Clinical trial NCT06572176: Investigation of Fluorescent Concretization Intervention on Intensive Care Nurses' Hand Hygiene Training
Official title: Investigation of Fluorescent Concretization Intervention on Intensive Care Nurses' Hand Hygiene Training According to the Kirkpatrick Model: A Randomised Controlled Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Hand
Health Care Associated Infection
Training Group, Sensitivity
Keywords: health care associated infections
fluorescent
hygiene
intensive care units
Lead sponsor: Uludag University
Sponsor class: OTHER
First posted: 2024-08-27
Enrollment: 76
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: A cluster-randomized controlled pretest-posttest and follow-up research design were used.
Primary purpose: SUPPORTIVE_CARE

Brief summary: Aim: The primary objective was to assess the effect of fluorescent concretization intervention on intensive care nurses' hand-washing efficiency, skill performance, and duration scores during the training process. A secondary objective was to investigate the intensive care nurses to determine their level of hand hygiene knowledge before and after the training.

Design: Cluster-randomised controlled pretest-posttest and follow-up research design was used.

Methods: This study was conducted at a tertiary hospital in XX province, Türkiye. Seventy-six nurses from intensive care units participated in hand hygiene training. In addition to routine hand hygiene training, the participants in the intervention group (n=39) had their hand washing efficiency evaluated using ultraviolet A light. The dirty spots were shown to the participants, and the reasons were discussed. The participants in the control group (n=37) received hand washing training without fluorescent concretization and ultraviolet light intervention. The Hand Hygiene theoretical information is an evidence-based workplace intervention delivered by trained facilitators across two training. Hand Hygiene Information Forms were administered upon registration and before randomisation of all participants immediately after the final training. Two independent researchers observed Hand Washing Skill Checklist and Efficacy forms in three follow-ups (before training, 15 days after training, and four months after training).

Detailed description: Aim: Nurses have a pivotal role in preventing and managing healthcare-acquired/associated infections by effective hand washing. The primary objective was to assess the effect of fluorescent concretization intervention on intensive care nurses' hand-washing efficiency, skill performance, and duration scores during the training process. A secondary objective was to investigate the intensive care nurses to determine their level of hand hygiene knowledge before and after the training.

Design: Cluster-randomised controlled pretest-posttest and follow-up research design was used.

Methods: This study was conducted at a tertiary hospital in XX province, Türkiye. Seventy-six nurses from intensive care units participated in hand hygiene training. In addition to routine hand hygiene training, the participants in the intervention group (n=39) had their hand washing efficiency evaluated using ultraviolet A light. The dirty spots were shown to the participants, and the reasons were discussed. The participants in the control group (n=37) received hand washing training without fluorescent concretization and ultraviolet light intervention. The Hand Hygiene theoretical information is an evidence-based workplace intervention delivered by trained facilitators across two training. Hand Hygiene Information Forms were administered upon registration and before randomisation of all participants immediately after the final training. Two independent researchers observed Hand Washing Skill Checklist and Efficacy forms in three follow-ups (before training, 15 days after training, and four months after training).

Eligibility criteria: Inclusion Criteria:

* nurses who have not received previous training on UVA-supported hand hygiene devices
* nurses who have not visibly damaged skin integrity on the hands
* Nurses are willing to participate in the study and take primary responsibility for patient care.
* nurses who have six months or more of intensive care experience

Exclusion Criteria:

* nurses who have received previous training on UVA-supported hand hygiene devices.
* nurses who do not have visibly damaged skin integrity on the hands.
* Nurses are willing to participate in the study and take primary responsibility for patient care.
* nurses who have six months or less of intensive care experience

Primary outcomes:
measure: Hand Washing Skill Efficacy (HWSE)
timeFrame: through study completion, an average 1 year
Secondary outcomes:
measure: Hand Hygiene Information Form (HHIF)
timeFrame: through study completion, an average 1 year
Other outcomes:
Locations:
city: Nilüfer
country: Turkey
facility: Bursa Uludag University Health Sciences Faculty of the Nursing Department
state: Bursa
Study officials:
affiliation: Bursa Uludag University, Faculty of Health Sciences
name: Hülya YILMAZ, Phd, Msc
role: PRINCIPAL_INVESTIGATOR
affiliation: Health Research and Application Center, Faculty of Medicine, Bursa Uludag University
name: Dilan Ayhan, Msc
role: STUDY_CHAIR
affiliation: Bursa Uludag University, Faculty of Health Sciences
name: Dilek YILMAZ, Phd, Msc
role: STUDY_CHAIR
affiliation: Health Research and Application Center, Faculty of Medicine, Bursa Uludag University
name: Yılmaz Özen, Professor
role: STUDY_CHAIR
References:
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citation: Cambil-Martin J, Fernandez-Prada M, Gonzalez-Cabrera J, Rodriguez-Lopez C, Almaraz-Gomez A, Lana-Perez A, Bueno-Cavanillas A. Comparison of knowledge, attitudes and hand hygiene behavioral intention in medical and nursing students. J Prev Med Hyg. 2020 Apr 2;61(1):E9-E14. doi: 10.15167/2421-4248/jpmh2020.61.1.741. eCollection 2020 Mar.
citation: Diefenbacher S, Fliss PM, Tatzel J, Wenk J, Keller J. A quasi-randomized controlled before-after study using performance feedback and goal setting as elements of hand hygiene promotion. J Hosp Infect. 2019 Apr;101(4):399-407. doi: 10.1016/j.jhin.2019.02.001. Epub 2019 Feb 8.
citation: Du Q, Zhang D, Hu W, Li X, Xia Q, Wen T, Jia H. Nosocomial infection of COVID-19: A new challenge for healthcare professionals (Review). Int J Mol Med. 2021 Apr;47(4):31. doi: 10.3892/ijmm.2021.4864. Epub 2021 Feb 4.