{"title":"Escape room to enhance immediate and long-term healthcare workers' knowledge of multi-drug resistant organisms: a before-after study.","authors":"Bénédicte Perdrieux, Geoffrey Loison, Denis Verron, Clément Legeay","doi":"10.1016/j.jhin.2025.08.011","DOIUrl":null,"url":null,"abstract":"<p><p>Multidrug resistant organisms (MDRO) require specific infection control measures in healthcare settings. Escape rooms (ER) are used in healthcare education but remain unevaluated for MDRO training and poorly assessed for long-term knowledge retention. This study assessed the impact of an ER intervention on healthcare workers' (HCWs) MDRO knowledge over short and long-term. A prospective, single-center study was conducted in a French university hospital (May-December 2023). Nurses, nurse assistants, and medical fellows from 24 wards participated. An 11-item test was administered before, after, and three months post-intervention. The intervention consisted of a 60-minute escape room session with MDRO-related riddles and a debriefing. Univariate and multivariate analyses were performed to assess factors associated with better performance. Among 141 participants (52.5% nurses, 44.0% nurse assistants, 3.5% medical fellows), correct response rates increased from 53.3% pre-training to 74.9% post-training (p < 0.001). Nurses improved from 55.9% to 78.5%, and nurse assistants from 49.6% to 71.4%. Nurses were associated with better post-test scores. Retained knowledge at three months was significantly higher than pre-intervention test in 44 participants (71.3%, p < 0.001). Satisfaction was high (9.3/10). An ER can enhance nurses and nurse assistants' knowledge and retention of MDRO-related infection control measures. This gamified approach is not without challenges (time, equipment, logistics) but achieves great satisfaction among participants.</p>","PeriodicalId":54806,"journal":{"name":"Journal of Hospital Infection","volume":" ","pages":""},"PeriodicalIF":3.1000,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Hospital Infection","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jhin.2025.08.011","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
引用次数: 0
Abstract
Multidrug resistant organisms (MDRO) require specific infection control measures in healthcare settings. Escape rooms (ER) are used in healthcare education but remain unevaluated for MDRO training and poorly assessed for long-term knowledge retention. This study assessed the impact of an ER intervention on healthcare workers' (HCWs) MDRO knowledge over short and long-term. A prospective, single-center study was conducted in a French university hospital (May-December 2023). Nurses, nurse assistants, and medical fellows from 24 wards participated. An 11-item test was administered before, after, and three months post-intervention. The intervention consisted of a 60-minute escape room session with MDRO-related riddles and a debriefing. Univariate and multivariate analyses were performed to assess factors associated with better performance. Among 141 participants (52.5% nurses, 44.0% nurse assistants, 3.5% medical fellows), correct response rates increased from 53.3% pre-training to 74.9% post-training (p < 0.001). Nurses improved from 55.9% to 78.5%, and nurse assistants from 49.6% to 71.4%. Nurses were associated with better post-test scores. Retained knowledge at three months was significantly higher than pre-intervention test in 44 participants (71.3%, p < 0.001). Satisfaction was high (9.3/10). An ER can enhance nurses and nurse assistants' knowledge and retention of MDRO-related infection control measures. This gamified approach is not without challenges (time, equipment, logistics) but achieves great satisfaction among participants.
期刊介绍:
The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience.
The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare settings. This includes submissions that:
provide new insight into the epidemiology, surveillance, or prevention and control of healthcare-associated infections and antimicrobial resistance in healthcare settings;
provide new insight into cleaning, disinfection and decontamination;
provide new insight into the design of healthcare premises;
describe novel aspects of outbreaks of infection;
throw light on techniques for effective antimicrobial stewardship;
describe novel techniques (laboratory-based or point of care) for the detection of infection or antimicrobial resistance in the healthcare setting, particularly if these can be used to facilitate infection prevention and control;
improve understanding of the motivations of safe healthcare behaviour, or describe techniques for achieving behavioural and cultural change;
improve understanding of the use of IT systems in infection surveillance and prevention and control.