使用平行观察法对经过培训的手部卫生观察员进行评估。
Assessment of Trained Hand Hygiene Observers Using Parallel Observations.
作者信息
Garcell Humberto Guanche, Arias Ariadna Villanueva, Garcés Isme Borroto, Gil Alexis Cardoso, Companioni Pedro Rivero, Arias Katiana Figueredo, More Osiris I Escobar, Rodríguez Norgely Rivero, García Francisco Gutierrez
机构信息
Infection Control Department, The Cuban Hospital, Hamad Medical Corporation, Dukhan, Qatar.
Nursing Department, The Cuban Hospital, Hamad Medical Corporation, Dukhan, Qatar.
出版信息
Oman Med J. 2018 Jan;33(1):76-79. doi: 10.5001/omj.2018.15.
OBJECTIVES
To validate hand hygiene (HH) observers following training and determine the concordance between the observers and the Kappa index.
METHODS
This study was conducted during June 2017. HH observers from 15 hospital units received eight-hours training including a two-hour workshop conducted by the infection control practitioner and hospital epidemiologist. After its completion, parallel observations were conducted by trained nurses from each respective unit for a maximum of 20 minutes per session at any time or day.
RESULTS
A total of 789 parallel observations were performed. In observed HH actions, the percentage of agreement between trained and experienced observers was 75.4%, with a Kappa index of agreement of 0.61 (95% confidence interval (CI): 0.57-0.66). For the observed HH moments, the agreement among observers was 83.8% with a Kappa index of 0.71 (95% CI: 0.66-0.75).
CONCLUSIONS
HH observers were validated after a dedicated training in correspondence with the recommendation to improve HH monitoring. Additional studies should focus on evaluating the sustainability of the agreement, the requirement of retraining, and other alternatives for observers' validation.
目的
在培训后验证手部卫生（HH）观察员，并确定观察员与卡帕指数之间的一致性。
方法
本研究于2017年6月进行。来自15个医院科室的HH观察员接受了8小时的培训，其中包括由感染控制从业者和医院流行病学家主持的为期2小时的研讨会。培训结束后，各科室经过培训的护士进行平行观察，每次观察最多20分钟，可在任何时间或日期进行。
结果
共进行了789次平行观察。在观察到的HH行为中，经过培训的观察员与经验丰富的观察员之间的一致率为75.4%，卡帕一致性指数为0.61（95%置信区间（CI）：0.57 - 0.66）。对于观察到的HH时刻，观察员之间的一致率为83.8%，卡帕指数为0.71（95% CI：0.66 - 0.75）。
结论
根据改善HH监测的建议，经过专门培训后，HH观察员得到了验证。后续研究应侧重于评估一致性的可持续性、再培训的要求以及其他验证观察员的方法。
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