AI Summary & Key Takeaways
AI InsightAvailable at: https:/www.who.int/publications/i/item/9789240011618 (accessed 17 April 2023).
📌 3 Key Takeaways
Abstract
The Effect of Post-Observation Peer Feedback on Nursing Students' Hand Hygiene Knowledge, Beliefs, and Skills ABSTRACT Objective: This study aimed to examine how peer feedback using the “Five Moments for Hand Hygiene” method affects hand hygiene knowledge, beliefs, practice, and compliance in nursing students. Methods: Between January 1st and June 1st, 2022, 109 fourth-year nursing students joined this quasi-experimental study with a pretest-posttest control group using the "Five Moments for Hand Hygiene" technique. Results: There was statistically significant difference between following-test knowledge scores, hand hygiene belief and practice scores of the students in the intervention and control groups (p<0.05). The hand hygiene compliance score in the intervention group (74.96±1.92) was higher than control group (39.81±4.51). Conclusion: The observer training according to Five Moments for Hand Hygiene, training, observation in the clinical practice, and peer-feedback positively affect the students’ compliance. Keywords Compliance; hand hygiene; handwashing; nursing students. Funding: The authors declared that this study has received no financial support. REFERENCES 1. Allegranzi, B., Gayet-Ageron, A., Damani, N., Bengaly, L., McLaws, M.L., Moro M.L., Memish, Z., …Pittet, D. (2013). Global implementation of WHO’s multimodal strategy for improvement of hand hygiene: A quasi-experimental study. The Lancet Infectious Diseases, 13(10), 843– 851. https://doi.org/10.1016/s1473-3099(13)70163-4. 2. Ceylan, B., Gunes, U., Baran, L., Oztürk, H. and Sahbudak, G. (2020). Examining the hand hygiene beliefs and practices of nursing students and the effectiveness of their handwashing behaviour. Journal of Clinical Nursing, 29(21-22), 4057-4065. https://doi.org/10.1111/jocn.15430. 3. Chiu, Y.P. and Liao, M.N. (2011). Hospital perspective on nursing staff role and function in infection control. Hu li za zhi The Journal of Nursing, 58(4), 16-20. 4. Fouad, M. and Eltaher, S. (2020). Hand hygiene initiative: comparative study of pre-and postintervention outcomes. Eastern Mediterranean Health Journal, 26(2), 198-205. 5. Guest, J.F., Keating, T., Gould, D. and Wigglesworth, N. (2019). Modeling the costs and consequences of reducing healthcare-associated infections by improving hand hygiene in an average hospital in England. British Medical Journal Open 9, e029971. https://doi.org/ 10.1136/bmjopen-2019-029971. 6. Huang, Y., Xie, W., Zeng, J., Law, F. and Ba-Thein, W. (2013). Limited knowledge and practice of Chinese medical students regarding healthcare associated infections. The Journal of Infection in Developing Countries, 7 (02), 44–151. https://doi.org/10.3855/jidc.3099. 7. Ibrahim, A.A. and Elshafie, S.S. (2016). Knowledge, awareness, and attitude regarding infection prevention and control among medical students: a call for educational intervention. Advances in Medical Education and Practice, 7: 505. https://doi.org/10.2147%2FAMEP.S109830. 8. Jeong, S.Y. and Kim, K.M. (2016). Influencing factors on hand hygiene behavior of nursing students based on theory of planned behavior: A descriptive survey study. Nurse Education Today, 36: 159-164. https://doi.org/10.1016/j.nedt.2015.09.014. 9. Karadağ, M., Yıldırım, N. and İşeri, Ö. (2016). Validity and reliability study of Hand Hygiene Belief Scale and Hand Hygiene Practices Inventory. Çukurova Medical Journal, 41(2), 271-284. 