针对行为改变的多式干预措施对养老院的手部卫生遵守的影响:18个月的准实验性研究
Ida H Sandbekken1, Inger Utne1, Åsmund Hermansen2
1Department of Nursing and Health Promotion, Oslo Metropolitan University, Norway.
American journal of infection control
|July 27, 2023
概括
多式干预措施显著改善了养老院的手部卫生. 专注于行为改变和持续强化是防止脆弱居民之间感染传播的关键.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 预防和控制感染.
- 在医疗保健中的行为科学.
背景情况:
- 养老院居民是感染高风险的脆弱人群.
- 卫生工作者对手部卫生的不严格遵守有助于感染传播.
- 需要有效的策略来改善长期护理机构的手部卫生.
研究的目的:
- 为了评估行为改变干预措施对手部卫生遵守在养老院的有效性.
- 确定特定的区域和特定的时刻,以有针对性地改善手部卫生.
- 评估干预措施对感染率和抗生素使用的影响.
主要方法:
- 一项涉及22个养老院病房18个月的准实验性研究.
- 在三个干预病房实施多式模式行为改变干预 (教育,紫外线灯箱,海报).
- 在干预和控制病房之间对手部卫生,感染率和抗生素使用情况进行比较.
主要成果:
- 在干预病房,手部卫生的遵守率增加到60.9%,而在控制病房下降到51.3%.
- 干预病房在所有五个WHO时刻都显示出更高的坚持手部卫生.
- 该研究强调了特定的时刻,比如在患者接触和手套使用之前,需要有针对性的改进.
结论:
- 结合行为改变原则的多式干预措施可以有效地提高养老院的手部卫生遵守.
- 持续改进需要持续关注手部卫生,员工激励和持续强化.
- 针对特定高风险行为的有针对性的策略对于预防感染至关重要.
相关概念视频
01:22Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
01:23Hand hygiene
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
01:19Handwashing II: Pre-procedure and Initial Procedure Steps
The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail paint...
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail paint...
01:15Handwashing III: During the Procedure and Post-Procedure Steps
To wash hands properly, follow these steps:
01:25Types of Reports I: Hand-off Report
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
01:29Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities