Improving hand hygiene in a medical ward: a multifaceted approach

Poulose, Vijo; Punithavathi, A; Ali, Marlini; Assalam, Faridah Mohamad; Phyo, Khine Khine; Soh, Amanda; Tan, Shi Hua; Jie, Li; Ang, Woo Boon

doi:10.1136/bmjoq-2021-001659

Cited by 6 publications

(4 citation statements)

References 13 publications

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“…Research has shown that increasing psychological cues and simplifying operational methods can enhance medical workers' compliance with hand hygiene protocols. [13][14][15][16][17] In line with these findings, it is suggested that hospitals place hand hygiene posters in prominent locations and provide ample, user-friendly hand hygiene facilities for medical personnel. (4) Regular and unannounced hand hygiene inspections are essential to ensure compliance.…”

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confidence: 82%

Factors Affecting the Qualification Rate of Hand Disinfection Among Physicians: A Cross-Sectional Survey

Liu,

Yuan,

Wang

et al. 2023

JMDH

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Objective The objective of this study is to examine the qualification rate of hand disinfection in the surgical department wards and analyze the influencing factors. Methods A surprise assessment was carried out to evaluate the daily adherence to hand hygiene protocols in the surgical department wards. We aimed to investigate the factors that impact the qualification rate of hand disinfection. Results In this study, the qualification rate of hand disinfection was determined to be 64.38%. Notably, this rate exhibited significant variations based on gender, age, surgical site, and department category. Specifically, the qualification rate of hand disinfection among female participants stood at 82.35%, surpassing the qualification rate observed among male counterparts of 52.83%. Furthermore, doctors in the age group of 41–50 years demonstrated the highest qualification rate, and the abdominal surgical site exhibited the most noteworthy qualification rate, reaching 79.49%. The outcomes of the multiple logistic regression analysis highlighted the significance of age and gender as influential factors impacting the qualification rate. Specifically, doctors aged 51 years or older exhibited the lowest hand hygiene compliance, whereas female doctors demonstrated a notably higher qualification rate compared to their male counterparts. Conclusion The disheartening qualification rate of hand disinfection highlights a concerning lack of awareness regarding hand hygiene among surgeons in their professional duties. Consequently, targeted interventions are imperative, focusing on intensified training, educational initiatives, enhanced supervision, and internal performance evaluations for key groups. The findings not only serve as a valuable database but also offer a viable roadmap for similar hospitals to reinforce the management of nosocomial infections.

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confidence: 82%

Factors Affecting the Qualification Rate of Hand Disinfection Among Physicians: A Cross-Sectional Survey

Liu,

Yuan,

Wang

et al. 2023

JMDH

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“…Interventions to increase healthcare workers' compliance with standard precautions and hand hygiene include but not limited to using a multifaceted set of interventions [9], implementing the WHO's Multimodal Hand Hygiene Improvement Strategy [10], hand hygiene role modelling [11], in-service training about hand hygiene [12], and implementing infection control link nurse (ICLN) programs [13]. The ICLN programs aim to increase health care workers' understanding of infection prevention, create a liaison between hospital wards and the IPC team, and to promote ICLN as a source of information for their peers [14].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of implementing of an infection control link nurse program to improve compliance with standard precautions and hand hygiene among nurses: a quasi-experimental study

