Train-the-Trainers in hand hygiene facilitate the implementation of the WHO hand hygiene multimodal improvement strategy in Japan: evidence for the role of local trainers, adaptation, and sustainability
Background “Train-the-Trainers in hand hygiene” (TTT) is a standardized training to train infection prevention and control (IPC) practitioners with the aim to promote hand hygiene in health care according to the World Health Organization (WHO) multimodal improvement strategy. Little is known in the...
Uložené v:
| Vydané v: | Antimicrobial resistance & infection control Ročník 12; číslo 1; s. 56 - 10 |
|---|---|
| Hlavní autori: | , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
London
BioMed Central
09.06.2023
Springer Nature B.V BMC |
| Predmet: | |
| ISSN: | 2047-2994, 2047-2994 |
| On-line prístup: | Získať plný text |
| Tagy: |
Pridať tag
Žiadne tagy, Buďte prvý, kto otaguje tento záznam!
|
| Abstract | Background
“Train-the-Trainers in hand hygiene” (TTT) is a standardized training to train infection prevention and control (IPC) practitioners with the aim to promote hand hygiene in health care according to the World Health Organization (WHO) multimodal improvement strategy. Little is known in the literature about the sustained impact of hand hygiene and IPC trainings adapted locally. The aim of this study is to describe the impact of three TTT courses conducted annually in Japan on the adoption of the WHO multimodal improvement strategy by local IPC practitioners who became a “trainer” after their first TTT participation as a “trainee”.
Methods
Three TTT courses were conducted annually from 2020 to 2022 in Japan. A team “TTT-Japan” composed of more than 20 IPC practitioners who completed their first TTT participation adapted the original TTT program to reflect the local healthcare context in Japan, and subsequently convened the 2nd and 3rd TTTs. Pre- and post-course evaluations and post-course satisfaction surveys of the course participants were conducted to assess improvement in knowledge on hand hygiene and perception towards the course, respectively. Attitude and practice surveys of the TTT-Japan trainers were conducted to assess their perception and experience in hand hygiene promotion. The Hand Hygiene Self-Assessment Framework (HHSAF), a validated tool created by WHO to monitor the capacity of hand hygiene promotion at facility level, was applied at TTT-Japan trainers’ facilities to compare results before and after trainers’ engagement. We applied inductive thematic analysis for qualitative analyses of open-ended survey questions of the trainers’ attitude and practice surveys, and the Wilcoxon Sign Rank test for quantitive comparisons of pre- and post-data for the surveys and HHSAF.
Results
158 Japanese healthcare workers participated in three TTT courses, the majority of whom (131, 82.9%) were nurses. Twenty-seven local trainers were involved in 2nd and 3rd TTTs. The scores of pre- and post-course evaluations significantly improved after the course (
P
< 0.001) and the improvement was consistent across all three TTTs. Post-course satisfaction survey showed that over 90% of the participants reported that the course met their expectations and that what they learned in the courses would be useful for their practice. Trainers’ attitude and practice survey showed that more than three quarters (76.9%) of the trainers reported that their experience as a trainer had a positive impact on their practice at their own facilities. Qualitative analysis of the trainers’ attitude and practice survey revealed that trainers appreciated continuous learning as a trainer, and group effort to promote hand hygiene as the TTT-Japan team. The HHSAF institutional climate change element at the trainers’ facilities significantly improved after their engagement as a trainer (
P
= 0.012).
Conclusions
TTTs were successfully adapted and implemented in Japan, leading to sustained hand hygiene promotion activities by local trainers over three years. Further research is warranted to assess the long-term impact on local hand hygiene promotion in different settings. |
|---|---|
| AbstractList | Background“Train-the-Trainers in hand hygiene” (TTT) is a standardized training to train infection prevention and control (IPC) practitioners with the aim to promote hand hygiene in health care according to the World Health Organization (WHO) multimodal improvement strategy. Little is known in the literature about the sustained impact of hand hygiene and IPC trainings adapted locally. The aim of this study is to describe the impact of three TTT courses conducted annually in Japan on the adoption of the WHO multimodal improvement strategy by local IPC practitioners who became a “trainer” after their first TTT participation as a “trainee”.MethodsThree TTT courses were conducted annually from 2020 to 2022 in Japan. A team “TTT-Japan” composed of more than 20 IPC practitioners who completed their first TTT participation adapted the original TTT program to reflect the local healthcare context in Japan, and subsequently convened the 2nd and 3rd TTTs. Pre- and post-course evaluations and post-course satisfaction surveys of the course participants were conducted to assess improvement in knowledge on hand hygiene and perception towards the course, respectively. Attitude and practice surveys of the TTT-Japan trainers were conducted to assess their perception and experience in hand hygiene promotion. The Hand Hygiene Self-Assessment Framework (HHSAF), a validated tool created by WHO to monitor the capacity of hand hygiene promotion at facility level, was