scholarly journals Educação permanente em saúde: o cuidado seguro à criança hospitalizada

2020 ◽  
Vol 10 (32) ◽  
pp. 332-339
Author(s):  
Valentina Barbosa da Silva ◽  
Marluci Andrade Conceição Stipp ◽  
Vanessa Alves Mendes ◽  
Tatiane Cabral Siqueira ◽  
Vivian Rodrigues Tadeus ◽  
...  
Keyword(s):  
Health Education ◽  
Hand Hygiene ◽  
Infection Control ◽  
Continuing Education ◽  
Health Professionals ◽  
Experience Report ◽  
Work Process ◽  
Hospital Infection Control ◽  
New Knowledge ◽  
Safe Care

Relatar a experiência da educação permanente em saúde na prática da higienização das mãos. Trata-se de um relato de experiência sobre a educação permanente em saúde na temática de higienização das mãos com profissionais de saúde de um hospital infantil. As atividades foram desenvolvidas em conjunto com a Comissão de Controle de Infecção Hospitalar, divididas em quatro momentos.  A experiência possibilitou a aquisição de novos conhecimentos e percepção das dificuldades que os profissionais possuem para a adesão da técnica correta de higienização das mãos, além de evidenciar a importância da educação permanente com os profissionais para a mudança no processo de trabalho. A realização das atividades permitiu a vivência de experiências significativas para o grupo, envolvendo aspectos pessoais, acadêmicos e profissionais contribuindo para o conhecimento da situação e incentivo a continuação de novos projetos que estimulem a educação permanente no âmbito hospitalar.Descritores: Educação Continuada, Higiene das Mãos, Criança Hospitalizada. Permanent health education: safe care for hospitalized childrenAbstract: To report the experience of continuing health education in the practice of hand hygiene. This is an experience report on continuing health education in the theme of hand hygiene with health professionals of a children's hospital. The activities were developed in conjunction with the Hospital Infection Control Commission, divided into four stages. The experience enabled the acquisition of new knowledge and perception of the difficulties that professionals have for adhering to the correct hand hygiene technique, in addition to highlighting the importance of continuing education with professionals to change the work process. The accomplishment of the activities allowed the experience of significant experiences for the group, involving personal, academic and professional aspects contributing to the knowledge of the situation and encouraging the continuation of new projects that stimulate the permanent education in the hospital environment.Descriptors: Education, Continuing, Hand Hygiene, Child, Hospitalized. Educación para la salud permanente: cuidado seguro para los niños hospitalizadosResumen: Informar sobre la experiencia de la educación sanitaria permanente en la práctica de la higiene de manos. Este es un informe de experiencia sobre educación continua en salud sobre el tema de la higiene de manos con profesionales de la salud de un hospital infantil. Las actividades se desarrollaron en conjunto con la Comisión de Control de Infecciones Hospitalarias, divididas en cuatro etapas. La experiencia permitió la adquisición de nuevos conocimientos y la percepción de las dificultades que los profesionales tienen para adherirse a la técnica correcta de higiene de manos, además de resaltar la importancia de la educación continua con profesionales para cambiar el proceso de trabajo. El desempeño de las actividades permitió la experiencia de experiencias significativas para el grupo, involucrando aspectos personales, académicos y profesionales, contribuyendo al conocimiento de la situación y alentando la continuación de nuevos proyectos que fomentan la educación permanente en el entorno hospitalario.Descriptores: Educación Continua, Higiene de las Mano, Niño Hospitalizado.

scholarly journals Atividade lúdica e educativa para higienização das mãos em tempos de pandemia: relato de experiência

2021 ◽  
Vol 24 (275) ◽  
pp. 5496-5505
Author(s):  
Fabiano Fernandes de Oliveira ◽  
Adaiza Kelly Honorato
Keyword(s):  
Hand Hygiene ◽  
Continuing Education ◽  
Health Professionals ◽  
Experience Report ◽  
Educational Activity ◽  
Professional Experience ◽  
Front Line ◽  
Correct Technique ◽  
Nursing Professionals

