![]() The most effective single measure for infection prevention in various health care settings, including nursing homes is (antiseptic) hand rubbing. In 2015 there were 426.277 cases of infections with multi-resistant bacteria associated with health care registered in Europe. Healthcare-associated infections are a major cause of morbidity and mortality in nursing homes. In addition, nursing managers should be made aware of the impact of their role model function and they should implement this in daily practice. These results suggest that improving hand hygiene should focus on strategies that facilitate the provision of hand disinfectant materials in the immediate work area of nurses. Despite a general awareness of the impact of leadership on staff behaviour, not all nursing managers fully appreciated the impact of their own consistent role modelling regarding hand hygiene behaviours. Hygiene standards and equipment were all generally available but compliance to standards also depended upon availability in the immediate work area and role modelling. Most nurses and nursing managers held the knowledge of effective hand hygiene procedures. We conducted a mixed-methods study surveying 165 nurses and interviewing 27 nursing managers from nursing homes in Germany. We aim to explore these influences of individual and organisational factors of hand hygiene in nursing home staff, with a particular focus on the function of role modelling by nursing managers. ![]() ![]() Therefore, it may be important to examine individual and organisational factors that foster improvement of these factors in hand hygiene. Studies have shown that increasing knowledge, behaviour and attitudes could enhance hand hygiene compliance in nursing homes. The nursing home setting differs from other healthcare environments in individual and organisational factors such as knowledge, behaviour, and attitude to improve hand hygiene and it is therefore difficult to research the influential factors to improve hand hygiene. Infections with multi-resistant bacteria’s, associated with healthcare, is a known problem. Hand Hygiene Compliance Audit ToolsĪll of the relevant Hand Hygiene Compliance auditing documents can be downloaded below.Effective hand hygiene is one of the most important measures for protecting nursing home residents from nosocomial infections. Hand Hygiene Compliance audits should only be undertaken by trained and validated auditors. non-acute, primary care, mental health settings) and resources required to undertake auditing may be better utilised measuring other aspects of a hand hygiene program (e.g product placement and availability surveys, education etc). This results in higher numbers of ‘Moments’ being audited in shorter time periods.Īuditing facilities where there is little staff/patient activity and interaction will result in a small number of moments being observed (i.e. The 5 Moments for Hand Hygiene audit tool is generally suited to facilities that have the greatest staff/patient activity and interaction. Hand hygiene compliance is a valid and reliable measure within the acute care sector. ![]() Standard 5 Moments Auditing with the 5 Moments for Hand Hygiene toolĪuditing of hand hygiene compliance to the 5 Moments for Hand Hygiene is the established outcome measure for assessing the effectiveness of a hand hygiene program. ![]()
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