Little Havens Children's Hospice, Benfleet, UK, Essex.
Independent Consultant in Infection Control, London, UK.
Int J Environ Health Res. 2022 Sep;32(9):2065-2073. doi: 10.1080/09603123.2021.1937580. Epub 2021 Jun 25.
Hand hygiene is the cornerstone of infection prevention but is poorly undertaken and under-appreciated by medical, nursing, and other health care students. This systematic review aimed to identify and describe strategies used to teach the theory and practice of hand hygiene, determine impact on knowledge and practice, and identify need for future education and research. Ten studies met the criteria for review. Health care students' theoretical knowledge of hand hygiene and their ability to practise are suboptimal and should be improved before they have contact with vulnerable patients. Educational input can increase knowledge and practice but the methodological heterogeneity of the studies and lack of rigour make it impossible to determine which interventions are most likely to be successful. The literature provides little evidence upon which to base educational practice in this area. There is a need for multi-centred longitudinal studies to measure effectiveness of teaching methods over time.
手卫生是感染预防的基石，但在医学、护理和其他医疗保健专业学生中执行情况不佳且未得到充分重视。本系统评价旨在确定和描述用于教授手卫生理论和实践的策略，确定其对手卫生知识和实践的影响，并确定未来教育和研究的需求。有 10 项研究符合审查标准。医疗保健学生对手卫生的理论知识和实践能力不理想，在接触弱势群体患者之前应加以改进。教育投入可以增加知识和实践，但由于研究方法的异质性和缺乏严谨性，无法确定哪些干预措施最有可能成功。文献在手卫生教育实践方面提供的证据很少。需要进行多中心纵向研究，以衡量随着时间的推移教学方法的有效性。