et al. 2023

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Background Standard precautions (SPs) including hand hygiene are considered fundamental protective measures to manage health care-associated infections (HCAIs) and to reduce occupational health hazards. The purpose of this research was to examine the effectiveness of an infection control link nurse (ICLN) program on compliance with SPs and hand hygiene among nurses. Methods A quasi-experimental study with a pretest-post-test design was conducted with participating of 154 clinical nurses who worked in different wards of a tertiary referral teaching hospital in Iran. The intervention group (n = 77) had 16 infection control link nurses nominated. The control group (n = 77) received only the standard multimodal approach used in the hospital. Pre- and post-test assessment of compliance with standard precautions and hand hygiene compliance was performed via the Compliance with Standard Precautions Scale (CSPS) and the World Health Organization observational hand hygiene form. Two independent sample t-tests were used to examine differences between Compliance with Standard Precautions and hand hygiene Compliance among nurses in intervention and control group. Multiple linear regression analysis was used to assess the effect size. Results After developing and implementing the infection control link nurse program, no statistically significant improvement was found in the Compliance with Standard Precautions (β = 5.18; 95% CI= -0.3–10.65, p = 0.064). An improvement in hand hygiene compliance was observed among nurses in the intervention group that improved statistically significant from 18.80% before the program to 37.32% 6 months after the program (β = 20.82; 95% CI 16.40–25.25, p < 0.001). Conclusions Given the continuing level of interest that exists in improving health care workers’ hand hygiene practices, the findings of this study provide significant practical implications for hospitals seeking to improve compliance with hand hygiene among nurses, showing the effectiveness of using infection control link nurse program. Further research is needed to assess effectiveness of using infection control link nurse program to improve compliance with standard precautions.

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“…In addition, it is reported that physicians’ HH performance is lower than nurses’ [ 5 , 12 , 13 ]. Qualitative and small-scale quantitative studies on strategies to overcome these barriers reveal that HH compliance rates can be increased through a multifaceted approach such as educational activities, monitoring and feedback, and placement of HH tools [ 14 , 15 ]. However, there is still a lack of large-scale quantitative studies on barriers to HH compliance and studies considering different occupational groups of HCWs.…”

Section: Introductionmentioning

confidence: 99%

Hand hygiene knowledge, attitude, barriers and improvement measures among healthcare workers in the Republic of Korea: a cross-sectional survey exploring interprofessional differences

Kim,

Yu,

Jeong

et al. 2023

Antimicrob Resist Infect Control

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Background Hand hygiene (HH) is a fundamental component of infection prevention and control in healthcare settings. This study aimed to identify knowledge, attitude, and barriers to HH according to occupational groups and strategies to increase the rate of HH compliance among healthcare workers (HCWs). Methods This cross-sectional survey was conducted in July 2018 at four university-affiliated hospitals. The survey comprised seven parts with 49 items, including self-reported HH compliance, knowledge, attitudes, behaviours, barriers to HH, and improvement strategies. Results A total of 1046 HCWs participated in the survey. The nursing group’s self-reported HH compliance rate was the highest, followed by other HCWs and physicians. The scores regarding knowledge, attitudes, and behaviours regarding HH were the highest in the nursing group. The nursing group also had higher internal and emotional motivation scores. Physicians and nurses found HH the most challenging in emergencies, while other HCWs considered skin problems caused by HH products the most significant barrier. Among 12 improvement measures, approximately 20% of the respondents ranked “diversify types of hand sanitisers,“ “install soap and paper towels in each hospital room,“ and “change perception through various HH campaigns” as the top three priorities. The physician group deemed the timely reminder of HH compliance as the second most critical improvement measure. Conclusion Differences in knowledge, attitude and barriers hindering HH compliance and improvement plans were identified for each group. The findings suggest that targeted interventions tailored to the specific needs of different occupational groups may effectively improve HH compliance in healthcare settings.

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Improving hand hygiene in a medical ward: a multifaceted approach

Cited by 6 publications

References 13 publications

Factors Affecting the Qualification Rate of Hand Disinfection Among Physicians: A Cross-Sectional Survey

Factors Affecting the Qualification Rate of Hand Disinfection Among Physicians: A Cross-Sectional Survey

Effectiveness of implementing of an infection control link nurse program to improve compliance with standard precautions and hand hygiene among nurses: a quasi-experimental study

Hand hygiene knowledge, attitude, barriers and improvement measures among healthcare workers in the Republic of Korea: a cross-sectional survey exploring interprofessional differences

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