Hand Hygiene Teaching Strategies among Nursing Staff: A Systematic Review

María B. Martos-Cabrera, Emilio Mota-Romero, Raúl Martos-García, José L. Gómez-Urquiza, Nora Suleiman-Martos, Luis Albendín-García and Guillermo A. Cañadas- De la Fuente
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María B. Martos-Cabrera: Andalusian Health Service, Avenida del Sur N. 11, 18014 Granada, Spain
Emilio Mota-Romero: Andalusian Health Service, Avenida del Sur N. 11, 18014 Granada, Spain
Raúl Martos-García: Andalusian Health Service, Avenida del Sur N. 11, 18014 Granada, Spain
José L. Gómez-Urquiza: Faculty of Health Sciences, University of Granada, Avenida de la Ilustración N. 60, 18016 Granada, Spain
Nora Suleiman-Martos: Faculty of Health Sciences, University of Granada, Calle Cortadura Del Valle S.N., 51001 Ceuta, Spain
Luis Albendín-García: Andalusian Health Service, Avenida del Sur N. 11, 18014 Granada, Spain
Guillermo A. Cañadas- De la Fuente: Faculty of Health Sciences, University of Granada, Avenida de la Ilustración N. 60, 18016 Granada, Spain

IJERPH, 2019, vol. 16, issue 17, 1-13

Abstract: Background : Patient safety is a priority of any healthcare system, and one of the most effective measures is hand hygiene. For this, it is important that health staff have correct adherence and perform the technique properly. Otherwise, the incidence of nosocomial infections can increase, with consequent complications. The aim here was to analyze hand hygiene training and the effectiveness of different methods and educational strategies among nurses and whether they maintained correct adherence over time. Methods : A systematic review was conducted in the sources CINAHL (Cumulative Index to Nursing and Allied Health Literature), Dialnet, Lilacs (Latin American and Caribbean Health Sciences Literature), ProQuest (Proquest Health and Medical Complete), Medline, SciELO (Scientific Electronic Library Online), and Scopus. The search equation with Medical Subject Headings (MeSH) descriptors was “Nurs* AND (handwashing OR hand hygiene) AND clinical trial”. The review was performed following the recommendations of the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Results : n = 17 clinical trials were included, with a total of 5747 nurses and nursing students. Strategies such as reminder sounds, practical simulations, videos, and audiovisual media improved handwashing compliance. Adherence overtime increased by up to 60%. The greatest effectiveness was related to the use of povidone–iodine, which reduced colony formation compared Hand hygiene teaching strategies among nursing staff: a systematic review to soap. Conclusions : The strategies that go beyond teaching techniques such as lectures may be more effective at increasing hand hygiene compliance. Combined approaches to learning/instruction improve user satisfaction by enabling self-management, flexibility, and repetition.

Keywords: hand hygiene; handwashing; infection control; nurses; nursing education (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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