10. Korhonen, A., Vuori, A. and Lukkari, A. (2019). Increasing nursing students’ knowledge of evidence-based hand-hygiene: A quasi-experimental study. Nurse Education in Practice, 35, 104-110. https://doi.org/10.1016/j.nepr.2018.12.009. 11. Løyland, B., Peveri, A.M. and Hessevaagbakke, E. (2020). Students' observations of hand hygiene in nursing homes using the five moments of hand hygiene. Journal of Clinical Nursing, 29(5-6), 821-830. https://doi.org/10.1111/jocn.15136. 12. Martos-Cabrera, M.B., Mota-Romero, E., Martos-García, R., Gomez-Urquiza, J. L., Suleiman-Martos, N., Albendin-Garcia, L. and Canadas-De la Fuante, G. A. (2019). Hand hygiene teaching strategies among nursing staff: a systematic review. International Journal of Environmental Research and Public Health, 16(17), 3039. https://doi.org/10.3390/ijerph16173039. 13. McCarney, R., Warner, J., Iliffe, S., Haselen, R., Griffin, M. and Fisher, P. (2007). The Hawthorne Effect: a randomised, controlled trial. BMC Medical Research Methodology, 7(1), 1-8. https://doi.org/10.1186/1471-2288-7-30. 14. Molnár, Z. S., Varga, L., Gyenes, G., Lesonsky, E., Gradvohl, A.j., Lukacs, R.A., …Feith, H. J. (2021). Effectiveness of a Hungarian peer education handwashing programme in primary and secondary schools. Developments in Health Science, 3(3), 58-64. https://doi.org/10.1556/2066.2020.00011. 15. Oyapero, A. and Oyapero, O. (2018). An assessment of hand hygiene perception and practices among undergraduate nursing students in Lagos State: A pilot study. Journal Education Health Promotion, Nov 27 (7),150. https://doi.org/10.4103/jehp.jehp_56_17. 16. Purssell, E. and Gould, D. (2022). Teaching health care students hand hygiene theory and skills: a systematic review. International Journal of Environmental Health Research, 32(9), 2065-2073. https://doi.org/10.1080/09603123.2021.1937580. 17. Sandbekken, I.H., Hermansen, Å., Utne, I., Grov E. K. and Loyland, B. (2022). Students’ observations of hand hygiene adherence in 20 nursing home wards, during the COVID-19 pandemic. BMC Infection Diseases, 22(1), 156. https://doi.org/10.1186/s12879-022-07143-6. 18. Sönmez, A., Öztürk, Ş.B. and Abacıgil, F. (2021). Sağlık hizmeti ilişkili enfeksiyon epidemiyolojisi ve sürveyansı. (Health Care Related Infection Epidemiology and Surveillance). Journal of Nursing Science, 4(1), 41-45. 19. Sundal, J. S., Aune, A. G., Storvig, E., Aasland, J.K., Fjeldsæter, K. L. and Torjuul, K. (2017). The hand hygiene compliance of student nurses during clinical placements. Journal of Clinical Nursing, 26(23-24), 4646-4653. https://doi.org/10.1111/jocn.13811. 20. Tavolacci, M. P., Ladner, J., Bailly, L., Merle, W., Pitrou, I. and Czernichow, P. (2008). Prevention of nosocomial infection and standard precautions: knowledge and source of information among healthcare students. Infection Control & Hospital Epidemiology, 29(7), 642-647. https://doi.org/10.1086/588683. 21. Van de Mortel TF, Apostolopoulou E.A. and Petrikkos, G. (2010) A comparison of the hand hygiene knowledge, beliefs, and practices of Greek nursing and medical students. American Journal of Infection Control 38(1): 75. https://doi.org/10.1016/j.ajic.2009.05.006. 22. World Health Organization (2009) Hand Hygiene Technical Reference Manual: To be used by health-care workers, trainers and observers of hand hygiene practices. Geneva: 1–31. 23. World Health Organization (2020) Hand hygiene for all initiative: Improving access and behaviour in health care facilities. Available at: https:/www.who.int/publications/i/item/9789240011618 (accessed 17 April 2023).