applied at TTT-Japan trainers’ facilities to compare results before and after trainers’ engagement. We applied inductive thematic analysis for qualitative analyses of open-ended survey questions of the trainers’ attitude and practice surveys, and the Wilcoxon Sign Rank test for quantitive comparisons of pre- and post-data for the surveys and HHSAF.Results158 Japanese healthcare workers participated in three TTT courses, the majority of whom (131, 82.9%) were nurses. Twenty-seven local trainers were involved in 2nd and 3rd TTTs. The scores of pre- and post-course evaluations significantly improved after the course (P < 0.001) and the improvement was consistent across all three TTTs. Post-course satisfaction survey showed that over 90% of the participants reported that the course met their expectations and that what they learned in the courses would be useful for their practice. Trainers’ attitude and practice survey showed that more than three quarters (76.9%) of the trainers reported that their experience as a trainer had a positive impact on their practice at their own facilities. Qualitative analysis of the trainers’ attitude and practice survey revealed that trainers appreciated continuous learning as a trainer, and group effort to promote hand hygiene as the TTT-Japan team. The HHSAF institutional climate change element at the trainers’ facilities significantly improved after their engagement as a trainer (P = 0.012).ConclusionsTTTs were successfully adapted and implemented in Japan, leading to sustained hand hygiene promotion activities by local trainers over three years. Further research is warranted to assess the long-term impact on local hand hygiene promotion in different settings. "Train-the-Trainers in hand hygiene" (TTT) is a standardized training to train infection prevention and control (IPC) practitioners with the aim to promote hand hygiene in health care according to the World Health Organization (WHO) multimodal improvement strategy. Little is known in the literature about the sustained impact of hand hygiene and IPC trainings adapted locally. The aim of this study is to describe the impact of three TTT courses conducted annually in Japan on the adoption of the WHO multimodal improvement strategy by local IPC practitioners who became a "trainer" after their first TTT participation as a "trainee".BACKGROUND"Train-the-Trainers in hand hygiene" (TTT) is a standardized training to train infection prevention and control (IPC) practitioners with the aim to promote hand hygiene in health care according to the World Health Organization (WHO) multimodal improvement strategy. Little is known in the literature about the sustained impact of hand hygiene and IPC trainings adapted locally. The aim of this study is to describe the impact of three TTT courses conducted annually in Japan on the adoption of the WHO multimodal improvement strategy by local IPC practitioners who became a "trainer" after their first TTT participation as a "trainee".Three TTT courses were conducted annually from 2020 to 2022 in Japan. A team "TTT-Japan" composed of more than 20 IPC practitioners who completed their first TTT participation adapted the original TTT program to reflect the local healthcare context in Japan, and subsequently convened the 2nd and 3rd TTTs. Pre- and post-course evaluations and post-course satisfaction surveys of the course participants were conducted to assess improvement in knowledge on hand hygiene and perception towards the course, respectively. Attitude and practice surveys of the TTT-Japan trainers were conducted to assess their perception and experience in hand hygiene promotion. The Hand Hygiene Self-Assessment Framework (HHSAF), a validated tool created by WHO to monitor the capacity of hand hygiene promotion at facility level, was applied at TTT-Japan trainers' facilities to compare results before and after trainers' engagement. We applied inductive thematic analysis for qualitative analyses of open-ended survey questions of the trainers' attitude and practice surveys, and the Wilcoxon Sign Rank test for quantitive comparisons of pre- and post-data for the surveys and HHSAF.METHODSThree TTT courses were conducted annually from 2020 to 2022 in Japan. A team "TTT-Japan" composed of more than 20 IPC practitioners who completed their first TTT participation adapted the original TTT program to reflect the local healthcare context in Japan, and subsequently convened the 2nd and 3rd TTTs. Pre- and post-course evaluations and post-course satisfaction surveys of the course participants were conducted to assess improvement in knowledge on hand hygiene and perception towards the course, respectively. Attitude and practice surveys of the TTT-Japan trainers were conducted to assess their perception and experience in hand hygiene promotion. The Hand Hygiene Self-Assessment Framework (HHSAF), a validated tool created by WHO to monitor the capacity of hand hygiene promotion at facility level, was applied at TTT-Japan trainers' facilities to compare results before and after trainers' engagement. We applied inductive thematic analysis for qualitative analyses of open-ended survey questions of the trainers' attitude and practice surveys, and the Wilcoxon Sign Rank test for quantitive comparisons of pre- and post-data for the surveys and HHSAF.158 Japanese healthcare workers participated in three TTT courses, the majority of whom (131, 82.9%) were nurses. Twenty-seven local trainers were involved in 2nd and 3rd TTTs. The scores of pre- and post-course evaluations significantly improved after the course (P < 