The Effectiveness of a Multicomponent Education Program of Hand Hygiene in Nursing Students: a Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 280
- Locations
- 1
- Primary Endpoint
- Practice of hand hygiene
Study Overview
Brief Summary
The goal of this observational study is to design and test a multicomponent education program of hand hygiene in nursing students. The main aims are:
- conduct a randomized controlled trial (RCT) to test the effectiveness of this program on knowledge and practice of hand hygiene in nursing students;
- evaluate the effects of each component and collect feedbacks from participants.
Participants will be randomly assigned into the three intervention: Group A (Hand scanner instant feedback) , Group B (Video training), Group C (Hand scanner + Video training) , and Group D (Control group without intervention). Pre- and post-intervention assessment will be used to evaluate the effectiveness of the program and individual components.
Detailed Description
Background
The ongoing COVID-19 pandemic has posed serious threats to public health worldwide. Although children have mild symptoms, they have been found to more likely transmit the virus within the household than the other age groups. The importance of hand hygiene cannot be underestimated in both healthcare and community settings. The promotion of hand hygiene is the best practices in preventing health care-associated infection. It has been estimated that hand hygiene could reduce over 500000 attributable deaths per year. It was found that the annual economic impact of health care-associated infection in the US was approximately US$6.5 billion in 2004 and every US$1 spent on hand hygiene promotion could result in a US$23.7 benefit. Education plays a key role in setting a good practice base in hand hygiene.
The traditional training methods for nursing students include in-class lecture and practical, but students seldom receive individualized instructions and feedbacks due to limited manpower and facilities. Hence, there is an urgent need of designing an automated and individualized education program. This study aims to design and test a multicomponent education program of hand hygiene in nursing students. Specifically, this program has two components: 1) training videos according to the WHO guidelines on hand hygiene in health care; 2) a hand scanner used for students to immediately visualize the missing spots of hand hygiene.
If demonstrated effective, this program can be integrated into the curriculum of nursing students as an e-learning approach. In future, this system can also be used at point-of-care for real-time monitoring and audit of healthcare workers in other healthcare settings.
Subject recruitment
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Double (Participant, Investigator)
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •all year one nursing students from the Bachelor of Nursing and Bachelor of Mental Health Nursing program in School of Nursing
Exclusion Criteria
- •students with severe eczema or other extreme hand conditions will be excluded
Arms & Interventions
Hand scanner instant feedback
Hand scanner results only but no training videos will be provided.
Intervention: Hand scanner instant feedback (Behavioral)
Video training
A training video only but no hand scanner results will be provided.
Intervention: Video training (Behavioral)
Hand scanner and Video training
Both hand scanner results and a training video will be provided.
Intervention: Hand scanner instant feedback (Behavioral)
Hand scanner and Video training
Both hand scanner results and a training video will be provided.
Intervention: Video training (Behavioral)
Control group without intervention
No hand scanner results or training videos will be provided.
Outcomes
Primary Outcomes
Practice of hand hygiene
Time Frame: 5 minutes after hand washing
The percentage (from 0 to 100%, the higher scores mean a worse outcome) of fluorescent gel residual on hands shown in the hand scanner will be used as an objective assessment for efficacy of hand washing in individual participants.
Secondary Outcomes
- Knowledge of hand hygiene(10 minutes before and 10 minutes after hand washing)
Investigators
Dr YANG Lin
Associate Professor
The Hong Kong Polytechnic University
