IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v28y2019i5-6p912-919.html
   My bibliography  Save this article

Interventions to increase hand hygiene compliance in a tertiary university hospital over a period of 5 years: An iterative process of information, training and feedback

Author

Listed:
  • Magdalena Hoffmann
  • Gerald Sendlhofer
  • Gudrun Pregartner
  • Veronika Gombotz
  • Christa Tax
  • Renate Zierler
  • Gernot Brunner

Abstract

Aims and objective To explore whether an iterative process of information and training paired with a feedback system to observed healthcare professionals and the respective management improves hand hygiene (HH) compliance. Background Healthcare‐associated infections are a major risk for patient safety, and adherence to the “My five moments” (M5M) for HH varies significantly within organisations as well as within healthcare professional groups. Identified barriers in a baseline survey revealed the need of more information, training, repetitive compliance measurements and feedback to all healthcare professionals. Design A quality improvement project using the method of direct observation of healthcare professionals in nonsurgical and surgical wards. Methods Between 2013 and 2017, 6,009 healthcare professionals were informed and trained, and HH compliance measurements were performed by hygiene experts. Compliance measurement results were documented in an online tool to give an immediate feedback to observed healthcare professionals. Additionally, a report was forwarded to the management of the respective department to raise awareness. Compliance rates per year were descriptively summarised. The research and reporting methodology followed SQUIRE 2.0. Results In total, 84 compliance measurements with 19,295 “M5M for HH” were observed in 49 wards. Overall, mean HH compliance increased from 81.9 ± 5.2% in 2013 to 94.0 ± 3.6% in 2017. Physicians’ HH compliance rate improved from 69.0 ± 16.6% to 89.3 ± 6.6%, that of nurses from 86.0 ± 6.9% to 96.4 ± 3.1%, and that of others from 60.5 ± 27.9% to 83.8 ± 20.2%. All M5M for HH (#1–#5) increased over the study period (#1: +16.9%; #2: +20.5%; #3: +7.6%; #4: +5.9%; #5: +12.7%). Conclusions Results demonstrated that an iterative process of information, training, observation and feedback over a period of 5 years can be successful in increasing HH compliance. Positive trends were observed for HH compliance rates across all healthcare professional groups as well as for all M5M for HH.

Suggested Citation

  • Magdalena Hoffmann & Gerald Sendlhofer & Gudrun Pregartner & Veronika Gombotz & Christa Tax & Renate Zierler & Gernot Brunner, 2019. "Interventions to increase hand hygiene compliance in a tertiary university hospital over a period of 5 years: An iterative process of information, training and feedback," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(5-6), pages 912-919, March.
  • Handle: RePEc:wly:jocnur:v:28:y:2019:i:5-6:p:912-919
    DOI: 10.1111/jocn.14703
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.14703
    Download Restriction: no

    File URL: https://libkey.io/10.1111/jocn.14703?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Anne Korhonen & Helena Ojanperä & Teija Puhto & Raija Järvinen & Pirjo Kejonen & Arja Holopainen, 2015. "Adherence to hand hygiene guidelines – significance of measuring fidelity," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(21-22), pages 3197-3205, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.

      More about this item

      Statistics

      Access and download statistics

      Corrections

      All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:28:y:2019:i:5-6:p:912-919. See general information about how to correct material in RePEc.

      If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

      If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

      If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

      For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

      Please note that corrections may take a couple of weeks to filter through the various RePEc services.

      IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.