Hand hygiene perception and self-reported hand hygiene compliance among emergency medical service providers

A Danish survey

Heidi Storm Vikke*, Svend Vittinghus, Martin Betzer, Matthias Giebner, Hans Jørn Kolmos, Karen Smith, Maaret Castrén, Veronica Lindström, Marja Mäkinen, Heini Harve, Christian Backer Mogensen

*Kontaktforfatter for dette arbejde

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Resumé

BACKGROUND: Hand hygiene (HH), a cornerstone in infection prevention and control, lacks quality in emergency medical services (EMS). HH improvement includes both individual and institutional aspects, but little is known about EMS providers' HH perception and motivations related to HH quality. Therefore, we aimed to investigate the HH perception and assess potential factors related to self-reported HH compliance among the EMS cohort.

METHODS: A cross-sectional, self-administered questionnaire consisting of 24 items (developed from the WHOs Perception Survey for Health-Care Workers) provided information on demographics, HH perceptions and self-reported HH compliance among EMS providers from Denmark.

RESULTS: Overall, 457 questionnaires were answered (response rate 52%). Most respondents were advanced-care providers, males, had > 5 years of experience, and had received HH training < 3 years ago. HH was perceived a daily routine, and the majority rated their HH compliance rate ≥ 80%. Both infection severity and the preventive effect of HH were acknowledged. HH quality was perceived important to colleagues and patients, but not as much to managers. Access to supplies, simple instructions and having or being "a good example" were perceived most effective to improve HH compliance. Self-reported HH compliance was associated with years of experience and perceptions of HCAI's impact on patient outcome, HH's preventive effect, organizational priority, HH's importance to colleagues and patients, and the effort HH requires (p ≤ 0.05).

CONCLUSION: Danish EMS providers acknowledged the impact of infections and the preventive effect of HH, and perceived access to HH supplies at the point of care, having or being "a good example" and simple instructions effective to improve HH compliance. Moreover, several behavioral-, normative- and control beliefs were associated with self-reported HH compliance, and thus future improvement strategies should be multimodal.

OriginalsprogEngelsk
Artikelnummer10
TidsskriftScandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Vol/bind27
Antal sider9
ISSN1757-7241
DOI
StatusUdgivet - 5. feb. 2019

Fingeraftryk

Emergency Medical Services
Surveys and Questionnaires
Point-of-Care Systems
Health Care Surveys

Citer dette

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title = "Hand hygiene perception and self-reported hand hygiene compliance among emergency medical service providers: A Danish survey",
abstract = "BACKGROUND: Hand hygiene (HH), a cornerstone in infection prevention and control, lacks quality in emergency medical services (EMS). HH improvement includes both individual and institutional aspects, but little is known about EMS providers' HH perception and motivations related to HH quality. Therefore, we aimed to investigate the HH perception and assess potential factors related to self-reported HH compliance among the EMS cohort.METHODS: A cross-sectional, self-administered questionnaire consisting of 24 items (developed from the WHOs Perception Survey for Health-Care Workers) provided information on demographics, HH perceptions and self-reported HH compliance among EMS providers from Denmark.RESULTS: Overall, 457 questionnaires were answered (response rate 52{\%}). Most respondents were advanced-care providers, males, had > 5 years of experience, and had received HH training < 3 years ago. HH was perceived a daily routine, and the majority rated their HH compliance rate ≥ 80{\%}. Both infection severity and the preventive effect of HH were acknowledged. HH quality was perceived important to colleagues and patients, but not as much to managers. Access to supplies, simple instructions and having or being {"}a good example{"} were perceived most effective to improve HH compliance. Self-reported HH compliance was associated with years of experience and perceptions of HCAI's impact on patient outcome, HH's preventive effect, organizational priority, HH's importance to colleagues and patients, and the effort HH requires (p ≤ 0.05).CONCLUSION: Danish EMS providers acknowledged the impact of infections and the preventive effect of HH, and perceived access to HH supplies at the point of care, having or being {"}a good example{"} and simple instructions effective to improve HH compliance. Moreover, several behavioral-, normative- and control beliefs were associated with self-reported HH compliance, and thus future improvement strategies should be multimodal.",
keywords = "Attitude of Health Personnel, Cross Infection/prevention & control, Cross-Sectional Studies, Denmark, Emergency Medical Services, Female, Guideline Adherence/statistics & numerical data, Hand Hygiene, Health Personnel/psychology, Humans, Male, Self Concept, Self Report, Surveys and Questionnaires",
author = "Vikke, {Heidi Storm} and Svend Vittinghus and Martin Betzer and Matthias Giebner and Kolmos, {Hans J{\o}rn} and Karen Smith and Maaret Castr{\'e}n and Veronica Lindstr{\"o}m and Marja M{\"a}kinen and Heini Harve and Mogensen, {Christian Backer}",
year = "2019",
month = "2",
day = "5",
doi = "10.1186/s13049-019-0587-5",
language = "English",
volume = "27",
journal = "Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine",
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Hand hygiene perception and self-reported hand hygiene compliance among emergency medical service providers : A Danish survey. / Vikke, Heidi Storm; Vittinghus, Svend; Betzer, Martin; Giebner, Matthias; Kolmos, Hans Jørn; Smith, Karen; Castrén, Maaret; Lindström, Veronica; Mäkinen, Marja; Harve, Heini; Mogensen, Christian Backer.

