Improving handwashing among parent-attendants visiting a newborn unit practising family participatory care

BMJ Open Quality

article

Arti Maria¹  Ankur Sooden²  Rashmi Wadhwa¹  Ravleen Kaur¹  Indu Gaur¹  Kalsang Lhamo¹  Vallamkonda Nagaratna¹ 

[1] Neonatology , Dr Ram Manohar Lohia Hospital PGIMER;USAID ASSIST Project , University Research Co;SAMVEG project , John Snow India Pvt. Ltd

关键词: Hand Hygiene;    Healthcare quality improvement;    Infection control;    Patient-centred care;    Compliance;   

DOI  :  10.1136/bmjoq-2022-001811

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

In our newborn intensive care unit (NICU), we practise family participatory care, where the unit staff encourage parents and attendants of sick newborns to partner with them and be involved in care for their babies. There remains a concern that this practice may increase the risk of nosocomial infections being carried into the unit by parent-attendants. Staff observed that handwashing behaviours were suboptimal and inconsistent among parent-attendants. With facilitation from an improvement coach, we formed a quality improvement team of NICU staff to improve hand hygiene practices among attendants. From a baseline estimate of around 20% of attendants adhering to hand hygiene standards, the team planned to reach a target of 80% over 8 weeks by introducing a series of changes. At the end of 9 weeks, 80% of attendants were following standard hand hygiene practices.Hand HygieneHealthcare quality improvementInfection controlPatient-centred careComplianceData availability statementAll data relevant to the study are included in the article or uploaded as supplemental information.http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND