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- Title
Understanding resident, family, and caregiver experiences to inform the development of a multimodal hand hygiene program in long-term care.
- Authors
Yip, Florence; Diamond, Leah
- Abstract
The World Health Organization Guidelines on Hand Hygiene in Health Care provide an evidence-based framework to improve hand hygiene compliance through a multimodal approach which includes quality improvement, patient/resident engagement, and a commitment to safety. Long-term care (LTC) is considered both a resident's home and a healthcare environment where healthcare workers provide professional care while balancing and honouring a homelike ambience. By engaging residents and their families (i.e., direct family members, friends, or caregivers) in four LTC homes through surveys and interviews, this quality improvement project aimed to understand the resident and family experience with hand hygiene measures in LTC, to learn how to promote both safety and comfort through their experiences, and to include what matters to them in the pursuit of this balance when developing hand hygiene programs. Using a mixed-methods approach, the findings suggest that residents and families support increased accessibility to hand hygiene infrastructure, including prioritizing access to soap and water; adding alcohol-based hand rub to resident rooms when appropriate; modelling good hand hygiene practices; and continuing hand hygiene reminders at entrances. More than 79% of residents and 85% of families felt that hand hygiene would help protect them or their loved one from getting sick. The opinions shared by residents and families were well-received, strengthened relationships between Infection Prevention and Control (IPAC) and facility staff, and provided a common understanding that improvements in hand hygiene accessibility are welcomed.
- Subjects
FAMILIES &; psychology; CAREGIVER attitudes; NURSING home patients; HUMAN comfort; RESEARCH methodology; INTERVIEWING; PATIENTS' attitudes; FAMILY attitudes; HUMAN services programs; PSYCHOSOCIAL factors; QUALITY assurance; SCALE analysis (Psychology); DESCRIPTIVE statistics; PSYCHOLOGY of caregivers; HAND washing; DATA analysis software; THEMATIC analysis; LONG-term health care; HEALTH promotion; PATIENT safety
- Publication
Canadian Journal of Infection Control / Revue Canadienne de Prévention des Infections, 2023, Vol 38, Issue 2, p83
- ISSN
1183-5702
- Publication type
Article