Effect of multimodal intervention to enhance Hong Kong healthcare workers' hand hygiene compliance

Pao Yue-kong Library Electronic Theses Database

Effect of multimodal intervention to enhance Hong Kong healthcare workers' hand hygiene compliance


Author: Tai, Wai-ming Josepha
Title: Effect of multimodal intervention to enhance Hong Kong healthcare workers' hand hygiene compliance
Degree: Ph.D.
Year: 2011
Subject: Medical personnel -- Health and hygiene -- China -- Hong Kong.
Hand -- Care and hygiene.
Hong Kong Polytechnic University -- Dissertations
Department: School of Nursing
Pages: 208 leaves : col. ill. ; 30 cm.
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b2462519
URI: http://theses.lib.polyu.edu.hk/handle/200/6283
Abstract: The purpose of this research was to develop and evaluate the process and impact of strategies to improve hand hygiene compliance in an acute hospital in Hong Kong. With reference to the results of the observation, questionnaire survey, review of literature and the small-group conference with the staff; hand hygiene program was developed, implemented and modified throughout the three cycles of action research. In the first cycle after ward-based educational talk, system change with the use of alcohol-based handrub and poster display, compliance to hand hygiene in the three experimental wards improved from 18.31% to 41.6%. However, when the hand hygiene program was extended to the whole hospital during the second cycle through provision of hospital-based educational talk and alcohol-based handrub, compliance in the control wards have no enhancement (baseline 25.4% to 25.6%) whereas the experimental wards improved steadily (44.4%). Due to poor outcome, the enhancement program was re-examined with mandatory intensive hand hygiene talk provided to all staff alongside with interventions of scenario description and immediate clarification after observation. At the end, overall compliance to hand hygiene enhanced from 22% to 54%. Additionally, the spiral process (plan, act, observe, reflect) of action research did enlighten the program coordinator that while promoting good standard practice; one should not neglect the role of supervisors, peers, infection control nurses who are significant ones in the implementation process. Furthermore, apart from changing of system in the environment to provide safety care, upholding professional values of healthcare workers is needed to sustain quality care.

Files in this item

Files Size Format
b2462519x.pdf 2.558Mb PDF
Copyright Undertaking
As a bona fide Library user, I declare that:
  1. I will abide by the rules and legal ordinances governing copyright regarding the use of the Database.
  2. I will use the Database for the purpose of my research or private study only and not for circulation or further reproduction or any other purpose.
  3. I agree to indemnify and hold the University harmless from and against any loss, damage, cost, liability or expenses arising from copyright infringement or unauthorized usage.
By downloading any item(s) listed above, you acknowledge that you have read and understood the copyright undertaking as stated above, and agree to be bound by all of its terms.


Quick Search


More Information