Objective: to describe the experience of a playful activity to reflect on the hand hygiene technique among nursing professionals regarding the care of patients with Coronavirus. Method: this is a study of a professional experience report about an educational activity carried out with 25 professionals who are on the front line of COVID-19. Result: the participants realized the flaws during the hand hygiene procedure and were clarified about the main doubts about the correct technique, friction time, amount of soap to be used, causing their practices to be put to the test. Conclusion: the permanent education is essential to encourage and carry out appropriate techniques, mainly those related to the barriers of exposure to the virus. The increasing in quality of hand hygiene requires investment in continuing education for health professionals and changes in the aspects related to the beliefs and culture of these professionals.  

scholarly journals Knowledge, attitude and self-reported practice of healthcare workers on infection control in a health facility in Akure, Nigeria

2021 ◽  
Author(s):  
Abiola O. Oluwagbemiga ◽  
Shade J. Akinsete ◽  
Godson R. Ana ◽  
Olusola O. Ogunseye
Keyword(s):  
Hand Hygiene ◽  
Infection Control ◽  
Healthcare Workers ◽  
Water Source ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
Modes Of Transmission ◽  
Hospital Infection Control ◽  
Sub Saharan

Background: Infection control is pivotal in reducing healthcare-associated infections (HAIs), one of the leading causes of morbidity with growing prevalence in sub-Saharan Africa. Objectives: We investigated the knowledge, attitude and self-reported hygiene practices towards hospital infection control among healthcare workers (HCWs) at the State Specialist Hospital, Akure, Nigeria. Methods: This descriptive cross-sectional study involving self-administered, structured questionnaires administered to 137 randomly selected HCWs (19 doctors, 66 nurses and 52 health assistants) was conducted in 2015. Descriptive and inferential statistics were used for data analysis at 5% level of significance. Results: Mean age of HCWs was 39.81 ± 8.69 years. Majority (84.7%) was trained on hand hygiene and was knowledgeable about HAIs (86.9%), modes of transmission (57.7%) and effectiveness of hand hygiene (94.9%). However, about half (48.9%) of the HCWs reported did not adhere to hand hygiene often, because of the distance between a water source and the wards. This study also showed that there are relationships between categories of respondents and their knowledge of routes of HAI transmission (P < 0.01) and practice of hand hygiene after contacts with hospital surfaces (P < 0.01). Conclusions: Hospital and hand hygiene can be improved by ensuring water supply located close to the wards. There is need for the provision of clear guidance on procedures for hospital hygiene and sanitation.

scholarly journals Why sensitive bacteria are resistant to hospital infection control

2017 ◽  
Vol 2 ◽  
pp. 16 ◽  
Author(s):  
Esther van Kleef ◽  
Nantasit Luangasanatip ◽  
Marc J Bonten ◽  
Ben S. Cooper
Keyword(s):  
Hand Hygiene ◽  
Infection Control ◽  
Resistant Strain ◽  
Mechanistic Model ◽  
Antibiotic Use ◽  
Sensitive Strain ◽  
Control Measures ◽  
Infection Control Measures ◽  
Hospital Infection Control ◽  
Resistant Strains

Background: Large reductions in the incidence of antibiotic-resistant strains of Staphylococcus aureus and Clostridium difficile have been observed in response to multifaceted hospital-based interventions. Reductions in antibiotic-sensitive strains have been smaller or non-existent. It has been argued that since infection control measures, such as hand hygiene, should affect resistant and sensitive strains equally, observed changes must have largely resulted from other factors, including changes in antibiotic use. We used a mathematical model to test the validity of this reasoning. Methods: We developed a mechanistic model of resistant and sensitive strains in a hospital and its catchment area. We assumed the resistant strain had a competitive advantage in the hospital and the sensitive strain an advantage in the community. We simulated a hospital hand hygiene intervention that directly affected resistant and sensitive strains equally. The annual incidence rate ratio (IRR) associated with the intervention was calculated for hospital- and community-acquired infections of both strains. Results: For the resistant strain, there were large reductions in hospital-acquired infections (0.1 ≤ IRR ≤ 0.6) and smaller reductions in community-acquired infections (0.2 ≤ IRR ≤  0.9). These reductions increased in line with increasing importance of nosocomial transmission of the strain. For the sensitive strain, reductions in hospital acquisitions were much smaller (0.6 ≤ IRR ≤ 0.9), while communityacquisitions could increase or decrease (0.9 ≤ IRR ≤ 1.2). The greater the importance of the community environment for the transmission of the sensitive strain, the smaller the reductions. Conclusions: Counter-intuitively, infection control interventions, including hand hygiene, can have strikingly discordant effects on resistant and sensitive strains even though they target them equally, following differences in their adaptation to hospital and community-based transmission. Observed lack of effectiveness of control measures for sensitive strains does not provide evidence that infection control interventions have been ineffective in reducing resistant strains.

