A Competency-based Approach to Promoting Effective Hand Hygiene in Longterm Care Facilities

Daniel A Nnate

Daniel A Nnate Department of Nursing and Community Health. School of Health and Life Sciences. Glasgow Caledonian University (Glasgow, United Kingdom)

Palabras clave: Higiene de manos, Infección asociada a la atención sanitaria, Prevención de infecciones, Cuidados de larga duración, Servicios sanitarios preventivos

Key-words: Hand hygiene, Healthcare-associated infection, Infection prevention, Long-term care, Preventive health services

Palavras chave: Higiene de mãos, Infeção associada à atenção sanitária, Prevenção de infeções, Cuidados de longa duração, Serviços sanitários preventivos

Resumen

Introducción: Los centros de cuidados de larga duración representan una gran proporción de usuarios de servicios sanitarios debido al creciente envejecimiento de la población. Las infecciones asociadas a la asistencia sanitaria constituyen una carga importante en los centros de asistencia de larga duración y están asociadas a importantes brotes de enfermedades infecciosas y a la mortalidad. La falta de adherencia a la práctica efectiva de la higiene de manos debido a la pérdida de oportunidades para que el personal explore su papel en la prevención y el control de las infecciones dentro de estos entornos ha sido enfatizada por la pandemia de COVID-19. Métodos: Este artículo está diseñado para ayudar a las necesidades de desarrollo profesional continuo de los profesionales de enfermería y asociados en los centros de cuidados de larga duración. Explora los factores que contribuyen a la mala actitud de los miembros del personal hacia el incumplimiento de las medidas de prevención y control de infecciones en los centros de cuidados de larga duración. Resultados: Se formularon además recomendaciones para mejorar las medidas de prevención y control de las infecciones basadas en el marco de competencias de la Sociedad de Prevención de Infecciones, que sirve de herramienta para que los individuos mejoren continuamente su rendimiento y se conviertan en profesionales eficientes. Conclusión: Después de leer este artículo, los profesionales sanitarios deberían ser capaces de (i) identificar diversos medios para promover una adecuada higiene de las manos en los centros de cuidados de larga duración; (ii) comprender que toda actividad realizada para prevenir la propagación de las infecciones asociadas a la asistencia sanitaria comienza y termina con una higiene de las manos eficaz; (iii) reconocer los pasos para prevenir la infección cruzada mediante un mejor cumplimiento de los cinco

Abstract

Introduction: Long-term care facilities comprise a large proportion of healthcare service users due to the increasing ageing population. Healthcare-associated infections constitute a major burden in long-term care facilities and are associated with significant infectious disease outbreaks and mortality. The non-adherence to effective hand hygiene practice due to missed opportunities for staff to explore its role in infection prevention and control within these settings has been emphasised by the Covid-19 pandemic. Methods: this article is designed to assist the continuing professional development needs of nursing and associate professionals in long-term care facilities. It explores the factors contributing to the poor attitude of staff members towards non-compliance with infection prevention and control measures in long-term care facilities. Results: Recommendations for improving infection prevention and control measures were further made based on the Infection Prevention Society competency framework which serves as a tool for individuals to improve their performance continually and become efficient practitioners. Conclusion: After reading this article, healthcare practitioners should be able to (i) identify various means of promoting adequate hand hygiene in long-term care facilities; (ii) understand that every activity taken to prevent the spread of healthcareassociated infections begins and ends with effective hand hygiene; (iii) recognise steps to prevent cross-infection through improved compliance with the five moments of hand hygiene in long-term care facilities; (iv) develop a satisfactory attitude towards hand hygiene compliance in the workplace, and (v) appraise own competence, and promote staff compliance through feedback

Resumo

Introdução: Os centros de cuidados de longa duração representam uma grande proporção de usuários de serviços sanitários devido ao crescente envelhecimento da população. As infeções associadas à assistência sanitária constituem um fardo significativo em centros de assistência de longa duração e estão associadas a importantes surtos de doenças infeciosas e à mortalidade. A falta de adesão à prática efetiva da higiene de mãos devido à perda de oportunidades para o pessoal explorar o seu papel na prevenção e controle das infeções dentro desses ambientes já foi enfatizada pela pandemia de COVID-19. Métodos: Este artigo foi desenhado para ajudar às necessidades de desenvolvimento profissional continuo dos profissionais de enfermagem e associados nos centros de cuidados de longa permanencia. Explora os fatores que contribuem para as más atitudes dos funcionários para o não cumprimento das medidas de prevenção e controle de infeções nos centros de cuidados de longa duração. Resultados: Foram formuladas também recomendações para melhorar as medidas de prevenção e controle das infeções baseadas no quadro de competências da Sociedade de Prevenção de Infeções, que serve de ferramenta para que os indivíduos melhorem continuamente seu desempenho e se tornem profissionais ecientes. Conclusão: Após a leitura deste artigo, os profissionais sanitários devem ser capazes de (i) identificar diversos meios para promover uma adequada higiene das mãos nos centros de cuidados de longa duração; (ii) entender que toda atividade realizada para prevenir a propagação das infeções associadas à assistência sanitária começa e termina com uma higiene eficaz das mãos; (iii) reconhecer os passos para prevenir a infeção cruzada por meio de uma melhor adesão aos cinco momentos da higiene das mãos em centros de cuidados de longa duração; (iv) desenvolver uma atitude satisfatória em relação à adesão da higiene das mãos no local de trabalho, e (v) avaliar a própria competência, e promover a adesão da equipe mediante a retroalimentação

Bibliografía

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A Competency-based Approach to Promoting Effective Hand Hygiene in Longterm Care Facilities

Un enfoque basado en la competencia para promover la higiene de las manos eficaz en los centros de atención a largo plazo

Uma abordagem baseada na competência para promover a higiene das mãos ecaz em centros de atenção em longo prazo

Resumen

Abstract

Resumo

Bibliografía