Impact of a training strategy on improving compliance of hand hygiene and gloving during the placement of a short peripheral venous catheter: the multicentre study CleanHand4.
Asepsis
Gloving
Hand hygiene
Improvement of practices
Short peripheral venous catheters
Journal
BMC medical education
ISSN: 1472-6920
Titre abrégé: BMC Med Educ
Pays: England
ID NLM: 101088679
Informations de publication
Date de publication:
06 Oct 2023
06 Oct 2023
Historique:
received:
18
05
2023
accepted:
26
09
2023
medline:
2
11
2023
pubmed:
7
10
2023
entrez:
6
10
2023
Statut:
epublish
Résumé
Patients who have short peripheral venous catheters (PVC) face an elevated risk of developing bloodstream infections. Preventing catheter-related infections relies on implementing multiple measures, including practicing proper hand hygiene (HH) during catheter placement. We conducted a four-part study: (1) an evaluation of HH practices through direct observation of PVC placements, coupled with the study of the microbial flora of the HCWs fingers just before the placement; (2) the development of an educational tool based on the collected observational and microbiological data; (3) the training to the HCWs observed during the first part, using this tool; and (4) the subsequent observation of the trained HCWs to measure the impact of the training on practice improvement. Compliant HH was observed in 23.5% of the 647 HCWs observed during PVC placement before training. The microbiological study revealed fewer pathogens on the fingertips of the HCWs practicing compliant HH compared other HCWs (2.6 vs 11,7%; p = 0.003). The comparison of practices before and after training, assessed among 180 HCWs, showed an increase in the proportion of HCWs performing compliant HH (25.0 vs 63.2%; p < 0.001). Training HCWs using our educational tool, which combines reminders of best practices and risk factors associated with PVC-related infections, engaging HCWs (presentation of practice evaluation), identifying professionals deviating from best practices (simulation videos), and objectively assessing fingertip contamination (microbiological study), significantly improved compliance with HH gestures and glove usage. We encourage infection control teams to utilize this tool to raise awareness among HCWs responsible for PVC placement about the risk of infection associated inadequate hand hygiene.
Sections du résumé
BACKGROUND
BACKGROUND
Patients who have short peripheral venous catheters (PVC) face an elevated risk of developing bloodstream infections. Preventing catheter-related infections relies on implementing multiple measures, including practicing proper hand hygiene (HH) during catheter placement.
METHODS
METHODS
We conducted a four-part study: (1) an evaluation of HH practices through direct observation of PVC placements, coupled with the study of the microbial flora of the HCWs fingers just before the placement; (2) the development of an educational tool based on the collected observational and microbiological data; (3) the training to the HCWs observed during the first part, using this tool; and (4) the subsequent observation of the trained HCWs to measure the impact of the training on practice improvement.
RESULTS
RESULTS
Compliant HH was observed in 23.5% of the 647 HCWs observed during PVC placement before training. The microbiological study revealed fewer pathogens on the fingertips of the HCWs practicing compliant HH compared other HCWs (2.6 vs 11,7%; p = 0.003). The comparison of practices before and after training, assessed among 180 HCWs, showed an increase in the proportion of HCWs performing compliant HH (25.0 vs 63.2%; p < 0.001).
CONCLUSIONS
CONCLUSIONS
Training HCWs using our educational tool, which combines reminders of best practices and risk factors associated with PVC-related infections, engaging HCWs (presentation of practice evaluation), identifying professionals deviating from best practices (simulation videos), and objectively assessing fingertip contamination (microbiological study), significantly improved compliance with HH gestures and glove usage. We encourage infection control teams to utilize this tool to raise awareness among HCWs responsible for PVC placement about the risk of infection associated inadequate hand hygiene.
Identifiants
pubmed: 37803431
doi: 10.1186/s12909-023-04727-x
pii: 10.1186/s12909-023-04727-x
pmc: PMC10559517
doi:
Types de publication
Observational Study
Multicenter Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
731Investigateurs
Kimberley Alexandre
(K)
Alexandra Allaire
(A)
Karine Amandier
(K)
Nathalie Audrain
(N)
Amina Azzam
(A)
Mehdi Bastard
(M)
Mélika Berrahal
(M)
Yasmina Berrouane
(Y)
Marie-Camille Betti
(MC)
Claire Bianchi
(C)
Mathilde Blanié
(M)
Laetitia Borrelys
(L)
Caroline Boschet
(C)
Alexandre Bourdet
(A)
Jihane Brisson
(J)
Anne Brechat
(A)
Dominique Buiguez
(D)
Sandra Caffort
(S)
Céline Chatelet
(C)
Catherine Chatin
(C)
Karine Chevalier
(K)
Armelle Choquet
(A)
Amélie Coire
(A)
Karine Courcelle
(K)
Nathalie Cremoux
(N)
Michèle Dangel
(M)
Cécile Debarre
(C)
Lydia Decruyenaere
(L)
Peggy Delavault
(P)
Frédérique Diaw
(F)
Marie Dobras
(M)
Carole Domrault-Tanguy
(C)
Sylvie Drot
(S)
Audrey Duchemin
(A)
Isabelle Durand-Joly
(I)
Claude El Kallas
(C)
Christelle Formery
(C)
Pierre Fournier
(P)
Aline Franck
(A)
Blanche Ghalloussi
(B)
Nathalie Ghironi
(N)
Marie Godet
(M)
Anne Goudouneche
(A)
Jill Gregoire
(J)
Hedia Guermazi
(H)
Nadia Idri
(N)
Emmanuelle Jacques-Gustave
(E)
Sylvie Joron
(S)
Laurence Joseph
(L)
Anne-Marie Kayoulou-Bour
(AM)
Maha Keswani
(M)
Annick Kmiecik
(A)
Marie Lafargue
(M)
Magalie Laffon
(M)
Elodie Lafond
(E)
Bruno Le Falher
(B)
Cécile Le Gouil
(C)
Sophie Leconte
(S)
Florence Malfondet
(F)
Sandrine Marty
(S)
Nadine Mertel
(N)
Virginie Morange
(V)
Floriane Morette
(F)
Jennifer Mouronval
(J)
Sylvie Moutarde
(S)
Nadine Negrin
(N)
Dominique Ollivier
(D)
Anne Perez
(A)
Pauline Pommier
(P)
Kahina Pouponnot
(K)
Isabelle Pouy Berlemont
(I)
Samantha Raumel
(S)
Patricia Rossi
(P)
Noella Roudaut
(N)
Bénédicte Roux-Sibillon
(B)
Dominique Saez de Ibarra
(D)
Muriel Schrevens
(M)
Ousseini Sidikou
(O)
Bertille Tamburro
(B)
Catherine Theaude
(C)
Sarah Thevenot
(S)
Jessica Turpin
(J)
Morgane Valsaque
(M)
Séverine Veja
(S)
Lucie Wojciechowski
(L)
Laure Zangoli
(L)
Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
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