Impact of a Practical Training Program for Hospital Cleaning Staff on Prevention of Hospital Acquired Infection.

Felix, Adriana Maria da Silva; Gama, Karoline Mello; Padoveze, Maria Clara; Félix, Evandro Penteado Villar

doi:10.1016/j.ajic.2014.03.205

Cited by 3 publications

(3 citation statements)

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“…Studies conducted on HCWs in Bangladesh and India show that cleaning staff are often not prioritized in terms of training and are either completely excluded or given ‘’informal’’ orientation training on infection prevention or they ‘’learn on the job’’ [ 35 , 36 , 37 ]. Although trained cleaning staff proved to be an asset in reducing HAIs in a similar resource-constrained setting [ 38 ], less than 33% of facilities surveyed across Bangladesh, India, Gambia, and Zanzibar delivered formal training to their cleaning staff [ 27 ]. In this study, approximately one-tenth of HCWs expressed no interest in receiving the hepatitis B vaccine in the future.…”

Section: Discussionmentioning

confidence: 99%

Hepatitis B Vaccination Coverage among Bangladeshi Healthcare Workers: Findings from Tertiary Care Hospitals

et al. 2022

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Healthcare workers (HCWs) are at a four-fold higher risk of being infected with the hepatitis B virus in hospital settings. This study investigated the hepatitis B vaccination coverage among Bangladeshi HCWs in selected tertiary care hospitals. Between September 2020 to January 2021, a multicenter cross-sectional study was conducted in 11 hospitals across Bangladesh. Participants included physicians, nurses, cleaners, and administrative staff. A semi-structured questionnaire was used to collect data through face-to-face interviews. Descriptive and multivariate statistics were used to analyze the data. The overall hepatitis B vaccination coverage was 66.6% (1363/2046) among HCWs, with cleaning staff having the lowest at 38.8%. Among the unvaccinated, 89.2% of HCWs desired to receive the free vaccine in the near future. In the last year, over one-fourth of staff (27.9%) had at least one history of needlestick injury. Only 9.8% HCWs were found to have attended training on hepatitis B virus prevention and management in the previous two years. Multivariate analysis revealed that physicians (AOR: 7.13, 95% CI: 4.94–10.30) and nurses (AOR: 6.00, 95% CI: 4.09–8.81) were more likely to be vaccinated against hepatitis B than cleaners and administrative staff. Low uptake of hepatitis B vaccination among HCWs suggests policies that require vaccination are needed to achieve optimum vaccine coverage.

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Section: Discussionmentioning

confidence: 99%

Hepatitis B Vaccination Coverage among Bangladeshi Healthcare Workers: Findings from Tertiary Care Hospitals

et al. 2022

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“…Consideration should be given as to how hospitals better support these occupational groups when developing PPE interventions. [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a personal protective equipment support programme for staff during the COVID-19 pandemic in London

Castro-Sánchez

Alexander

Atchison

et al. 2021

Journal of Hospital Infection

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Background The COVID-19 pandemic has presented one of the biggest challenges to healthcare providers worldwide. The appropriate use of Personal Protective Equipment (PPE) has been essential to ensuring staff and patient safety. To counteract sub-optimal PPE practice, a PPE helper programme was developed at a large London hospital group. Based on a behaviour change model of Capability, Opportunity and Motivation (COM-B), the programme provided PPE support, advice and education to ward staff. Aim Evaluation of the PPE Helper Programme. Methods Clinical and non-clinical ward staff completed a questionnaire informed by the Theoretical Domains Framework and COM-B. The questionnaire was available in paper and electronic versions. Quantitative responses were analysed using descriptive and non-parametric statistics, free-text responses were analysed thematically. Findings Over a six-week period, PPE helpers made 268 ward visits. Overall, 261 questionnaires were available for analysis. Across the Trust, 68% of respondents reported having had contact with a PPE helper. Staff who had encountered a PPE helper responded significantly more positively to a range of statements about using PPE than those who had not. Black and Minority Ethnic (BAME) staff were significantly more anxious in relation to the adequacy of PPE. Non-clinical and redeployed staff (e.g. domestic staff) were most positive about the impact of PPE helpers. Free-text comments showed that staff found the programme supportive and would have liked it earlier in the pandemic. Conclusion A PPE Helper programme is a feasible and beneficial intervention for providing support, advice and education to ward staff during infectious disease outbreaks.

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“…Productive, mutually respectful relationships between cleaning staff, healthcare providers, and the wider hospital personnel need to be fostered, and cleaners equipped with the knowledge, skills and understanding required to perform their job effectively and efficiently. Training of cleaning staff is highly relevant to the prevention of HCAIs [25] and has been linked to motivation and performance [26]. Training also has the potential to impact relationships with healthcare providers and foster recognition of cleaning staff as valued members of the workforce, as well as support cleaning staff themselves to recognise the importance of their own role in infection prevention.…”

Section: Discussionmentioning

confidence: 99%

An invisible workforce: the neglected role of cleaners in patient safety on maternity units

Cross¹,

Gon

Morrison³

et al. 2019

Global Health Action

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Hospital cleaning has been shown to impact on rates of healthcare-associated infections (HCAIs) and good environmental hygiene is critical to quality care, yet those tasked with the role of ensuring a safe and clean environment often go unrecognised as members of the healthcare workforce. Sepsis is a leading cause of maternal and newborn death, a significant proportion of these cases are estimated to be due to HCAIs. Deliveries in health institutions have now reached 75% globally, and in low and middle income countries the corresponding increased pressure on facilities has impacted both quality of care provided and quality of the birth environment in terms of infection prevention and control (IPC) and HCAIs. The paper discusses the neglected role of health facility cleaners, providing evidence from the literature and from needs assessments conducted by The Soapbox Collaborative and partners in Bangladesh, India, The Gambia and Zanzibar. While not the primary focus of the assessments, common themes emerged consistently pointing to institutional neglect of cleaning and cleaners. The paper argues that low status within facilities, wider societal marginalisation, lack of training, and poor pay and working conditions contribute to the lack of prioritisation placed on health facility environmental hygiene. With increased international attention focused towards health facility water, sanitation and hygiene and a growing focus on IPC, now is the time to address the neglect of this frontline healthcare workforce. We propose that provision of and improved training can enable the recognition of the valuable role cleaning staff play, as well as equipping these staff with the tools required to perform their job to the highest standard. In addition to training, wider systems changes are necessary to establish improvements in environmental hygiene and the role of cleaning staff, including addressing resource availability, supportive supervision, and an increased emphasis on preventative healthcare.

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Impact of a Practical Training Program for Hospital Cleaning Staff on Prevention of Hospital Acquired Infection.

Cited by 3 publications

References 0 publications

Hepatitis B Vaccination Coverage among Bangladeshi Healthcare Workers: Findings from Tertiary Care Hospitals

Hepatitis B Vaccination Coverage among Bangladeshi Healthcare Workers: Findings from Tertiary Care Hospitals

Evaluation of a personal protective equipment support programme for staff during the COVID-19 pandemic in London

An invisible workforce: the neglected role of cleaners in patient safety on maternity units

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