Baffour, Theresa Aryee. The use of an infographic visual reminder, staff education and feedback to increase hand washing compliance among hospital staff. Retrieved from https://doi.org/doi:10.7282/t3-ctm8-5t92
DescriptionPurpose: Hand hygiene (HH) is the single most effective infection control measure in the prevention of hospital-acquired infections (HAIs). In the United States, approximately 15 million patients experience the ill effects of HAIs every year. This project aimed to increase awareness of HH practices as a means of increasing compliance rates using a before and after educational intervention, visual reminders, observation, and staff counseling.
Methods: This quality improvement project used an educational intervention about HH practices and assessed knowledge before and after followed by visual reminders and poster boards. Compliance records were used as the pre-intervention data with direct observation after. Differences in knowledge scores and compliance rates were measured.
Results: A total of 50 persons participated. More than half (56%) were registered nurses, 24% were licensed practical nurses, and 10% were physicians. Significant differences in the baseline and post-intervention knowledge of HH practices (Pre-intervention score=3.74 (0.49); post-intervention score=4.00 (0.00); p. value=<0.001). Compliance was low pre-intervention however compliance increased significantly afterwards from 33.3% to 87.8%.
Implications: A contributing factor to transmission of infection in a hospital setting is improper HH, which is ultimately a contributing factor in hospital costs and affecting patients’ quality of life. Healthcare institutions should invest in standardized HH training and provide feedback to staff on compliance rates. Economic and clinical benefits of education, visual reminders, and direct observation with counseling include reduced HAIs, drug resistance, hospital stay, and mortality of patients. Further research is needed to determine healthcare providers reluctance to washing their hands and understanding the strategies that work best to sustain high rates of HH compliance.