Observation-based evaluation of hand hygiene practices and the effects of an intervention at a public hospital cafeteria - 03/08/11
, Ben Chapman, PhD c, Megan K. Hardigree, MS a, Douglas A. Powell, PhD a, ⁎ 
Address correspondence to Kate S. KuKanich, DVM, PhD, and Douglas A. Powell, PhD, O-221 Mosier Hall, Manhattan, KS 66506.Abstract |
Background |
Hand hygiene is important before meals, especially in a hospital cafeteria where patrons may have had recent contact with infectious agents. Few interventions to improve hand hygiene have had measureable success. This study was designed to use a poster intervention to encourage hand hygiene among health care workers (HCWs) and hospital visitors (HVs) upon entry to a hospital cafeteria.
Methods |
Over a 5-week period, a poster intervention with an accessible hand sanitizer unit was deployed to improve hand hygiene in a hospital cafeteria. The dependent variable observed was hand hygiene attempts. Study phases included a baseline, intervention, and follow-up phase, with each consisting of 3 randomized days of observation for 3 hours during lunch.
Results |
During the 27 hours of observation, 5,551 participants were observed, and overall hand hygiene frequency was 4.79%. Hygiene attempts occurred more frequently by HCWs than HVs (P = .0008) and females than males (P = .0281). Hygiene attempts occurred more frequently after poster introduction than baseline (P = .0050), and this improvement was because of an increase in frequency of HV hand hygiene rather than HCW hand hygiene.
Conclusion |
The poster intervention tool with easily accessible hand sanitizer can improve overall hand hygiene performance in a US hospital cafeteria.
Le texte complet de cet article est disponible en PDF.Key Words : Hand hygiene, infectious disease, cafeteria, sanitizer, poster
Plan
| Supported by One Health Kansas and the Kansas Health Foundation. |
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| Conflicts of interest: None to report. |
Vol 39 - N° 6
P. 464-470 - août 2011 Retour au numéro
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