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A toolkit to improve hand hygiene compliance in intensive care

dc.contributor.authorLambe, Kathryn
dc.contributor.authorLydon, Sinéad
dc.contributor.authorByrne, Molly
dc.contributor.authorMcSharry, Jenny
dc.contributor.authorSquires, Janet
dc.contributor.authorPower, Michael
dc.contributor.authorDomegan, Christine
dc.contributor.authorOConnor, Paulen
dc.date.accessioned2022-08-12T16:04:40Z
dc.date.available2022-08-12T16:04:40Z
dc.date.issued2020-10
dc.identifier.urihttp://hdl.handle.net/10147/634201
dc.descriptionThis toolkit is based upon research completed as part of the Health Research Board (HRB) funded project: ‘A Moment for Hand Hygiene in the Intensive Care Unit: How Can Compliance Be Improved?’ The purpose of this toolkit is to provide guidance to Intensive Care Unit (ICU) staff on how to: • choose a suitable intervention for improving hand hygiene (HH) compliance in their unit; • implement the intervention; and • assess whether the intervention has been effective. Although this toolkit is specifically tailored towards improving hand hygiene compliance in the ICU, it is also relevant for improving compliance in any healthcare setting. Healthcare-associated infections present a serious challenge to safe, effective, and efficient healthcare, and are of particular concern in the intensive care unit (ICU), with prevalence rates of 20% to 30% reported. Good infection control practices, including hand hygiene, have been identified as being crucial to the safe performance of intensive care procedures, and are the primary means of reducing HAI prevalence and safeguarding vulnerable ICU patients. Despite the importance of compliance with hand hygiene guidelines, there is evidence internationally that compliance is suboptimal, and the research evidence to support and guide the implementation of interventions to improve hand hygiene compliance is weak. This means that decisions regarding hand hygiene improvement are made in the absence of scientific consensus on best or effective practice. The purpose of the toolkit developed within this research programme, and described in this report, is to provide guidance to ICU staff on how to choose a suitable intervention for improving hand hygiene compliance in their unit, implement the intervention, and assess whether the intervention has been effective. The toolkit provides background on hand hygiene compliance, presents a model of behavioural change, and then uses an established quality improvement framework (Plan Do Study Act) to guide the implementation of an appropriate hand hygiene intervention strategy. The toolkit describes 21 possible interventions, derived from the research literature and expert consensus, and provides guidance on the sorts of problems they may be able to address in ICU.en_US
dc.language.isoenen_US
dc.publisherNational University of Ireland Galwayen_US
dc.subjectINTENSIVE CARE UNITSen_US
dc.subjectHAND HYGIENEen_US
dc.subjectCOMPLIANCEen_US
dc.titleA toolkit to improve hand hygiene compliance in intensive careen_US
dc.typeGuidelineen_US
refterms.dateFOA2022-08-12T16:04:41Z


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