Nursing students led simulations to improve healthcare workers' hand hygiene compliance.

Contemporary nurse Pub Date : 2024-04-01 Epub Date: 2024-03-12 DOI:10.1080/10376178.2024.2322994
Ilana Livshiz-Riven, Nancy Hurvitz, Ronit Nativ, Abraham Borer, Alex Gushansky, Dynai Eilig, Alina Kopitman, Tomer Ziv-Baran
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Abstract

Background: Hand hygiene compliance (HHC) is recognised as a major factor in the prevention of healthcare-associated infections. Healthcare workers (HCWs) compliance is still suboptimal. Simulation as an educational strategy may contribute to improved performance.

Objective: This study aimed to assess the effect of simulation interventions led by nursing students on HCWs' HHC.

Method: A prospective quasi-experimental design with before and after intervention measurements was implemented in an 1150-bed tertiary hospital. Four consecutive periods, measuring before and after HHC, were examined in four hospital divisions. For each division, unique simulation activities were developed and led by nursing students, educators, and hospital leaders. Sixty seven students and 286 healthcare workers, along with two nurse educators, participated in the simulation sessions. HHC of all HCWs in the divisions was assessed by hospital infection control personnel.

Results: Hospital HHC rose across the four periods in all four divisions during this study. In three out of four periods and divisions, HHC increased significantly more in the simulation intervention groups compared to the overall hospital improvement.

Conclusion: Student-led simulation for HCWs is an additional effective method to improve HHC. Nursing managers should consider joining forces with nursing educators to enable students to become agents of change in healthcare settings and encourage further collaboration.

护理专业学生主持模拟活动,以提高医护人员的手部卫生依从性。
背景:遵守手部卫生(HHC)被认为是预防医护相关感染的一个重要因素。医护人员(HCWs)对手部卫生的依从性仍然不尽如人意。模拟作为一种教育策略,可能有助于提高医护人员的依从性:本研究旨在评估由护理专业学生主导的模拟干预对医护人员 HHC 的影响:方法:在一家拥有 1150 张床位的三级甲等医院中采用前瞻性准实验设计,对干预前后进行测量。在医院的四个科室连续进行了四次HHC前后的测量。每个科室都制定了独特的模拟活动,并由护理专业学生、教育工作者和医院领导进行指导。67 名学生和 286 名医护人员以及两名护士教育者参加了模拟课程。医院感染控制人员对各部门所有医护人员的 HHC 进行了评估:结果:在本次研究中,所有四个分部的医院 HHC 在四个时期均有所上升。在四个时期和四个部门中的三个时期,模拟干预组的 HHC 上升幅度明显高于医院的整体改进幅度:结论:以学生为主导的医护人员模拟训练是提高 HHC 的另一种有效方法。护理管理者应考虑与护理教育者联手,使学生成为医疗机构变革的推动者,并鼓励进一步合作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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