| Autor: |
Jansson, M. M. (Miia M.), Syrjälä, H. P. (Hannu P.), Ohtonen, P. P. (Pasi P.), Meriläinen, M. H. (Merja H.), Kyngäs, H. A. (Helvi A.), Ala-Kokko, T. I. (Tero I.) |
| Jazyk: |
angličtina |
| Rok vydání: |
2016 |
| Předmět: |
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| Popis: |
Background: To evaluate how critical nurses’ knowledge of and adherence to current care hand hygiene (HH) guidelines differ between randomly allocated intervention and control groups before and after simulation education in both a simulation setting and clinical practice during a 2-year follow-up period. It was hypothesized that intervention group knowledge of and adherence to current HH guidelines might increase compared with a control group after simulation education. Methods: A prospective, parallel, randomized controlled trial with repeated measurements was conducted in a 22-bed adult mixed medical-surgical intensive care unit in Oulu, Finland. Thirty out of 40 initially randomized critical care nurses participated in the baseline measurements; of these, 17 completed all the study procedures. Participants’ HH adherence was observed only in high-risk contact situations prior to and postendotracheal suctioning events using a direct, nonparticipatory method of observation. Participants’ HH knowledge was evaluated at the end of each observational session. Results: The overall HH adherence increased from a baseline value of 40.8% to 50.8% in the final postintervention measurement at 24 months (P = .002). However, the linear mixed model did not identify any significant group (P = .77) or time-group interactions (P = .17) between the study groups after 2 years of simulation education. In addition, simulation education had no impact on participants’ HH knowledge. Conclusions: After a single simulation education session, critical care nurses’ knowledge of and adherence to current HH guidelines remained below targeted behavior rates. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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