0.001) and the improvement was consistent across all three TTTs. Post-course satisfaction survey showed that over 90% of the participants reported that the course met their expectations and that what they learned in the courses would be useful for their practice. Trainers' attitude and practice survey showed that more than three quarters (76.9%) of the trainers reported that their experience as a trainer had a positive impact on their practice at their own facilities. Qualitative analysis of the trainers' attitude and practice survey revealed that trainers appreciated continuous learning as a trainer, and group effort to promote hand hygiene as the TTT-Japan team. The HHSAF institutional climate change element at the trainers' facilities significantly improved after their engagement as a trainer (P = 0.012).RESULTS158 Japanese healthcare workers participated in three TTT courses, the majority of whom (131, 82.9%) were nurses. Twenty-seven local trainers were involved in 2nd and 3rd TTTs. The scores of pre- and post-course evaluations significantly improved after the course (P < 0.001) and the improvement was consistent across all three TTTs. Post-course satisfaction survey showed that over 90% of the participants reported that the course met their expectations and that what they learned in the courses would be useful for their practice. Trainers' attitude and practice survey showed that more than three quarters (76.9%) of the trainers reported that their experience as a trainer had a positive impact on their practice at their own facilities. Qualitative analysis of the trainers' attitude and practice survey revealed that trainers appreciated continuous learning as a trainer, and group effort to promote hand hygiene as the TTT-Japan team. The HHSAF institutional climate change element at the trainers' facilities significantly improved after their engagement as a trainer (P = 0.012).TTTs were successfully adapted and implemented in Japan, leading to sustained hand hygiene promotion activities by local trainers over three years. Further research is warranted to assess the long-term impact on local hand hygiene promotion in different settings.CONCLUSIONSTTTs were successfully adapted and implemented in Japan, leading to sustained hand hygiene promotion activities by local trainers over three years. Further research is warranted to assess the long-term impact on local hand hygiene promotion in different settings. Background “Train-the-Trainers in hand hygiene” (TTT) is a standardized training to train infection prevention and control (IPC) practitioners with the aim to promote hand hygiene in health care according to the World Health Organization (WHO) multimodal improvement strategy. Little is known in the literature about the sustained impact of hand hygiene and IPC trainings adapted locally. The aim of this study is to describe the impact of three TTT courses conducted annually in Japan on the adoption of the WHO multimodal improvement strategy by local IPC practitioners who became a “trainer” after their first TTT participation as a “trainee”. Methods Three TTT courses were conducted annually from 2020 to 2022 in Japan. A team “TTT-Japan” composed of more than 20 IPC practitioners who completed their first TTT participation adapted the original TTT program to reflect the local healthcare context in Japan, and subsequently convened the 2nd and 3rd TTTs. Pre- and post-course evaluations and post-course satisfaction surveys of the course participants were conducted to assess improvement in knowledge on hand hygiene and perception towards the course, respectively. Attitude and practice surveys of the TTT-Japan trainers were conducted to assess their perception and experience in hand hygiene promotion. The Hand Hygiene Self-Assessment Framework (HHSAF), a validated tool created by WHO to monitor the capacity of hand hygiene promotion at facility level, was applied at TTT-Japan trainers’ facilities to compare results before and after trainers’ engagement. We applied inductive thematic analysis for qualitative analyses of open-ended survey questions of the trainers’ attitude and practice surveys, and the Wilcoxon Sign Rank test for quantitive comparisons of pre- and post-data for the surveys and HHSAF. Results 158 Japanese healthcare workers participated in three TTT courses, the majority of whom (131, 82.9%) were nurses. Twenty-seven local trainers were involved in 2nd and 3rd TTTs. The scores of pre- and post-course evaluations significantly improved after the course ( P < 0.001) and the improvement was consistent across all three TTTs. Post-course satisfaction survey showed that over 90% of the participants reported that the course met their expectations and that what they learned in the courses would be useful for their practice. Trainers’ attitude and practice survey showed that more than three quarters (76.9%) of the trainers reported that their experience as a trainer had a positive impact on their practice at their own facilities. Qualitative analysis of the trainers’ attitude and practice survey revealed that trainers appreciated continuous learning as a trainer, and group effort to promote hand hygiene as the TTT-Japan team. The HHSAF institutional climate change element at the trainers’ facilities significantly improved after their engagement as a trainer ( P = 0.012). Conclusions TTTs were successfully adapted and implemented in Japan, leading to sustained hand hygiene promotion activities by local trainers over three years. Further research is warranted to assess the long-term impact on local hand hygiene