Applying a multi-faceted infection control strategy to improve hospital environmental cleaning quality
Background: Along with existing infection control policies, repeated education and training of environmental service workers (ESWs) improves their compliance and ultimately reduces hospital-associated infection (HAI) rates. However, only limited studies have explored the health behavioral determinan...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-02-01
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| Series: | Heliyon |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844024009599 |
| _version_ | 1797304527057059840 |
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| author | Hsin-An Lin Hsin-Chung Lin Lih-Chyang Chen Kuo-Yang Huang Jong-Long Guo |
| author_facet | Hsin-An Lin Hsin-Chung Lin Lih-Chyang Chen Kuo-Yang Huang Jong-Long Guo |
| author_sort | Hsin-An Lin |
| collection | DOAJ |
| description | Background: Along with existing infection control policies, repeated education and training of environmental service workers (ESWs) improves their compliance and ultimately reduces hospital-associated infection (HAI) rates. However, only limited studies have explored the health behavioral determinants of ESWs regarding their cleaning performance after implementing an educational intervention with multi-faceted infection control strategy. Objective: To determine whether an educational intervention with multi-faceted infection control strategy improves the health behavioral determinants associated with ESWs’ cleaning performance. Methods: Twenty-eight ESWs who received an educational intervention with multi-faceted hospital infection control strategy were included. ESWs’ knowledge, perceived benefits and barriers, self-efficacy, health literacy, and cleaning performance were evaluated at pre-intervention, post-intervention, and 3-month follow-up. Results: HAI-related adenosine triphosphate (ATP) levels decreased significantly at post-intervention and 3-month follow-up compared with pre-intervention levels (all p < 0.05). All post-intervention ATP levels met the standard criterion after the 2nd environmental cleaning, with a median score of 267 (range, 71–386). High baseline ATP levels (odds ratio [OR] = 4.195, 95%CI 2.500–7.042, p < 0.05) were positively associated with qualified post-intervention ATP levels, while high education (OR = 0.480, 95%CI 0.276–0.833, p < 0.05) and high baseline knowledge scores (OR = 0.481, 95%CI 0.257–0.903, p = 0.023) were negatively associated with qualified post-intervention ATP levels. Conclusion: Educational intervention using a multi-faceted infection control strategy improves health behavioral determinants (baseline education, knowledge scores and ATP levels) associated with ESWs’ hospital cleaning performance. Receiving an educational intervention may increase HAI knowledge of environmental cleaning among ESWs with high education or low baseline HAI knowledge. |
| first_indexed | 2024-03-08T00:11:44Z |
| format | Article |
| id | doaj.art-073b2176299841fab7b3692a8758aaad |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-03-08T00:11:44Z |
| publishDate | 2024-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-073b2176299841fab7b3692a8758aaad2024-02-17T06:39:03ZengElsevierHeliyon2405-84402024-02-01103e24928Applying a multi-faceted infection control strategy to improve hospital environmental cleaning qualityHsin-An Lin0Hsin-Chung Lin1Lih-Chyang Chen2Kuo-Yang Huang3Jong-Long Guo4Division of Infection, Department of Medicine, Tri-Service General Hospital SongShan, Branch, National Defense Medical Center, Taipei City 114, Taiwan; Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei 106, TaiwanDivision of Clinical Pathology, Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei City 114, Taiwan; Graduate Institute of Pathology and Parasitology, National Defense Medical Center, Taipei 114, TaiwanDepartment of Medicine, Mackay Medical College, New Taipei City 252, TaiwanGraduate Institute of Pathology and Parasitology, National Defense Medical Center, Taipei 114, TaiwanDepartment of Health Promotion and Health Education, National Taiwan Normal University, Taipei 106, Taiwan; Corresponding author. Department of Health Promotion and Health Education, National Taiwan Normal University, 162, Section 1, He-ping East Road, Taipei 10610, Taiwan.Background: Along with existing infection control policies, repeated education and training of environmental service workers (ESWs) improves their compliance and ultimately reduces hospital-associated infection (HAI) rates. However, only limited studies have explored the health behavioral determinants of ESWs regarding their cleaning performance after implementing an educational intervention with multi-faceted infection control strategy. Objective: To determine whether an educational intervention with multi-faceted infection control strategy improves the health behavioral determinants associated with ESWs’ cleaning performance. Methods: Twenty-eight ESWs who received an educational intervention with multi-faceted hospital infection control strategy were included. ESWs’ knowledge, perceived benefits and barriers, self-efficacy, health literacy, and cleaning performance were evaluated at pre-intervention, post-intervention, and 3-month follow-up. Results: HAI-related adenosine triphosphate (ATP) levels decreased significantly at post-intervention and 3-month follow-up compared with pre-intervention levels (all p < 0.05). All post-intervention ATP levels met the standard criterion after the 2nd environmental cleaning, with a median score of 267 (range, 71–386). High baseline ATP levels (odds ratio [OR] = 4.195, 95%CI 2.500–7.042, p < 0.05) were positively associated with qualified post-intervention ATP levels, while high education (OR = 0.480, 95%CI 0.276–0.833, p < 0.05) and high baseline knowledge scores (OR = 0.481, 95%CI 0.257–0.903, p = 0.023) were negatively associated with qualified post-intervention ATP levels. Conclusion: Educational intervention using a multi-faceted infection control strategy improves health behavioral determinants (baseline education, knowledge scores and ATP levels) associated with ESWs’ hospital cleaning performance. Receiving an educational intervention may increase HAI knowledge of environmental cleaning among ESWs with high education or low baseline HAI knowledge.http://www.sciencedirect.com/science/article/pii/S2405844024009599Cleaning performanceEnvironmental service workersHealth literacyHospital acquired infectionKnowledgeMulti-faceted infection control strategy |
| spellingShingle | Hsin-An Lin Hsin-Chung Lin Lih-Chyang Chen Kuo-Yang Huang Jong-Long Guo Applying a multi-faceted infection control strategy to improve hospital environmental cleaning quality Heliyon Cleaning performance Environmental service workers Health literacy Hospital acquired infection Knowledge Multi-faceted infection control strategy |
| title | Applying a multi-faceted infection control strategy to improve hospital environmental cleaning quality |
| title_full | Applying a multi-faceted infection control strategy to improve hospital environmental cleaning quality |
| title_fullStr | Applying a multi-faceted infection control strategy to improve hospital environmental cleaning quality |
| title_full_unstemmed | Applying a multi-faceted infection control strategy to improve hospital environmental cleaning quality |
| title_short | Applying a multi-faceted infection control strategy to improve hospital environmental cleaning quality |
| title_sort | applying a multi faceted infection control strategy to improve hospital environmental cleaning quality |
| topic | Cleaning performance Environmental service workers Health literacy Hospital acquired infection Knowledge Multi-faceted infection control strategy |
| url | http://www.sciencedirect.com/science/article/pii/S2405844024009599 |
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