Testing the effect of a resident-focused hand hygiene intervention in a long-term care facility: A mixed methods feasibility study
Kathleen L Morales, RN, MSN, BC, CNE, CCRN
- Sigma Affiliation
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Morales, Kathleen by View
Popular Works for Morales, Kathleen by Download
In the United States of America (U.S.) approximately 3 million people in all healthcare settings develop healthcare-associated infections annually (Centers for Disease Control [CDC], 2016; Office of Disease Prevention and Health Promotion [ODHP], 2013). Hand hygiene is the most effective measure to prevent healthcare-associated infections, making it a clear strategy to prevent healthcare-associated infections. While there is a wealth of evidence regarding the efficacy of healthcare provider’s hand hygiene, there is a paucity of research available related to the role of residents’ hand hygiene in preventing healthcare-associated infections. Many long-term care facilities lack specialized infection control staff, creating a challenge for infection control and surveillance in this setting. The purpose of this study was to test the feasibility and acceptability of a resident-focused hand hygiene intervention within a long-term care facility, using a mixed methods design. The study followed an exploratory sequential design. The strands were implemented sequentially, starting with qualitative data collection and analysis. The qualitative strand began with direct observation which is the gold standard to monitor hand hygiene adherence. Next, interviews of six residents and six staff members were completed using a semi-structured interview guide. Qualitative findings informed the second strand, which had a quantitative emphasis. The quantitative strand of the study was a quasi-experimental clinical trial (n = 12 residents), implemented with a pre-test/post-test design with one experimental group and no control group. Participants in the quantitative strand were recruited and completed pre-intervention questionnaires on day one. Pre-observation occurred on day two with the educational intervention on day three. Post-intervention observation and questionnaires were completed on day four, which was 24 hours post- intervention and 72 hours after the pre-intervention data collection. The educational intervention revealed clinically important and positive changes in hand hygiene related health beliefs. While findings suggested the educational intervention improved respiratory hygiene, meal-related hand hygiene demonstrated only a minimal increase. Qualitative data revealed hand hygiene may be less amenable to change because of meal-related hand hygiene habits formed in childhood. A resident-focused hand hygiene intervention actively promotes self-efficacy rather than passive reliance on healthcare staff to assure clean hands during meals. Findings from both the quantitative and qualitative strands provide key information for future piloting of a resident-focused hand hygiene intervention on a larger scale.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10615469; ProQuest document ID: 1972637900. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
|None: Degree-based Submission
|Quasi-Experimental Study, Other
|Mixed/Multi Method Research
Health Belief Model;
Cross Infection--Prevention and Control;
Nursing Home Patients;
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Collaborative practice by nurse practitioners and physicians in long-term care homes: A mixed methods study Donald, Faith C.Purpose. To understand how nurse practitioners (NPs) and physicians (MDs) collaborate with one another to provide resident care in Ontario long-term care homes (LTCHs). Methods. A sequential two-phase, mixed methods design ...
Long term care home residents' experiences with socially assistive technologies and the effectiveness of these technologies: A mixed methods systematic review protocol Macdonald, MarilynTo document the experiences of LTC residents with the use of socially assistive technologies and the effectiveness of these technologies in decreasing depression, loneliness, and social isolation in LTC settings.
Nursing staff's perceptions of resident safety culture in long-term care facilities: A Taiwan's survey Lin, Shu-Yuan (2013-10-22)Session presented on: Thursday, July 25, 2013: Purpose: The purpose of this study is to describe supervisors', nurses', and nurse assistants' perceptions of resident safety culture in Taiwan's long-term care facilities. Methods: ...
Shane, MargeryThere is a high prevalence of asymptomatic bacteriuria in elderly long-term care facility (LTCF) residents. Antibiotics are frequently prescribed in reflex to diagnostic tests in the absence of signs or symptoms of urinary ...
Building a bridge to improve self-care independence among long-term care facilities residents: From the staff caregiver perspective Chang, Su-Hsien; Yu, Ching-Len (2014-11-17)Session presented on Monday, July 28, 2014: Background: Staff caregivers in long-term care facilities constitute an important factor affecting residents' behavioral dependency in self-care performance. Few studies have ...