Adherence to hand hygiene guidelines - significance of measuring fidelity

Journal of Clinical Nursing
Anne KorhonenArja Holopainen

Abstract

The aim was to evaluate the usability of fidelity measures in compliance evaluation of hand hygiene. Adherence to hand hygiene guidelines is important in terms of patient safety. Compliance measures seldom describe how exactly the guidelines are followed. A cross-sectional observation study in a university hospital setting was conducted. Direct observation by trained staff was performed using a standardised observation form supplemented by fidelity criteria. A total of 830 occasions were observed in 13 units. Descriptive statistics (frequency, mean, percentages and range) were used as well as compliance rate by using a standard web-based tool. In addition, the binomial standard normal deviate test was conducted for comparing different methods used in evaluation of hand hygiene and in comparison between professional groups. Measuring fidelity to guidelines was revealed to be useful in uncovering gaps in hand hygiene practices. The main gap related to too short duration of hand rubbing. Thus, although compliance with hand hygiene guidelines measured using a standard web-based tool was satisfactory, the degree of how exactly the guidelines were followed seemed to be critical. Combining the measurement of fidelity to guidelines wit...Continue Reading

References

May 27, 2003·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·William E TrickRobert A Weinstein
Aug 16, 2003·The Journal of Hospital Infection·S HarbarthP Gastmeier
Jan 19, 2006·Nurse Researcher·Kay Caldwell, Anita Atwal
Sep 14, 2007·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Linda HarringtonSandra K Ward
Aug 22, 2008·International Journal of Nursing Practice·Wilawan PicheansathianPrakin Suchaxaya
Dec 30, 2008·American Journal of Infection Control·Patricia W StoneLisa Hirschhorn
Dec 30, 2008·American Journal of Infection Control·Mari KanervaUNKNOWN Prevalence Survey Study Group
Feb 10, 2009·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Erol KohliKathryn B Kirkland
Sep 2, 2009·The Journal of Hospital Infection·B Allegranzi, D Pittet
Sep 16, 2009·The Journal of Hospital Infection·A R JeansR C Read
Jan 22, 2010·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Vicki ErasmusEd F van Beeck
Jun 17, 2010·Health Care Management Review·Carol VanDeusen LukasJennifer L Sullivan
Feb 2, 2011·American Journal of Infection Control·Connie SteedElaine Larson
May 18, 2012·The Cochrane Database of Systematic Reviews·Vickie A Arrowsmith, Rosemary Taylor
May 29, 2012·American Journal of Infection Control·Daniel J MorganEli N Perencevich
Jun 13, 2012·Journal of Clinical Nursing·Jacqueline RandleNatalie Vaughan
Aug 29, 2012·International Journal of Evidence-based Healthcare·Evon OhEmily Ang
Sep 6, 2013·Journal of Clinical Nursing·Marília Duarte ValimÁngela Sanjuan-Quiles

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Citations

Jun 1, 2017·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Wibke WetzkerChristiane Reichardt
Feb 21, 2019·Journal of Clinical Nursing·Simona KelcikovaLenka Filova
Mar 28, 2020·JMIR MHealth and UHealth·Chaofan WangVassilis Kostakos

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