RESUMEN
Improving hand hygiene from high to very high compliance has not been documented to decrease healthcare-associated infections. We conducted longitudinal analyses during 2013-2015 in an 853-bed hospital and observed a significantly increased hand hygiene compliance rate (p<0.001) and a significantly decreased healthcare-associated infection rate (p = 0.0066).
Asunto(s)
Infección Hospitalaria/epidemiología , Infección Hospitalaria/prevención & control , Adhesión a Directriz , Higiene de las Manos , Infección Hospitalaria/microbiología , Farmacorresistencia Bacteriana , Higiene de las Manos/métodos , Personal de Salud , Humanos , Control de Infecciones , Estudios Longitudinales , Estaciones del AñoRESUMEN
Grand rounds are an educational technique used by the medical profession, yet only sporadically used in nursing. When grand round are employed, knowledge can be disseminated on a consistent basis. No literature was found detailing the effectiveness and value of such programs. This article describes a small pilot study that assessed the effect on knowledge and the perceived value of a nursing grand rounds (NGR) format. To measure these two concepts, those who attended the inaugural NGR presentation were given a posttest and an assessment survey 1 year after the presentation. The posttest focused on key concepts presented, and the survey rated perceived value and knowledge on a scale from 1 (strongly disagree) to 5 (strongly agree). Results demonstrated positive knowledge acquisition and a high perceived value. This assessment review lends support to the use of institutional NGR as a means of continuing education and professional advancement.
Asunto(s)
Actitud del Personal de Salud , Comunicación , Educación Continua en Enfermería/organización & administración , Personal de Enfermería en Hospital , Planificación de Atención al Paciente/organización & administración , Centros Médicos Académicos , Quemaduras/complicaciones , Competencia Clínica , Humanos , Difusión de la Información , Metahemoglobinemia/etiología , Metahemoglobinemia/terapia , North Carolina , Investigación en Educación de Enfermería , Personal de Enfermería en Hospital/educación , Personal de Enfermería en Hospital/psicología , Proyectos Piloto , Autoeficacia , Encuestas y CuestionariosRESUMEN
Hand hygiene is a key intervention for preventing health care-associated infections; however, maintaining high compliance is a challenge, and accurate measurement of compliance can be difficult. A novel program that engaged all health care personnel to measure compliance and provide real-time interventions overcame many barriers for compliance measurement and proved effective for sustaining high compliance and reducing health care-associated infections.