Simulation education as a single intervention does not improve hand hygiene practices: A randomized controlled follow-up study - 28/05/16
, Hannu P. Syrjälä, MD, PhD c, Pasi P. Ohtonen, MSc d, Merja H. Meriläinen, PhD, RN a, Helvi A. Kyngäs, PhD, RN b, e, Tero I. Ala-Kokko, MD, PhD a, cHighlights |
• | Critical care nurses' knowledge of and adherence to current hand hygiene guidelines were poor. |
• | After simulation education, critical care nurses' knowledge of and adherence to current hand hygiene guidelines remained below targeted behavior rates. |
• | Simulation education as a single intervention does not improve hand hygiene practices. |
Abstract |
Background |
To evaluate how critical nurses' knowledge of and adherence to current care hand hygiene (HH) guidelines differ between randomly allocated intervention and control groups before and after simulation education in both a simulation setting and clinical practice during a 2-year follow-up period. It was hypothesized that intervention group knowledge of and adherence to current HH guidelines might increase compared with a control group after simulation education.
Methods |
A prospective, parallel, randomized controlled trial with repeated measurements was conducted in a 22-bed adult mixed medical-surgical intensive care unit in Oulu, Finland. Thirty out of 40 initially randomized critical care nurses participated in the baseline measurements; of these, 17 completed all the study procedures. Participants' HH adherence was observed only in high-risk contact situations prior to and postendotracheal suctioning events using a direct, nonparticipatory method of observation. Participants' HH knowledge was evaluated at the end of each observational session.
Results |
The overall HH adherence increased from a baseline value of 40.8% to 50.8% in the final postintervention measurement at 24 months (P = .002). However, the linear mixed model did not identify any significant group (P = .77) or time-group interactions (P = .17) between the study groups after 2 years of simulation education. In addition, simulation education had no impact on participants' HH knowledge.
Conclusions |
After a single simulation education session, critical care nurses' knowledge of and adherence to current HH guidelines remained below targeted behavior rates.
El texto completo de este artículo está disponible en PDF.Key Words : Hand hygiene, infection control, nursing education, simulation
Esquema
| Author Contributions: Drs Jansson, Syrjälä, Ohtonen, Meriläinen, Kyngäs, and Ala-Kokko contributed to the study design. Dr Jansson contributed to data collection. Drs Jansson and Ohtonen performed the data analysis. Drs Jansson, Syrjälä, Ohtonen, Meriläinen, Kyngäs, and Ala-Kokko contributed to data interpretation and manuscript preparation. |
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| Conflicts of Interest: None to report. |
Vol 44 - N° 6
P. 625-630 - juin 2016 Regresar al número
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