Hernández-Orozco HG, Castañeda-Narváez JL, Lucas-Reséndiz ME, Rosas-Ruiz A, Aparicio-Santiago GL, Sandoval-Medina MC

Language: Spanish
References: 9
Page: 299-307
PDF size: 1953.65 Kb.

ABSTRACT

Introduction: Hand hygiene (HH) is considered the most important strategy to prevent healthcare associated infections. At our institution, a previous survey showed that 93% of hospital staff said they knew the hand’s hygiene technique. But active surveillance observations did not reflect these results.
Objetive: Improve appropriate hand hygiene technique through a strategy “one to one”.
Methods: Before and after study, conducted from 2012 to 2013 including the nursing staff. The study was done in three stages: 1st stage: we observed nurse performing HH and reinforced verbally if technique was incorrect. 2nd stage: we invited a nurse to perform a HH, if technique was incorrect, we asked the nurse to do HH together with a trained observer. 3rd stage: was performed with at least 15 days after 2nd stage and consisted in a final HH technique assessment. We analyzed and compared frequencies of correct events with ji2 and McNemar.
Results: The McNemar test showed statistically significant difference between the frequencies of correct hand hygiene (HH) at stage 1 compared with subsequent stages (35 versus 85%; P ‹ .001).
Conclusions: We confirmed that led intervention increased cooperation by the staff and improved the correct technique of HH in the short term.

REFERENCES

1. Institute Healthcare Improvement (IHI). How to guide improvement hand hygiene. Disponible en: http://www. shea-online.org/Assets/files/IHI_Hand_Hygiene.pdf Acceso: 1/01/2015.

2. Pitet D. Improving adherence to hand hygiene practice: a multidisciplinary approach. Emerg Infect Dis. 2001;7(2):234-240.

3. WHO Guidelines on Hand Hygiene in Health Care: a Summary 2009. Disponible en: http://www.who.int/ gpsc/5may/tools/who_guidelines-handhygiene_summary. pdf. Acceso 1/10/2012

4. Suárez ST, Guanche HG, Cañal NA, Maldonado GC, Benítez MM. Adherencia a la realización de lavado de manos por el personal de enfermería en un hospital clínico quirúrgico de la Habana. Hig Salud Amb. 2013;13(1):940-45.

5. Pitet D, Hugonnet S, Harpagh S, Mourouga P, Sauvan V, Touveneau S, Parreger TV. Effectiveness of a hospital wide programmed to improve compliance with hand hygiene. Lancet. 2000;356(9238):1307-12.

6. Jiménez ALS, Prado VV. El impacto actual del lavado de manos. Med Nat. 2008;2(2):123-9.

7. Kilpatrick C, Hosie L, and Storr J. Hand hygiene when and how should it be done? Nursing Times. 2013;109(38):16-8.

8. Boscart M, Fernie GR, Lee JH Jaglal SB. Using psychological theory to inform methods to optimize the implementation of a hand hygiene intervention Veronique. Implementation Science. 2012;7(77):1-12.

9. Squires JE, Linklater S, Girmshaw JM, Graham DI, Sulivan K, Bruce N, Gartke K, Karovitch A et al. Understanding Practice: Factors That Influence Physician Hand Hygiene Compliance. Infect Control Hosp Epidemiol. 2014;35(12):1511-1520.