Impact of a multi‐faceted training intervention on the improvement of hand hygiene and gloving practices in four healthcare settings including nursing homes, acute‐care geriatric wards and physical rehabilitation units

Eveillard, Matthieu; Raymond, Françoise; Guilloteau, Véronique; Pradelle, Marie-Thérèse; Kempf, Marie; Zilli-Dewaele, Marina; Joly-Guillou, Marie-Laure; Brunel, Patrick

doi:10.1111/j.1365-2702.2011.03704.x

Cited by 17 publications

(21 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Hand hygiene is recognised to be one of the simplest and most effective ways to decrease transmission of infections, and the practice of appropriate adherence is important (Castle et al, ). However, the results in this study are in line with a French study conducted in eight different settings for elderly (61.2%; Eveillard et al, ). Three other studies have reported significantly lower hand hygiene adherence in long care facilities in elderly and nursing homes, respectively, 14.7% in Hamilton, Ontario, 17.5% in Italy and 11.3% in Taiwan (Liu, Liang, Wu, & Chuang, ; Pan et al, ; Smith, Carusone, & Loeb, ).…”

Section: Discussionsupporting

confidence: 92%

Students' observations of hand hygiene in nursing homes using the five moments of hand hygiene

Løyland

Peveri

Hessevaagbakke

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To use nursing students to observe hand hygiene adherence in nursing homes and to explore whether the students' reflections after observing hand hygiene practices gives them a deeper understanding of the subject matter. Background Residents in nursing homes worldwide have low tolerance for healthcare‐associated infections that require antibiotics, and hand hygiene is the single most effective action to reduce infections. Design Observational study using (a) World Health Organization's (WHO) “Five moments for hand hygiene” validated tool to record indications and adherence and (b) an exploratory study of individual reflection notes from students conducted during and after observations. Methods From February 12–15, 2018, 26 nursing students in their second semester of a 3‐year bachelor programme participated as observers in five wards in four nursing homes in the Oslo metropolitan area. This study was performed according to the STROBE statement. Results Hand hygiene was performed for 57.2% of the 2,393 indications observed and recorded. Adherence differed significantly by type of personnel and by location. Four thematic categories emerged from the reflection notes: (a) practical awareness and introspection; (b) visualisation and enhancement of understanding of practice learning; (c) incorrect hand hygiene practices; and (d) stimulation to increase essential knowledge. Conclusion Hand hygiene adherence was too low to prevent healthcare‐associated infections and to reduce the use of antibiotics. The students' reflection notes indicated more “insight and understanding of the complexity of hand hygiene.” We suggest using nursing students in clinical placement as a means of incorporating different interventions as part of their learning skills and become “living reminders” of the importance of hygiene and infection prevention. Relevance for clinical practice Improving the student's activity about hygiene and infection prevention in clinical placement may help to raise awareness by healthcare workers in nursing homes.

show abstract

Section: Discussionsupporting

confidence: 92%

Students' observations of hand hygiene in nursing homes using the five moments of hand hygiene

Løyland

Peveri

Hessevaagbakke

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Three studies were at low risk for all criteria [18,25,26]. One study was at high risk for three criteria [27]. Lack of consideration of confounding variables created a high risk of bias in three of the seven non-randomized trials [27e29].…”

Section: Non-randomized Trialsmentioning

confidence: 99%

Effectiveness and core components of infection prevention and control programmes in long-term care facilities: a systematic review

et al. 2019

Journal of Hospital Infection

View full text Add to dashboard Cite

Background: Infection prevention and control (IPC) is a measure to prevent healthcareassociated infections in healthcare settings. There is limited evidence of the effectiveness of IPC programmes in long-term care facilities (LTCFs). Aim: To review and analyse the effectiveness and the components of IPC programmes in LTCFs for older adults. Methods: Electronic databases (PubMed, EMBASE, CINAHL and Cochrane CENTRAL) were searched systematically for English-language articles assessing IPC interventions in LTCFs, published over the last decade (2007e2016). The components of IPC programmes were analysed based on the World Health Organization (WHO) manuals for improving IPC activities. Two reviewers independently assessed the quality of studies using the Cochrane risk-of-bias tool and the risk-of-bias assessment tool for non-randomized studies. Findings: Seventeen studies met the eligibility criteria; 10 studies were randomized trials (58.8%) and the others were non-randomized trials to examine the impact of IPC programmes on infection and/or performance outcomes of healthcare workers. None of the included studies implemented all of the WHO core components. Behavioural change strategies using education, monitoring and feedback were reported to be successful interventions for reducing the threat of healthcare-associated infections. Generally, studies using four or more elements of the WHO multi-modal strategy reported significant reductions in infection rates. Conclusions: There is some evidence for the effectiveness of IPC interventions using education, monitoring, feedback and four or more elements of the WHO multi-modal strategy to control healthcare-associated infections in LTCFs.

show abstract

“…Studies on the effectiveness of multifaceted hand hygiene programs have shown some effectiveness. For example, a study in a Taiwan NH showed that nursing assistants had significantly more knowledge and better compliance after hand hygiene training [51]. Moreover, a recent study conducted in four healthcare settings (acute care geriatric wards, skilled NHs and physical rehabilitation units), demonstrated a significant improvement for hand hygiene and gloving practices [52].…”

Section: Challenges To Infection Prevention Programs: Old and Newmentioning

confidence: 99%

“…Strategies to prevent new acquisition of AROs and curb their transmission in the NH setting include education of HCWs, targeted surveillance and feedback, facility-appropriate antibiotic stewardship programs and diligent hand hygiene [9,11,34,38,51,53]. Hand carriage by HCWs can result from direct contact with residents’ secretions during care or indirect contact with their environment.…”

Section: Challenges To Infection Prevention Programs: Old and Newmentioning

confidence: 99%

Common Infections in Nursing Homes: A Review of Current Issues and Challenges

2011

View full text Add to dashboard Cite

Over 1.5 million people live in 16,000 nursing homes in the USA and experience an average of 2 million infections a year. Infections have been associated with high rates of morbidity and mortality, rehospitalization, extended hospital stay and substantial healthcare expenses. Emerging infections and antibiotic-resistant organisms in an institutional environment where there is substantial antimicrobial overuse and the population is older, frailer and sicker, create unique challenges for infection control. This review discusses the common infections, challenges, and a framework for a practical infection prevention program.

show abstract

Impact of a multi‐faceted training intervention on the improvement of hand hygiene and gloving practices in four healthcare settings including nursing homes, acute‐care geriatric wards and physical rehabilitation units

Abstract: This study underscored the usefulness of implementing contextualised training programs, while more traditional courses have shown little impact.

Cited by 17 publications

References 38 publications

Students' observations of hand hygiene in nursing homes using the five moments of hand hygiene

Students' observations of hand hygiene in nursing homes using the five moments of hand hygiene

Effectiveness and core components of infection prevention and control programmes in long-term care facilities: a systematic review

Common Infections in Nursing Homes: A Review of Current Issues and Challenges

Contact Info

Product

Resources

About