Effectiveness of implementing link nurses and audits and feedback to improve nurses’ compliance with standard precautions: A cluster randomized controlled trial - 22/09/20
, Ginevra Azzurra Miccoli, MD, PhD b, Claudia Cianfrocca, RN, MSN a, Enrico Di Stasio, MD c, Maria Grazia De Marinis, RN, MSN d, Daniela Tartaglini, RN, MSN dHighlights |
• | Compliance with standard precautions (SPs) is still suboptimal among clinical nurses. |
• | This issue has a negative impact on HAIs, and corrective interventions are needed. |
• | Implementing link nurses and systematic audits and feedback was an effective strategy. |
• | Nurses in the intervention group reported a significant increased SPs compliance. |
• | This study could inform initiatives to improve compliance with SPs and safety in nursing care. |
Résumé |
Background |
To prevent health care-associated infections, health organizations recommend that health care workers stringently observe standard precautions (SPs). Nevertheless, compliance with SPs is still suboptimal, emphasizing the need for improvement interventions.
Methods |
A cluster randomized controlled trial with a pretest-post-test design was conducted with 121 clinical nurses who worked in different wards of a university hospital. The intervention group (n = 61) had 3 infection control link nurses nominated and attended systematic audits and feedback. The control group (n = 60) received only the standard multimodal approach used in the hospital. Pre- and post-test assessment of SPs compliance was performed via the World Health Organization observational hand hygiene form and Compliance with Standard Precaution Scale Italian version.
Results |
At the post-test, nurses in the intervention group reported significantly increased compliance with hand hygiene, whereas no significant improvement was found in the control group. Nurses in both groups reported significantly increased Compliance with Standard Precaution Scale Italian version scores; however, a higher increase and practical significance was observed in the intervention group. Participants who improved their scores were also compared between groups, showing a significantly greater increase of individual scores in intervention group compared to the control group.
Conclusions |
The findings of this study provide significant practical implications for hospitals seeking to improve compliance with SPs among nurses, showing the effectiveness of using infection control link nurses combined with systematic audits and feedback.
Le texte complet de cet article est disponible en PDF.Key Words : Health care-associated infections, Improvement intervention, Nursing, Patient safety, Occupational health, Infection control
Plan
| Funding: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sector. |
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| Conflicts of interest: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
Vol 48 - N° 10
P. 1204-1210 - octobre 2020 Retour au numéro
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