J Glob Infect Dis. 2021 Apr 16;13(2):80-84. doi: 10.4103/jgid.jgid_147_20. eCollection 2021.
Impact of an Interventional Program on Improving Compliance of Hand Hygiene and Reducing Hospital-Acquired Infection in the Critical Care Unit.
Journal of global infectious diseases
Jeneth Gutierrez, Aladeen Alloubani, Mohammad Alzaatreh, Mohammad Mari, Laila Akhu-Zaheya
Affiliations
Affiliations
- University of Tabuk, Department of Nursing, Tabuk, Saudi Arabia.
- King Hussein Cancer Center, Nursing Research Unit, Amman, Jordan.
- Prince Hamzah Hospital, Department of Nursing, Amman, Jordan.
- Westways Staffing Services Inc, California, United States.
- Jordan University of Science and Technology, Faculty of Nursing, Irbid, Jordan.
PMID: 34194174
PMCID: PMC8213080 DOI: 10.4103/jgid.jgid_147_20
Abstract
INTRODUCTION: This study aimed to determine the effect of a hand hygiene (HH) and awareness campaign on knowledge and compliance with HH practices among health-care workers working staff in the main intensive care units and also to evaluate the rates of hospital-acquired infection (HAI) before and after the intervention.
METHODS: A prospective, interventional, pre-post design was utilized and carried out in three phases: the first stage was a 1-month preintervention stage to develop the foundation of the compliance rate of handwashing; the second stage was the interventional handwashing campaign; the third stage was the postintervention stage to improve the compliance rate of handwashing. Two instruments were used in this study: the HH Knowledge Questionnaire developed by the World Health Organization to assess HH knowledge and the Handwashing Questionnaire developed to evaluate HH washing.
RESULTS: HH knowledge has been increased from preintervention (M = 11.84, standard deviation [SD] = 2.41) to postintervention (M = 18.80, SD = 2.93), and the effective compliance with HH practice was as low as 49% in June 2017 to 75% in February 2018. In addition, the HAI rate was dropped from 13.2% in June 2017 to 9% in February 2018. An inverse association was recognized between HH compliance and HAI rates.
CONCLUSIONS: These results recommend that reasonable approaches can decrease the HAI rate of intensive care units. A nationwide handwashing interventional program can be employed in all hospitals.
Copyright: © 2021 Journal of Global Infectious Diseases.
Keywords: Handwashing; hospital infections; intensive care units; knowledge
Conflict of interest statement
There are no conflicts of interest.
References
- Int J Nurs Pract. 2015 Oct;21(5):486-92 - PubMed
- Infect Control Hosp Epidemiol. 2014 Aug;35(8):937-60 - PubMed
- Am J Infect Control. 2012 Oct;40(8):e241-3 - PubMed
- Int J Nurs Stud. 2010 Oct;47(10):1245-52 - PubMed
- J Prev Med Hyg. 2017 Sep;58(3):E231-E237 - PubMed
- Work. 2003;20(2):159-65 - PubMed
- Indian J Med Microbiol. 2007 Jul;25(3):181-7 - PubMed
- Jt Comm J Qual Patient Saf. 2015 Jan;41(1):4-12 - PubMed
- Dtsch Arztebl Int. 2017 Jan 20;114(3):29-36 - PubMed
- Braz J Infect Dis. 2016 Sep-Oct;20(5):413-8 - PubMed
- Ann Intern Med. 1999 Jan 19;130(2):126-30 - PubMed
- BMC Public Health. 2014 Jan 30;14:96 - PubMed
- Am J Infect Control. 2009 Dec;37(10):827-34 - PubMed
- Trop Med Int Health. 2014 Aug;19(8):906-16 - PubMed
- Curr Infect Dis Rep. 2001 Dec;3(6):487-495 - PubMed
- Biomed Res Int. 2016;2016:7026169 - PubMed
- Infect Control Hosp Epidemiol. 2009 Jul;30(7):611-22 - PubMed
- J Hosp Infect. 2007 May;66(1):6-14 - PubMed
- Cochrane Database Syst Rev. 2017 Sep 01;9:CD005186 - PubMed
- Infect Control Hosp Epidemiol. 2013 Apr;34(4):415-23 - PubMed
- Electron Physician. 2017 Aug 01;9(8):5159-5165 - PubMed
- Infect Control Hosp Epidemiol. 2010 Dec;31(12):1264-72 - PubMed
- Pediatrics. 2007 Aug;120(2):e382-90 - PubMed
Publication Types