Efficacy of a multifaceted intervention program on knowledge, attitudes and compliance of health care staff within a radiology department of a large regional hospital to hand hygiene practices

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Efficacy of a multifaceted intervention program on knowledge, attitudes and compliance of health care staff within a radiology department of a large regional hospital to hand hygiene practices

 

Author: Ng, Suk-hing
Title: Efficacy of a multifaceted intervention program on knowledge, attitudes and compliance of health care staff within a radiology department of a large regional hospital to hand hygiene practices
Degree: M.Sc.
Year: 2009
Subject: Hong Kong Polytechnic University -- Dissertations.
Hand washing -- China -- Hong Kong -- Case studies.
Health care teams -- China -- Hong Kong -- Case studies.
Medical personnel -- China -- Hong Kong -- Health and hygiene.
Radiology, Medical -- Safety measures.
Department: School of Nursing
Pages: v, 109, [12] p. ; 30 cm.
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b2303588
URI: http://theses.lib.polyu.edu.hk/handle/200/4927
Abstract: Hand hygiene is considered to be the single most important mechanism for preventing the transmission of hospital acquired infection. Considerable emphasis is placed on this activity in the hospital setting and infection control teams work hard to continually raise awareness of staff regarding the need for compliance to hand hygiene. However, certain departments in the hospital are often overlooked in this drive to increase handwashing compliance even though the risk of cross infection is present. The main aim of this study was to examine the knowledge, attitudes and compliance rates of staff to established guidelines for hand hygiene in one such department, the radiology department of a large regional hospital in Hong Kong. It also evaluated the effect on these attributes after implementing an interventional program for promoting the use of alcohol hand-rubs. This was a quasi-experimental study which consisted of three phases: pre-test assessment, intervention and post-test assessment. Self-reported questionnaires and observation through convenience sampling were employed in collecting data at baseline and again following the delivery of a multifaceted intervention program. In total 61 health care staff participated in the study. The compliance rate for hand hygiene, taken as hand hygiene actions over hand hygiene opportunities x 100%, in the pre-test phase was 28.92% and 51.4% in post-test phase. The difference was statistically significant (P<0.05). Among the two commonly used hand hygiene methods, hand rubbing action was noted to have increased significantly (P < 0.05) after the intervention (pretest 13.2% to posttest 86.8%) while hand washing action was not significantly increased after the intervention. Knowledge about hand hygiene and attitudes to hand hygiene compliance were also increased following the intervention program. The unique position of the radiology department as a potential hub for transmitting infection within a hospital is examined in the discussion. In conclusion, promotion of the use of alcohol-based hand rubs could improve the knowledge, attitudes and compliance rates of healthcare workers who are in direct contact with patients in a radiology department, which was an important potential source of cross-infection in a hospital.

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