I: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Bind 27, 10, 05.02.2019.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Hand hygiene perception and self-reported hand hygiene compliance among emergency medical service providers

T2 - A Danish survey

AU - Vikke, Heidi Storm

AU - Vittinghus, Svend

AU - Betzer, Martin

AU - Giebner, Matthias

AU - Kolmos, Hans Jørn

AU - Smith, Karen

AU - Castrén, Maaret

AU - Lindström, Veronica

AU - Mäkinen, Marja

AU - Harve, Heini

AU - Mogensen, Christian Backer

PY - 2019/2/5

Y1 - 2019/2/5

N2 - BACKGROUND: Hand hygiene (HH), a cornerstone in infection prevention and control, lacks quality in emergency medical services (EMS). HH improvement includes both individual and institutional aspects, but little is known about EMS providers' HH perception and motivations related to HH quality. Therefore, we aimed to investigate the HH perception and assess potential factors related to self-reported HH compliance among the EMS cohort.METHODS: A cross-sectional, self-administered questionnaire consisting of 24 items (developed from the WHOs Perception Survey for Health-Care Workers) provided information on demographics, HH perceptions and self-reported HH compliance among EMS providers from Denmark.RESULTS: Overall, 457 questionnaires were answered (response rate 52%). Most respondents were advanced-care providers, males, had > 5 years of experience, and had received HH training < 3 years ago. HH was perceived a daily routine, and the majority rated their HH compliance rate ≥ 80%. Both infection severity and the preventive effect of HH were acknowledged. HH quality was perceived important to colleagues and patients, but not as much to managers. Access to supplies, simple instructions and having or being "a good example" were perceived most effective to improve HH compliance. Self-reported HH compliance was associated with years of experience and perceptions of HCAI's impact on patient outcome, HH's preventive effect, organizational priority, HH's importance to colleagues and patients, and the effort HH requires (p ≤ 0.05).CONCLUSION: Danish EMS providers acknowledged the impact of infections and the preventive effect of HH, and perceived access to HH supplies at the point of care, having or being "a good example" and simple instructions effective to improve HH compliance. Moreover, several behavioral-, normative- and control beliefs were associated with self-reported HH compliance, and thus future improvement strategies should be multimodal.

AB - BACKGROUND: Hand hygiene (HH), a cornerstone in infection prevention and control, lacks quality in emergency medical services (EMS). HH improvement includes both individual and institutional aspects, but little is known about EMS providers' HH perception and motivations related to HH quality. Therefore, we aimed to investigate the HH perception and assess potential factors related to self-reported HH compliance among the EMS cohort.METHODS: A cross-sectional, self-administered questionnaire consisting of 24 items (developed from the WHOs Perception Survey for Health-Care Workers) provided information on demographics, HH perceptions and self-reported HH compliance among EMS providers from Denmark.RESULTS: Overall, 457 questionnaires were answered (response rate 52%). Most respondents were advanced-care providers, males, had > 5 years of experience, and had received HH training < 3 years ago. HH was perceived a daily routine, and the majority rated their HH compliance rate ≥ 80%. Both infection severity and the preventive effect of HH were acknowledged. HH quality was perceived important to colleagues and patients, but not as much to managers. Access to supplies, simple instructions and having or being "a good example" were perceived most effective to improve HH compliance. Self-reported HH compliance was associated with years of experience and perceptions of HCAI's impact on patient outcome, HH's preventive effect, organizational priority, HH's importance to colleagues and patients, and the effort HH requires (p ≤ 0.05).CONCLUSION: Danish EMS providers acknowledged the impact of infections and the preventive effect of HH, and perceived access to HH supplies at the point of care, having or being "a good example" and simple instructions effective to improve HH compliance. Moreover, several behavioral-, normative- and control beliefs were associated with self-reported HH compliance, and thus future improvement strategies should be multimodal.

KW - Attitude of Health Personnel

KW - Cross Infection/prevention & control

KW - Cross-Sectional Studies

KW - Denmark

KW - Emergency Medical Services

KW - Female

KW - Guideline Adherence/statistics & numerical data

KW - Hand Hygiene

KW - Health Personnel/psychology

KW - Humans

KW - Male

KW - Self Concept

KW - Self Report

KW - Surveys and Questionnaires

U2 - 10.1186/s13049-019-0587-5

DO - 10.1186/s13049-019-0587-5

M3 - Journal article

VL - 27

JO - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

JF - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

SN - 1757-7241

M1 - 10

ER -