Effectiveness of a Multimodal IT Enhanced Hand Hygiene Strategy on Healthcare Associated Infections in Nursing Homes

Not Applicable

Completed

• Conditions: Accuracy; Compliance; Healthcare-associated Infections

• Registration Number: NCT06925620
• Lead Sponsor: Kaohsiung Medical University Chung-Ho Memorial Hospital

Brief Summary

This study aims to evaluate the effectiveness of a multimodal hand hygiene improvement strategy, enhanced with information technology (IT), in reducing healthcare-associated infections (HAIs) in nursing homes. The goal is to improve infection prevention practices and promote a safer environment for older adults living in long-term care facilities.

Detailed Description

Hand hygiene is a key strategy for preventing healthcare-associated infections (HAIs), yet compliance among healthcare workers remains suboptimal due to knowledge gaps, limited resources, unfamiliarity with procedures, and poor adherence. This study aims to assess the effectiveness of an IT-enhanced multimodal hand hygiene intervention in reducing HAIs within nursing homes, thereby improving infection control practices and promoting a safer environment for older adults in long-term care settings.

Study Timeline

• Study Start: 2022-03-17
• Primary Completion: 2022-12-01
• Study Completion: 2022-12-01
• Status Verified: 2025-03
• Study First Submitted: 2025-04-07
• Study First Submitted QC: 2025-04-11
• Study First Posted: 2025-04-13
• Last Update Submitted: 2025-04-27
• Last Update Posted: 2025-04-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 91

Inclusion Criteria

• Full-time nurses or nursing assistants in the participating nursing homes
• Proficiency in Mandarin or Taiwanese

Exclusion Criteria

• Confirmed or anticipated resignation

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Hand hygiene Compliance Rates	4 month	Hand hygiene compliance data were collected using the "Hand Hygiene Compliance Rate and Behavior Inspection Checklist for Long-term Care Facility Workers"(%)
Hand hygiene Accuracy Rates	4 month	Hand hygiene Accuracy data were collected using the "Hand Hygiene Compliance Rate and Behavior Inspection Checklist for Long-term Care Facility Workers"(%)
Density of healthcare-associated infections	4 month	A facility's "density of HAI" followed Taiwan's Centers for Disease Control (2012) guidelines(‰)
Hand Hygiene Knowledge	1 month	Cognitive scores were obtained through a "Hand Hygiene Knowledge Questionnaire for Long-term Care Facility Workers" It comprised 15 items (12 true/false, 2 multiple-choice, 1 multiple-answer), awarding 1 point for each correct answer and 0 for incorrect or unsure response, with a total score ranging from 0 to 15. Higher scores indicated greater hand hygiene knowledge.

Trial Locations

Locations (2)

Kaohsiung Nursing Home; 🇨🇳 Kaohsiung, Taiwan

Pingtung Nursing Home; 🇨🇳 Pingtung, Taiwan