Impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach, over 8 years, in 11 cities of Turkey

Leblebicioğlu, Hakan; Köksal, İftihar; Rosenthal, Víctor D.; Akan, Özay Arıkan; Özgültekin, Asu; Kendirli, Tanıl; Erben, Nurettin; Yalcin, Ata Nevzat; Ulusoy, Sercan; Sırmatel, Fatma; Özdemir, Davut; Alp, Emine; Yıldızdaş, Dinçer; Esen, Şaban; Ülger, Fatma; Dilek, Ahmet; Yılmaz, Hava; Yýlmaz, Gürdal; Kaya, Selçuk; Ulusoy, Hülya; Tulunay, Melek; Oral, Mehmet; Ünal, Necmettin; Turan, Güldem; Akgün, Nur; İnan, Asuman; İnce, Erdal; Karbuz, Adem; Çıftçı, Ergın; Taşyapar, Nevin; Güneş, Melek; Özgüneş, İlhan; Usluer, Gaye; Turhan, Özge; Gunay, N.; Gumus, Eylul; Dursun, Oğuz; Arda, Bilgin; Bacakoğlu, Feza; Cengiz, Mustafa; Yilmaz, Leyla; Geyik, Mehmet Faruk; Şahin, Ahmet Rıza; Erdogan, Selvi; Kılıç, Ayşegül Ulu; Horoz, Özden Özgür

doi:10.1177/1757177414560249

Cited by 11 publications

(12 citation statements)

References 34 publications

(64 reference statements)

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“…11 Furthermore, our findings were in consonance with other studies which used multi-interventional approaches with administrative support in ICUs. 12,13 Administrative support had a positive effect on efforts improving HH adherence. 14 Education and training were also included, which were identified by other researchers as an important HH promotive activities improving HCWs compliance.…”

Section: Discussionmentioning

confidence: 99%

Improving hand hygiene compliance among healthcare workers in intensive care unit: an interventional study

Abdo

Al-Fadhli

2018

Int J Community Med Public Health

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Background: Hand hygiene (HH) is one of the most important measures to prevent healthcare-associated infections. The objective of the study was to assess the effectiveness of the augmented multi-interventional approaches on HH compliance rate among intensive care unit (ICU) healthcare workers (HCWs) of Farwaniya Hospital, Kuwait.Methods: An interventional study was conducted in four phases throughout eight months among adult ICU HCWs. First; HCWs, HH compliance rates and alcohol-based hand rub consumption rate (ABHR) were assessed secondly; an augmented multi-interventional approach was implemented, which included administrative support, observation and reporting, education & training, recruiting champions, and maintenance of HH supplies & reminders. Then a washout phase. Finally, re-assessment of HH compliance rates and ABHR.Results: Following the interventions, the overall HCWs’ HH compliance rate increased significantly from 58.81% to 73.17% (p=0.000), for doctors (39.82% vs. 64.93%) and nurses (68.24% vs. 80.18%), p>0.001. Significant improvement of HH compliance rates for most of HH moments, after moments were higher than before moments, p=0.000. ABHR increased significantly from 77.45 ml to 133.33 ml per patient day (95% CI=54.37-57.39, p<0.0001).Conclusions: The applied augmented multi-interventional approach was effective in improving HH compliance rates among ICU HCWs. Sustainability is warranted by continues implementation of this approach.

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Section: Discussionmentioning

confidence: 99%

Improving hand hygiene compliance among healthcare workers in intensive care unit: an interventional study

Abdo

Al-Fadhli

2018

Int J Community Med Public Health

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“…An example is the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach (IMHHA), which includes administrative support, availability of supplies, education and training, reminders, process surveillance, and performance feedback. Previous studies have reported significant improvement in adherence to hand hygiene with the implementation of the IMHHA in ICUs in various countries [17][18][19][20][21][22][23].…”

Section: Introductionmentioning

confidence: 97%

Predictors of hand hygiene practice among Saudi nursing students: A cross-sectional self-reported study

