University of Oulu

Jansson, M. M., Syrjälä, H. P., Ohtonen, P. P., Meriläinen, M. H., Kyngäs, H. A., & Ala-Kokko, T. I. (2016). Simulation education as a single intervention does not improve hand hygiene practices: A randomized controlled follow-up study. American Journal of Infection Control, 44(6), 625–630. https://doi.org/10.1016/j.ajic.2015.12.030

Simulation education as a single intervention does not improve hand hygiene practices : a randomized controlled follow-up study

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Author: Jansson, Miia M.1,2,3; Syrjälä, Hannu P.3; Ohtonen, Pasi P.4;
Organizations: 1Division of Intensive Care, Department of Anesthesiology, Oulu University Hospital, Oulu, Finland
2Unit of Nursing Science and Health Management, University of Oulu, Finland
3Medical Research Center Oulu, Oulu, Finland
4Department of Infection Control, Oulu University Hospital, Oulu, Finland
5Northern Ostrobothnia Hospital District, Medical Research Center Oulu, Oulu, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, )
Persistent link: http://urn.fi/urn:nbn:fi-fe2019090226319
Language: English
Published: Elsevier, 2016
Publish Date: 2019-09-02
Description:

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.

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Series: American journal of infection control
ISSN: 0196-6553
ISSN-E: 1527-3296
ISSN-L: 0196-6553
Volume: 44
Issue: 6
Pages: 625 - 630
DOI: 10.1016/j.ajic.2015.12.030
OADOI: https://oadoi.org/10.1016/j.ajic.2015.12.030
Type of Publication: A1 Journal article – refereed
Field of Science: 3142 Public health care science, environmental and occupational health
Subjects:
Funding: © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/.
Copyright information: © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/.
  https://creativecommons.org/licenses/by-nc-nd/4.0/