TY - JOUR
T1 - Infection prevention promotion program based on the PRECEDE model
T2 - Improving hand hygiene behaviors among healthcare personnel
AU - Aboumatar, Hanan
AU - Ristaino, Polly
AU - Davis, Richard O.
AU - Thompson, Carol B.
AU - Maragakis, Lisa
AU - Cosgrove, Sara
AU - Rosenstein, Beryl
AU - Perl, Trish M.
PY - 2012/2
Y1 - 2012/2
N2 - Background. Healthcare-associated infections (HAIs) result in significant morbidity and mortality. Hand hygiene remains a cornerstone intervention for preventing HAIs. Unfortunately, adherence to hand hygiene guidelines among healthcare personnel is poor. Objective. To assess short- and long-term effects of an infection prevention promotion program on healthcare personnel hand hygiene behaviors. Design. Time series design. Setting Our study was conducted at a tertiary care academic center. Participants. Hospital healthcare personnel. Methods. We developed a multimodal program that included a multimedia communications campaign, education, leadership engagement, environment modification, team performance measurement, and feedback. Healthcare personnel hand hygiene practices were measured via direct observations over a 3-year period by "undercover" observers. Results. Overall hand hygiene compliance increased by 2-fold after full program implementation (P<.001), and this increase was sustained over a 20-month follow-up period (P<.001). The odds for compliance with hand hygiene increased by 3.8-fold in the 6 months after full program implementation (95% confidence interval, 3.53-4.23; P<.001), and this increase was sustained. There was even a modest increase at 20 months of follow up. Hand hygiene compliance increased among all disciplines and hospital units. Hand hygiene compliance increased from 35% in the first 6 months after program initiation to 77% in the last 6 months of the study period among nursing providers (P<.001), from 38% to 62% among medical providers (P<.001), and from 27% to 75% among environmental services staff (P<.001). Conclusions. Implementation of the infection prevention promotion program was associated with a significant and sustained increase in hand hygiene practices among healthcare personnel of various disciplines.
AB - Background. Healthcare-associated infections (HAIs) result in significant morbidity and mortality. Hand hygiene remains a cornerstone intervention for preventing HAIs. Unfortunately, adherence to hand hygiene guidelines among healthcare personnel is poor. Objective. To assess short- and long-term effects of an infection prevention promotion program on healthcare personnel hand hygiene behaviors. Design. Time series design. Setting Our study was conducted at a tertiary care academic center. Participants. Hospital healthcare personnel. Methods. We developed a multimodal program that included a multimedia communications campaign, education, leadership engagement, environment modification, team performance measurement, and feedback. Healthcare personnel hand hygiene practices were measured via direct observations over a 3-year period by "undercover" observers. Results. Overall hand hygiene compliance increased by 2-fold after full program implementation (P<.001), and this increase was sustained over a 20-month follow-up period (P<.001). The odds for compliance with hand hygiene increased by 3.8-fold in the 6 months after full program implementation (95% confidence interval, 3.53-4.23; P<.001), and this increase was sustained. There was even a modest increase at 20 months of follow up. Hand hygiene compliance increased among all disciplines and hospital units. Hand hygiene compliance increased from 35% in the first 6 months after program initiation to 77% in the last 6 months of the study period among nursing providers (P<.001), from 38% to 62% among medical providers (P<.001), and from 27% to 75% among environmental services staff (P<.001). Conclusions. Implementation of the infection prevention promotion program was associated with a significant and sustained increase in hand hygiene practices among healthcare personnel of various disciplines.
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U2 - 10.1086/663707
DO - 10.1086/663707
M3 - Article
C2 - 22227983
AN - SCOPUS:84855522759
SN - 0899-823X
VL - 33
SP - 144
EP - 151
JO - Infection Control and Hospital Epidemiology
JF - Infection Control and Hospital Epidemiology
IS - 2
ER -