将隐蔽观察纳入已有的基于公开观察的手卫生促进计划的效果。
The effect of incorporating covert observation into established overt observation-based hand hygiene promotion programs.
机构信息
Infection Prevention and Control Team, Sheikh Khalifa Specialty Hospital, Ras Al Khaimah, United Arab Emirates; Seoul National University Hospital, Seoul, Republic of Korea.
Infection Prevention and Control Team, Sheikh Khalifa Specialty Hospital, Ras Al Khaimah, United Arab Emirates.
出版信息
Am J Infect Control. 2019 May;47(5):482-486. doi: 10.1016/j.ajic.2018.11.002. Epub 2018 Dec 14.
BACKGROUND
Covert observation (CO) is reliable for measuring hand hygiene compliance (HHC). However, the benefit of adding CO to overt observation (OO) is uncertain. We evaluated whether incorporating CO into an OO-based hand hygiene (HH) promotion program improves HH rate.
METHODS
Health care worker's HH activities were observed through 5 monitoring sessions (2 in phases 1 and 2 and 1 in phase 3) of simultaneous CO and OO. An intervention was applied-barrier identification interview-only in phase 2.
RESULTS
Overall HHC was 91.0% for OO, and 49.3% for CO. HHC in phase 1 was not changed by repeated CO (34.7% and 34.0%, P = .70). HHC based on CO increased to 66.9% in phase 2 after the application of an intervention (P < .01), but decreased to 57.5% in phase 3 (P < .01). HHC based on OO increased significantly between only the first and second sessions in phase 2 (90.8% and 94.5%, respectively, P = .01).
DISCUSSION
Although CO did not significantly change behavior, HHC with CO responded promptly to the application and cessation of a new intervention.
CONCLUSIONS
CO reflects HHC change more reliably than does OO. However, it is uncertain whether CO will improve HHC.
背景
秘密观察（CO）可用于可靠地测量手卫生依从性（HHC）。然而，在公开观察（OO）中增加 CO 的益处尚不确定。我们评估了在基于 OO 的手卫生（HH）促进计划中加入 CO 是否会提高 HH 率。
方法
通过同时进行 CO 和 OO 的 5 次监测（第 1 和 2 阶段各 2 次，第 3 阶段 1 次）来观察卫生保健工作者的 HH 活动。仅在第 2 阶段应用了一项干预措施-识别障碍访谈。
结果
OO 的总体 HHC 为 91.0%，CO 为 49.3%。第 1 阶段的 HHC 未因重复 CO 而改变（分别为 34.7%和 34.0%，P=0.70）。在应用干预措施后，第 2 阶段 CO 基础上的 HHC 增加到 66.9%（P<.01），但在第 3 阶段降至 57.5%（P<.01）。第 2 阶段仅在第 1 次和第 2 次会议之间，基于 OO 的 HHC 显著增加（分别为 90.8%和 94.5%，P=0.01）。
讨论
尽管 CO 并未显著改变行为，但基于 CO 的 HHC 对新干预措施的应用和停止反应迅速。
结论
CO 比 OO 更可靠地反映 HHC 的变化。然而，尚不确定 CO 是否会提高 HHC。
Zotero 插件