scholarly journals Why sensitive bacteria are resistant to hospital infection control

2017 ◽  
Vol 2 ◽  
pp. 16 ◽  
Author(s):  
Esther van Kleef ◽  
Nantasit Luangasanatip ◽  
Marc J Bonten ◽  
Ben S. Cooper
Keyword(s):  
Hand Hygiene ◽  
Infection Control ◽  
Resistant Strain ◽  
Mechanistic Model ◽  
Antibiotic Use ◽  
Sensitive Strain ◽  
Control Measures ◽  
Infection Control Measures ◽  
Hospital Infection Control ◽  
Resistant Strains

Background: Large reductions in the incidence of antibiotic-resistant strains of Staphylococcus aureus and Clostridium difficile have been observed in response to multifaceted hospital-based interventions. Reductions in antibiotic-sensitive strains have been smaller or non-existent. It has been argued that since infection control measures, such as hand hygiene, should affect resistant and sensitive strains equally, observed changes must have largely resulted from other factors, including changes in antibiotic use. We used a mathematical model to test the validity of this reasoning. Methods: We developed a mechanistic model of resistant and sensitive strains in a hospital and its catchment area. We assumed the resistant strain had a competitive advantage in the hospital and the sensitive strain an advantage in the community. We simulated a hospital hand hygiene intervention that directly affected resistant and sensitive strains equally. The annual incidence rate ratio (IRR) associated with the intervention was calculated for hospital- and community-acquired infections of both strains. Results: For the resistant strain, there were large reductions in hospital-acquired infections (0.1 ≤ IRR ≤ 0.6) and smaller reductions in community-acquired infections (0.2 ≤ IRR ≤ 0.9). These reductions increased in line with increasing importance of nosocomial transmission of the strain. For the sensitive strain, reductions in hospital acquisitions were much smaller (0.6 ≤ IRR ≤ 0.9), while community acquisitions could increase or decrease (0.9 ≤ IRR ≤ 1.2). The greater the importance of the community environment for the transmission of the sensitive strain, the smaller the reductions. Conclusions: Counter-intuitively, infection control interventions, including hand hygiene, can have strikingly discordant effects on resistant and sensitive strains even though they target them equally. This follows from differences in their adaptation to hospital- and community-based transmission. Observed lack of effectiveness of control measures for sensitive strains does not provide evidence that infection control interventions have been ineffective in reducing resistant strains.

scholarly journals Educação permanente em saúde: experiência dos profissionais do serviço de atendimento móvel de urgência

2015 ◽  
Vol 4 (3/4) ◽  
pp. 161-163 ◽  
Author(s):  
Glória Maria Pinto Coelho ◽  
Simone De Campos Vieira Abib ◽  
Kátia Simoni Bezerra Lima ◽  
Rodrigo Nonato Coelho Mendes ◽  
Rafaela Ayanne Alves Dos Santos ◽  
...  
Keyword(s):  
Health Education ◽  
Continuing Education ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Hospital Care ◽  
Quantitative Research ◽  
Individual Growth ◽  
Emergency Relief ◽  
Education Experience ◽  
Investigación Cualitativa

