A New Teachıng Strategy for Hand Hygıene Complıance Improvement in Nurses

Sevim Şen, Hülya Kaya

Abstract


Purpose: This study has been planned in order to determine the effects of Neuro-linguistic Programming (NLP) techniques on gaining hand hygiene behaviors in nurses.

Methods: The sample of the study consisted of 68 nurses. The data were collected before the training, after the training and after one month after the training via “Information Form”, “Hand Washing Behavior Evaluation Scale” and “Hand Observation Form”. Participants were divided into two group and 34 of them was in intervention group where NLP was applied and rest were taken as a control group.

Results: There was a significant statistical difference between the intervention group and the control group regarding beliefs about hand washing, effect of the opinions on hand washing outside of work, perception of hand washing at work and related expectations, attitude and intention point averages but not in control beliefs, perceived behavior control and knowledge point averages.  Hand hygiene compliance rates of nurses were before the training 55% vs. 51%, after the training 75% vs. 55% and after 1 month after the training 90.2% vs. 62% in intervention and control groups, respectively.  

Conclusions: These results  show that a program, that is enriched with Neuro-linguistic Programming (NLP) techniques are effective for gaining hand hygiene behavior in order to prevent infections related to health care.


Keywords


Hand Hygiene, Teaching, Nurses, Neurolinguistic Programming

Full Text:

PDF

References


CDC, “Morbidity and Mortality Weekly Report Guideline for Hand Hygiene in Health-Care Settings Recommendations of the Healthcare Infection Control Practices Centers for Disease Control and Prevention TM,” October, vol. 51, no. RR-16, pp. 1–45, NaN-4, 2002.

WHO, “WHO Guidelines on Hand Hygiene in Health Care: a Summary,” WHO, vol. 30, no. 1, p. 270, 2009.

WHO, Guidelines on hand hygiene in health care. 2009.

C. for D. C. and Prevention, “Guideline for Hand Hygiene in Health-Care Settings: Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. MMWR 2002;51(No. RR- 16),” October, vol. 51, no. RR-16, pp. 1–45, NaN-4, 2002.

J. M. Boyce and D. Pittet, “Guideline for hand hygiene in health-care settings: Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force,” American Journal of Infection Control, vol. 30, no. 8. 2002.

M. L. Ho, W. H. Seto, T. S. Lam, L. C. Wong, and T. Y. Wong, “Hand hygiene promotion in long-term care facilities (LTCF) - A cluster randomized controlled trial,” BMC Proc., vol. 5, 2011.

D. Boyce, J. M., & Pittet, “Guidelines for Hand Hygiene,” Infect. Control Hosp. Epidemiol., vol. 23, pp. 3–40, 2002.

E. L. Larson, E. Early, P. Cloonan, S. Sugrue, and M. Parides, “An organizational climate intervention associated with increased handwashing and decreased nosocomial infections,” Behav. Med., vol. 26, no. 1, pp. 14–22, 2000.

D. Pittet, “The lowbury lecture: Behaviour in infection control,” Journal of Hospital Infection, vol. 58, no. 1. pp. 1–13, 2004.

D. Pittet, “Infection control and quality health care in the new millenium,” in American Journal of Infection Control, 2005, vol. 33, no. 5, pp. 258–267.

B. C. C. Lam, J. Lee, and Y. L. Lau, “Hand hygiene practices in a neonatal intensive care unit: A multimodal intervention and impact on nosocomial infection,” Pediatrics, vol. 114, no. 5, 2004.

J. A. Al-Tawfiq and D. Pittet, “Improving Hand Hygiene Compliance in Healthcare Settings Using Behavior Change Theories: Reflections,” Teach. Learn. Med., vol. 25, no. 4, pp. 37–41, 2013.

G. Bülbül, “Sağlık Çalışanlarının El Yıkama Alışkanlıklarını Geliştirmede Precede Modelinin Kullanımı,” 2007.

T. Biçer, “NLP Kişisel Liderlik,” Beyaz Yayınları, İstanbul, Türkiye, 1999.

S. Knight, “Uygulamalarla NLP, İşinizde Fark Yaratan Farklılıklar,” Sistem Yayıncılıki İstanbul, Türkiye, 1999.

C. W. Sanders, M. Sadoski, R. Bramson, R. Wiprud, and K. Van Walsum, “Comparing the effects of physical practice and mental imagery rehearsal on learning basic surgical skills by medical students,” Am. J. Obstet. Gynecol., vol. 191, no. 5, pp. 1811–1814, 2004.

J. C. Hall, “Imagery practice and the development of surgical skills,” American Journal of Surgery, vol. 184, no. 5. pp. 465–470, 2002.

H. Şen, “Hemşirelik Yüksekokulu Öğrencilerinde Zihinde Canlandırmanın Temel Yaşam Desteği Becerisinin Kazanılması ve Kalıcılığına Etkisi,” 2008.

W. A. for P. Safet, “WHO guidelines on hand hygeine in health care (advanced draft),” Glob. patient Saf. Chall. 2005-2006, 2006.

WHO - World Health Organization, “WHO Guidelines on Hand Hygiene in Health Care,” 2009.

B. Allegranzi et al., “Global implementation of WHO’s multimodal strategy for improvement of hand hygiene: A quasi-experimental study,” Lancet Infect. Dis., vol. 13, no. 10, pp. 843–851, 2013.

P. Salamati, H. Poursharifi, A. A. Rahbarimanesh, H. E. Koochak, and Z. Najafi, “Effectiveness of motivational interviewing in promoting hand hygiene of nursing personnel,” Int. J. Prev. Med., vol. 4, no. 4, pp. 441–447, 2013.

C. A. O’Boyle, S. J. Henly, and E. Larson, “Understanding adherence to hand hygiene recommendations: The theory of planned behavior,” Am. J. Infect. Control, vol. 29, no. 6, pp. 352–360, 2001.

G. Yılmaz, “Yoğun Bakım Servisi Çalışanlarında El Yıkama Davranışına Uymaya Kişilik Özellikleri ve Anksiyetenin Etkisi,” 2008.

A. Huis, M. Hulscher, E. Adang, R. Grol, T. van Achterberg, and L. Schoonhoven, “Cost-effectiveness of a team and leaders-directed strategy to improve nurses’ adherence to hand hygiene guidelines: A cluster randomised trial,” Int. J. Nurs. Stud., vol. 50, no. 4, pp. 518–526, 2013.

[A. Huis, G. Holleman, T. van Achterberg, R. Grol, L. Schoonhoven, and M. Hulscher, “Explaining the effects of two different strategies for promoting hand hygiene in hospital nurses: a process evaluation alongside a cluster randomised controlled trial.,” Implement. Sci., vol. 8, p. 41, 2013.




DOI: http://dx.doi.org/10.52155/ijpsat.v10.1.555

Refbacks

  • There are currently no refbacks.


Copyright (c) 2018 Sevim Şen, Hülya Kaya

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.