promotion in different settings. "Train-the-Trainers in hand hygiene" (TTT) is a standardized training to train infection prevention and control (IPC) practitioners with the aim to promote hand hygiene in health care according to the World Health Organization (WHO) multimodal improvement strategy. Little is known in the literature about the sustained impact of hand hygiene and IPC trainings adapted locally. The aim of this study is to describe the impact of three TTT courses conducted annually in Japan on the adoption of the WHO multimodal improvement strategy by local IPC practitioners who became a "trainer" after their first TTT participation as a "trainee". Three TTT courses were conducted annually from 2020 to 2022 in Japan. A team "TTT-Japan" composed of more than 20 IPC practitioners who completed their first TTT participation adapted the original TTT program to reflect the local healthcare context in Japan, and subsequently convened the 2nd and 3rd TTTs. Pre- and post-course evaluations and post-course satisfaction surveys of the course participants were conducted to assess improvement in knowledge on hand hygiene and perception towards the course, respectively. Attitude and practice surveys of the TTT-Japan trainers were conducted to assess their perception and experience in hand hygiene promotion. The Hand Hygiene Self-Assessment Framework (HHSAF), a validated tool created by WHO to monitor the capacity of hand hygiene promotion at facility level, was applied at TTT-Japan trainers' facilities to compare results before and after trainers' engagement. We applied inductive thematic analysis for qualitative analyses of open-ended survey questions of the trainers' attitude and practice surveys, and the Wilcoxon Sign Rank test for quantitive comparisons of pre- and post-data for the surveys and HHSAF. 158 Japanese healthcare workers participated in three TTT courses, the majority of whom (131, 82.9%) were nurses. Twenty-seven local trainers were involved in 2nd and 3rd TTTs. The scores of pre- and post-course evaluations significantly improved after the course (P < 0.001) and the improvement was consistent across all three TTTs. Post-course satisfaction survey showed that over 90% of the participants reported that the course met their expectations and that what they learned in the courses would be useful for their practice. Trainers' attitude and practice survey showed that more than three quarters (76.9%) of the trainers reported that their experience as a trainer had a positive impact on their practice at their own facilities. Qualitative analysis of the trainers' attitude and practice survey revealed that trainers appreciated continuous learning as a trainer, and group effort to promote hand hygiene as the TTT-Japan team. The HHSAF institutional climate change element at the trainers' facilities significantly improved after their engagement as a trainer (P = 0.012). TTTs were successfully adapted and implemented in Japan, leading to sustained hand hygiene promotion activities by local trainers over three years. Further research is warranted to assess the long-term impact on local hand hygiene promotion in different settings. Abstract Background “Train-the-Trainers in hand hygiene” (TTT) is a standardized training to train infection prevention and control (IPC) practitioners with the aim to promote hand hygiene in health care according to the World Health Organization (WHO) multimodal improvement strategy. Little is known in the literature about the sustained impact of hand hygiene and IPC trainings adapted locally. The aim of this study is to describe the impact of three TTT courses conducted annually in Japan on the adoption of the WHO multimodal improvement strategy by local IPC practitioners who became a “trainer” after their first TTT participation as a “trainee”. Methods Three TTT courses were conducted annually from 2020 to 2022 in Japan. A team “TTT-Japan” composed of more than 20 IPC practitioners who completed their first TTT participation adapted the original TTT program to reflect the local healthcare context in Japan, and subsequently convened the 2nd and 3rd TTTs. Pre- and post-course evaluations and post-course satisfaction surveys of the course participants were conducted to assess improvement in knowledge on hand hygiene and perception towards the course, respectively. Attitude and practice surveys of the TTT-Japan trainers were conducted to assess their perception and experience in hand hygiene promotion. The Hand Hygiene Self-Assessment Framework (HHSAF), a validated tool created by WHO to monitor the capacity of hand hygiene promotion at facility level, was applied at TTT-Japan trainers’ facilities to compare results before and after trainers’ engagement. We applied inductive thematic analysis for qualitative analyses of open-ended survey questions of the trainers’ attitude and practice surveys, and the Wilcoxon Sign Rank test for quantitive comparisons of pre- and post-data for the surveys and HHSAF. Results 158 Japanese healthcare workers participated in three TTT courses, the majority of whom (131, 82.9%) were nurses. Twenty-seven local trainers were involved in 2nd and 3rd TTTs. The scores of pre- and post-course evaluations significantly improved after the course (P < 0.001) and the improvement was consistent across all three TTTs. Post-course satisfaction survey showed that over 90% of the participants reported that the course met their expectations and that what they learned in the courses would be useful for their practice. Trainers’ attitude and practice survey showed that more than three quarters (76.9%) of the trainers reported that their experience as a trainer had a positive impact on their practice at their own facilities. Qualitative analysis of the trainers’ attitude and practice survey revealed that trainers appreciated continuous learning as a trainer, and group effort to promote hand hygiene as the TTT-Japan team. The HHSAF institutional climate change element at the trainers’ facilities significantly improved after their engagement as a trainer (P = 0.012). Conclusions TTTs were successfully adapted and implemented in Japan, leading to sustained hand hygiene promotion activities by local trainers over three years. Further research is warranted to assess the long-term impact on local hand hygiene promotion in different settings. |
