Does size matter? The impact of a small but targeted cleaning training intervention within a paediatric wardThe 5 component cleaning bundle

Infection Prevention in Practice

Faiza Asadi¹  Elaine Cloutman-Green²  Stacey Rawlinson²  Barbara Childs³  Helen Saraqi³  Lena Ciric⁴ 

[1] Corresponding author. Department of Civil, Environment and Geomatic Engineering, University College London, Chadwick Building, Room 222, WC1E 6BT, UK.;Department of Civil, Environmental and Geomatic Engineering, University College London, Chadwick Building, London, UK;Great Ormond Street Hospital NHS Foundation Trust, Camellia Botnar Laboratories, Department of Microbiology, London, UK;Great Ormond Street Hospital NHS Foundation Trust, Cardiac Intensive Care Unit, London, UK;

关键词: Cleaning;    Hospital;    Infection prevention and control;    Intervention study;   

DOI  :  

来源: DOAJ

【 摘 要 】

Summary:Background: Cleaning is a critical tool for infection prevention and control, and is a key intervention for preventing healthcare associated infections (HCAIs) and controlling intermediate transmission routes between patient and environment. This study sought to identify potential areas of weakness in clinical surface cleaning, and assess the effectiveness of a staff group specific training intervention. Observations: One-hundred hours of audit observations in a paediatric cardiac intensive care unit (CICU) assessed surface cleaning technique of healthcare staff within bedspaces. Cleaning was assessed with a 5-component bundle, with each cleaning opportunity scored out of five. Training Intervention: Fifty hours of audit observations before and after a training intervention tested the efficacy of a staff group specific education intervention. The intervention was developed and implemented for 69% of nurses and 100% of cleaners. Results: One hundred and eighteen cleaning opportunities were observed before training, and scored an average of 2.4. One hundred and twenty-one cleaning opportunities were observed after training and scored an average 3.0. On average, before training, each cleaning opportunity by nurses and cleaners fulfilled 2.4 and 2.5, respectively, of the 5 bundle components. Following training, this improved to 3.3 and 2.9 respectively. There was a statistically significant improvement in bundle scores for nurses (P=.004) and cleaners (P=.0003). Conclusions: Surface wipe methods were inconsistent between all staff groups. The education based intervention resulted in a small improvement in most of the cleaning components. This study has identified how a small but targeted cleaning training intervention can have a significant (P= <.0001) impact on cleaning bundle compliance for both nurses and cleaners.

【 授权许可】

Unknown