Miia M Jansson1, Hannu P Syrjälä2, Pasi P Ohtonen3, Merja H Meriläinen4, Helvi A Kyngäs5, Tero I Ala-Kokko6. 1. Division of Intensive Care, Department of Anesthesiology, Oulu University Hospital, Oulu, Finland; Unit of Nursing Science and Health Management, University of Oulu, Finland; Medical Research Center Oulu, Oulu, Finland. Electronic address: miia.jansson@oulu.fi. 2. Medical Research Center Oulu, Oulu, Finland. 3. Department of Infection Control, Oulu University Hospital, Oulu, Finland. 4. Division of Intensive Care, Department of Anesthesiology, Oulu University Hospital, Oulu, Finland. 5. Unit of Nursing Science and Health Management, University of Oulu, Finland; Northern Ostrobothnia Hospital District, Medical Research Center Oulu, Oulu, Finland. 6. Division of Intensive Care, Department of Anesthesiology, Oulu University Hospital, Oulu, Finland; Medical Research Center Oulu, Oulu, Finland.
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.
RCT Entities:
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.
Authors: María B Martos-Cabrera; Emilio Mota-Romero; Raúl Martos-García; José L Gómez-Urquiza; Nora Suleiman-Martos; Luis Albendín-García; Guillermo A Cañadas-De la Fuente Journal: Int J Environ Res Public Health Date: 2019-08-22 Impact factor: 3.390