Hand Hygiene
Conditions
Keywords
nurse, hand washing, ATP
Brief summary
In 2009, the World Health Organization (WHO) recommended the use of a multi-faceted, multi-modal hand hygiene strategy (Five Moments for Hand Hygiene) to improve hand hygiene compliance among healthcare staff. The outbreak of coronavirus disease 2019 (COVID-19) has rapidly spread globally. The novel coronavirus is characterized by rapid human-to-human transmission. Hand washing is a part of measures recommended by the World Health Organization (WHO) to avoid contracting COVID-19.The purpose of this study was to use adenosine triphosphate (ATP) testing and direct observation for improving hand hygiene and compliance in nurse.
Detailed description
The purpose of this study was to use adenosine triphosphate (ATP) testing and direct observation as technology-assisted index on improving hand hygiene and compliance in nurse.
Interventions
BEHAVIORALTechnology-assisted Index
The participant will be informed the ATP testing result and explanation in pretest.
Sponsors
National Taiwan University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* (1)Day shift nurse on cancer ward,(2)who speak in Taiwanese and Mandarin,(3)and are willing to participate in the study.
Exclusion criteria
* (1)There is any wound or scar on hand.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Demographics | Pre-test | gender, age, education, nursing job tenure, job tenure in ward |
| Knowledge of My 5 Moments for Hand Hygiene | Pre-test | The assessment consisted of 5 questions ,including (1)before touching a patient,(2)before clean/aseptic procedures,(3)after body fluid exposure/risk,(4)after touching a patient, (5)and after touching patient surroundings.The participant can get one point for a correct answer.Total scores range from 0 to 5. |
| Knowledge of My 5 Moments for Hand Hygiene (Post-test) | Immediately after completing the pre-test. | The assessment consisted of 5 questions ,including (1)before touching a patient,(2)before clean/aseptic procedures,(3)after body fluid exposure/risk,(4)after touching a patient, (5)and after touching patient surroundings.The participant can get one point for a correct answer.Total scores range from 0 to 5. |
| Frequency of performing My 5 Moments for Hand Hygiene | Pre-test | The assessment is a 5-point Likert scale with 5 items ,including (1)before touching a patient,(2)before clean/aseptic procedures,(3)after body fluid exposure/risk,(4)after touching a patient, (5)and after touching patient surroundings,from 1 to 5 that measure the frequency of performing the hand hygiene,so that higher scores indicate higher implementation of My 5 Moments for Hand Hygiene in the last week. |
| Frequency of performing My 5 Moments for Hand Hygiene (Post-test) | Immediately after completing the pre-test. | The assessment is a 5-point Likert scale with 5 items ,including (1)before touching a patient,(2)before clean/aseptic procedures,(3)after body fluid exposure/risk,(4)after touching a patient, (5)and after touching patient surroundings,from 1 to 5 that measure the frequency of performing the hand hygiene,so that higher scores indicate higher belief of conducting My 5 Moments for Hand Hygiene in the next week. |
| Attitude on hand hygiene | Pre-test | The assessment is a 5-point Likert scale with 1 items ,including the general attitude about the hand hygiene on working,so that higher scores indicate higher confident of hand hygiene. |
| Attitude on hand hygiene (Post-test) | Immediately after completing the pre-test. | The assessment is a 5-point Likert scale with 1 items ,including the general attitude about the hand hygiene on working,so that higher scores indicate higher confident of hand hygiene. |
| ATP testing | Pre-test | The 3M™ Clean-Trace™ Surface ATP test is a single-use test device that contains a swab for the collection of a sample from a surface. The swab is pre-moistened with a cationic agent to aid in the collection of soil and the release of Adenosine Tri-Phosphate (ATP) from intact cells.Upon activation of the test, reagent in the cuvette of the test device reacts with ATP collected on the swab to produce light.The intensity of the light is proportional to the amount of ATP and therefore the degree of contamination. Measurement of the light requires the use of a 3M™ Clean-Trace™ NG Luminometer and the results are displayed in Relative Light Units (RLU).ATP is an indicator of organic residues and microorganisms. Detection of ATP is used to rapidly assess the standards of hygiene and sanitation procedures for surfaces and equipment. |
| ATP testing (Post-test) | Immediately after completing the pre-test. | The 3M™ Clean-Trace™ Surface ATP test is a single-use test device that contains a swab for the collection of a sample from a surface. The swab is pre-moistened with a cationic agent to aid in the collection of soil and the release of Adenosine Tri-Phosphate (ATP) from intact cells.Upon activation of the test, reagent in the cuvette of the test device reacts with ATP collected on the swab to produce light.The intensity of the light is proportional to the amount of ATP and therefore the degree of contamination. Measurement of the light requires the use of a 3M™ Clean-Trace™ NG Luminometer and the results are displayed in Relative Light Units (RLU).ATP is an indicator of organic residues and microorganisms. Detection of ATP is used to rapidly assess the standards of hygiene and sanitation procedures for surfaces and equipment. |
Countries
Taiwan
Contacts
Primary ContactWei-Wen Wu, PhD
Backup ContactMan-Rong Hsu, BSN
Outcome results
None listed