| ArticleNumber | 56 |
| Author | Pittet, Didier Fankhauser, Carolina Okamoto, Koh Tartari, Ermira Saito, Hiroki |
| Author_xml | – sequence: 1 givenname: Hiroki surname: Saito fullname: Saito, Hiroki email: hiroki.saito@marianna-u.ac.jp organization: Department of Emergency and Critical Care Medicine, St. Marianna University Yokohama Seibu Hospital, Faculty of Medicine, Institute of Global Health, University of Geneva – sequence: 2 givenname: Koh surname: Okamoto fullname: Okamoto, Koh organization: Department of Infectious Diseases, The University of Tokyo Hospital – sequence: 3 givenname: Carolina surname: Fankhauser fullname: Fankhauser, Carolina organization: Infection Control Programme, Faculty of Medicine, University of Geneva Hospitals – sequence: 4 givenname: Ermira surname: Tartari fullname: Tartari, Ermira organization: Faculty of Health Sciences, University of Malta – sequence: 5 givenname: Didier surname: Pittet fullname: Pittet, Didier organization: Infection Control Programme, Faculty of Medicine, University of Geneva Hospitals |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37296481$$D View this record in MEDLINE/PubMed |
| BookMark | eNp9Us1u1DAQjlARLUtfgAOKxIUDAf8lcbggVAEtqtRLEUdrkkx2XTn2Yicr7SvyVDjJFro91BePxt-f7XmZnFhnMUleU_KBUll8DJSXeZERxjNCWcEy-Sw5Y0SUGasqcfKgPk3OQ7gjcRUlIZK_SE55yapCSHqW_Ln1oG02bDCbK_Qh1TbdgG3TzX6t0WLaQaONHmDANOJS3W8N9mhjQzubum7u_rq8OWb1oxl071owE8O73cxJw-Cj0Ho_ufyALdhPKe50i7aJRs7PWt4ZnHSNayJ7OOR6n0IL28U11tEqjGGIZ1BP8favkucdmIDnh32V_Pz29fbiMru--X518eU6awpSDhlrO152bQl5XmEHAoSQOa8qwrHgLakZQI1lDcByUpekraqKQ0EEKXLeVkXHV8nVots6uFNbr3vwe-VAq7nh_FqBH3RjUFFRi6olXU05F1JC3SGPnk1DMUdZTVqfF63tWPfYNvGFPJgj0eMTqzdq7XaKkhhPChkV3h0UvPs9YhhUr0ODxoBFNwbFJBOFLPO8iNC3j6B3bvQ2vtWEKillMt5xlbx5GOlflvuZiQC5ABrvQvDYqUYvvzL9lInR1DShaplQFSdUzROqprDsEfVe_UkSX0ghgu0a_f_YT7D-ApxY_Tw |
| CitedBy_id | crossref_primary_10_1111_jan_17076 crossref_primary_10_1017_ice_2025_32 |
| Cites_doi | 10.1016/S1473-3099(14)70854-0 10.1016/S1473-3099(21)00383-2 10.1186/s13756-019-0666-4 10.1016/j.jhin.2021.03.007 10.1002/14651858.CD005186.pub4/full 10.1016/j.jhin.2012.05.017 10.1136/bmj.h3728 10.2196/20173 10.1017/ice.2022.308 10.1017/ice.2022.304 10.1001/jamainternmed.2021.1429 10.1136/bmjopen-2020-044111 10.1016/j.ajic.2021.11.030 10.1191/1478088706qp063oa 10.1186/s13756-019-0511-9 10.1016/S1473-3099(21)00618-6 10.1186/s13756-022-01175-y 10.1186/s13012-021-01164-6 10.1016/S1473-3099(21)00809-4 10.1016/j.ajic.2021.06.014 10.1017/ice.2022.294 10.1016/j.ajic.2020.08.021 |
| ContentType | Journal Article |
| Copyright | The Author(s) 2023 2023. The Author(s). 2023. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
| Copyright_xml | – notice: The Author(s) 2023 – notice: 2023. The Author(s). – notice: 2023. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
| DBID | C6C AAYXX CITATION NPM 3V. 7RV 7X7 7XB 88E 8FI 8FJ 8FK ABUWG AEUYN AFKRA AZQEC BENPR CCPQU DWQXO FYUFA GHDGH K9. KB0 M0S M1P NAPCQ PHGZM PHGZT PIMPY PJZUB PKEHL PPXIY PQEST PQQKQ PQUKI 7X8 5PM DOA |
| DOI | 10.1186/s13756-023-01262-8 |
| DatabaseName | Springer Nature Open Access Journals CrossRef PubMed ProQuest Central (Corporate) Nursing & Allied Health Database Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) ProQuest Hospital Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest One Sustainability ProQuest Central UK/Ireland ProQuest Central Essentials ProQuest Central ProQuest One ProQuest Central Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) ProQuest Health & Medical Collection Medical Database Nursing & Allied Health Premium ProQuest Central Premium ProQuest One Academic (New) Publicly Available Content Database ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) ProQuest One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic (retired) ProQuest One Academic UKI Edition MEDLINE - Academic PubMed Central (Full Participant titles) DOAJ Directory of Open Access Journals |
| DatabaseTitle | CrossRef PubMed Publicly Available Content Database ProQuest One Academic Middle East (New) ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing ProQuest Central ProQuest One Sustainability ProQuest Health & Medical Research Collection Health Research Premium Collection Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Health & Medical Research Collection ProQuest Central (New) ProQuest Medical Library (Alumni) ProQuest One Academic Eastern Edition ProQuest Nursing & Allied Health Source ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Hospital Collection (Alumni) Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest Medical Library ProQuest One Academic UKI Edition ProQuest Nursing & Allied Health Source (Alumni) ProQuest One Academic ProQuest One Academic (New) ProQuest Central (Alumni) MEDLINE - Academic |
| DatabaseTitleList | Publicly Available Content Database MEDLINE - Academic PubMed |
