Multimodal Strategy to Improve Hand Hygiene Compliance to Practices among Staff Nurses

Abstract

Introduction and Background: Healthcare-acquired infections [HCAI] account for 10-30% of all hospital
admissions, according to the World Health Organization [WHO]. An estimated 1.4 million people are infected with
HCAI at any given time.1 As the burden of health-care-associated infections grows, so does the seriousness of disease
and treatment difficulty, which is exacerbated by multi-drug-resistant pathogen infections.2 Health care providers
are reverting to the fundamentals of infection control by employing common steps such as hand hygiene.3 The
WHO’s global initiative on patient safety programmers has made “Clean Care is Safer Care” a top priority.it is time
for developing countries to formulate the much-needed policies for implementation of basic infection prevention
practices in health care set-up.4
Nurses, the “nucleus of the health-care system,” spend more time with patients than any other health-care worker, and
their adherence to hand-washing protocols appears to be more important in preventing disease transmission among
patients. Hand hygiene is thought to be the most important factor in preventing healthcare-associated infections
(HAI). Hand hygiene programmes with a variety of components have been shown to increase compliance among
healthcare workers and, as a result, minimise infections. One such initiative is the World Health Organization’s
implementation of an evidence-based definition called “My five moments for hand hygiene.”5
The investigator seeks to study the compliance to hand hygiene practices among staff nurses, working in the obstetrical
and gynaecological wards. The research is an endeavour to increase the awareness and educate nurses about the need
for compliance to hand hygiene practices.
Aim: A.The aim of this study was to see how well health care workers in the intensive care unit kept their hands
clean (ICU)
B. To determine the causes of noncompliance, and
C. To investigate the effectiveness of a multimodal intervention approach in enhancing compliance.
Methodology: This Quasi experimental one group pre-intervention and post intervention study compares the
compliance to hand hygiene practices before and after a multimodal interventional strategy
Setting: The study was conducted in ICU ward in hospital
Result: The study needed a sample size of 64 nurses to achieve an 80 percent power and a 5% error rate. A t test
was used to compare the mean pre- and post-test scores. ANOVA was used to examine the relationships between
the baseline variables. Hand hygiene enforcement among staff nurses increased dramatically from 45.31 percent
to 65.78 percent following multimodal intervention strategies. (P0.0001) Hand hygiene techniques have improved
significantly (hand wash technique mean score increased from 5.97 + 1.284 to 8.16 + 1.158 (p 0.05) and hand rub
technique score increased from 4.52 + 0.992 to 6.69 + 1.489 (p 0.05)).The private wards had considerably better hand
hygiene than the general wards.
XI. Conclusion: The results of this study show that when multimodal interventional interventions were used, hand
hygiene compliance improved.