Improving Hand Hygiene Compliance in ICU
Author Information
Author(s): Mathai Ashu S., George Smitha E., Abraham John
Primary Institution: Christian Medical College, Ludhiana, Punjab, India
Hypothesis
Can a multimodal intervention strategy improve hand hygiene compliance among healthcare workers in an ICU?
Conclusion
The study found that hand hygiene compliance among healthcare workers in the ICU improved significantly after implementing a multimodal intervention strategy.
Supporting Evidence
- Hand hygiene compliance improved from 26% to 57.36% after the intervention.
- Staff nurses showed compliance improvement from 21.48% to 61.59%.
- Nursing students improved from 9.86% to 33.33% compliance.
- Resident trainees improved from 21.62% to 60.71% compliance.
- Visiting consultants improved from 22% to 57.14% compliance.
- Paramedical staff improved from 10.71% to 55.45% compliance.
Takeaway
The study showed that teaching healthcare workers about hand washing and reminding them to do it can help them remember to wash their hands more often.
Methodology
A before-after prospective observational study was conducted, observing hand hygiene compliance before and after a multimodal intervention.
Potential Biases
Potential bias due to the same researchers conducting observations and interventions.
Limitations
The study did not match subjects between pre- and post-intervention periods and may have been affected by the Hawthorne effect.
Participant Demographics
105 healthcare workers including staff nurses, resident trainees, consultants, physiotherapists, and ICU technicians.
Statistical Information
P-Value
p<0.0001
Statistical Significance
p<0.0001
Digital Object Identifier (DOI)
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