| Database_xml | – sequence: 1 dbid: DOA name: Directory of Open Access Journals (DOAJ) url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: 7RV name: Nursing & Allied Health Database url: https://search.proquest.com/nahs sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 2047-2994 |
| EndPage | 10 |
| ExternalDocumentID | oai_doaj_org_article_14b49d0fb133488abfe3efacc1e5e89f PMC10250848 37296481 10_1186_s13756_023_01262_8 |
| Genre | Journal Article |
| GeographicLocations | Japan |
| GeographicLocations_xml | – name: Japan |
| GroupedDBID | 0R~ 53G 5VS 7RV 7X7 88E 8FI 8FJ AAFWJ AAJSJ AASML ABDBF ABUWG ACGFS ACUHS ADBBV ADUKV AENEX AEUYN AFKRA AFPKN AHBYD AHMBA AHYZX ALMA_UNASSIGNED_HOLDINGS AMKLP AOIJS BAWUL BCNDV BENPR BFQNJ BKEYQ BMC BPHCQ BVXVI C6C CCPQU DIK EBLON EBS FYUFA GROUPED_DOAJ GX1 HMCUK HYE IAO IHR IHW INH INR ITC KQ8 M1P M48 M~E NAPCQ OK1 PGMZT PHGZM PHGZT PIMPY PJZUB PPXIY PQQKQ PROAC PSQYO PUEGO RBZ ROL RPM RSV SBL SOJ TSV TUS UKHRP AAYXX AFFHD CITATION -A0 3V. ACRMQ ADINQ ALIPV C24 NPM 7XB 8FK AZQEC DWQXO K9. PKEHL PQEST PQUKI 7X8 5PM |
| ID | FETCH-LOGICAL-c607t-2df37fd7a559efa4a448539903e63d0b2aabe7baa250b70d9993a6040653d96f3 |
| IEDL.DBID | DOA |
| ISICitedReferencesCount | 2 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=001002918300001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 2047-2994 |
| IngestDate | Tue Oct 14 18:56:24 EDT 2025 Tue Nov 04 02:06:52 EST 2025 Wed Oct 01 14:11:53 EDT 2025 Mon Dec 01 05:11:47 EST 2025 Wed Feb 19 02:23:35 EST 2025 Tue Nov 18 21:49:16 EST 2025 Sat Nov 29 03:27:59 EST 2025 Sat Sep 06 07:18:52 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 1 |
| Keywords | Training Train-the-Trainers World Health Organization Hand hygiene Implementation science Infection prevention and control Multimodal strategy |
| Language | English |
| License | 2023. The Author(s). Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c607t-2df37fd7a559efa4a448539903e63d0b2aabe7baa250b70d9993a6040653d96f3 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 |
| OpenAccessLink | https://doaj.org/article/14b49d0fb133488abfe3efacc1e5e89f |
| PMID | 37296481 |
| PQID | 2827112865 |
| PQPubID | 2040171 |
| PageCount | 10 |
| ParticipantIDs | doaj_primary_oai_doaj_org_article_14b49d0fb133488abfe3efacc1e5e89f pubmedcentral_primary_oai_pubmedcentral_nih_gov_10250848 proquest_miscellaneous_2824687556 proquest_journals_2827112865 pubmed_primary_37296481 crossref_citationtrail_10_1186_s13756_023_01262_8 crossref_primary_10_1186_s13756_023_01262_8 springer_journals_10_1186_s13756_023_01262_8 |
| PublicationCentury | 2000 |
| PublicationDate | 2023-06-09 |
| PublicationDateYYYYMMDD | 2023-06-09 |
| PublicationDate_xml | – month: 06 year: 2023 text: 2023-06-09 day: 09 |
| PublicationDecade | 2020 |
| PublicationPlace | London |
| PublicationPlace_xml | – name: London – name: England |
| PublicationTitle | Antimicrobial resistance & infection control |
| PublicationTitleAbbrev | Antimicrob Resist Infect Control |
| PublicationTitleAlternate | Antimicrob Resist Infect Control |
| PublicationYear | 2023 |
| Publisher | BioMed Central Springer Nature B.V BMC |
| Publisher_xml | – name: BioMed Central – name: Springer Nature B.V – name: BMC |
| References | LD Moore (1262_CR24) 2021; 49 AJ Stewardson (1262_CR12) 2013; 83 V Braun (1262_CR14) 2006; 3 N Luangasanatip (1262_CR15) 2015; 351 N Lotfinejad (1262_CR18) 2021; 21 E Tartari (1262_CR7) 2019; 8 Y Wang (1262_CR23) 2022; 50 JB Glowicz (1262_CR2) 2023; 44 M Stangerup (1262_CR22) 2021; 49 S Tomczyk (1262_CR6) 2022; 22 LJ Nayahangan (1262_CR25) 2021; 11 DJ Gould (1262_CR16) 2017 M Suppan (1262_CR27) 2020; 8 C Clancy (1262_CR17) 2021; 111 1262_CR20 1262_CR3 1262_CR10 MT Silva (1262_CR26) 2021; 16 1262_CR1 W Zingg (1262_CR4) 2015; 15 1262_CR5 1262_CR19 E Tartari (1262_CR8) 2019; 8 MEA de Kraker (1262_CR11) 2022; 22 H Nomoto (1262_CR9) 2022; 11 World Health Organization (1262_CR13) 2009 S Makhni (1262_CR21) 2021; 181 |
| References_xml | – volume: 15 start-page: 212 year: 2015 ident: 1262_CR4 publication-title: Lancet Infect Dis doi: 10.1016/S1473-3099(14)70854-0 – volume: 21 start-page: e209 year: 2021 ident: 1262_CR18 publication-title: Lancet Infect Dis doi: 10.1016/S1473-3099(21)00383-2 – volume: 8 start-page: 206 year: 2019 ident: 1262_CR7 publication-title: Antimicrob Resist Infect Control doi: 10.1186/s13756-019-0666-4 – volume-title: WHO guidelines on hand hygiene in health care: first global patient safety challenge: clean care is safer care year: 2009 ident: 1262_CR13 – volume: 111 start-page: 6 year: 2021 ident: 1262_CR17 publication-title: J Hosp Infect doi: 10.1016/j.jhin.2021.03.007 – year: 2017 ident: 1262_CR16 publication-title: Cochrane Database Syst Rev doi: 10.1002/14651858.CD005186.pub4/full – ident: 1262_CR10 – volume: 83 start-page: 30 year: 2013 ident: 1262_CR12 publication-title: J Hosp Infect doi: 10.1016/j.jhin.2012.05.017 – volume: 351 start-page: h3728 year: 2015 ident: 1262_CR15 publication-title: BMJ doi: 10.1136/bmj.h3728 – ident: 1262_CR3 – volume: 8 start-page: e20173 year: 2020 ident: 1262_CR27 publication-title: JMIR Serious Games doi: 10.2196/20173 – ident: 1262_CR5 – ident: 1262_CR1 – ident: 1262_CR20 doi: 10.1017/ice.2022.308 – volume: 44 start-page: 355 year: 2023 ident: 1262_CR2 publication-title: Infect Control Hosp Epidemiol doi: 10.1017/ice.2022.304 – volume: 181 start-page: 1006 year: 2021 ident: 1262_CR21 publication-title: JAMA Intern Med doi: 10.1001/jamainternmed.2021.1429 – volume: 11 start-page: e044111 year: 2021 ident: 1262_CR25 publication-title: BMJ Open doi: 10.1136/bmjopen-2020-044111 – volume: 50 start-page: 563 year: 2022 ident: 1262_CR23 publication-title: Am J Infect Control doi: 10.1016/j.ajic.2021.11.030 – volume: 3 start-page: 77 year: 2006 ident: 1262_CR14 publication-title: Qual Res Psychol doi: 10.1191/1478088706qp063oa – volume: 8 start-page: 58 year: 2019 ident: 1262_CR8 publication-title: Antimicrob Resist Infect Control doi: 10.1186/s13756-019-0511-9 – volume: 22 start-page: 835 year: 2022 ident: 1262_CR11 publication-title: Lancet Infect Dis doi: 10.1016/S1473-3099(21)00618-6 – volume: 11 start-page: 135 year: 2022 ident: 1262_CR9 publication-title: Antimicrob Resist Infect Control doi: 10.1186/s13756-022-01175-y – volume: 16 start-page: 92 year: 2021 ident: 1262_CR26 publication-title: Implement Sci doi: 10.1186/s13012-021-01164-6 – volume: 22 start-page: 845 year: 2022 ident: 1262_CR6 publication-title: Lancet Infect Dis Elsevier doi: 10.1016/S1473-3099(21)00809-4 – volume: 49 start-page: 1118 year: 2021 ident: 1262_CR22 publication-title: Am J Infect Control doi: 10.1016/j.ajic.2021.06.014 – ident: 1262_CR19 doi: 10.1017/ice.2022.294 – volume: 49 start-page: 30 year: 2021 ident: 1262_CR24 publication-title: Am J Infect Control doi: 10.1016/j.ajic.2020.08.021 |
| SSID | ssj0000670083 |
| Score | 2.2737875 |
| Snippet | Background
“Train-the-Trainers in hand hygiene” (TTT) is a standardized training to train infection prevention and control (IPC) practitioners with the aim to... "Train-the-Trainers in hand hygiene" (TTT) is a standardized training to train infection prevention and control (IPC) practitioners with the aim to promote... Background“Train-the-Trainers in hand hygiene” (TTT) is a standardized training to train infection prevention and control (IPC) practitioners with the aim to... Abstract Background “Train-the-Trainers in hand hygiene” (TTT) is a standardized training to train infection prevention and control (IPC) practitioners with... |
| SourceID | doaj pubmedcentral proquest pubmed crossref springer |
| SourceType | Open Website Open Access Repository Aggregation Database Index Database Enrichment Source Publisher |
| StartPage | 56 |
| SubjectTerms | Adaptation Biomedical and Life Sciences Biomedicine Climate change COVID-19 Disease control Drug Resistance Hand hygiene Health care Health facilities Hygiene Implementation science Infection prevention and control Infections Infectious Diseases Learned societies Medical Microbiology Medical personnel Multimodal strategy Nurses Personal hygiene Polls & surveys Public speaking Qualitative analysis Questionnaires Train-the-Trainers Training |
| SummonAdditionalLinks | – databaseName: Nursing & Allied Health Database dbid: 7RV link: http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1Lb9QwELagIMSFdyFQkJG40ahJnDgOFwSIqkJQECqlt8jPNhJNls0Waf8iv4oZx0kVHr1wixw7HsfjmW_s8QwhzxDWM11UMahuE4OGcLGUZQYrPjMa4HKufTqgw_fl_r44Oqo-hQ23PrhVjjLRC2rTadwj3wHToARsIHjxcvE9xqxReLoaUmhcJldS1N3Az-Xnw2mPxd9BEWy8KyP4Tp-yskCvW3QiyjgIg5k-8mH7_4Y1_3SZ_O3c1Kuj3Zv_O5Bb5EYAovTVwDm3ySXb3iHXPoSj9rvk5wEmj4gBH8b-CWAibVqKG-30ZH0MEsFSJ_UQ5NtSqEeb09EZHWebds6Xft37OG_lfRhPOwO9N35Lw7eh_RAnd429vAMV3r6gNqQ8pYCs_bfQFxK_6zUwXQW6tqk0cjH0Cs_QVT9eC0Py1vfIl923B2_24pD4IdY8KVdxZhwrnSklmDvWyVyCDYkRdBNmOTOJyqRUtlRSAn5TZWIA5DLJQRzxgpmKO7ZJNtqutQ8IrbgRYHGKTDOVS7A1nVNcJcLlUF7lSUTScfprHaKiI_Xfam8dCV4PLFMDy9SeZWoRkedTm8UQE-TC2q-Rq6aaGM_bF3TL4zqIBzDAVF6ZxKkUb0YLqZxlMHKtU1tYUbmIbI3MVAch09fnnBSRp9NrEA945iNb2535OjkHm7TgEbk_sPBECZ7Y8lykEREz5p6ROn_TNic-BHmK0FnkMLjtcR2c0_Xvf_Hw4mE8ItczvzRhhVZbZGO1PLOPyVX9Y9X0yyd-bf8CILJZsA priority: 102 providerName: ProQuest – databaseName: SpringerLINK Contemporary 1997-Present dbid: RSV link: http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1bb9UwDI5gIMQL90FhoCDxxirapk1T3gAxTQgGgjH2VuW6VWLtdHqGdP4ivwrbvaADAwneqjRpnMaOP8eOw9gThPXCFlUMqtvFoCFCrHWZgcRnzgJczi1dB3TwttzbU4eH1YfxUFg_RbtPLklaqUmslXzWp6IsMGAW438yCXJ8kV0CdadQHD9-Oph3VujkiRLTCZlzm65pIUrWfx7C_D1Q8hdvKSmhnev_R_4Ndm0EnfzFwCU32QXf3mJX3o1u9dvs-z5eFBEDFozpCSAhb1qOm-r8eHUE0u950HZI6O051OPNyRR4jjPLu0ClX3bfr7eieMWTzkHvDW1fUBveDzlxV9jLG1DX7XPux-tNOaBo-hbGPeJ3Sdvy5UjXNtdOnw69wjN01U9HwJC81R32eef1_qvdeLzkIbYyKZdx5oIogys1mDY-6FyDvYjZchPhpXCJybQ2vjRaA1YzZeIA0AotYemRhXCVDGKTbbRd6-8xXkmnwLpUmRUm12BXhmCkSVTIobzKk4il06TXdsyAjtR_rckSUrIeJqmGSappkmoVsadzm9Mh_8dfa79EXpprYu5uKugWR_W4FICxZfLKJcGkeApaaRO8gJFbm_rCqypEbGvixHpcUPoaLOMSoLGSRcQez69hKUD_jm59d0Z1cgn2ZyEjdndg3JkS9M7KXKURU2ssvUbq-pu2OaZ04ynCZJXD4LYnzv5J15__xf1_q_6AXc1IOEBGqi22sVyc-Yfssv22bPrFI5LwH-6JT7E priority: 102 providerName: Springer Nature |
| Title | Train-the-Trainers in hand hygiene facilitate the implementation of the WHO hand hygiene multimodal improvement strategy in Japan: evidence for the role of local trainers, adaptation, and sustainability |
| URI | https://link.springer.com/article/10.1186/s13756-023-01262-8 https://www.ncbi.nlm.nih.gov/pubmed/37296481 https://www.proquest.com/docview/2827112865 https://www.proquest.com/docview/2824687556 https://pubmed.ncbi.nlm.nih.gov/PMC10250848 https://doaj.org/article/14b49d0fb133488abfe3efacc1e5e89f |
| Volume | 12 |
