Use of a Patient Hand Hygiene Protocol to Reduce Hospital-Acquired Infections and Improve Nurses’ Hand Washing

Fox, Cherie; Wavra, Teresa; Drake, Diane; Mulligan, Debbie; Bennett, Yvonne Pacheco; Nelson, Carla; Kirkwood, Peggy; Jones, Louise; Bader, Mary Kay

doi:10.4037/ajcc2015898

Cited by 36 publications

(30 citation statements)

References 19 publications

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“…Before these interventions, it was surmised that hand hygiene was simply overlooked by nursing staff, as reported by Fox et al 4 The essential times for hand hygiene used in this project were corroborated by Sunkesula et al 5 as being before meals, after using the restroom, before contact with incisions or wounds, and before leaving and after returning to the hospital room.…”

Section: Relation To Other Evidencementioning

confidence: 59%

Patients’ Hand Washing and Reducing Hospital-Acquired Infection

Haverstick

Goodrich

Freeman

et al. 2017

Critical Care Nurse

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BACKGROUND Hand hygiene is important to prevent hospital-acquired infections. Patients’ hand hygiene is just as important as hospital workers’ hand hygiene. Hospital-acquired infection rates remain a concern across health centers. OBJECTIVES To improve patients’ hand hygiene through the promotion and use of hand washing with soap and water, hand sanitizer, or both and improve patients’ education to reduce hospital-acquired infections. METHODS In August 2013, patients in a cardiothoracic postsurgical step-down unit were provided with individual bottles of hand sanitizer. Nurses and nursing technicians provided hand hygiene education to each patient. Patients completed a 6-question survey before the intervention, at hospital discharge and 1, 2, and 3 months after the intervention. Hospital-acquired infection data were tracked monthly by infection prevention staff. RESULTS Significant correlations were found between hand hygiene and rates of infection with vancomycin-resistant enterococci (P = .003) and methicillin-resistant Staphylococcus aureus (P = .01) after the intervention. After the implementation of hand hygiene interventions, rates of both infections declined significantly and patients reported more staff offering opportunities for and encouraging hand hygiene. CONCLUSION This quality improvement project demonstrates that increased hand hygiene compliance by patients can influence infection rates in an adult cardiothoracic step-down unit. The decreased infection rates and increased compliance with hand hygiene among the patients may be attributed to the implementation of patient education and the increased accessibility and use of hand sanitizer.

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Section: Relation To Other Evidencementioning

confidence: 59%

Patients’ Hand Washing and Reducing Hospital-Acquired Infection

Haverstick

Goodrich

Freeman

et al. 2017

Critical Care Nurse

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“…The same sampling fraction (84/106) was used to calculate the number of nurses to be selected in each stratum. Based on the number of bedside nurses in each stratum, the calculated sample of nurses in each stratum was as follows: General surgery (14), Orthopedic/Burn (14), Neurosurgery (10), ICU/adults (23), ICU/pediatrics (12) and Neonatal Intensive Care Ward (11). Thus, the convenient sampling was used to select the predetermined sample in each stratum.…”

Section: Sampling Strategymentioning

confidence: 99%

“…[2] Nurses are mostly in contact with patients among all HCPs, [10] and the main providers of physical care. [11] Hence their hands come into constant contact with patients, which increases the risk of cross-contamination of HCAIs. [9] Thus, nurses' hand hygiene compliance seems pivotal in preventing HCAIs and limiting the transmission of microorganisms.…”

Section: Introductionmentioning

confidence: 99%

Assessment of nurses’ perceptions and adherence to five moments of hand hygiene in selected units at a University Teaching Hospital in Rwanda

Maniriho¹,

Rajeswaran²,

Collins³

et al. 2019

Rwanda Journal of Medicine and Health Sciences

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BackgroundAbout 1.4 million people worldwide are affected by hand hygiene-associated infections from healthcare providers, and altered perceptions might be the contributory factor. Objective To assess nurses' perceptions and adherence to the "five moments of hand hygiene" in selected units at a University Teaching Hospital in Rwanda. Methods A descriptive cross-sectional design was used. A sample size of 84 nurses was selected using convenience sampling. The perceptions survey questionnaire and the observation checklist was used to collect data. Descriptive and inferential statistics were used to analyse the data. ResultsSixty-nine (82.1%) had a positive perception of susceptibility and severity, and 75 (89.2%) had a positive perception of the benefits of hand hygiene. All 84 (100%) and 67 (79.8%) had a negative perception of perceived barriers and action (cues) to hand hygiene; respectively. Highest adherence rate (82.1%) was after body fluid exposure risk, lowest before touching a patient (27.4%), with an average adherence rate of 53.6% to the "five moments." Qualification was associated with nurses' perceptions (p =.002) and department of work with adherence to hand hygiene (p =.001). ConclusionThe overall perceptions of nurses were negative with inadequate adherence to hand hygiene practices. Therefore, this necessitates new strategies and reinforcement of hand hygiene among the nurses.Rwanda J Med Health Sci 2019;2(2):160-171. _______________________________________________________________________

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“…The mean monthly CAUTI rate was reduced from 9.1 incidents to 5.6 incidents per 1,000 catheter days, and indwelling catheter device utilization days were reduced from 5,190 days to 4,992 days. [13] …”

Section: Discussionmentioning

confidence: 99%

Evaluation of evidence-based practice of catheter associated urinary tract infections prevention in a critical care setting: An integrative review

Henry

2018

JNEP

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Background and objective: An estimated 449,300 catheter-associated tract urinary infection (CAUTI) incidents affecting Americans and 13,000 CAUTI-related deaths in the United States every year. The purpose of the review was the appraisal and integration of the best evidence practice for preventing CAUTI interventions and strategies to guide safety and quality initiatives in order to improve patient care. Methods: A total of 20 articles complied with the exclusion and inclusion criteria. The articles were studied, and the chosen articles were categorized in two areas of study: CAUTI prevention, and nurse education and knowledge improvement. Results: The articles selected were reviewed to encompass a review on the articles offering the most applicable corresponding information involving catheter-associated urinary tract infections and competency-based education. Conclusions: Analysis of the data from the literature search indicates the potential lack of compliance of CAUTI infection control practices is an issue for CAUTI problem. So implementing the best evidence to enforce CAUTI bundles compliance for CAUTI prevention is a key to reduce CAUTI rates.

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Use of a Patient Hand Hygiene Protocol to Reduce Hospital-Acquired Infections and Improve Nurses’ Hand Washing

Cited by 36 publications

References 19 publications

Patients’ Hand Washing and Reducing Hospital-Acquired Infection

Patients’ Hand Washing and Reducing Hospital-Acquired Infection

Assessment of nurses’ perceptions and adherence to five moments of hand hygiene in selected units at a University Teaching Hospital in Rwanda

Evaluation of evidence-based practice of catheter associated urinary tract infections prevention in a critical care setting: An integrative review

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