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终生洁净双手:一项大型、多中心、多方面、社会营销手部卫生运动的结果。

Clean Hands for Life: results of a large, multicentre, multifaceted, social marketing hand-hygiene campaign.

机构信息

Division of Infection Control, Vancouver Coastal Health, Vancouver, British Columbia, Canada.

出版信息

J Hosp Infect. 2010 Mar;74(3):225-31. doi: 10.1016/j.jhin.2009.10.027. Epub 2010 Feb 12.

Abstract

A year-long multifaceted hand-hygiene campaign entitled Clean Hands for Life targeting individual, environmental and organisational factors that influence healthcare worker (HCW) hand-hygiene behaviour was implemented in 36 acute and long-term care facilities in Vancouver Coastal Health region. The campaign involved rotation of ten novel posters, two poster contests, and distribution of multiple promotional items. A social marketing approach was used to implement and monitor the effectiveness of the campaign. Evaluation included quality assurance surveys, staff surveys (baseline, mid- and post-campaign), and focus groups. A total of 141 poster contest submissions was received, 5452 staff surveys completed and 14 focus groups conducted. Overall knowledge of the importance of hand-hygiene and intention to clean hands was high at baseline. No significant differences were observed when mid- and post-campaign scores were compared to baseline. The majority (89.5%) of HCWs reported that they preferred soap and water over alcohol hand gel. A significant increase in the self-reported use of hand-hygiene products was observed particularly among HCWs not providing direct patient care. Barriers to hand-hygiene included inappropriate placement of sinks, traffic flow issues, inadequately stocked washrooms, workload and time constraints. Organisational support was visible throughout the campaign. The results showed that social marketing is an effective approach in engaging HCWs. Hand-hygiene campaigns that focus almost exclusively on increasing awareness among HCWs may not be as successful as multifaceted campaigns or campaigns that target identified barriers to hand-hygiene.

摘要

一项为期一年的多方面手部卫生运动,名为“终生清洁双手”,针对影响医护人员(HCW)手部卫生行为的个人、环境和组织因素,在温哥华沿海卫生局的 36 个急性和长期护理设施中实施。该运动涉及十张新海报的轮换、两次海报比赛以及多种宣传品的分发。采用社会营销方法来实施和监测运动的效果。评估包括质量保证调查、员工调查(基线、中期和后期)和焦点小组。共收到 141 份海报比赛提交作品,完成了 5452 份员工调查,并进行了 14 次焦点小组讨论。基线时,HCW 对手部卫生重要性的总体认识和清洁手部的意愿较高。中期和后期与基线相比,得分没有显著差异。大多数(89.5%)HCW 报告说,他们更喜欢肥皂和水而不是酒精手凝胶。自我报告的手部卫生用品使用量显著增加,特别是在不直接提供患者护理的 HCW 中。手部卫生的障碍包括水槽位置不当、交通流量问题、洗手间库存不足、工作量和时间限制。整个运动期间都可以看到组织支持。结果表明,社会营销是吸引 HCW 的有效方法。专注于提高 HCW 意识的手部卫生运动可能不如多方面运动或针对手部卫生障碍的运动成功。

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