Özet
Gözlem Sonrası Akran Geri Bildiriminin Hemşirelik Öğrencilerinin El Hijyeni Bilgisi, İnançları ve Becerileri Üzerindeki Etkisi ÖZ Amaç: Bu çalışmada hemşirelik öğrencilerinde “El Hijyeni İçin Beş An” yöntemini kullanarak yapılan akran geribildiriminin el hijyeni bilgisini, inançlarını, uygulamalarını ve uyumunu nasıl etkilediğini incelemek amaçlanmıştır. Yöntem: 1 Ocak-1 Haziran 2022 tarihleri arasında 109 hemşirelik dördüncü sınıf öğrencisi, ön test-son test kontrol gruplu yarı deneysel bu çalışmaya "El Hijyeni İçin Beş An" tekniği kullanılarak katılmıştır. Bulgular: Müdahale ve kontrol grubundaki öğrencilerin takip testi bilgi puanları, el hijyeni inanç ve uygulama puanları arasında istatistiksel olarak anlamlı fark vardı (p<0.05). Müdahale grubunda el hijyeni uyum puanı (74,96±1,92) kontrol grubundan (39,81±4,51) daha yüksekti. Sonuç: El Hijyeni İçin Beş An’a göre gözlemci eğitimi, eğitim, klinik uygulamada gözlem ve akran geri bildirimi yöntemleri öğrencilerin uyumunu olumlu yönde etkilemektedir. Anahtar Kelime Uyum; el hijyeni; el yıkama; hemşirelik öğrencileri. Destekleyen kurumlar: Yazarlar bu çalışmanın herhangi bir finansal destek almadığını beyan etmişlerdir. REFERENCES 1. Allegranzi, B., Gayet-Ageron, A., Damani, N., Bengaly, L., McLaws, M.L., Moro M.L., Memish, Z., …Pittet, D. (2013). Global implementation of WHO’s multimodal strategy for improvement of hand hygiene: A quasi-experimental study. The Lancet Infectious Diseases, 13(10), 843– 851. https://doi.org/10.1016/s1473-3099(13)70163-4. 2. Ceylan, B., Gunes, U., Baran, L., Oztürk, H. and Sahbudak, G. (2020). Examining the hand hygiene beliefs and practices of nursing students and the effectiveness of their handwashing behaviour. Journal of Clinical Nursing, 29(21-22), 4057-4065. https://doi.org/10.1111/jocn.15430. 3. Chiu, Y.P. and Liao, M.N. (2011). Hospital perspective on nursing staff role and function in infection control. Hu li za zhi The Journal of Nursing, 58(4), 16-20. 4. Fouad, M. and Eltaher, S. (2020). Hand hygiene initiative: comparative study of pre-and postintervention outcomes. Eastern Mediterranean Health Journal, 26(2), 198-205. 5. Guest, J.F., Keating, T., Gould, D. and Wigglesworth, N. (2019). Modeling the costs and consequences of reducing healthcare-associated infections by improving hand hygiene in an average hospital in England. British Medical Journal Open 9, e029971. https://doi.org/ 10.1136/bmjopen-2019-029971. 6. Huang, Y., Xie, W., Zeng, J., Law, F. and Ba-Thein, W. (2013). Limited knowledge and practice of Chinese medical students regarding healthcare associated infections. The Journal of Infection in Developing Countries, 7 (02), 44–151. https://doi.org/10.3855/jidc.3099. 7. Ibrahim, A.A. and Elshafie, S.S. (2016). Knowledge, awareness, and attitude regarding infection prevention and control among medical students: a call for educational intervention. Advances in Medical Education and Practice, 7: 505. https://doi.org/10.2147%2FAMEP.S109830. 8. Jeong, S.Y. and Kim, K.M. (2016). Influencing factors on hand hygiene behavior of nursing students based on theory of planned behavior: A descriptive survey study. Nurse Education Today, 36: 159-164. https://doi.org/10.1016/j.nedt.2015.09.014. 9. Karadağ, M., Yıldırım, N. and İşeri, Ö. (2016). Validity and reliability study of Hand Hygiene Belief Scale and Hand Hygiene Practices Inventory. Çukurova Medical Journal, 41(2), 271-284. 