Impact of Multimodal Intervention Strategies On Compliance To Hand Hygiene Practices Among Staff Nurses in Obstetric and Gynaecological Wards

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Asian Journal of Nursing Education and Research.

11(1): January - March, 2021

ISSN 2231-1149 (Print) Available online at


2349-2996 (Online) www.anvpublication.org
DOI: 10.5958/2349-2996.2021.00032.X
Asian Journal of
Vol. 11 | Issue-01|
January - March| 2021 Nursing Education and Research
Home page www.ajner.com

RESEARCH ARTICLE

Impact of Multimodal Intervention Strategies on Compliance to


Hand Hygiene Practices among Staff Nurses in Obstetric and
Gynaecological Wards
Mary VJ1, Salomi Thomas2, Suman Rao3
1
Tutor, Department of Child Health Nursing, St. Johns College of Nursing, Bangalore.
2
Associate Professor, Department of Child Health Nursing, St. Johns College of Nursing, Bangalore.
3
Professor and Head of NICU, St. Johns Medical College Hospital, Bangalore.
*Corresponding Author Email: [email protected]
ABSTRACT:
Background: Hand hygiene is the most measure in the prevention of health care – associated infection (HCAI).
Adherence to hand hygiene protocols in hospital by nurses enables in prevention and control the HCAI.
Objective and Design: This Quasi experimental one group pre-intervention and post intervention study
compares the compliance to hand hygiene practices before and after a multimodal interventional strategy
Settings: Obstetrics and gynecology ward and private wards of a tertiary care hospital in Bangalore. Subject
and Intervantion: Nurses working in the postnatal wards were enrolled in the study by purposive sampling. The
staff nurses were observed for their hand hygiene compliance before and after a multimodal intervention
strategy. The intervention consisted of educational initiatives, reinforcement of HICC protocol by demonstration
and lectures, visual and verbal reminders, ensuring availability of hang hygiene solutions and individual and
group teachings. The hand hygiene technique was scored on a validated tool. Statistical Analysis: A sample size
of 64 nurses was needed for the study to have a power of 80% and  error of 5%. Mean pretest and post test
scores were compared by t test. Associations with baseline variables were done by ANOVA. Outcome
Measures: Hand hygiene compliance among staff nurses has improved significantly following multimodal
intervention strategies from 45.31% to 65.78%. (P<0.001). There was also significant improvement in the
techniques of hand hygiene (hand wash technique mean score improved from 5.97 + 1.284 to 8.16 + 1.158 (p <
0.05) and hand rub technique score from 4.52 + 0.992 to 6.69 + 1.489(p < 0.05)). Hand hygiene in the private
wards was significantly better than the common wards. Conclusion: The multimodal intervention strategy
including constant reinforcement, training sessions and motivation improved compliance to hand hygiene
practices among staff nurses.

KEYWORDS: Hand hygiene, compliance, multimodal intervention, Staff Nurses.

INTRODUCTION:
The World Health organization [WHO] estimates that
10-30 percent of all hospital admissions result in
Healthcare acquired infections [HCAI] An estimated 1.4
million people suffer from HCAI at any given time. 1 In
the wake of the growing burden of health care associated
Received on 02.04.2020 Modified on 06.06.2020 infections, the increasing severity of illness and
Accepted on 21.07.2020 ©A&V Publications All right reserved
Asian J. Nursing Education and Research. 2021; 11(1):123-128.
complexity of treatment, superimposed by multi-drug
DOI: 10.5958/2349-2996.2021.00032.X resistant pathogen infections.2 Health care practitioners

123

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