CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2017; 07(01): 016-020
DOI: 10.1055/s-0040-1708689
Original Article

Effectiveness of an Intervention Program to Improve Compliance with Hand Hygiene among Health Staff in NAFH

Imed Harrabi
1   Consultant & assistant director, infection control department, NAFH
,
Saad Al-Ghamdi
2   Consultant & director of Family and Community Medicine Center, infection control department, NAFH
,
Paolo Cubelo
3   Coordinator, infection control department, NAFH
› Author Affiliations

Abstract

Background: Hand Hygiene, either by hand washing or hand disinfection, remains the single most important measure to prevent nosocomal infections.

Objective: To increase Hand Hygiene compliance to at least 10% among health care staffs in female and medical wards after six months of a pilot intervention program.

Methods: It was a pre-post intervention study in Najran Armed forces Hospital during the year 2015. knowledge was assessed using WHO's hand hygiene questionnaire Measurement of attitude was done on the basis of 13 questions where the subjects had to give their opinion on a 1 to 5 point Liker Scale ranging from strongly disagree to strongly agree. Compliance was measured and directly observed by experienced infection control linkers.

Results: the results of our study showed a positive effect of the pilot intervention program on knowledge, attitude and compliance on hand hygiene. An increase in compliance of 6.44% and 7.56% were observed in Female Ward and Male Ward respectively in post-intervention.

Conclusions: All should be done to maintain the positive trend of hand hygiene compliance. The infection control team should be encouraged to maintain a continuous monitoring of hand hygiene compliance and have a positive interaction with the health staff.



Publication History

Received: 18 January 2016

Accepted: 05 January 2017

Article published online:
22 April 2020

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Sydnor ERM, Perl TM. Hospital Epidemiology and Infection Control in Acute-Care Settings. Clinical Microbiology Reviews. 2011;24(1):141- 173.
  • 2 Smith PW, Watkins K, Hewlett A.Infection control through the ages. Am J Infect Control. 2012 Feb;40(1):35-42.
  • 3 Harbarth S What can we learn from each other in infection control? Experience in Europe compared with the USA. J Hosp Infect. 2013 Mar;83(3):173-84.
  • 4 Askarian M, Yadollahi M, Assadian O. Point prevalence and risk factors of hospital acquired infections in a cluster of university-affiliated hospitals in Shiraz, Iran. J Infect Public Health. 2012 Apr;5(2):169-76.
  • 5 Lyytikäinen O(1), Kanerva M, Agthe N, Möttönen T, Ruutu P; Finnish Prevalence Survey Study Group. Healthcare-associated infections in Finnish acute care hospitals: a national prevalence survey, 2005. J Hosp Infect. 2008 Jul;69(3):288-94.
  • 6 Scott RD. The direct medical costs of healthcare-associated Infections in U.S. hospitals and the benefits of prevention. Atlanta, GA: Division of Healthcare Quality Promotion National Center for Preparedness, Detection, and Control of Infectious Diseases Coordinating Center for Infectious Diseases Centers for Disease Control and Prevention; 2009.
  • 7 Sessa A, Di Giuseppe G, Albano L, Italo F Angelillo et al. An Investigation of Nurses' Knowledge, Attitudes, and Practices Regarding Disinfection Procedures in Italy. BMC Infectious Diseases 2011, 11:148
  • 8 Darawad MW, Al-Hussami M, Almhairat II, Al-Sutari M. Investigating Jordanian nurses' handwashing beliefs, attitudes, and compliance. Am J Infect Control. 2012 Sep;40(7):643-7
  • 9 Collins AS. Preventing Health Care–Associated Infections. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Qual i ty (US) ; 2008 Apr. Chapter 41. Available from: http://www.ncbi.nlm.nih.gov/books/NBK2683/
  • 10 Mestre G, Berbel C, Tortajada P, et al. “The 3/3 Strategy”: A Successful Multifaceted Hospital Wide Hand Hygiene Intervention Based on WHO and Continuous Quality Improvement Methodology. Cameron DW, ed. PLoS ONE. 2012;7(10):e47200.
  • 11 Didier P. Hand hygiene: improved standards and practice for hospital care. Curr opin Infect Dis 2003. 16: 327-35
  • 12 Landelle C , Verachten M, Legrand P, Girou E, Barbut F, Brun-Buisson C. Contamination of healthcare workers' hands with Clostridium difficile spores after caring for patients with C.difficile infection. Infect Control Hosp Epidemiol 2014 Jan;35(1):10.
  • 13 World Health Organization. 'The first global patient safety challenge: clean care is safer care'. 2013. Available at: http://www.who.int/gpsc/en/
  • 14 National Quality Forum. Safe Practice 19: Hand Hygiene. Safe Practices for Better Healthcare: 2010 Update.[November 18, 2011]. www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.
  • 15 Gould DJ, Moralejo D, Drey N, Chudleigh JH. Interventions to improve hand hygiene compliance in patient care.Cochrane Database Syst Rev. 2010;(9):CD005186.
  • 16 .Mathai E, Allegranzi B, Seto WH, et al. Educating healthcare workers to optimal hand hygiene practices: addressing the need. Infection. 2010;38(5):349–56.
  • 17 McGuckin M, Storr J, Longtin Y, Allegranzi B, Pittet D. Patient empowerment and multimodal hand hygiene promotion: a win-win strategy. Am J Med Qual. 2011;26(1):10–7.
  • 18 Feather A, Stone SP, Wessier A, Boursicot KA, Pratt C. 'Now please wash your hands': the handwashing behaviour of final MBBS candidates. J Hosp Infect. 2000 May;45(1):62-4.
  • 19 Pittet D, Hugonnet S, Harbarth S, Mourouga P, Sauvan V, Touveneau S, Perneger TV. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Infection Control Programme. Lancet 2000 ; 356(9238):1307-12.