Adapting the WHO hand hygiene ‘reminders in the workplace’ to improve acceptability for healthcare workers in maternity settings worldwide: a mixed methods study
Rattachement africain : gb, ch, Malawi. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
INTRODUCTION: Hand hygiene is key in preventing healthcare-associated infections, but it is challenging in maternity settings due to high patient turnover, frequent emergencies and volume of aseptic procedures. We sought to investigate if adaptions to the WHO hand hygiene reminders could improve their acceptability in maternity settings globally, and use these findings to develop new reminders specific to maternity settings. METHODS: 's acceptability framework, we conducted an online survey, semi-structured interviews and a focus group examining the three WHO central hand hygiene reminders ('your five moments of hand hygiene', 'how to hand wash' and 'how to hand rub') and their acceptability in maternity settings. A convergent mixed-methods study design was followed. Findings were examined overall and by country income status. A WHO expert working group tested the integrated findings, further refined results and developed recommendations to improve acceptability for use in the global maternity community. Findings were used to inform the development of two novel and acceptable hand hygiene reminders for use in high-income country (HIC) and low- and middle-income country (LMIC) maternity settings. RESULTS: Participation in the survey (n=342), semi-structured interviews (n=12) and focus group (n=7) spanned 51 countries (14 HICs and 37 LMICs). The highest scoring acceptability constructs were clarity of the intervention (intervention coherence), confidence in performance (self-efficacy), and alignment with personal values (ethicality). The lowest performing were perceived difficulty (burden) and how the intervention made the participant feel (affective attitude). Overfamiliarity reduced acceptability in HICs (perceived effectiveness). In LMICs, resource availability was a barrier to implementation (opportunity cost). Two new reminders were developed based on the findings, using inclusive female images, and clinical examples from maternity settings. CONCLUSION: Following methodologically robust adaptation, two novel and inclusive maternity-specific hand hygiene reminders have been developed for use in both HIC and LMICs.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Adapting the WHO hand hygiene ‘reminders in the workplace’ to improve acceptability for healthcare workers in maternity settings worldwide: a mixed methods study
- Date Crossref
- 01/09/2024
- Éditeur
- BMJ
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Birmingham Institute of Metabolism and Systems Research pays non établi dans la noticeUniversité ou école supérieure
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World Health Organization pays non établi dans la noticeOrganisme public
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University of Aberdeen Institute of Education for Medical and Dental Sciences pays non établi dans la noticeUniversité ou école supérieure
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London School of Hygiene & Tropical Medicine Department of Infectious Disease Epidemiology and International Health pays non établi dans la noticeUniversité ou école supérieure
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St Helens and Knowsley Teaching Hospitals NHS Trust pays non établi dans la noticeÉtablissement de santé
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Mersey Care NHS Trust pays non établi dans la noticeÉtablissement de santé
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University of Liverpool pays non établi dans la noticeUniversité ou école supérieure
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Malawi-Liverpool-Wellcome Trust Clinical Research Programme Blantyre, Malawi (code pays fourni par la source)Structure de recherche
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Department of Integrated Health Services pays non établi dans la noticeInstitution
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UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research pays non établi dans la noticeInstitution
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Mersey and West Lancashire Teaching Hospitals NHS Trust pays non établi dans la noticeÉtablissement de santé
Institute of Metabolism and Systems Research — University of Birmingham, World Health Organization et Institute of Education for Medical and Dental Sciences — University of Aberdeen, avec 8 autres affiliations. Pays d’affiliation : Malawi.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.