Impact of a training strategy on improving compliance of hand hygiene and gloving during the placement of a short peripheral venous catheter: the multicentre study CleanHand4
Abstract Background Patients who have short peripheral venous catheters (PVC) face an elevated risk of developing bloodstream infections. Preventing catheter-related infections relies on implementing multiple measures, including practicing proper hand hygiene (HH) during catheter placement. Methods...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-10-01
|
| Series: | BMC Medical Education |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12909-023-04727-x |
| _version_ | 1797452183991484416 |
|---|---|
| author | Mathilde Farizon Sandra dos Santos Lucas Richard Agnès Petiteau Anne-Sophie Valentin Nathalie van der Mee-Marquet on behalf of the CleanHand4 collaboration group |
| author_facet | Mathilde Farizon Sandra dos Santos Lucas Richard Agnès Petiteau Anne-Sophie Valentin Nathalie van der Mee-Marquet on behalf of the CleanHand4 collaboration group |
| author_sort | Mathilde Farizon |
| collection | DOAJ |
| description | Abstract Background Patients who have short peripheral venous catheters (PVC) face an elevated risk of developing bloodstream infections. Preventing catheter-related infections relies on implementing multiple measures, including practicing proper hand hygiene (HH) during catheter placement. Methods We conducted a four-part study: (1) an evaluation of HH practices through direct observation of PVC placements, coupled with the study of the microbial flora of the HCWs fingers just before the placement; (2) the development of an educational tool based on the collected observational and microbiological data; (3) the training to the HCWs observed during the first part, using this tool; and (4) the subsequent observation of the trained HCWs to measure the impact of the training on practice improvement. Results Compliant HH was observed in 23.5% of the 647 HCWs observed during PVC placement before training. The microbiological study revealed fewer pathogens on the fingertips of the HCWs practicing compliant HH compared other HCWs (2.6 vs 11,7%; p = 0.003). The comparison of practices before and after training, assessed among 180 HCWs, showed an increase in the proportion of HCWs performing compliant HH (25.0 vs 63.2%; p < 0.001). Conclusions Training HCWs using our educational tool, which combines reminders of best practices and risk factors associated with PVC-related infections, engaging HCWs (presentation of practice evaluation), identifying professionals deviating from best practices (simulation videos), and objectively assessing fingertip contamination (microbiological study), significantly improved compliance with HH gestures and glove usage. We encourage infection control teams to utilize this tool to raise awareness among HCWs responsible for PVC placement about the risk of infection associated inadequate hand hygiene. |
| first_indexed | 2024-03-09T15:05:07Z |
| format | Article |
| id | doaj.art-a03ff45a33e84a9bae015b873f944775 |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-03-09T15:05:07Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-a03ff45a33e84a9bae015b873f9447752023-11-26T13:41:14ZengBMCBMC Medical Education1472-69202023-10-0123111110.1186/s12909-023-04727-xImpact of a training strategy on improving compliance of hand hygiene and gloving during the placement of a short peripheral venous catheter: the multicentre study CleanHand4Mathilde Farizon0Sandra dos Santos1Lucas Richard2Agnès Petiteau3Anne-Sophie Valentin4Nathalie van der Mee-Marquet5on behalf of the CleanHand4 collaboration groupCpias Centre Val de Loire, Hôpital Bretonneau, CHRUCpias Centre Val de Loire, Hôpital Bretonneau, CHRUCpias Centre Val de Loire, Hôpital Bretonneau, CHRUCpias Centre Val de Loire, Hôpital Bretonneau, CHRUCpias Centre Val de Loire, Hôpital Bretonneau, CHRUCpias Centre Val de Loire, Hôpital Bretonneau, CHRUAbstract Background Patients who have short peripheral venous catheters (PVC) face an elevated risk of developing bloodstream infections. Preventing catheter-related infections relies on implementing multiple measures, including practicing proper hand hygiene (HH) during catheter placement. Methods We conducted a four-part study: (1) an evaluation of HH practices through direct observation of PVC placements, coupled with the study of the microbial flora of the HCWs fingers just before the placement; (2) the