Effectiveness of a multimodal information technology-based hand hygiene strategies on reducing healthcare-associated infections in nursing homes: A cluster-randomized controlled trial.
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| Názov: | Effectiveness of a multimodal information technology-based hand hygiene strategies on reducing healthcare-associated infections in nursing homes: A cluster-randomized controlled trial. |
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| Autori: | Lin TY; Department of Nursing, Shu-Zen Junior College of Medicine and Management, 452 Huanqiu Rd., Luzhu District, Kaohsiung 82144, Taiwan. Electronic address: candyszmc@gmail.com., Chen KM; College of Nursing, Kaohsiung Medical University, 100 Shih-Chuan 1st Rd., Sanmin District, Kaohsiung 80708, Taiwan; Center for Long-term Care Research, Kaohsiung Medical University, Taiwan; Department of Medical Research, Kaohsiung Medical University Hospital, Taiwan. Electronic address: kmc@kmu.edu.tw., Belcastro F; Department of Education and Psychology, University of Dubuque, 2000 University Ave., Dubuque, IA 52001, USA. Electronic address: fpbelcast@gmail.com., Chen YM; College of Nursing, Kaohsiung Medical University, 100 Shih-Chuan 1st Rd., Sanmin District, Kaohsiung 80708, Taiwan; Super Intendent Office, Kaohsiung Medical University Hospital, Taiwan. Electronic address: ymchen@kmu.edu.tw. |
| Zdroj: | Nurse education in practice [Nurse Educ Pract] 2025 Oct; Vol. 88, pp. 104534. Date of Electronic Publication: 2025 Aug 31. |
| Spôsob vydávania: | Journal Article; Randomized Controlled Trial |
| Jazyk: | English |
| Informácie o časopise: | Publisher: Elsevier Ltd Country of Publication: Scotland NLM ID: 101090848 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5223 (Electronic) Linking ISSN: 14715953 NLM ISO Abbreviation: Nurse Educ Pract Subsets: MEDLINE |
| Imprint Name(s): | Publication: [Edinburgh] : Elsevier Ltd. Original Publication: [Edinburgh] : Churchill Livingstone, |
| Výrazy zo slovníka MeSH: | Hand Hygiene*/methods , Hand Hygiene*/standards , Cross Infection*/prevention & control , Information Technology*, Humans ; Nursing Homes ; Taiwan ; Female ; Male ; Adult ; Guideline Adherence ; Middle Aged ; Infection Control/methods ; Nursing Assistants/education |
| Abstrakt: | Competing Interests: Declaration of Competing Interest The authors report no conflict of interests in this work. Aim: To assess the effectiveness of a multimodal information technology-based hand hygiene strategy in improving knowledge, compliance, accuracy, and healthcare-associated infections density in Taiwan's nursing homes. Background: Hand hygiene is the most effective and cost-efficient method for preventing healthcare-associated infections. However, compliance rates among healthcare workers in Taiwan remain low (3.6-17.3 %) due to insufficient knowledge, limited amenities, unfamiliar procedures, neglect of protocols, and lack of habitual handwashing. Design: Cluster-randomized controlled trial. Methods: This study involved 77 nurses and nursing assistants from four nursing homes. The experimental group received a three-month information technology-enhanced program, including hygiene amenities, reminders, education, observations with feedback, and patient safety climate improvements. The control group continued routine care. Data were collected at baseline and at one, two-, and three-months post-intervention and analyzed using generalized estimating equations. Results: The experimental group exhibited significantly greater improvement in knowledge scores than the control group (Wald χ² = 86.63, p < .001). The hand hygiene compliance and accuracy rates of the experimental group also improved significantly more than those of the control group at three post-intervention time points (all p < .001). The density of healthcare-associated infections was reduced more in the experimental group than in the control group after three months, although the difference was not statistically significant (Wald χ² = 0.25, p = .618). Conclusions: Information technology-based hand hygiene strategies effectively enhanced knowledge, compliance, and accuracy among nurses and nursing assistants. Integrating this approach into routine hand hygiene practices may improve behavior, care quality, and patient safety. (Copyright © 2025 Elsevier Ltd. All rights reserved.) |
| Contributed Indexing: | Keywords: Compliance; Hand hygiene; Healthcare-associated infections; Information technology; Knowledge; Multimodal intervention; Nursing homes |
| Entry Date(s): | Date Created: 20250906 Date Completed: 20251113 Latest Revision: 20251113 |
| Update Code: | 20251114 |
| DOI: | 10.1016/j.nepr.2025.104534 |
| PMID: | 40913901 |
| Databáza: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Competing Interests: Declaration of Competing Interest The authors report no conflict of interests in this work.<br />Aim: To assess the effectiveness of a multimodal information technology-based hand hygiene strategy in improving knowledge, compliance, accuracy, and healthcare-associated infections density in Taiwan's nursing homes.<br />Background: Hand hygiene is the most effective and cost-efficient method for preventing healthcare-associated infections. However, compliance rates among healthcare workers in Taiwan remain low (3.6-17.3 %) due to insufficient knowledge, limited amenities, unfamiliar procedures, neglect of protocols, and lack of habitual handwashing.<br />Design: Cluster-randomized controlled trial.<br />Methods: This study involved 77 nurses and nursing assistants from four nursing homes. The experimental group received a three-month information technology-enhanced program, including hygiene amenities, reminders, education, observations with feedback, and patient safety climate improvements. The control group continued routine care. Data were collected at baseline and at one, two-, and three-months post-intervention and analyzed using generalized estimating equations.<br />Results: The experimental group exhibited significantly greater improvement in knowledge scores than the control group (Wald χ² = 86.63, p < .001). The hand hygiene compliance and accuracy rates of the experimental group also improved significantly more than those of the control group at three post-intervention time points (all p < .001). The density of healthcare-associated infections was reduced more in the experimental group than in the control group after three months, although the difference was not statistically significant (Wald χ² = 0.25, p = .618).<br />Conclusions: Information technology-based hand hygiene strategies effectively enhanced knowledge, compliance, and accuracy among nurses and nursing assistants. Integrating this approach into routine hand hygiene practices may improve behavior, care quality, and patient safety.<br /> (Copyright © 2025 Elsevier Ltd. All rights reserved.) |
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| ISSN: | 1873-5223 |
| DOI: | 10.1016/j.nepr.2025.104534 |