2.50
Hdl Handle:
http://hdl.handle.net/10755/621048
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Other
Research Approach:
Pilot/Exploratory Study
Title:
Multipronged Approach to Improve Hand Hygiene in Acute Care Nurses
Author(s):
Karen Britt
Additional Author Information:
Karen Britt, DNP, RN-BC, CNE
Advisors:
Nogueras, Debra J.; Black, Vicki L.
Degree:
DNP
Degree Year:
2016
Grantor:
Capella University
Abstract:

Purpose: This article outlines a quality improvement project to implement a multipronged approach for improvement of hand hygiene (HH) adherence during bedside patient care in an inpatient acute care setting.

Design: A pretest/posttest design was utilized.  The project involved a pediatric acute inpatient unit at a community hospital located in the Northeast between March and May 2016.  The sample included ten registered nurses.  The Iowa Model provided a theoretical basis for the project.

Methods: Data collection occurred in three separate modes.  Mode 1 focused on determining if knowledge, attitudes, and barriers to infection control from nursing staff changed post intervention using paired t-test analysis.  Mode 2 focused on determining if product use changed following participation in the HH initiative.  Mode 3 focused on covert peer HH observations.

Findings: Data showed knowledge, attitudes, and product use did not change significantly following participation in the HH initiative.  Peer observation data showed that unit HH compliance increased by 2% in clean in, and increased by 8.3% in clean out during the pilot period.

Conclusions: The quality improvement project resulted in an improvement in overall unit HH compliance.  Targeted education on HH, periodic assessment, and feedback on healthcare worker adherence to recommended HH practices should be continued.

Clinical Relevance: Hand hygiene is a necessary and mandatory standard of care to protect both patients and health care workers from infection, yet HH compliance rates are low and guidelines are not consistently followed.  Instituting a multipronged approach to HH is one strategy that can be implemented across all practice settings to improve adherence to practice guidelines.

Keywords:
Multimodal approach; hand hygiene; quality improvement; peer observation
CINAHL Headings:
Handwashing; Hygiene; Hygiene--Methods; Acute Care; Nursing Staff, Hospital
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2016-10-18T19:31:25Z
Date of Publication:
2016-10-18

Full metadata record

DC FieldValue Language
dc.contributor.advisorNogueras, Debra J.en
dc.contributor.advisorBlack, Vicki L.en
dc.contributor.authorKaren Britten
dc.date.accessioned2016-10-18T19:31:25Z-
dc.date.available2016-10-18T19:31:25Z-
dc.date.issued2016-10-18-
dc.identifier.urihttp://hdl.handle.net/10755/621048-
dc.description.abstract<p><strong>Purpose:</strong> This article outlines a quality improvement project to implement a multipronged approach for improvement of hand hygiene (HH) adherence during bedside patient care in an inpatient acute care setting.</p> <p><strong>Design:</strong> A pretest/posttest design was utilized.  The project involved a pediatric acute inpatient unit at a community hospital located in the Northeast between March and May 2016.  The sample included ten registered nurses.  The Iowa Model provided a theoretical basis for the project.</p> <p><strong>Methods:</strong> Data collection occurred in three separate modes.  Mode 1 focused on determining if knowledge, attitudes, and barriers to infection control from nursing staff changed post intervention using paired t-test analysis.  Mode 2 focused on determining if product use changed following participation in the HH initiative.  Mode 3 focused on covert peer HH observations.</p> <p><strong>Findings:</strong> Data showed knowledge, attitudes, and product use did not change significantly following participation in the HH initiative.  Peer observation data showed that unit HH compliance increased by 2% in clean in, and increased by 8.3% in clean out during the pilot period.</p> <p><strong>Conclusions:</strong> The quality improvement project resulted in an improvement in overall unit HH compliance.  Targeted education on HH, periodic assessment, and feedback on healthcare worker adherence to recommended HH practices should be continued.</p> <p><strong>Clinical Relevance:</strong> Hand hygiene is a necessary and mandatory standard of care to protect both patients and health care workers from infection, yet HH compliance rates are low and guidelines are not consistently followed.  Instituting a multipronged approach to HH is one strategy that can be implemented across all practice settings to improve adherence to practice guidelines.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.subjectMultimodal approachen
dc.subjecthand hygieneen
dc.subjectquality improvementen
dc.subjectpeer observationen
dc.titleMultipronged Approach to Improve Hand Hygiene in Acute Care Nursesen_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorCapella Universityen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
dc.primary-author.detailsKaren Britt, DNP, RN-BC, CNEen
thesis.degree.year2016en
dc.type.categoryFull-texten
dc.evidence.levelOtheren
dc.research.approachPilot/Exploratory Studyen
dc.subject.cinahlHandwashingen
dc.subject.cinahlHygieneen
dc.subject.cinahlHygiene--Methodsen
dc.subject.cinahlAcute Careen
dc.subject.cinahlNursing Staff, Hospitalen
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