دورية أكاديمية
أعرض في EDS

Hand hygiene compliance in nursing home wards: the effect of increased accessibility of alcohol-based hand rub.

التفاصيل البيبلوغرافية
العنوان: Hand hygiene compliance in nursing home wards: the effect of increased accessibility of alcohol-based hand rub.
المؤلفون: Iversen AM; Department of Oncology, Aarhus University Hospital and Aarhus University, Denmark. Electronic address: annivers@rm.dk., Hansen MB; Konduto ApS, Sani Nudge, Copenhagen, Denmark., Münster M; Münster, Copenhagen, Denmark., Kristensen B; National Centre of Infection Control, Statens Serum Institut, Copenhagen, Denmark., Ellermann-Eriksen S; Department of Clinical Microbiology, Aarhus University Hospital and Aarhus University, Denmark.
المصدر: The Journal of hospital infection [J Hosp Infect] 2024 May; Vol. 147, pp. 206-212. Date of Electronic Publication: 2024 Mar 21.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: W.B. Saunders For The Hospital Infection Society Country of Publication: England NLM ID: 8007166 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-2939 (Electronic) Linking ISSN: 01956701 NLM ISO Abbreviation: J Hosp Infect Subsets: MEDLINE
أسماء مطبوعة: Publication: London : W.B. Saunders For The Hospital Infection Society
Original Publication: New York, Academic Press.
مواضيع طبية MeSH: Nursing Homes* , Guideline Adherence*/statistics & numerical data , Health Personnel*/statistics & numerical data , Hand Hygiene*/methods , Hand Hygiene*/statistics & numerical data , Hand Hygiene*/standards , Alcohols*/administration & dosage, Humans ; Denmark ; Infection Control/methods ; Infection Control/standards ; Female ; Male ; Cross Infection/prevention & control ; Hand Disinfection/methods ; Hand Disinfection/standards ; Hand Sanitizers/administration & dosage ; Aged
مستخلص: Background: Elderly nursing home residents are vulnerable to infection from micro-organisms. Hand hygiene is considered one of the most important measures to prevent transmission.
Aim: To determine the effect of increased accessibility to alcohol-based hand rub (ABHR) in nursing home wards by monitoring hand hygiene compliance (HHC) among healthcare workers (HCWs).
Methods: An 11-month intervention study was conducted in a Danish six-ward nursing home. Data were collected using an automatic hand hygiene monitoring system (AHHMS). After a baseline period, one extra ABHR dispenser was placed in each of the 150 apartments. Baseline HHC was compared with the HHC during an immediate intervention period and a long-term intervention period.
Findings: A total of 159 HCWs were included. The AHHMS registered 341,078 hand hygiene opportunities. Overall baseline HHC was 31% (95% confidence interval: 30-32). A significant +18% absolute immediate effect (first five months) (95% CI: 17-19; P < 0.0001) and +13 percentage points (95% CI: 11-14; P < 0.0001) long-term effect (another four months) were recorded. HCWs working day shifts and short-term employees had a higher baseline HHC than HCWs working evening/night shifts. However, HCWs working night shifts achieved the greatest long-term effect with a mean +27 percentage point difference (P < 0.0001).
Conclusion: Placing an additional ABHR dispenser strategically within staff workflow significantly increased HHC among HCWs, demonstrating a noteworthy effect. The study is the first to report the effect on nursing home dispenser accessibility as a single intervention and to show a significant unmet potential.
(Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
فهرسة مساهمة: Keywords: Hand hygiene; Infection prevention; Long-term care; Nudging; Placement; Visibility
تواريخ الأحداث: Date Created: 20240323 Date Completed: 20240517 Latest Revision: 20240517
رمز التحديث: 20240518
DOI: 10.1016/j.jhin.2024.02.027
PMID: 38521416
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-2939
DOI:10.1016/j.jhin.2024.02.027