Resumo: O estudo teve como objetivo descrever a experiência da Educação Permanente em Saúde vivenciada pelos profissionais de saúde de um serviço pré-hospitalar móvel de urgência. Estudo descritivo, de natureza qualitativa, desenvolvido com 36 profissionais do SAMU-192 de Juazeiro-BA. Os dados foram obtidos mediante entrevista semi-estruturada, e analisados por meio da análise de conteúdo. O núcleo de educação do serviço não se encontra implantado e a sobrecarga de trabalho foi apontada como um desafio para a consolidação. Conclui-se que estratégias educativas são componentes essenciais para o fortalecimento e melhoria do componente pré hospitalar móvel de atenção às urgências.Descritores: Educação em Saúde, Socorro de Urgência, Educação ContinuadaStanding in health education: experience of health professionals of pre-hospital care serviceAbstract: The study aimed to analyze the experience of Continuing Education in Health experienced by health care professionals in assisting the pre-hospital mobile emergency in the municipality of Juazeiro-BA. Descriptive and Quantitative research, developed with 36 professional working in the SAMU-192 to Juazeiro-BA. Data were obtained through interviews using a semi-structured, between September and October 2010, and analyzed using content analysis. For most respondents, the term Continuing Education in Health has an ongoing process of meaning within the required service in terms of individual growth and not as a process of collective change. Conclude that the found a profile of professionals interested and willing to achieving the Education Center in the SAMU emergency Juazeiro-BA, which is not deployed.Descriptors: Health Education, Emergency Relief, Education ContinuingEducación permanente para la salud: experiencia de los profesionales de atención móvil de emergenciaResumen: Analizar la experiencia de Educación Continua en Salud experimentado por profesionales de la salud en la asistencia de emergencia pre-hospitalaria móvil en el municipio de Juazeiro-BA. Métodos: La investigación cualitativa, de tipo exploratorio y descriptivo, desarrollado con 36 profesionales que trabajan en el SAMU-192 a Juazeiro-BA. Los datos se obtuvieron a través de entrevistas semi-estructurada, entre septiembre y octubre de 2010, y se analizaron mediante análisis de contenido. Resultados: Para la mayoría de los encuestados, el término Educación Continua en Salud cuenta con un proceso continuo de significado dentro del servicio requerido en términos de crecimiento individual y no como un proceso de cambio colectivo. Conclusión: Se encontró un perfil de los profesionales interesados y dispuestos a lograr el Centro de Educación en la emergencia SAMU Juazeiro-BA, que no se ha implementado.Descriptores: Educación en Salud, Socorro de Urgencia, Educación Continua

scholarly journals Efficacy of the multimodal strategy for Hand Hygiene compliance: an integrative review

2019 ◽  
Vol 72 (2) ◽  
pp. 552-565 ◽  
Author(s):  
Marília Duarte Valim ◽  
Ianne Lanna de Souza Rocha ◽  
Thais Pedroso Martins Souza ◽  
Yasmin Aparecida da Cruz ◽  
Thaissa Blanco Bezerra ◽  
...  
Keyword(s):  
Health Education ◽  
Hand Hygiene ◽  
Health Professionals ◽  
Hand Hygiene Compliance ◽  
Integrative Review ◽  
Multimodal Strategy ◽  
Five Elements ◽  
Hygiene Compliance ◽  
Over Time

ABSTRACT Objective: Evaluate, from the literature, the effectiveness of the implementation of the multimodal strategy for health professionals compliance with Hand Hygiene and its sustainability over time. Method: Integrative review, with a view to answering the following question: “Is the implementation of the multimodal strategy effective in health professionals compliance with Hand Hygiene and can it be sustained over time?”. The MEDLINE, SCOPUS, LILACS and CINAHL databases were used to retrieve the primary articles. Results: Twenty-five studies were analyzed. Among the components of the multimodal strategy, three need to be better worked: health education, feedback from practices and management involvement. Although it needs to focus more on its five elements, interventions based on the multimodal strategy have favored HH compliance and its long-term sustainability. Conclusion: The strategy proved to be effective for HH compliance, especially when all integrating components are adequately addressed.

Universal Masking to Prevent Nosocomial Respiratory Viral Infections in Malignant Hematology Inpatient Units

2020 ◽  
Vol 41 (S1) ◽  
pp. s501-s502
Author(s):  
Vishnuka Arulsundaram ◽  
Kelsey Houston ◽  
Elisa Vicencio ◽  
Carly Rebelo ◽  
Alon Vaisman ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Infection Control ◽  
Influenza Vaccination ◽  
Hand Hygiene Compliance ◽  
Vaccination Rates ◽  
Increased Risk ◽  
Hospital Infection Control ◽  
Before And After ◽  
Hygiene Compliance ◽  
The Impact