development of an educational tool based on the collected observational and microbiological data; (3) the training to the HCWs observed during the first part, using this tool; and (4) the subsequent observation of the trained HCWs to measure the impact of the training on practice improvement. Results Compliant HH was observed in 23.5% of the 647 HCWs observed during PVC placement before training. The microbiological study revealed fewer pathogens on the fingertips of the HCWs practicing compliant HH compared other HCWs (2.6 vs 11,7%; p = 0.003). The comparison of practices before and after training, assessed among 180 HCWs, showed an increase in the proportion of HCWs performing compliant HH (25.0 vs 63.2%; p < 0.001). Conclusions Training HCWs using our educational tool, which combines reminders of best practices and risk factors associated with PVC-related infections, engaging HCWs (presentation of practice evaluation), identifying professionals deviating from best practices (simulation videos), and objectively assessing fingertip contamination (microbiological study), significantly improved compliance with HH gestures and glove usage. We encourage infection control teams to utilize this tool to raise awareness among HCWs responsible for PVC placement about the risk of infection associated inadequate hand hygiene.https://doi.org/10.1186/s12909-023-04727-xShort peripheral venous cathetersAsepsisHand hygieneGlovingImprovement of practices |
| spellingShingle | Mathilde Farizon Sandra dos Santos Lucas Richard Agnès Petiteau Anne-Sophie Valentin Nathalie van der Mee-Marquet on behalf of the CleanHand4 collaboration group Impact of a training strategy on improving compliance of hand hygiene and gloving during the placement of a short peripheral venous catheter: the multicentre study CleanHand4 BMC Medical Education Short peripheral venous catheters Asepsis Hand hygiene Gloving Improvement of practices |
| title | Impact of a training strategy on improving compliance of hand hygiene and gloving during the placement of a short peripheral venous catheter: the multicentre study CleanHand4 |
| title_full | Impact of a training strategy on improving compliance of hand hygiene and gloving during the placement of a short peripheral venous catheter: the multicentre study CleanHand4 |
| title_fullStr | Impact of a training strategy on improving compliance of hand hygiene and gloving during the placement of a short peripheral venous catheter: the multicentre study CleanHand4 |
| title_full_unstemmed | Impact of a training strategy on improving compliance of hand hygiene and gloving during the placement of a short peripheral venous catheter: the multicentre study CleanHand4 |
| title_short | Impact of a training strategy on improving compliance of hand hygiene and gloving during the placement of a short peripheral venous catheter: the multicentre study CleanHand4 |
| title_sort | impact of a training strategy on improving compliance of hand hygiene and gloving during the placement of a short peripheral venous catheter the multicentre study cleanhand4 |
| topic | Short peripheral venous catheters Asepsis Hand hygiene Gloving Improvement of practices |
| url | https://doi.org/10.1186/s12909-023-04727-x |
| work_keys_str_mv | AT mathildefarizon impactofatrainingstrategyonimprovingcomplianceofhandhygieneandglovingduringtheplacementofashortperipheralvenouscatheterthemulticentrestudycleanhand4 AT sandradossantos impactofatrainingstrategyonimprovingcomplianceofhandhygieneandglovingduringtheplacementofashortperipheralvenouscatheterthemulticentrestudycleanhand4 AT lucasrichard impactofatrainingstrategyonimprovingcomplianceofhandhygieneandglovingduringtheplacementofashortperipheralvenouscatheterthemulticentrestudycleanhand4 AT agnespetiteau impactofatrainingstrategyonimprovingcomplianceofhandhygieneandglovingduringtheplacementofashortperipheralvenouscatheterthemulticentrestudycleanhand4 AT annesophievalentin impactofatrainingstrategyonimprovingcomplianceofhandhygieneandglovingduringtheplacementofashortperipheralvenouscatheterthemulticentrestudycleanhand4 AT nathalievandermeemarquet impactofatrainingstrategyonimprovingcomplianceofhandhygieneandglovingduringtheplacementofashortperipheralvenouscatheterthemulticentrestudycleanhand4 AT onbehalfofthecleanhand4collaborationgroup impactofatrainingstrategyonimprovingcomplianceofhandhygieneandglovingduringtheplacementofashortperipheralvenouscatheterthemulticentrestudycleanhand4 |