22
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Evaluación de un taller práctico sobre higiene de manos impartido por estudiantes entrenados Translated title: Evaluation of a workshop on hand hygiene taught by instructed students

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Introducción. La enseñanza y el aprendizaje de la higiene de manos en el contexto sanitario es una tarea compleja. La intervención del estudiante como líder de su propia formación está muy poco analizada en la bibliografía. El objetivo principal del trabajo es la evaluación de un taller sobre higiene de manos gestionado, dirigido e impartido, bajo tutela experta, por estudiantes al propio colectivo estudiantil. Sujetos y métodos. Evaluación pre-post de la técnica, los conocimientos y las actitudes de los participantes hacia la higiene de manos. Asistieron 40 estudiantes de ciencias de la salud de la Universidad de Granada. Se realizaron dos evaluaciones del taller: mediante un cuestionario diseñado ad hoc con 12 ítems sobre conocimientos y actitudes, y mediante la observación directa de la técnica de higiene de manos y la calidad del proceso utilizando una lámpara de luz ultravioleta y una solución reactiva. Resultados. Tras la realización del taller se aprecia que disminuye de forma significativa el número de zonas contaminadas de las manos (t = 9,278; p < 0,000) y que mejora significativamente la técnica de higiene de manos para cada uno de los siete pasos establecidos por la Organización Mundial de la Salud (p < 0,001). La diferencia entre la media global de las puntuaciones del cuestionario antes y después del taller fue también significativa (t = -4,662; p < 0,000). Conclusiones. El taller impartido mejoró las actitudes, los conocimientos y la técnica de higiene de manos con solución alcohólica entre los participantes.

          Translated abstract

          Introduction. The teaching and learning of hand hygiene in the context of health is a complex task. There is little discussion in the literature regarding the student involvement as the leader of his own background. The main objective of this study is the evaluation of a workshop on hand hygiene managed, directed and delivered, under expert supervision, by students at the same student group. Subjects and methods. An evaluation pre-post about technique, knowledge and attitudes of participants towards hygiene. Attended by 40 students of Health Sciences at the University of Granada. We conducted two evaluations of the workshop by: a questionnaire designed ad hoc with 12 items on knowledge and attitudes, and the direct observation of hand hygiene technique and quality of the processing with an ultraviolet lamp and a reactive solution for it. Results. After the workshop, it shows how significantly reduces the number of contaminated areas hands (t = 9.278; p < 0.000) and how it significantly improves hand hygiene technique for each of the seven steps outlined World Health Organization (p < 0.001). The difference between the overall mean questionnaire scores before and after the workshop was also significant (t = -4.662;p < 0.000). Conclusions. The taught workshop improved attitudes, knowledge and technique of hand hygiene with alcohol solution between the participants.

          Related collections

          Most cited references23

          • Record: found
          • Abstract: found
          • Article: not found

          Improving compliance with hand hygiene in hospitals.

          Hand hygiene prevents cross-infection in hospitals, but compliance with recommended instructions often is poor among healthcare workers. Although some previous interventions to improve compliance have been successful, none has achieved lasting improvement. This article reviews reported barriers to appropriate hand hygiene and factors associated with poor compliance. Easy access to hand hygiene in a timely fashion and the availability of skin-care lotion both appear to be necessary prerequisites for appropriate hand-hygiene behavior. In particular, in high-demand situations, hand rub with an alcohol-based solution appears to be the only alternative that allows a decent compliance. The hand-hygiene compliance level does not rely on individual factors alone, and the same can be said for its promotion. Because of the complexity of the process of change, it is not surprising that solo interventions often fail, and multimodal, multidisciplinary strategies are necessary. A framework that includes parameters to be considered for hand-hygiene promotion is proposed, based on epidemiologically driven evidence and review of the current knowledge. Strategies for promotion in hospitals should include reasons for noncompliance with recommendations at individual, group, and institutional levels. Potential tools for change should address each of these elements and consider their interactivity.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Measurement of compliance with hand hygiene.

            Compliance with hand hygiene is widely recognized as the most important factor in preventing transmission of infection to patients in health care settings. However, there is no standardized method for measuring compliance. The three major methods used are direct observation, self-report and indirect measurement of hand hygiene product usage. This review discusses the methods of compliance monitoring and the advantages and drawbacks of each.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              The impact of an education program on hand hygiene compliance and nosocomial infection incidence in an urban neonatal intensive care unit: an intervention study with before and after comparison.

              Nosocomial bloodstream infections are a major cause of morbidity and mortality in neonatal intensive care units. Appropriate hand hygiene is singled out as the most important measure in preventing these infections. However, hand hygiene compliance among healthcare professionals remains low despite the well-known effect on infection reduction. We studied the effectiveness of a hand hygiene education program on the incidence of nosocomial bloodstream infections. Observational study with two pretests and two posttest measurements and interrupted time series analysis. A 27 bed level IIID neonatal intensive care unit in a teaching hospital in the Netherlands. Healthcare professionals who had physical contact with very low birth weight (VLBW) infants. The study was conducted during a period of 4 years. Medical and nursing staff followed a problem-based education program on hand hygiene. Hand hygiene practices before and after the education program were compared by guided observations. The incidence of nosocomial infections in VLBW infants was compared. In addition, numbers of nosocomial bloodstream infections per day-at-risk in very low birth weight infants were analyzed by a segmented loglinear regression analysis. During 1201 observations hand hygiene compliance before patient contact increased from 65% to 88% (p<0.001). Median (interquartile range) drying time increased from 4s (4-10) to 10s (7-14) (p<0.001). The proportion of very low birth weight infants with one or more bloodstream infections and the infection rate per 1000 patient days (relative risk reduction) before and after the education program on hand hygiene intervention decreased from 44.5% to 36.1% (18.9%, p=0.03) and from 17.3% to 13.5% (22.0%, p=0.03), respectively. At the baseline the nosocomial bloodstream infections per day-at-risk decreased by +0.07% (95% CI -1.41 to +1.60) per month and decreased with -1.25% (95% CI -4.67 to +2.44) after the intervention (p=0.51). The level of instant change was -14.8% (p=0.48). The results are consistent with relevant improvement of hand hygiene practices among healthcare professionals due to an education program. Improved hand hygiene resulted in a reduction in nosocomial bloodstream infections. Copyright (c) 2010 Elsevier Ltd. All rights reserved.
                Bookmark

                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                edu
                Educación Médica
                Educ. méd.
                Fundación Educación Médica (Barcelona )
                1575-1813
                September 2012
                : 15
                : 3
                : 149-154
                Affiliations
                [1 ] Hospital Universitario San Cecilio Spain
                [2 ] Universidad de Granada Spain
                [3 ] Hospital Infanta Margarita Spain
                [4 ] Universidad de Granada Spain
                [5 ] Centro de Investigación Biomedica en Red de Epidemiología y Salud Pública (CIBERESP Spain
                Article
                S1575-18132012000300007
                10.4321/s1575-18132012000300007
                f6372e2d-6962-4750-a1a6-09730aab5ac4

                http://creativecommons.org/licenses/by/4.0/

                History
                Categories
                EDUCATION & EDUCATIONAL RESEARCH
                MEDICINE, GENERAL & INTERNAL

                Educational research & Statistics,Internal medicine
                Hand hygiene,Health education,Student leadership,Educación sanitaria,Higiene de manos,Liderazgo estudiantil

                Comments

                Comment on this article