The Efficiency of Patients and Visitors’ Education for Promoting Handwashing and Respiratory Hygiene Compliance in A Local Community Hospital
Ya-Ching Tsao*
Longtan Min-Sheng hospital, Infection control office, Taiwan
*Corresponding author: Tsao Ya-Ching, RN, Infection Control Nurse, Longtan Min-Sheng hospital, 5F, No-168, Zhongfeng Rd, Longtan Dist, Taoyuan 32560, Taiwan. Tel: 886-989583592; E-Mail: supersunshine2011@gmail.com
Received Date: 23 March, 2017; Accepted Date: 31 March, 2017; Published Date: 07 April, 2017
Citation: Tsao YC (2017) The Efficiency of Patients and Visitors’ Education for Promoting Handwashing and Respiratory Hygiene Compliance in A Local Community Hospital. J Surg 2017: 127. DOI: 10.29011/2575-9760.000127
1. Introduction
Hand washing and
respiratory hygiene are fundamental in infection
control management. They seem a global language in health settings. A majority
studies investigate the relationship between hand hygiene and infectious
diseases transmission among healthcare staffs. In fact, patients and caregivers
also an issue of the transmission route. This study is based on a 116 beds
local community hospital in north Taiwan. It includes respiratory unit,
hemodialysis unit, long-term and acute patient unit, and outpatient department.
Most patients are from neighborhood, long term care center and nursing home.
The caregivers are from different nationalities, such as Indonesia, Philippines,
Thailand and other south east countries. From our previous survey, we found this
multicultural group has lower handwashing and respiratory hygiene compliance.
Nearly 90% of them explained never been to a hand hygiene training. 1 in 5 visitors
preformed hand washing while leaving hospital. The aim of this survey was to
discover the efficiency of hand hygiene and cough manners education model among
patients and visitors.
2. Methods
This study consisted
two parts:
·
questionnaires
with hand hygiene and cough manner observation compliance tools.
·
hand
hygiene and cough manners education and audit model. The duration of data
collection was from July, 2015 to August, 2016. 428 patients and visitor’s n
were submitted their questionnaire. 2077 patients and visitors were completed a
hand hygiene and cough manner education. 394 hand hygiene opportunities were
audit.
3. Results
83.41% participants were over 61 years old (age group: 57.24% 61-64 years old, 26.17% over 65 years old). By comparison to the questionnaires and observations, 82.24% people allowed cough manners while they have sneezing, coughing, or flu symptoms. It’s nearly 2.5 times higher than cough manner observation (33.04%). The similarity result as well showed in hand washing performance. Only 59.65% people allowed hand hygiene opportunities, it considerably lower than the questionnaire result (98.83%). These findings investigate the attitudes toward hand washing and respiratory hygiene compliance among patients and visitors. Moreover, the results either found out the relationship between hand hygiene behaviors and compliance by handwashing opportunities audit. As the result, 69.95% questionnaires allowed handwashing before touching a patient. The data is higher than hand hygiene compliance (61.54%). The similar finding is practically the same as before feeding or preparing food for a patient. Handwashing audit discovered just 38.46% patient and visitors did hand hygiene before assisting a patient eating at meal time. This result is certainly different to the questionnaires. 56.81% people explained, they allowed hand hygiene before feeding or preparing meals for a patient.
There
are also two significant differences in after touching a patient and after
touching patient surroundings. 38.03% in the questionnaires answered yes, they
allowed handwashing after touching a patient. It is about 3% higher than hand
hygiene audit findings (35.80%). Instead, there is a considerable difference
between questionnaire and handwashing audit in after touching patient
surroundings (60.09%: 11.05%). Thus, a patients and visitors’ education model
was applied for promoting hand hygiene and cough manners actions. We provided a
hand hygiene and respiratory hygiene education training for hospital
volunteers. Most of them are our patients’ caregivers or friends. After the
training, they went to hospital main entrance to educate the patients and
visitors every Tuesday and Friday morning. An evaluation was applied after the
education. The average data shows 86.09% people performed handwashing action
and 68.87% followed cough manners after the education. In addition, this study
also found out, the education model leads to impact in healthcare staffs’
respiratory hygiene compliance (increasing 49.82%).
4. Conclusion
This study
discovered the attitudes toward hand hygiene and cough manner compliance. Most
people know how important are handwashing and respiratory hygiene in healthcare
surroundings, but hardly allow them. During the data collection, we observed
the education model either impact on foreign caregivers. Some of them started
to wash their hands and assist their client complete hand hygiene process in
outpatient department. These changes really encourage the volunteers. Indeed,
this research suffered from few challenges such as aging groups, multicultural
caregivers, and education background. Therefore, we spent a lot of time in
educated and communicated with people. As the consequence, more people begin to
share the advantages of handwashing and cough manner in communities. The
patients and visitors’ education model is efficient in promoting hand washing
and respiratory hygiene compliance.
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