Increasing nursing students’ knowledge of evidence-based hand-hygiene: A quasi-experimental study

Korhonen, Anne; Vuori, Anne; Lukkari, Anne; Laitinen, Arja; Perälä, Minna; Koskela, Terttu; Pölkki, Tarja

doi:10.1016/j.nepr.2018.12.009

Cited by 20 publications

(24 citation statements)

References 22 publications

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“…Observed handwashing rates for the SCPH-SP intervention group rose from 18% at baseline to 93% immediately post-intervention and were maintained at 72% 3 months after the intervention. These post-intervention gains compare favorably to those seen in other studies, which have had highly variable starting points (ranging from 4% to 50%) and outcomes (ranging from 25% to 84%) 6–8,14,19,41,42…”

Section: Discussionsupporting

confidence: 78%

<p>Evaluating the effectiveness of the “Germ-Free Hands” intervention for improving the hand hygiene practices of public health students</p>

Kitsanapun¹,

Yamarat²

2019

JMDH

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Purpose This quasi-experimental study sought to assess the effectiveness of a multidisciplinary intervention called “Germ-Free Hands” to improve the hand hygiene practices of students attending Thailand’s Sirindhorn College of Public Health (SCPH). Methods The intervention was developed and implemented at SCPH and incorporated education, training, a workshop, and performance feedback. The intervention targeted behavioral antecedents specified by the Health Belief Model (HBM) and the Theory of Planned Behavior (TPB). Handwashing determinants (knowledge, beliefs, attitudes, subjective norms, perceived behavioral control, and intentions) and hand hygiene behaviors were assessed at baseline, immediately post-intervention, and 3 months post-intervention for the intervention group at ( n =60) at the Suphanburi campus of SCPH and a matched control group ( n =60) of students at the Ubonratchathani campus. Data analysis included descriptive statistics, independent samples t -tests, two-way measures of analysis of variance, and a generalized estimating equation to compare handwashing practices by self-reports between two groups. Results The “Germ-Free Hands” intervention produced significant improvements in the intervention group’s handwashing knowledge, behavioral and control beliefs, subjective norm scores, intentions, and behaviors, as compared to the control group. However, the intervention had no significant impact on normative beliefs, attitudes, or perceived behavioral control. Reported improvements also decreased 3 months post-intervention, and the number of bacterial colonies on students’ hands increased over the course of the study. Conclusion This study adds to the evidence that multidisciplinary interventions can be effective at improving handwashing rates. However, education and training must be continuous, rather than delivered as a one-time program, in order to have sustained results. Participants may also require more in-depth instruction in correct handwashing and drying techniques to remove bacteria effectively and prevent recolonization.

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Section: Discussionsupporting

confidence: 78%

<p>Evaluating the effectiveness of the “Germ-Free Hands” intervention for improving the hand hygiene practices of public health students</p>

Kitsanapun¹,

Yamarat²

2019

JMDH

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“…Feedback on the progress of nursing students ensures that students make progress towards achieving individual or group learning goals. To assess learning outcomes of hand hygiene, Korthonen et al (2019) developed a multi-component hand hygiene intervention (MCHHI). MCHHI has 17 questions, such as 'hand disinfection is not needed before donning gloves' and 'hand should be disinfected after touching the patient's immediate surroundings' (ibid).…”

Section: Step Perform Effective Deliverymentioning

confidence: 99%

Coronavirus disease (COVID-19) prevention: Virtual classroom education for hand hygiene

2020

Nurse Education in Practice

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Coronavirus disease (COVID-19), has spread rapidly in Asia, Europe, the Middle East and the Americas. Considering the recent outbreak of COVID-19, some precautionary measures have been announced, including campus class suspensions. Nursing campus courses have also been suspended, and there may be a learning gap between hand hygiene theory and clinical training for nursing students. A virtual classroom education approach may help address the learning gap by providing ongoing theoretical strengthening of hand hygiene during clinical nursing training. This editorial proposes a 3-step virtual classroom education approach to support nursing educators in online theoretical hand hygiene enhancement.

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“…Three studies were undertaken in the Far East (Fisher et al 2010;Salmon et al 2013;Suen et al 2019), one in Germany (Scheithauer et al 2012), two in the United States (Lavigne and Curran 2015; Kornicki and Miller 2016) and one each in Australia (Kaur et al 2017), India (Chauhan et al 2019), Finland (Korhonen et al 2019) and Turkey (Kısacık et al 2021). Four studies were undertaken with medical students (Fisher et al 2010;Scheithauer et al 2012;Kaur et al 2017;Chauhan et al 2019), five with nursing students, (Salmon et al 2013;Kornicki andMiller 2016, Korhonen, Suen et al 2019;Kısacık et al 2021), and one with pharmacy students (Lavigne and Curran 2015).…”

Section: Included Studiesmentioning

confidence: 99%

“…Five publications reported uncontrolled before-and-after study designs (Scheithauer et al 2012;Salmon et al 2013;Lavigne and Curran 2015;Kaur et al 2017;Chauhan et al 2019). One reported a nonrandomised trial (Korhonen et al 2019). Three publications reported randomised controlled trials (Kornicki and Miller 2016;Suen et al 2019;Kısacık et al 2021) and of these one was double-blinded (Kısacık et al 2021), one was a single-blinded trial in which data analysts were unaware of students' group allocation (Suen et al 2019) and in the third trial details of blinding were not apparent (Kornicki and Miller 2016).…”

Section: Included Studiesmentioning

confidence: 99%

Teaching health care students hand hygiene theory and skills: a systematic review

Purssell

Gould²

2021

International Journal of Environmental Health Research

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Hand hygiene is the cornerstone of infection prevention but is poorly undertaken and under-appreciated by medical, nursing, and other health care students. This systematic review aimed to identify and describe strategies used to teach the theory and practice of hand hygiene, determine impact on knowledge and practice, and identify need for future education and research. Ten studies met the criteria for review. Health care students' theoretical knowledge of hand hygiene and their ability to practise are suboptimal and should be improved before they have contact with vulnerable patients. Educational input can increase knowledge and practice but the methodological heterogeneity of the studies and lack of rigour make it impossible to determine which interventions are most likely to be successful. The literature provides little evidence upon which to base educational practice in this area. There is a need for multi-centred longitudinal studies to measure effectiveness of teaching methods over time.

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Increasing nursing students’ knowledge of evidence-based hand-hygiene: A quasi-experimental study

Cited by 20 publications

References 22 publications

<p>Evaluating the effectiveness of the “Germ-Free Hands” intervention for improving the hand hygiene practices of public health students</p>

<p>Evaluating the effectiveness of the “Germ-Free Hands” intervention for improving the hand hygiene practices of public health students</p>

Coronavirus disease (COVID-19) prevention: Virtual classroom education for hand hygiene

Teaching health care students hand hygiene theory and skills: a systematic review

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