| WOSCitedRecordID | wos001002918300001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVADU databaseName: Open Access: BioMedCentral Open Access Titles customDbUrl: eissn: 2047-2994 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0000670083 issn: 2047-2994 databaseCode: RBZ dateStart: 20120101 isFulltext: true titleUrlDefault: https://www.biomedcentral.com/search/ providerName: BioMedCentral – providerCode: PRVAON databaseName: Directory of Open Access Journals (DOAJ) customDbUrl: eissn: 2047-2994 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0000670083 issn: 2047-2994 databaseCode: DOA dateStart: 20120101 isFulltext: true titleUrlDefault: https://www.doaj.org/ providerName: Directory of Open Access Journals – providerCode: PRVHPJ databaseName: ROAD: Directory of Open Access Scholarly Resources customDbUrl: eissn: 2047-2994 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0000670083 issn: 2047-2994 databaseCode: M~E dateStart: 20120101 isFulltext: true titleUrlDefault: https://road.issn.org providerName: ISSN International Centre – providerCode: PRVPQU databaseName: Health & Medical Collection customDbUrl: eissn: 2047-2994 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0000670083 issn: 2047-2994 databaseCode: 7X7 dateStart: 20150101 isFulltext: true titleUrlDefault: https://search.proquest.com/healthcomplete providerName: ProQuest – providerCode: PRVPQU databaseName: Nursing & Allied Health Database customDbUrl: eissn: 2047-2994 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0000670083 issn: 2047-2994 databaseCode: 7RV dateStart: 20150101 isFulltext: true titleUrlDefault: https://search.proquest.com/nahs providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest - Publicly Available Content Database customDbUrl: eissn: 2047-2994 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0000670083 issn: 2047-2994 databaseCode: PIMPY dateStart: 20150101 isFulltext: true titleUrlDefault: http://search.proquest.com/publiccontent providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest Central customDbUrl: eissn: 2047-2994 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0000670083 issn: 2047-2994 databaseCode: BENPR dateStart: 20150101 isFulltext: true titleUrlDefault: https://www.proquest.com/central providerName: ProQuest – providerCode: PRVAVX databaseName: SpringerLINK Contemporary 1997-Present customDbUrl: eissn: 2047-2994 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0000670083 issn: 2047-2994 databaseCode: RSV dateStart: 20121201 isFulltext: true titleUrlDefault: https://link.springer.com/search?facet-content-type=%22Journal%22 providerName: Springer Nature |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELagIMSl4llSyspI3GjUPBzb4UZRq4LoslrKspwiO7ZpJJqtmi3S_kV-FTNOsjQ8L1yixHHiiWfG8008HhPyDGF9WmZ5CKbbhGAhXKiUSEDjE1MCXGal3w5o9laMx3I-zydXtvrCmLA2PXDbcXsx0yw3kdMxrhmVSjubWqfKMraZlbnD0RdQzxVnqhuDEVz0q2Qk32viVGQYb4vhQwmHYWBgiXzC_t-hzF-DJX-aMfWG6PAO2ewQJH3ZUn6XXLP1PXLruJsjv0--neCuDyEAu9CfAb6jVU3xDzk9XX0GVbYUvqzNzm0p1KPVWR9FjmyiC-dLPx69Gz7lgw_PFgZar_y_CP8MbdoEtyts5Q3Y3voFtd1epRQgsX8XBjHie73ppMuOrl2qjDpvW4VzaKrp13MheasH5MPhwcmro7DbsSEseSSWYWJcKpwRCvwUYBJT4Pxh6tsotTw1kU6U0lZopQB4aREZQKep4jCO8Cw1OXfpQ7JRL2r7iNCcGwmuokzKVDMFTqJzmutIOgblOYsCEvfcK8ounTlS_6Xwbo3kRcvxAjheeI4XMiDP18-ct8k8_lp7H4ViXRMTcfsCEM-iE8_iX-IZkJ1epIpudGgKcHMF4FzJs4A8Xd8GvcbJGlXbxaWvwzg4kxkPyFYrgWtKcKqVMxkHRA5kc0Dq8E5dnfrc4TFiXsng43Z7Mf5B15_7Yvt_9MVjcjvx-gdqmO-QjeXFpX1CbpZfl1VzMSLXxXSGx7nwRzkiN_YPxpPpyKs2XE1eH08-wdX0_ew7E6JUVA |
| linkProvider | Directory of Open Access Journals |
| linkToHtml | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1Lb9QwELZKQcCF9yNQwEhwolHztB0khHhVW7pdOCywt-D40UaiybLZgvZP8UP4Vcw4yVbLo7ceuEWOHY-dmfE39niGkEcI62OVZj4s3dqHFcL6UvIIJD7SCuByolw6oI9DPhqJySR7v0Z-9Hdh0K2y14lOUeta4R75FpgGHLCBYOnz6Vcfs0bh6WqfQqNli12z-A4mW_Ns5zX838dRtP1m_Grgd1kFfMUCPvcjbWNuNZeApY2ViQQDBcOzBrFhsQ6KSMrC8EJKAAcFDzQgqFgy4HWWxjpjNobvniFnQY9zdCHjE77c03F3XkTc380RbKsJY56ily86LUUMlM_K-ufSBPwN2_7povnbOa1b_rYv_28Td4Vc6oA2fdFKxlWyZqpr5Pxe50pwnfwcY3IMH_Cv754ABtOyoniQQA8W-6DxDLVStUHMDYV6tDzsne2Rm2ltXemnwbvVVs5H87DW0HvptmxcG9q0cYAX2MtbgCjVU2q6lK4ULAf3LfT1xO86hEHnHV2bVGo5bXuFZ-iq6a-9IXmLG-TDqczkTbJe1ZW5TWjGtACLWkQqLhIJtrS1BSsCYRMoz5LAI2HPbrnqor4j9V9yZ_0JlrcsmgOL5o5Fc-GRJ8s20zbmyYm1XyIXL2tivHJXUM_28079gYFZJJkObBHizW8hC2tiGLlSoUmNyKxHNnrmzTsl2uTHnOuRh8vXoP7wTEtWpj5ydRIGNnfKPHKrFZklJXgizRIRekSsCNMKqatvqvLAhVgP0TQQCQxus5e7Y7r-PRd3Th7GA3JhMN4b5sOd0e5dcjFyagG0Q7ZB1uezI3OPnFPf5mUzu-_0CiWfT1sefwHab7Yw |
| linkToPdf | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1Lb9QwELagoIoL79JAASNxo1GT2HEcbrxWBcpSiVJ6i5zYbiO1yWqTIu1f5Fcx4zwgUJAQt8ix43E84_nGnhkT8hRhPSvi1AfVrX3QENZXKolA4iNdAFzmhbsO6HAvmc_l0VG6_1MUv_N2H44ku5gGzNJUtTsLbTsRl2KnCVkSo_Ms-gJFAmT6MrnC8dIgtNc_HY67LC4KRbIhWubCphON5BL3X4Q2f3ea_OXk1Cmk2Y3_H8pNcr0Ho_RFxz23yCVT3SbrH_rj9jvk2wFeIOEDRvTdE0BFWlYUN9vpyeoYVgVDrSq6RN-GQj1ang0O6TjjtLau9Mvux2kr58d4VmvovXTbGq4NbbpcuSvs5R2o8eo5Nf21pxTQtfsW-kPid50Wpm1P1zZVWi26XuEZumqG0DAkb3WXfJ69OXi16_eXP_iFCJLWj7RlidWJApPHWMUV2JGYRTdgRjAd5JFSuUlypQDD5UmgAegyJWBJEjHTqbBsg6xVdWU2CU2FlmB1yqhgOVdgb1qbizyQlkN5ygOPhAMDZEWfGR2pP82chSRF1k1SBpOUuUnKpEeejW0WXV6Qv9Z-iXw11sSc3q6gXh5n_RIBRljOUx3YPMToaKlyaxiMvChCExuZWo9sDVyZ9QtNk4HFnABkliL2yJPxNSwReO6jKlOfuzpcgF0aC4_c65h4pARPbQWXoUfkhL0npE7fVOWJS0MeInyWHAa3PXD5D7r-_C_u_1v1x2R9__Us23s7f_-AXIucnIC4pFtkrV2em4fkavG1LZvlIyf43wFd3Ft5 |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Train-the-Trainers+in+hand+hygiene+facilitate+the+implementation+of+the+WHO+hand+hygiene+multimodal+improvement+strategy+in+Japan%3A+evidence+for+the+role+of+local+trainers%2C+adaptation%2C+and+sustainability&rft.jtitle=Antimicrobial+resistance+%26+infection+control&rft.au=Saito%2C+Hiroki&rft.au=Okamoto%2C+Koh&rft.au=Fankhauser%2C+Carolina&rft.au=Tartari%2C+Ermira&rft.date=2023-06-09&rft.issn=2047-2994&rft.eissn=2047-2994&rft.volume=12&rft.issue=1&rft_id=info:doi/10.1186%2Fs13756-023-01262-8&rft.externalDBID=n%2Fa&rft.externalDocID=10_1186_s13756_023_01262_8 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2047-2994&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2047-2994&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2047-2994&client=summon |