Larson E L, Early E, Cloonan P, Sugrue S, Parides M
Georgetown University School of Nursing, Washington, DC, USA.
Behav Med. 2000 Spring;26(1):14-22. doi: 10.1080/08964280009595749.
Handwashing practices are persistently suboptimal among healthcare professionals and are also stubbornly resistant to change. The purpose of this quasi-experimental intervention trial was to assess the impact of an intervention to change organizational culture on frequency of staff handwashing (as measured by counting devices inserted into soap dispensers on four critical care units) and nosocomial infections associated with methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE). All staff in one of two hospitals in the mid-Atlantic region received an intervention with multiple components designed to change organizational culture; the second hospital served as a comparison. Over a period of 8 months, 860,567 soap dispensings were recorded, with significant improvements in the study hospital after 6 months of follow-up. Rates of MRSA were not significantly different between the two hospitals, but rates of VRE were significantly reduced in the intervention hospital during implementation.
医疗保健专业人员的洗手习惯一直不尽人意，而且很难改变。这项准实验性干预试验的目的是评估一项旨在改变组织文化的干预措施对工作人员洗手频率（通过安装在四个重症监护病房肥皂分配器中的计数装置来衡量）以及与耐甲氧西林金黄色葡萄球菌（MRSA）和耐万古霉素肠球菌（VRE）相关的医院感染的影响。大西洋中部地区两家医院中的一家的所有工作人员都接受了旨在改变组织文化的多方面干预措施；第二家医院作为对照。在8个月的时间里，记录了860,567次肥皂分配情况，在随访6个月后，研究医院有了显著改善。两家医院的MRSA感染率没有显著差异，但在干预实施期间，干预医院的VRE感染率显著降低。
