Simulation education as a single intervention does not improve hand hygiene practices: A randomized controlled follow-up study

Abstract

After a single simulation education session, critical care nurses' knowledge of and adherence to current HH guidelines remained below targeted behavior rates.

The World Health Organization's Clean Hands Save Lives: A concept applicable to equine medicine as Clean Hands Save Horses

“…However, educational campaigns have a limited impact, mostly in time (Kretzer and Larson ; Jansson et al . ) also in small animal settings (Anderson et al . ).…”

Why hand hygiene is not sufficient: modeling hygiene competence of clinical staff as a basis for its development and assessment

“…In this respect, the multifactorial competence model presented here suggests that various aspects should be focused, especially basic knowledge, practical behavioral knowledge and relations to relevant clinical situations. In the literature, various didactic approaches are currently described for the acquisition and improvement of hand hygiene [5], [6], [46], [47]. Approaches that combine various training methods with each other seem to be more effective, also in the long-term [1], [6], [9].…”

“…In the literature, various didactic approaches are currently described for the acquisition and improvement of hand hygiene [5], [6], [46], [47]. Approaches that combine various training methods with each other seem to be more effective, also in the long-term [1], [6], [9]. Therefore we argue that simulation-based approaches – also in non-virtual rooms – are for various reasons very promising for the promotion of hygiene competence.…”

“…During and at the end of the various scenarios, a short group discussion with feedback takes place each time. The course satisfies a learning principle successfully established in the context of hygiene interventions, i.e., to combine behaviorally oriented feedback [46], [47] with different teaching approaches [6]. …”

“…is the most important prevention factor against the spread of infections and the most important resource for the adherence to hygiene guidelines. The existence of a number of studies on the effectiveness of training programs for hand hygiene show that in principle, consciousness for this situation exists [5], [6], [7], [8], [9]. Also, various instruments measuring hygiene-related behaviors and attitudes have been developed [10], [11], [12].…”