10. Korhonen, A., Vuori, A. and Lukkari, A. (2019). Increasing nursing students’ knowledge of evidence-based hand-hygiene: A quasi-experimental study. Nurse Education in Practice, 35, 104-110. https://doi.org/10.1016/j.nepr.2018.12.009. 11. Løyland, B., Peveri, A.M. and Hessevaagbakke, E. (2020). Students' observations of hand hygiene in nursing homes using the five moments of hand hygiene. Journal of Clinical Nursing, 29(5-6), 821-830. https://doi.org/10.1111/jocn.15136. 12. Martos-Cabrera, M.B., Mota-Romero, E., Martos-García, R., Gomez-Urquiza, J. L., Suleiman-Martos, N., Albendin-Garcia, L. and Canadas-De la Fuante, G. A. (2019). Hand hygiene teaching strategies among nursing staff: a systematic review. International Journal of Environmental Research and Public Health, 16(17), 3039. https://doi.org/10.3390/ijerph16173039. 13. McCarney, R., Warner, J., Iliffe, S., Haselen, R., Griffin, M. and Fisher, P. (2007). The Hawthorne Effect: a randomised, controlled trial. BMC Medical Research Methodology, 7(1), 1-8. https://doi.org/10.1186/1471-2288-7-30. 14. Molnár, Z. S., Varga, L., Gyenes, G., Lesonsky, E., Gradvohl, A.j., Lukacs, R.A., …Feith, H. J. (2021). Effectiveness of a Hungarian peer education handwashing programme in primary and secondary schools. Developments in Health Science, 3(3), 58-64. https://doi.org/10.1556/2066.2020.00011. 15. Oyapero, A. and Oyapero, O. (2018). An assessment of hand hygiene perception and practices among undergraduate nursing students in Lagos State: A pilot study. Journal Education Health Promotion, Nov 27 (7),150. https://doi.org/10.4103/jehp.jehp_56_17. 16. Purssell, E. and Gould, D. (2022). Teaching health care students hand hygiene theory and skills: a systematic review. International Journal of Environmental Health Research, 32(9), 2065-2073. https://doi.org/10.1080/09603123.2021.1937580. 17. Sandbekken, I.H., Hermansen, Å., Utne, I., Grov E. K. and Loyland, B. (2022). Students’ observations of hand hygiene adherence in 20 nursing home wards, during the COVID-19 pandemic. BMC Infection Diseases, 22(1), 156. https://doi.org/10.1186/s12879-022-07143-6. 18. Sönmez, A., Öztürk, Ş.B. and Abacıgil, F. (2021). Sağlık hizmeti ilişkili enfeksiyon epidemiyolojisi ve sürveyansı. (Health Care Related Infection Epidemiology and Surveillance). Journal of Nursing Science, 4(1), 41-45. 19. Sundal, J. S., Aune, A. G., Storvig, E., Aasland, J.K., Fjeldsæter, K. L. and Torjuul, K. (2017). The hand hygiene compliance of student nurses during clinical placements. Journal of Clinical Nursing, 26(23-24), 4646-4653. https://doi.org/10.1111/jocn.13811. 20. Tavolacci, M. P., Ladner, J., Bailly, L., Merle, W., Pitrou, I. and Czernichow, P. (2008). Prevention of nosocomial infection and standard precautions: knowledge and source of information among healthcare students. Infection Control & Hospital Epidemiology, 29(7), 642-647. https://doi.org/10.1086/588683. 21. Van de Mortel TF, Apostolopoulou E.A. and Petrikkos, G. (2010) A comparison of the hand hygiene knowledge, beliefs, and practices of Greek nursing and medical students. American Journal of Infection Control 38(1): 75. https://doi.org/10.1016/j.ajic.2009.05.006. 22. World Health Organization (2009) Hand Hygiene Technical Reference Manual: To be used by health-care workers, trainers and observers of hand hygiene practices. Geneva: 1–31. 23. World Health Organization (2020) Hand hygiene for all initiative: Improving access and behaviour in health care facilities. Available at: https:/www.who.int/publications/i/item/9789240011618 (accessed 17 April 2023).