Usage of Ultraviolet Test Method for Monitoring the Efficacy of Surgical Hand Rub Technique Among Medical Students

Vanyolos, Erzsebet; Pető, Károly; Viszlai, Aida; Miko, Iren; Furka, I.; Németh, Norbert; Orosi, Piroska

doi:10.1016/j.jsurg.2014.12.002

Cited by 30 publications

(43 citation statements)

References 19 publications

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“…In the case of female participants, the failure rate was 34.9% (CI 95%: 32-38%), while for males it was 43.4% (CI 95%: 39-48%), p = 0.002. Our findings are similar to the results obtained at University of Debrecen [29], where 45% (females) and 54% (males) failed at first attempt. We found insufficient coverage on both hands of 22.8% of female (CI 95%: 20-26%) and 31.7% of male (CI 95%: 28-36%) participants, p < 0.001.…”

Section: Resultssupporting

confidence: 91%

“…Based on this, we integrated the newest trend of modern technology driving HH education with the intention of improvement. The benefits of employing standard UV-checker boxes in HH education of medical students have been reported [29,30]. In our study, computerized evaluation was involved, relying on the Hand-in-Scan device, a UV-based digital technology that provides immediate feedback to the users regarding the missed spots.…”

Section: Discussionmentioning

confidence: 99%

“…Missed areas were recorded in 188 cases [29]. Another UV-box-based study was carried out at Aachen University Hospital (Germany), aimed to compare the quality of hand rubbing before and after HH education.…”

Section: Introductionmentioning

confidence: 99%

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Education of hand rubbing technique to prospective medical staff, employing UV-based digital imaging technology

Lehotsky

Szilágyi

Demeter-Iclănzan

et al. 2016

Acta Microbiologica et Immunologica Hungarica

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The aim of this study was to objectively assess the hand hygiene performance of medical students. Hand rubbing technique was evaluated by employing innovative UV-light-based imaging technology, identifying patterns and trends in missed areas after applying WHO's six-step protocol. This specially designed hand hygiene education and assessment program targeted 1,344 medical students at two distant sites in Central Europe. Students were introduced to a short video, presenting the basics of hand hygiene, and then received further demonstration from professional trainers, focusing on the correct execution of WHO's six-step technique. To verify the acquired skill, participants rubbed their hands with UV-marked alcohol-based solution. Digital images of the hands were recorded under UV light, followed by computer evaluation and assessment. Immediate objective visual feedback was given to the participants showing missed areas on their hands. The statistical analysis of missed spots was based on retrospective expert-driven manual evaluation. Significant difference in rubbing quality was found between female and male participants [35.3% (CI 95%: 33-38%) versus 29.0% (CI 95%: 27-31%), p < 0.001], dominant and non-dominant hands [43.4% (CI 95%: 39-48%) versus 34.9% (CI 95%: 32-38%), p = 0.002], and various zones of the hands' dorsal side. Based on the participants' feedback and the evaluation of the infection control specialists, it can be stated that the identification of typically missed patterns and the instant visual feedback have a vital role in improving the hand hygiene technique of prospective medical staff. Keywords: hand hygiene assessment, fluorescein trial, medical students training Introduction "Have we forgotten the lesson of Semmelweis?" -stands the question in Lancet [1], referring to the generally weak hand hygiene (HH) performance of physicians in hospitals. Fortunately, the 4% compliance rate reported at a gynecology ward represents an extremely low value [2], but the usually reported rates of 20-50% are still far below expectations [3][4][5]. The main reported reasons for this poor performance include the tight time schedules, forgetfulness, unsatisfactory knowledge on HH guidelines, denying the importance of hands as a source of infection, negative influence of older, more experienced specialists, and skin irritations caused by hand rub solutions [6,7]. Education and training play a vital role in promoting HH [8,9].It is a widely shared concept that the nursing staff shows a better compliance on average than the physicians [3,10]. The unsatisfactory quality of knowledge is clearly supported by the observation that according to physicians' opinion, less HH moments are enough than the amount believed necessary by other healthcare workers [11]. As an interesting analogy, the question of antibiotic resistance is generally believed of high importance by medical students; however, it will be treated superficially during their later work as physicians, similarly to the question of HH [12]. Nurses consider the d...

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Section: Resultssupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

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Education of hand rubbing technique to prospective medical staff, employing UV-based digital imaging technology

Lehotsky

Szilágyi

Demeter-Iclănzan

et al. 2016

Acta Microbiologica et Immunologica Hungarica

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“…Their findings suggest that an emotional link to disease may be more important to prompt hand hygiene than a cognitive link. Similarly, Vanyolos et al (2015) advocate that introducing a ultra-violet test into graduate medical education may help to improve hand hygiene compliance, as it gives immediate visual feedback to medical students. The majority of third-and fourth-year students in this study strongly favoured the influence of practical education (using a ultra-violet light hand hygiene inspection cabinet) on their hand hygiene behaviour, whereas the majority of second-year students rated the therapist they were on placement with as most influential to their practice.…”

Section: Discussionmentioning

confidence: 99%

Factors that influence hand hygiene practice amongst occupational therapy students

Wall

Smiddy

2017

IJOT

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Purpose Hand hygiene is the single most important intervention to reduce the risk of acquiring infection. All healthcare workers and healthcare students have a responsibility to prevent transmission of infection. The purpose of this study is to investigate students’ attitudes to hand hygiene following university-based education and practice placement. Students attended a lecture, completed an e-learning module, participated in a practical session using a ultra-violet light hand inspection cabinet and engaged in clinical placement. Design/methodology/approach In all, 64 students participated in a multimodal hand hygiene education programme before clinical placement, with each student completing an in-class questionnaire after placement. Data were analysed using descriptive and comparative statistics. Students rated educational methods that had most influence on them. Their preference was for a practical hand hygiene education session. Students were also influenced by the therapist they were on placement with. They were least influenced by the didactic college presentation. Findings This study highlights that students may be influenced by different methods of education at different stages in their course and that placement may be an important influencing factor in the earlier years of occupational therapy education. Research limitations/implications This study highlights the importance of the availability of a multimodal educational approach and clinical placement to promote increased compliance with hand hygiene amongst students. Practical implications University healthcare course curricula should include multimodal approaches to the education of hand hygiene. While hand hygiene e-learning modules are beneficial, they should be used in conjunction with a multimodal educational strategy that incorporates practical elements. The influence of the therapist on a students’ behaviour should be utilised to improve both student and professionals hand hygiene adherence. Originality/value Original piece of work that is not widely discussed in Occupational Therapy literature.

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“…Extra attention should be paid to the nail beds, fingertips and thumbs during this session [99]. After this the hands should be washed with running water and thoroughly dried by disposable paper towels.…”

Section: When Should We Perform Hand-washing With Soap and Water Andmentioning

confidence: 99%

Complex infection control strategies at the neonatal intensive care unit with a special focus on hand hygiene

Szél¹

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Usage of Ultraviolet Test Method for Monitoring the Efficacy of Surgical Hand Rub Technique Among Medical Students

Cited by 30 publications

References 19 publications

Education of hand rubbing technique to prospective medical staff, employing UV-based digital imaging technology

Education of hand rubbing technique to prospective medical staff, employing UV-based digital imaging technology

Factors that influence hand hygiene practice amongst occupational therapy students

Complex infection control strategies at the neonatal intensive care unit with a special focus on hand hygiene

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