87 / 150
measure for nosocomial infection. The global level of practice is poor,
estimated at 23.1% for nurses and 40.0% for medical student.
Vaccination rate of the study population against hepatitis B virus
was 44.4%. About 73.3% had no procedure for hand hygiene in the
health care delivery unit. Only 14.3% applied the recommendation of
hand washing before and after each patient.
Discussion and/or Conclusion(s):
Knowledge, attitude and practice
levels are poor in our study population. We found no correlation
between socio demographic characteristics, knowledge, attitudes and
practices towards prevention of nosocomial infection.
ID: 4471
An examination of hand washing education and attitudes amongst
medical staff in Trauma & Orthopaedics
G. Alexander Augustithis
1
, Rashid Abu-Rajab
2
.
1
Department of Spinal
Surgery, Royal Victoria Infirmary,
2
Department of Orthopaedics &
Trauma, Royal Alexandra Hospital, Paisley, UK
Background:
Hand hygiene compliance amongst medical staff is
poor. We performed a project to determine knowledge of the
‘
how
’
and
‘
why
’
of hand hygiene practice. Initial results showed a good
understanding of the
‘
how
’
of hand hygiene practice but poor
understanding of the core science behind current guidelines (the
‘
why
’
). An educational event was administered by our local infection
control team to address short-comings.
Aim(s)/Objective(s):
Following the educational event a further
questionnaire was administered to re-assess staff knowledge of hand
hygiene practice and their attitudes towards hand hygiene education.
Results:
Our results show the basic principles of hand hygiene (the
‘
how
’
) were well understood but understanding of the core science
(the
‘
why
’
) was lacking. Participants indicated a strong tendency
towards evidence based practice wishing to have the opportunity to
evaluate evidence before enacting a change in clinical practice.
Participants indicated that they were unhappy with the current
format of hand hygiene education which was thought to be overly
dogmatic.
Discussion and/or Conclusion(s):
Our study shows a poor under-
standing of the core science under-pinning current hand hygiene
practice amongst medical staff. We contend that the learning style of
medical staff mandates a greater focus on the evidence and science
behind current hand hygiene guidelines. Current education theory
suggests that better knowledge is likely to translate into higher
compliance with hand hygiene guidelines. We suggest that hand
hygiene education should be changed to reflect the particular needs of
medical staff and that a parallel program should be run for medical
staff.
ID: 4502
Hand hygiene practice among anesthiologists in Palestine
Ahmed Abu Tayeh
1
, Ruba Sajdeya
2
, Samir Hasan
2
, Fady Zaben
2
,
Anis AL-Hajjeh
2
, Colin Green
2
.
1
International Medical Education Trust
2000- Palestine (IMET2000-Pal),
2
IMET2000-Pal
Background:
Hand hygiene is considered an important procedure
for prevention of hospital acquired infection (HAI) in patients and
healthcare providers. Its compliance in anesthesia providers has been
poorly studied in Palestine. In the absence of standard protocols for
hand hygiene in the Palestinian health care system, compliance may be
poor.
Aim(s)/Objective(s):
To evaluate compliance of anesthesiologists with
hand hygiene practice inside the operating room (OR).
Method(s):
A multi-centre, cross-sectional, descriptive study, using a
self-administered questionnaire, was conducted in January
–
March
2015. Participants
’
compliance regarding IC practices and availability
of training material and programs policies were examined using 48
items questionnaire. SPSS was used for data analysis.
Results:
Fifty-seven anesthesia doctors from hospitals in West Bank
responded to our survey. Most participants were males (93%), 66.7%
were residents, and 29.8% were specialists. 61.4% had a postgraduate
degree. Only one third of respondents begin their day with hand
washing while only half always wash their hands between cases. 36.4%
reported that they rarely wash their hands before inducing general
anesthesia. 20.4% rarely wash their hands in neuroaxial blocks, 35.1%
in peripheral blocks, 41.7% in venous cannulation. Surprisingly, 24% or
participants reported the absence of alcohol inside the operating
room.
Discussion and/or Conclusion(s):
Anesthesia providers adherence to
hand hygiene practice and guidelines is extremely low. This exposes
patients and healthcare providers to serious nosocomial infections.
Further research is required to know why they do not comply the
infection control (IC) practices. Hand hygiene improvement programs
should be prioritized and addressed to help anesthesiologists to
employ safe hand hygiene.
ID: 4525
Giving a fresh touch to education and training in infection control
Moi Lin Ling
1
, Hui Xian Toh
2
, Angel Koh
2
, Kwee Yuen Tan
2
,
Daphne Chan
3
, Edison Ng
3
.
1
Singapore General Hospital Pte Ltd,
2
Singapore General Hospital,
3
Singapore Health Services Pte Ltd
Background:
It is critical that every healthcare worker knows and
understands basic Infection Control practices to protect themselves
against healthcare associated infections. However, there are significant
difficulties delivering effective teaching to staffs who are burdened
with heavy workload.
Aim(s)/Objective(s):
This paper aims to describe how we use a new
“
blended
”
approach employing a combination of professional videos,
online material and quizzes designed to provide structure, standard-
ization, and equality of learning to all job categories of health care
workers.
Method(s):
Needs assessment was first done according to categor-
ies of healthcare workers. Core topics identified include orientation
for new hires and hand hygiene as a basic module for all
healthcare workers. Specialised modules were also defined for
high risk areas e.g. ICU, CSSD, OT and Endoscopy Unit. E-modules
were then developed and rolled out in phases hospitalwide. Where
there are skills to be assessed, videos and e-competency modules
were created.
Results:
The blended approach used has resulted in improved staff
understanding and engagement. Hand hygiene compliance increased
from 71.9% to 86.1% followin hospitalwide implementation of the new
e-competency modules for hand hygiene. The enhanced orientation
program has helped in ensuring 98% of new staff to be trained in
infection control within 1 month of hire in FY15.
Discussion and/or Conclusion(s):
We have demonstrated that
blended learning is an effective and creative tool that can be used to
enhance infection control training and competency assessment. This
impacts on behaviour change leading to better compliance to infection
control practices and hence, reduction on healthcare associated
infections.
ID: 4587
Use of a diarrhoea assessment and management pathway to
promote best practice
Elizabeth Flude.
Queen Elizabeth Hospital Gateshead Health NHS
Foundation Trust
Background:
NHS Trusts in England are required to report
Clostridium
difficile
toxin positive cases in patients over 2 years to the Department
of Health mandatory surveillance programme. NHS trusts must
demonstrate year on year reduction in the numbers of
Clostridium
difficile
(CDI) infection.
Aim(s)/Objective(s):
Our aim was to develop a bespoke Diarrhoea
Assessment Management Pathway (DAMP record). This was to assist
in the identification and management of the patient with poten-
tially infective diarrhoea, promote consistent record keeping
and engage clinical staff to implement a bundle of risk reducing
interventions.
Abstracts of FIS/HIS 2016
–
Poster Presentations / Journal of Hospital Infection 94S1 (2016) S24
–
S134
S82