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Original Research: Evaluation of a Hand Hygiene Campaign in Outpatient Health Care Clinics

KuKanich, Kate Stenske PhD, DVM; Kaur, Ramandeep MPH; Freeman, Lisa C. PhD, DVM; Powell, Douglas A. PhD

AJN, American Journal of Nursing: March 2013 - Volume 113 - Issue 3 - p 36–42
doi: 10.1097/01.NAJ.0000427878.80053.f7
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Objective: To improve hand hygiene in two outpatient health care clinics through the introduction of a gel sanitizer and an informational poster.

Methods: In this interventional study, health care workers at two outpatient clinics were observed for frequency of hand hygiene (attempts versus opportunities). Gel sanitizer and informational posters were introduced together as an intervention. Direct observation of the frequency of hand hygiene was performed during baseline, intervention, and follow-up. A poststudy survey of health care workers was also distributed and collected.

Results: In both clinics, the frequency of hand hygiene was poor at baseline (11% and 21%) but improved significantly after intervention (36% and 54%) and was maintained through the follow-up period (32% and 51%). Throughout the study, postcontact hand hygiene was observed significantly more often than precontact hand hygiene. In both clinics, health care workers reported a preference for soap and water; yet observations showed that when the intervention made gel sanitizer available, sanitizer use predominated. Fifty percent of the surveyed health care workers considered the introduction of gel sanitizer to be an effective motivating tool for improving hand hygiene.

Conclusions: Hand hygiene performance by health care workers in outpatient clinics may be improved through promoting the use of gel sanitizer and using informational posters. Compared with surveys, direct observation by trained observers may provide more accurate information about worker preferences for hand hygiene tools.

This interventional study shows how hand hygiene improved at two outpatient clinics with the introduction of gel sanitizer and informational posters.

Kate Stenske KuKanich is an assistant professor in the Department of Clinical Sciences at Kansas State University (KSU) in Manhattan, KS. At the time of this study, Ramandeep Kaur was a graduate student in the Department of Diagnostic Medicine/Pathobiology at KSU, where Douglas A. Powell is a professor. Lisa C. Freeman is vice president for research and graduate studies at Northern Illinois University in DeKalb; at the time of this study, she was a professor and associate dean for research in the College of Veterinary Medicine at KSU. This project was funded by an unrestricted educational grant from the Kansas Health Foundation (BG1551). Contact author: Kate Stenske KuKanich, kstenske@ksu.edu. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.

© 2013 Lippincott Williams & Wilkins, Inc.