Featured Research

from universities, journals, and other organizations

Personalized feedback makes healthcare workers twice as likely to clean their hands

Date:
October 23, 2012
Source:
University College London - UCL
Summary:
A major three-year trial has shown that giving one-to-one feedback to healthcare workers makes them twice as likely to clean their hands or use soap.

A major three-year trial led by researchers at UCL, in partnership with the Health Protection Agency, has shown that giving one-to-one feedback to healthcare workers makes them twice as likely to clean their hands or use soap.

The Feedback Intervention Trial (FIT) is the first such trial to be done in a large number of hospitals anywhere in the world. Carried out across 60 wards in 16 hospitals that were already implementing the English and Welsh Cleanyourhands campaign, the study showed that an intervention that coupled feedback to personalised action planning improved hand-hygiene compliance by up to 18 per cent on Intensive Therapy Units (ITUs) and 13 per cent on Acute Care of the Elderly (ACE) wards. It was also found that soap use increased by 30%.

The study is published in PLOS ONE, and the main findings will be presented at a national hand hygiene summit held by GovToday on Oct. 24 to consider national hand hygiene strategy following discontinuation of the Cleanyourhands campaign.

"This is a landmark trial, as until now there has been no randomised controlled trial evidence showing which interventions improve hand hygiene compliance in modern hospitals," said principle investigator Dr Sheldon Stone (UCL Medical School at the Royal Free Hospital). "It is also the first trial to use behavioural sciences to change health care workers hand hygiene behaviour."

Sustained improvements in hand-hygiene are key to the World Health Organisation's SAVES LIVES strategy to reduce health-care associated infection, yet hand-hygiene compliance amongst healthcare workers remains poor, with levels of 25-40% being common.

"The study suggests that the NHS should explore using the FIT intervention and learn how best to implement it, as used properly it can be a really powerful tool," said Dr Stone. "The intervention, which couples feedback to personalised action planning, could be included in infection control teams' audit and appraisal systems in order to reduce the burden of healthcare associated infection on hospital wards."

The intervention process involved a four-week audit cycle, with healthcare workers observed for 20 minutes. Immediate feedback was given after the period of observation, and the person was then helped to form a personal action plan for better hand hygiene. The effect was stronger on ITUs than ACEs, where it was easier to implement. The more frequently wards carried out the intervention, the stronger its effect.

In addition to observing and measuring hand-hygiene compliance, the amount of soap and alcohol hand-rub used each month was also collected as another measure of hand-hygiene compliance for each ward. This also gave a better picture of the total weekly usage, as such data was not subject to any observational bias.

"Although audit and feedback is often suggested as a way of improving hand hygiene, this study puts its use on a firmer footing than previous non-randomised studies, providing the strongest evidence yet that this is an effective way to improve hand hygiene when coupled with a repeating cycle of personalised goal-setting and action planning," said Dr Stone.


Story Source:

The above story is based on materials provided by University College London - UCL. Note: Materials may be edited for content and length.


Journal Reference:

  1. Christopher Fuller, Susan Michie, Joanne Savage, John McAteer, Sarah Besser, Andre Charlett, Andrew Hayward, Barry D. Cookson, Ben S. Cooper, Georgia Duckworth, Annette Jeanes, Jenny Roberts, Louise Teare, Sheldon Stone. The Feedback Intervention Trial (FIT) — Improving Hand-Hygiene Compliance in UK Healthcare Workers: A Stepped Wedge Cluster Randomised Controlled Trial. PLoS ONE, 2012; 7 (10): e41617 DOI: 10.1371/journal.pone.0041617

Cite This Page:

University College London - UCL. "Personalized feedback makes healthcare workers twice as likely to clean their hands." ScienceDaily. ScienceDaily, 23 October 2012. <www.sciencedaily.com/releases/2012/10/121023171811.htm>.
University College London - UCL. (2012, October 23). Personalized feedback makes healthcare workers twice as likely to clean their hands. ScienceDaily. Retrieved July 30, 2014 from www.sciencedaily.com/releases/2012/10/121023171811.htm
University College London - UCL. "Personalized feedback makes healthcare workers twice as likely to clean their hands." ScienceDaily. www.sciencedaily.com/releases/2012/10/121023171811.htm (accessed July 30, 2014).

Share This




More Health & Medicine News

Wednesday, July 30, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Health Insurers' Profits Slide

Health Insurers' Profits Slide

Reuters - Business Video Online (July 30, 2014) Obamacare-related costs were said to be behind the profit plunge at Wellpoint and Humana, but Wellpoint sees the new exchanges boosting its earnings for the full year. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com
Concern Grows Over Worsening Ebola Crisis

Concern Grows Over Worsening Ebola Crisis

AFP (July 30, 2014) Pan-African airline ASKY has suspended all flights to and from the capitals of Liberia and Sierra Leone amid the worsening Ebola health crisis, which has so far caused 672 deaths in Guinea, Liberia and Sierra Leone. Duration: 00:43 Video provided by AFP
Powered by NewsLook.com
At Least 20 Chikungunya Cases in New Jersey

At Least 20 Chikungunya Cases in New Jersey

AP (July 30, 2014) At least 20 New Jersey residents have tested positive for chikungunya, a mosquito-borne virus that has spread through the Caribbean. (July 30) Video provided by AP
Powered by NewsLook.com
Generics Eat Into Pfizer's Sales

Generics Eat Into Pfizer's Sales

Reuters - Business Video Online (July 29, 2014) Pfizer, the world's largest drug maker, cut full-year revenue forecasts because generics could cut into sales of its anti-arthritis drug, Celebrex. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins