Implementing the Aseptic Non Touch Technique (ANTT®) clinical practice framework for aseptic technique: a pragmatic evaluation using a mixed methods approach in two London hospitals

Clare, Simon; Rowley, Stephen

doi:10.1177/1757177417720996

Cited by 24 publications

(15 citation statements)

References 22 publications

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“…Clare and Rowley 40 demonstrated that standardising aseptic technique for invasive IV procedures using the ANTT-Clinical Practice Framework (CPF), increased staff mean compliance with hand hygiene, glove use, key-part protection, use of a non-touch technique, key-part cleaning, and aseptic field management (P ≤ 0.001). 40 Thus, having validated metrics are essential in defining optimum standards of performance. 41 The methodology used in this study provides a framework for the development of such metrics and standards.…”

Section: Discussionmentioning

confidence: 99%

Acute surgical wound‐dressing procedure: Description of the steps involved in the development and validation of an observational metric

Hegarty

Howson

Wills

et al. 2019

International Wound Journal

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The aim of this study was to develop an observational metric that could be used to assess the performance of a practitioner in completing an acute surgical wound‐dressing procedure using aseptic non‐touch technique (ANTT). A team of clinicians, academics, and researchers came together to develop an observational metric using an iterative six‐stage process, culminating in a Delphi panel meeting. A scoping review of the literature provided a background empirical perspective relating to wound‐dressing procedure performance. Video recordings of acute surgical wound‐dressing procedures performed by nurses in clinical (n = 11) and simulated (n = 3) settings were viewed repeatedly and were iteratively deconstructed by the metric development group. This facilitated the identification of the discrete component steps, potential errors, and sentinel (serious) errors, which characterise a wound dressing procedure and formed part of the observational metric. The ANTT wound‐dressing observational metric was stress tested for clarity, the ability to be scored, and interrater reliability, calculated during a further phase of video analysis. The metric was then subjected to a process of cyclical evaluation by a Delphi panel (n = 21) to obtain face and content validity of the metric. The Delphi panel deliberation verified the face and content validity of the metric. The final metric has three phases, 31 individual steps, 18 errors, and 27 sentinel errors. The metric is a tool that identifies the standard to be attained in the performance of acute surgical wound dressings. It can be used as both an adjunct to an educational programme and as a tool to assess a practitioner's performance of a wound‐dressing procedure in both simulated and clinical practice contexts.

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Section: Discussionmentioning

confidence: 99%

Acute surgical wound‐dressing procedure: Description of the steps involved in the development and validation of an observational metric

Hegarty

Howson

Wills

et al. 2019

International Wound Journal

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“…Compliance with SPIC in the management of labour by all healthcare workers in all health care facilities and other health service centres is very crucial in preventing maternal peripartum infections [3] [5]. The WHO (2016) highly recommends practice of asepsis in six areas also known "the six cleans" which include clean delivery surface, clean hands of the birth attendant, clean perineum of the mother, clean cord cutting instrument, clean cord ligature and clean cord care.…”

Section: Standard Precautions Of Infection Control (Spic) Protocols Rmentioning

confidence: 99%

“…An observation checklist was modified from CDC (2008) infection control assessment tool and a validated observation checklist of a study, which was done in Kenya, to assess compliance by practices of the HCWs on SPIC [5].…”

Section: Data Collection Toolsmentioning

confidence: 99%

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Factors Associated with Compliance with Infection Control Guidelines in the Management of Labour by Healthcare Workers at Mulago Hospital, Uganda

Komuhangi¹,

Kevin²,

Felex³

et al. 2019

OJN

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Globally, infections acquired during childbirth contribute to one tenth of the maternal deaths annually [1] [2]. Factors predisposing to high risks of puerperal infections include non-compliance with Standard Precautions of Infection Control (SPIC), unhygienic births by unskilled birth attendants, multiple vaginal examinations, prolonged labour and premature rapture of membranes [1]. The main purpose of this study was to determine factors associated with compliance to standard precautions of infection control the management of labour by healthcare workers in Mulago Hospital to generate information, which may be used in infection control and prevention practices. A cross-sectional study utilizing a quantitative approach was conducted among 115 healthcare workers. Consecutive sampling was done to include respondents in the study. Data were collected by direct observation and researcher administered questionnaires. Data were coded and entered into the computer using SPSS version 20 with programmed quality control checks. Descriptive data analyses, frequencies, cross tabulations and logistic regression analysis were the major statistical methods used. 103 healthcare workers were involved in the study, where 74% were females. Overall compliance was at 52%, although it varied across domains. The majority of the healthcare workers (95.1%) did not comply with hand hygiene. Being a male was associated with low compliance scores a cross most domains. One of the hospital factors which was significantly associated with compliance to hand hygiene was having had an in-service training with p = 0.008 and p = 0.012 at multivariate analysis. Overall compliance to standard precautions of infection control was

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“…At its heart, aseptic technique involves a collection of infection prevention actions designed to protect patients from infection when undergoing invasive clinical procedures, including maintenance of indwelling medical devices. A combination of decontamination processes, sterilized equipment and handling technique is used to minimize potential transmission of pathogenic microorganisms (Clare and Rowley 2017). In terms of protecting patients from infection, aseptic technique is one of the most important and commonly used critical clinical competencies in healthcare.…”

Section: Which Aseptic Technique Is the 'Right' Aseptic Technique?mentioning

confidence: 99%

Right Asepsis with ANTT® for Infection Prevention

Rowley¹,

Clare²

2019

Vessel Health and Preservation: The Right Approach for Vascular Access

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Aseptic technique, which involves infection prevention actions designed to protect patients from infection when undergoing invasive clinical procedures, is universally prescribed by guideline makers as a critical competency in the prevention of infections. However, no meaningful explanation of what aseptic technique is or how it is to be applied to ensure patient safety is provided within any of the guidelines. The Aseptic Non Touch Technique (ANTT ®), originated by Rowley in the late 1990s, was designed to help address variable aseptic technique standards of practice and provide a rationalized, contemporary, evidence-based framework to standardize this critical competency and help improve standards of practice. The ANTT ® Clinical Practice Framework provides a comprehensive framework for aseptic technique for all invasive procedures based on an approach termed Key-Part and Key-Site Protection. During the insertion or manipulation of an intravascular device, the 'ANTT-Approach' provides a systematic method that supports the practitioner to include all the important elements of aseptic technique, with particular focus on the identification and protection of 'Key-Parts' and 'Key-Sites' throughout the preparation and the procedure. This chapter provides clinical examples of how the ANTT ® is implemented in the healthcare setting, as well as, importantly, how to promote compliance of the technique.

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Implementing the Aseptic Non Touch Technique (ANTT®) clinical practice framework for aseptic technique: a pragmatic evaluation using a mixed methods approach in two London hospitals

Abstract: Results show implementation of ANTT® improved compliance with the prerequisite steps for safe and effective aseptic technique as defined by the ANTT®-CPF. Improvements in compliance were sustained over four years.

Cited by 24 publications

References 22 publications

Acute surgical wound‐dressing procedure: Description of the steps involved in the development and validation of an observational metric

Acute surgical wound‐dressing procedure: Description of the steps involved in the development and validation of an observational metric

Factors Associated with Compliance with Infection Control Guidelines in the Management of Labour by Healthcare Workers at Mulago Hospital, Uganda

Right Asepsis with ANTT® for Infection Prevention

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