Background: Patients with hematologic malignancies are at increased risk for respiratory virus infections (RVIs) and may experience prolonged asymptomatic viral shedding contributing to transmission. In response to 2 extensive RVI outbreaks in our adult cancer center, a universal masking policy was implemented whereby inpatients on malignant hematology units and their visitors were required to wear procedure masks whenever they were walking outside their rooms. Visitors were required to mask when inside patient rooms. Staff were not included in the policy. Here, we describe the impact of universal masking on the incidence of nosocomial RVI in malignant hematology patients. Methods: In this before-and-after study, we examined the effects of universal masking in malignant hematology units of a 170-bed adult cancer hospital in Toronto, Canada, between January 1, 2015, and September 30, 2019. Nosocomial RVI incidence, RVI outbreak descriptions, and hand hygiene compliance rates were collected from hospital infection control databases. Mask utilization was extracted from hospital purchasing records. Staff influenza vaccination rates were obtained from occupational health records. RVI incidence rates before and after the intervention were compared using Wilcoxon rank-sum test. Results: The preimplementation phase ran from January 1, 2015, to February 28, 2017, and the postimplementation phase spanned March 1, 2017, to September 30, 2019. Monthly mask utilization on malignant hematology units increased by 105% after implementing the universal masking policy. Nosocomial RVI incidence decreased significantly after implementing the universal masking policy, and the number of cases involved in RVI outbreaks also decreased (Table 1). There was a 14% increase in nasopharyngeal swab orders after implementation. Staff influenza vaccination rates, hand hygiene compliance and infection control policies remained stable throughout the study. Conclusions: A reduction in the incidence of nosocomial RVI and number of RVI cases in outbreaks was observed after implementing the universal masking policy. Although we were unable to directly measure compliance with the intervention, increased mask utilization after the intervention implied adherence to the policy. Our experience suggests that universal masking in malignant hematology inpatients may be an effective RVI prevention strategy. Further rigorous study is warranted.Funding: NoneDisclosures: Susy Hota reports contract research for Finch Therapeutics.

scholarly journals Infection Control Knowledge, Attitudes, and Practices among Healthcare Workers in Addis Ababa, Ethiopia

2013 ◽  
Vol 34 (12) ◽  
pp. 1289-1296 ◽  
Author(s):  
Admasu Tenna ◽  
Edward A. Stenehjem ◽  
Lindsay Margoles ◽  
Ermias Kacha ◽  
Henry M. Blumberg ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Infection Control ◽  
Addis Ababa ◽  
World Health ◽  
Hand Sanitizer ◽  
Attitudes And Practices ◽  
Hospital Infection Control ◽  
Control Knowledge ◽  
Knowledge Attitudes And Practices ◽  
Tb Infection Control

Objective.To better understand hospital infection control practices in Ethiopia.Design.A cross-sectional evaluation of healthcare worker (HCW) knowledge, attitudes, and practices about hand hygiene and tuberculosis (TB) infection control measures.Methods.An anonymous 76-item questionnaire was administered to HCWs at 2 university hospitals in Addis Ababa, Ethiopia. Knowledge items were scored as correct/incorrect. Attitude and practice items were assessed using a Likert scale.Results.In total, 261 surveys were completed by physicians (51%) and nurses (49%). Fifty-one percent of respondents were male; mean age was 30 years. While hand hygiene knowledge was fair, self-reported practice was suboptimal. Physicians reported performing hand hygiene 7% and 48% before and after patient contact, respectively. Barriers for performing hand hygiene included lack of hand hygiene agents (77%), sinks (30%), and proper training (50%) as well as irritation and dryness (67%) caused by hand sanitizer made in accordance with the World Health Organization formulation. TB infection control knowledge was excellent (more than 90% correct). Most HCWs felt that they were at high risk for occupational acquisition of TB (71%) and that proper TB infection control can prevent nosocomial transmission (92%). Only 12% of HCWs regularly wore a mask when caring for TB patients. Only 8% of HCWs reported that masks were regularly available, and 76% cited a lack of infrastructure to isolate suspected/known TB patients.Conclusions.Training HCWs about the importance and proper practice of hand hygiene along with improving hand sanitizer options may improve patient safety. Additionally, enhanced infrastructure is needed to improve TB infection control practices and allay HCW concerns about acquiring TB in the hospital.

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