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Hand Hygiene Teaching Strategies among Nursing Staff: A Systematic Review

Author

Listed:
  • María B. Martos-Cabrera

    (Andalusian Health Service, Avenida del Sur N. 11, 18014 Granada, Spain)

  • Emilio Mota-Romero

    (Andalusian Health Service, Avenida del Sur N. 11, 18014 Granada, Spain)

  • Raúl Martos-García

    (Andalusian Health Service, Avenida del Sur N. 11, 18014 Granada, Spain
    Red Cross School of Nursing, University of Sevilla, Avenida la Cruz Roja N. 1, 41009 Sevilla, Spain)

  • José L. Gómez-Urquiza

    (Faculty of Health Sciences, University of Granada, Avenida de la Ilustración N. 60, 18016 Granada, Spain)

  • Nora Suleiman-Martos

    (Faculty of Health Sciences, University of Granada, Calle Cortadura Del Valle S.N., 51001 Ceuta, Spain)

  • Luis Albendín-García

    (Andalusian Health Service, Avenida del Sur N. 11, 18014 Granada, Spain
    Faculty of Health Sciences, University of Granada, Avenida de la Ilustración N. 60, 18016 Granada, Spain)

  • Guillermo A. Cañadas-De la Fuente

    (Faculty of Health Sciences, University of Granada, Avenida de la Ilustración N. 60, 18016 Granada, Spain)

Abstract

Background : Patient safety is a priority of any healthcare system, and one of the most effective measures is hand hygiene. For this, it is important that health staff have correct adherence and perform the technique properly. Otherwise, the incidence of nosocomial infections can increase, with consequent complications. The aim here was to analyze hand hygiene training and the effectiveness of different methods and educational strategies among nurses and whether they maintained correct adherence over time. Methods : A systematic review was conducted in the sources CINAHL (Cumulative Index to Nursing and Allied Health Literature), Dialnet, Lilacs (Latin American and Caribbean Health Sciences Literature), ProQuest (Proquest Health and Medical Complete), Medline, SciELO (Scientific Electronic Library Online), and Scopus. The search equation with Medical Subject Headings (MeSH) descriptors was “Nurs* AND (handwashing OR hand hygiene) AND clinical trial”. The review was performed following the recommendations of the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Results : n = 17 clinical trials were included, with a total of 5747 nurses and nursing students. Strategies such as reminder sounds, practical simulations, videos, and audiovisual media improved handwashing compliance. Adherence overtime increased by up to 60%. The greatest effectiveness was related to the use of povidone–iodine, which reduced colony formation compared Hand hygiene teaching strategies among nursing staff: a systematic review to soap. Conclusions : The strategies that go beyond teaching techniques such as lectures may be more effective at increasing hand hygiene compliance. Combined approaches to learning/instruction improve user satisfaction by enabling self-management, flexibility, and repetition.

Suggested Citation

  • María B. Martos-Cabrera & Emilio Mota-Romero & Raúl Martos-García & José L. Gómez-Urquiza & Nora Suleiman-Martos & Luis Albendín-García & Guillermo A. Cañadas-De la Fuente, 2019. "Hand Hygiene Teaching Strategies among Nursing Staff: A Systematic Review," IJERPH, MDPI, vol. 16(17), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:17:p:3039-:d:259797
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    References listed on IDEAS

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    1. La Thi Quynh Lien & Eva Johansson & Pham Thi Lan & Nguyen Thi Kim Chuc & Nguyen Thi Minh Thoa & Nguyen Quynh Hoa & Ho Dang Phuc & Ashok J. Tamhankar & Cecilia Stålsby Lundborg, 2018. "A Potential Way to Decrease the Know-Do Gap in Hospital Infection Control in Vietnam: “Providing Specific Figures on Healthcare-Associated Infections to the Hospital Staff Can ‘Wake Them Up’ to Change," IJERPH, MDPI, vol. 15(7), pages 1-12, July.
    2. Cam Dung Le & Erik B. Lehman & Thanh Huy Nguyen & Timothy J. Craig, 2019. "Hand Hygiene Compliance Study at a Large Central Hospital in Vietnam," IJERPH, MDPI, vol. 16(4), pages 1-10, February.
    3. Jerzy Rosiński & Anna Różańska & Andrzej Jarynowski & Jadwiga Wójkowska-Mach & Polish Society of Hospital Infections Team, 2019. "Factors Shaping Attitudes of Medical Staff towards Acceptance of the Standard Precautions," IJERPH, MDPI, vol. 16(6), pages 1-10, March.
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    Cited by:

    1. Mojtaba Vaismoradi & Susanna Tella & Patricia A. Logan & Jayden Khakurel & Flores Vizcaya-Moreno, 2020. "Nurses’ Adherence to Patient Safety Principles: A Systematic Review," IJERPH, MDPI, vol. 17(6), pages 1-15, March.
    2. Emilia Szumska & Przemyslaw Czajkowski & Michal Zablocki & Dorota Rozkiewicz, 2023. "A Multifaceted Approach to the “Bare below the Elbow” Concept and Hand Hygiene Compliance among Healthcare Professionals—Multicenter Population-Based Study," IJERPH, MDPI, vol. 20(5), pages 1-14, March.
    3. Huidi Xiao & Wen Shu & Menglong Li & Ziang Li & Fangbiao Tao & Xiaoyan Wu & Yizhen Yu & Heng Meng & Sten H. Vermund & Yifei Hu, 2020. "Social Distancing among Medical Students during the 2019 Coronavirus Disease Pandemic in China: Disease Awareness, Anxiety Disorder, Depression, and Behavioral Activities," IJERPH, MDPI, vol. 17(14), pages 1-13, July.

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