, largely resisted the introduction of antimicrobial stewardship (AMS) programs and repeated campaigns to improve infection prevention and control (IPC). Despite clear evidence of efficacy in research settings, both AMS and IPC programs are often ineffective, in practice, because of, inter alia, insufficient resourcing, poor implementation, lack of ongoing evaluation and failure to consult frontline staff. In this chapter we review reasons for the relatively low priority given to preventive programs despite the ethical obligation of healthcare organisations to protect current and future patients from preventable harm. The imminent threat of untreatable infections may provide an impetus for a shared organisational and professional commitment to promoting the cultural and behavioural changes needed to successfully reduce the burdens of ABR and drug-resistant HAIs.

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Evidence-based practices to increase hand hygiene compliance in health care facilities: An integrated review

Cited by 45 publications

References 88 publications

Why hand hygiene is not sufficient: modeling hygiene competence of clinical staff as a basis for its development and assessment

Why hand hygiene is not sufficient: modeling hygiene competence of clinical staff as a basis for its development and assessment

Higiena rąk wśród personelu medycznego – co jeszcze można zrobić

Hospital Infection Prevention and Control (IPC) and Antimicrobial Stewardship (AMS): Dual Strategies to Reduce Antibiotic Resistance (ABR) in Hospitals

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