Cruz

Bashtawi

2016

Journal of Infection and Public Health

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Hand hygiene is an important component of infection control, which is critical to ensuring patients' safety in hospitals. Nursing students are regarded as healthcare workers in training and can also be vehicles of cross-contamination within the hospital. Thus, this study aimed to identify the predictors of hand hygiene practice among Saudi nursing students. A descriptive, cross-sectional, self-reported study was conducted among 198 Saudi nursing students. Knowledge, attitude, and practice of hand hygiene were assessed using the WHO Hand Hygiene Knowledge Questionnaire for Health-Care Workers and its adopted scales. A regression analysis was performed to identify the predictors of hand hygiene practice. The respondents demonstrated moderate knowledge of hand hygiene (mean 13.20±2.80). The majority displayed a moderate attitude toward hand hygiene (52.1%), while only a few reported a poor attitude (13.1%). Approximately 68.7%, 29.8%, and 1.5% of the respondents reported moderate, good, and poor practice of hand hygiene, respectively. Having a good attitude toward hand hygiene, being male, being aware that hand hygiene is an effective intervention in preventing healthcare-associated infections (HAIs), attendance at hand hygiene trainings and seminars, and being in the lower academic level of nursing education were identified as predictors of better hand hygiene practice. The importance of ensuring a positive attitude toward hand hygiene and improving awareness of hand hygiene is emphasized, as are educational interventions. Educational interventions should be implemented to reinforce knowledge and instill a positive attitude toward hand hygiene.

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“…According to the Global Human Development Index (HDI) (41) , approximately 85% (21/25) of the countries in which the studies included in this review occurred have a very high or high HDI (4)(5)(7)(8)13,(19)(20)(21)(23)(24)(25)(26)(27)(28)(29)(30)(31)(34)(35)(36)(37) . With respect to the medium and low HDI countries (4/25) (18,22,(32)(33) , all had a pre-intervention HH compliance of less than 30%, and a post-intervention compliance of less than 50%, except a study (18) (1/4) that reached 57% after the intervention.…”

Section: Discussionmentioning

confidence: 99%

“…When performed immediately and individually, it has influenced the performance of professionals by allowing the identification of barriers that interfere in the HH compliance and seek timely solutions, as well as to detect the types of opportunities and the reason for failures for HH, highlighting the protagonism of the subject, that is, the central role of the health professional in the process of learning (20,30) . However, collective feedback is also an important alternative, since it is in the collective exercise of the process of knowledge construction that one can favor learning and enable the transformation of praxis (13,(43)(44) .…”

Section: Discussionmentioning

confidence: 99%

“…In this context, the multimodal strategy has been encouraged by several health agencies worldwide as a complete tool to achieve satisfactory results, since only the educational training does not guarantee the continuous improvement of HH practice (8) . Accordingly, the active participation of the heads and managers of the institutions was also highlighted, since the valuation of the change to maintain the favorable security environment can be considered effective for the change and maintenance of the indexes of improvement of HH compliance throughout the time (9,13) .…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of the multimodal strategy for Hand Hygiene compliance: an integrative review

et al. 2019

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Objective: Evaluate, from the literature, the effectiveness of the implementation of the multimodal strategy for health professionals compliance with Hand Hygiene and its sustainability over time. Method: Integrative review, with a view to answering the following question: “Is the implementation of the multimodal strategy effective in health professionals compliance with Hand Hygiene and can it be sustained over time?”. The MEDLINE, SCOPUS, LILACS and CINAHL databases were used to retrieve the primary articles. Results: Twenty-five studies were analyzed. Among the components of the multimodal strategy, three need to be better worked: health education, feedback from practices and management involvement. Although it needs to focus more on its five elements, interventions based on the multimodal strategy have favored HH compliance and its long-term sustainability. Conclusion: The strategy proved to be effective for HH compliance, especially when all integrating components are adequately addressed.

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Impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach, over 8 years, in 11 cities of Turkey

Cited by 11 publications

References 34 publications

Improving hand hygiene compliance among healthcare workers in intensive care unit: an interventional study

Improving hand hygiene compliance among healthcare workers in intensive care unit: an interventional study

Predictors of hand hygiene practice among Saudi nursing students: A cross-sectional self-reported study

Efficacy of the multimodal strategy for Hand Hygiene compliance: an integrative review

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