{"title":"促进医疗机构医护人员和来访者手部消毒的推力工具的有效性:斯洛文尼亚试点研究","authors":"Neža Podvratnik, A. Ovca, M. Jevšnik","doi":"10.3390/hygiene4020014","DOIUrl":null,"url":null,"abstract":"Healthcare-associated infections (HAIs) are considered to be one of the biggest health problems as they continue to be an important cause of morbidity and mortality worldwide. They cannot be completely prevented, but their incidence can be significantly limited. Preventive action is the most important measure in this case. Due to the frequent interaction between healthcare professionals and patients, the crucial importance of hand hygiene is therefore emphasised. Adherence to good disinfection and hand washing practices remains around 40%, which can be improved by using a variety of nudge tools to promote desired hygienic behaviour. We conducted an open observation of employees and visitors with participation. The aim of this study was to determine the actual status of hand disinfection in a selected healthcare facility amongst doctors, registered nurses, medical technicians, cleaners, and visitors or parents of children; then, we selected and introduced three nudge tools of desired hygiene behaviour and analysed their effectiveness; finally, we provided suggestions for the use of nudge tools of desired hygiene behaviour with the aim of influencing doctors, registered nurses, medical technicians, cleaners, and visitors or parents of children so that they disinfect their hands properly. The actual state of hand disinfection was determined on the basis of observation without introducing any changes; then, we separately introduced three nudge tools, posters with an inscription and picture, the scent of citrus, and flashing lights. The obtained results were analysed with the help of the SpeedyAudit Lite application, and the effectiveness of each nudge tool and the adequacy of hand disinfection by categories of people were compared. In general, posters with a picture and an inscription contributed the most to more consistent disinfection of employees’ hands, while the scent of citrus and flashing lights contributed slightly less.","PeriodicalId":513294,"journal":{"name":"Hygiene","volume":"16 3","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of Nudge Tools to Promote Hand Disinfection among Healthcare Professionals and Visitors in Health Institution: The Slovenian Pilot Study\",\"authors\":\"Neža Podvratnik, A. Ovca, M. 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The aim of this study was to determine the actual status of hand disinfection in a selected healthcare facility amongst doctors, registered nurses, medical technicians, cleaners, and visitors or parents of children; then, we selected and introduced three nudge tools of desired hygiene behaviour and analysed their effectiveness; finally, we provided suggestions for the use of nudge tools of desired hygiene behaviour with the aim of influencing doctors, registered nurses, medical technicians, cleaners, and visitors or parents of children so that they disinfect their hands properly. The actual state of hand disinfection was determined on the basis of observation without introducing any changes; then, we separately introduced three nudge tools, posters with an inscription and picture, the scent of citrus, and flashing lights. The obtained results were analysed with the help of the SpeedyAudit Lite application, and the effectiveness of each nudge tool and the adequacy of hand disinfection by categories of people were compared. 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引用次数: 0
摘要
医疗相关感染(HAIs)被认为是最大的健康问题之一,因为它仍然是全球发病率和死亡率的一个重要原因。虽然无法完全预防,但可以大大降低其发生率。在这种情况下,预防行动是最重要的措施。由于医护人员与患者之间的互动频繁,因此手部卫生的重要性就显得尤为重要。良好的消毒和洗手习惯的坚持率仍在 40% 左右,但可以通过使用各种激励工具来促进理想的卫生行为,从而提高坚持率。我们对员工和来访者进行了一次开放式观察。本研究的目的是确定选定医疗机构中医生、注册护士、医疗技术人员、清洁工、来访者或儿童家长手部消毒的实际状况;然后,我们选择并介绍了三种理想卫生行为的推动工具,并分析了它们的有效性;最后,我们为理想卫生行为推动工具的使用提供了建议,目的是影响医生、注册护士、医疗技术人员、清洁工、来访者或儿童家长,使他们正确地进行手部消毒。在不引入任何改变的情况下,通过观察确定手部消毒的实际状况;然后,我们分别引入了三种暗示工具,即带有文字和图片的海报、柑橘香味和闪光灯。在 SpeedyAudit Lite 应用程序的帮助下,我们对所得结果进行了分析,并比较了每种劝导工具的有效性和不同类别人群手部消毒的充分性。总体而言,带有图片和题词的海报最有助于提高员工手部消毒的一致性,而柑橘香味和闪光灯的作用则略低。
Effectiveness of Nudge Tools to Promote Hand Disinfection among Healthcare Professionals and Visitors in Health Institution: The Slovenian Pilot Study
Healthcare-associated infections (HAIs) are considered to be one of the biggest health problems as they continue to be an important cause of morbidity and mortality worldwide. They cannot be completely prevented, but their incidence can be significantly limited. Preventive action is the most important measure in this case. Due to the frequent interaction between healthcare professionals and patients, the crucial importance of hand hygiene is therefore emphasised. Adherence to good disinfection and hand washing practices remains around 40%, which can be improved by using a variety of nudge tools to promote desired hygienic behaviour. We conducted an open observation of employees and visitors with participation. The aim of this study was to determine the actual status of hand disinfection in a selected healthcare facility amongst doctors, registered nurses, medical technicians, cleaners, and visitors or parents of children; then, we selected and introduced three nudge tools of desired hygiene behaviour and analysed their effectiveness; finally, we provided suggestions for the use of nudge tools of desired hygiene behaviour with the aim of influencing doctors, registered nurses, medical technicians, cleaners, and visitors or parents of children so that they disinfect their hands properly. The actual state of hand disinfection was determined on the basis of observation without introducing any changes; then, we separately introduced three nudge tools, posters with an inscription and picture, the scent of citrus, and flashing lights. The obtained results were analysed with the help of the SpeedyAudit Lite application, and the effectiveness of each nudge tool and the adequacy of hand disinfection by categories of people were compared. In general, posters with a picture and an inscription contributed the most to more consistent disinfection of employees’ hands, while the scent of citrus and flashing lights contributed slightly less.