Dubbert P M, Dolce J, Richter W, Miller M, Chapman S W
Veterans Affairs, Jackson, Mississippi.
Infect Control Hosp Epidemiol. 1990 Apr;11(4):191-3. doi: 10.1086/646148.
This study provides an evaluation of the effectiveness of methods to increase handwashing (HW) by nurses working in an intensive care unit. After baseline observations, two interventions were implemented in sequence: three series of classes conducted by the infection control nurse (ICN); and feedback to staff about handwashing errors on the previous day. Staff were aware that handwashing was being observed throughout the study. The educational intervention produced an immediate increase in HW that was followed by a decline to baseline rates over four weeks. Feedback produced an improvement to 97% compliance that was sustained until completion of the study. Improvement in HW compliance following specified critical procedures was also observed following interventions.
本研究对重症监护病房护士提高洗手（HW）的方法效果进行了评估。在基线观察之后，依次实施了两项干预措施：由感染控制护士（ICN）开展的三轮课程；以及向工作人员反馈前一天的洗手错误情况。在整个研究过程中，工作人员都知晓洗手情况正在受到观察。教育干预使洗手率立即提高，但在四周内又降至基线水平。反馈使依从率提高到97%，并一直持续到研究结束。干预后还观察到在特定关键程序后的洗手依从性有所改善。
