Train-the-Trainers in hand hygiene: a standardized approach to guide education in infection prevention and control

Antimicrobial Resistance and Infection Control

卷:8

Inmaculada Fernández Moreno¹  Mohammad Hassan Aelami²  Hilda Márquez-Villarreal³  Fernando Bellissimo-Rodrigues⁴  Liberato Camilleri⁵  Marcela Hernández-de Mezerville⁶  Ma Luisa Rodriguez Navas⁷  Shaheen Mehtar⁸  Ermira Tartari⁹  Sarah Masson-Roy⁹  Américo Agostinho⁹  Carolina Fankhauser⁹  Daniela Pires⁹  Didier Pittet⁹  Benedetta Allegranzi¹⁰  Yew Fong Lee¹¹  Odet Sarabia¹² 

[1] Corporación Sanitaria Parc Taulí de Sabadell;

[2] Department of Pediatrics and Hand Hygiene and Infection Control Research Center, Imam Reza Hospital ,Mashhad University of Medical Sciences;

[3] Department of Public Health, University of Guadalajara;

[4] Department of Social Medicine, Ribeirão Preto Medical School, University of São Paulo;

[5] Department of Statistics and Operations Research, Faculty of Science, University of Malta;

[6] Hospital Nacional de Niños;

[7] Hospital Universitario Principe de Asturias;

[8] Infection Control Africa Network, Unit of IPC, Tygerberg Hospital;

[9] Infection Control Programme and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine;

[10] Infection Prevention and Control Global Unit, Department of Service Delivery and Safety, World Health Organization;

[11] Institute of Global Health, Faculty of Medicine, University of Geneva;

[12] Universidad Anáhuac;

关键词: Hand hygiene;    Infection prevention and control;    Simulation training;    Education;    Healthcare-associated infection;    Train-the-Trainers;   

DOI  :  10.1186/s13756-019-0666-4

来源: DOAJ

【 摘 要 】

Abstract Background Harmonization in hand hygiene training for infection prevention and control (IPC) professionals is lacking. We describe a standardized approach to training, using a “Train-the-Trainers” (TTT) concept for IPC professionals and assess its impact on hand hygiene knowledge in six countries. Methods We developed a three-day simulation-based TTT course based on the World Health Organization (WHO) Multimodal Hand Hygiene Improvement Strategy. To evaluate its impact, we have performed a pre-and post-course knowledge questionnaire. The Wilcoxon signed-rank test was used to compare the results before and after training. Results Between June 2016 and January 2018 we conducted seven TTT courses in six countries: Iran, Malaysia, Mexico, South Africa, Spain and Thailand. A total of 305 IPC professionals completed the programme. Participants included nurses (n = 196; 64.2%), physicians (n = 53; 17.3%) and other health professionals (n = 56; 18.3%). In total, participants from more than 20 countries were trained. A significant (p < 0.05) improvement in knowledge between the pre- and post-TTT training phases was observed in all countries. Puebla (Mexico) had the highest improvement (22.3%; p < 0.001), followed by Malaysia (21.2%; p < 0.001), Jalisco (Mexico; 20.2%; p < 0.001), Thailand (18.8%; p < 0.001), South Africa (18.3%; p < 0.001), Iran (17.5%; p < 0.001) and Spain (9.7%; p = 0.047). Spain had the highest overall test scores, while Thailand had the lowest pre- and post-scores. Positive aspects reported included: unique learning environment, sharing experiences, hands-on practices on a secure environment and networking among IPC professionals. Sustainability was assessed through follow-up evaluations conducted in three original TTT course sites in Mexico (Jalisco and Puebla) and in Spain: improvement was sustained in the last follow-up phase when assessed 5 months, 1 year and 2 years after the first TTT course, respectively. Conclusions The TTT in hand hygiene model proved to be effective in enhancing participant’s knowledge, sharing experiences and networking. IPC professionals can use this reference training method worldwide to further disseminate knowledge to other health care workers.

【 授权许可】

Unknown