Effects of Knowledge, Feedback and Equipment Provision on Practices and Efficiency of Environmental Cleaning Among Personnel in General Hospital

Authors

  • Tussanee Nuankum Maesot Hospital, Tak
  • Akeau Unahalekhaka Faculty of Nursing, Chiang Mai University
  • Jittaporn Chitreecheur Faculty of Nursing, Chiang Mai University

Keywords:

Education, Feedback, Supporting cleaning equipment, Environmental cleaning

Abstract

Cleaning the hospital environment is an important activity in preventing microorganism transmission within the hospital. This quasi-experimental research, one group pre and post-test design, aimed to determine the effects of educating, giving feedback and providing support for cleaning equipment on the cleaning practices and the efficiency of environmental cleaning of 16 nursing assistants and patient care personnel working in a general hospital. The study was conducted from November 2015 to January 2016. Study activities included educating the sample, demonstration and return demonstration, provision of a hospital environmental cleaning manual, giving feedback and providing support for environmental cleaning equipment. Sample general information was collected using a self-administered questionnaire. Researcher observed cleaning practices and assessed the efficiency of cleaning using a fluorescent dye. Data were analyzed using descriptive statistics and Chi-Square Test.

            Participants were between 20-54 years old with a mean age of 28.75 years and mainly female (93.75%) and most were high school graduates (68.75%).  Most (87.5%) had received training on environmental cleaning and had worked at the hospital from two months to fourteen years with a mean working time of 3.96 years. The study results revealed that after the intervention, overall correct cleaning practices within the sample increased significantly from 41.30% to 82.83% (p < .001). The overall efficiency of cleaning increased significantly from 32.34% to 75.18% (p < .001).

            The study results show that promoting practices using a multimodal intervention can increase correct practices and the efficiency of environmental cleaning. Educating, giving feedback and adequate cleaning equipment should be provided for responsible personnel.

References

Bero, L. A., Grilli, R., Grimshaw, J. M., Harvey, E., Oxman, A. D., & Ann, M. (1998). Getting research findings into practice: Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings. British Medical Journal, 317, 465-468.

Danchaivijitr, S., Judaeng, T., Sripalakij, S, Naksawas, K., & Plipat, T. (2007). Prevalence of nosocomial infection in Thailand 2006. Journal-Medical Association of Thailand, 90(8), 1524-1529.

Denton, M., Wilcox, M. H., Parnell, P., Green, D., Keer, V., Hawkey, P. M., Murphy, P. (2004). Role of environmental cleaning in controlling an outbreak of Acinetobacter baumannii on aneurosurgical intensive care unit. Journal of Hospital Infection, 56(2), 106-110. doi10.1016/j.jhin.2003.10.017

Dumigan, D. G., Boyce, J. M., Havill, N. L., Golebiewski, M., Balogun, O., & Rizvani, R. (2010). Who is really caring for your environment of care? Developing standardized cleaning procedures and effective monitoring techniques. American Journal of Infection Control, 38(5), 387-392.

El Shafie, S., Alishaq, M., & Leni Garcia, M. (2004). Investigation of an outbreak of multidrug-resistant Acinetobacter baumannii in trauma intensive care unit. Journal of Hospital Infection, 56(2), 101-105.

European Centre for Disease Prevention and Control (ECDC). (2013). Point prevalence survey of Health care associated infections and antimicrobial use in European acute care hospitals 2011–2012. Retrieved from www.ecdc.europa.eu/.../healthcare-associated-infections-antimicrobial-use-...

Goodman, E. R., Platt, R., Bass, R., Onderdonk, A. B., Yokoe, D. S., & Huang, S. S. (2008). Impact of an environmental cleaning intervention on the presence of methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci on surfaces in intensive care unit rooms. Infection control and hospital epidemiology: The Official Journal of the Society of Hospital Epidemiologists of America, 29(7), 593-599. doi: 10.1086/588566

Jennings, A., Sitzlar, B., & Jury, L. (2013). A survey of environmental service workers' knowledge and opinions regarding environmental cleaning. American Journal of Infection Control, 41(2), 177-179. doi: 10.1016/j.ajic.2012.03.012

Ketchanok, S. (2007). Effects of education provision and feedback on aseptic technique practices among operating room personnel. (Master of Nursing Science). Graduate School, Chiang Mai University. (in Thai)

Knowles, M. S. (1980). The Modern Practice of Adult Education: From Pedagogy to Andragogy. New York: Cambridge, The Adult Education Company.

Kramer, A., Schwebke, I., & Kampf, G. (2006). How long do nosocomial pathogens persist on inanimate surfaces? A systematic review. BioMed Central Infectious Diseases, 6(1), 130-137.

Nseir, S., Blazejewski, C., Lubret, R., Wallet, F., Courcol, R., & Durocher, A. (2011). Risk of acquiring multidrug-resistant Gram-negative bacilli from prior room occupants in the intensive care unit. Clinical Microbiology and Infection, 17(8), 1201-1208.

Otter, J. A., Yezli, S., Salkeld, J. A. G., & French, G. L. (2013). Evidence that contaminated surfaces contribute to the transmission of hospital pathogens and an overview of strategies to address contaminated surfaces in hospital settings. American Journal of Infection Control, 41(5), S6-S11. doi: 10.1016/j.ajic.2012.12.004

PIDAC. (2012). Best Practices for Environmental Cleaning for Prevention and Control of Infections In All Health Care Settings - 2nd edition. Retrieved from www.publichealthontario.ca/.../Best_Practices_Environmental_Cleaning_.

Ragan, K., Khan, A., Zeynalova, N., McKernan, P., Baser, K., & Muller, M. P. (2012). Use of audit and feedback with fluorescent targeting to achieve rapid improvements in room cleaning in the intensive care unit and ward settings. American Journal of Infection Control, 40(3), 284-286.

Ramphal, L., Suzuki, S., McCracken, I. M., & Addai, A. (2014). Improving hospital staff compliance with environmental cleaning behavior. Proceedings (Baylor University Medical Center), 27(2), 88-91.

Rongrungruang, Y., Sawanpanyalert, N., Chomdacha, P., Surasarang, K., Wiruchkul, N., Kachintorn, K., Danchaivijitr, S. (2013). Health-care associated infections in Thailand 2011. Journal of the Medical Association of Thailand Chotmaihet thangphaet, 96, S117-123.

Smith, A., Taggart L.R., Lebovic G., Zeynalova N., Khan A., & Muller M. P. (2016). Clostridium difficile infection incidence: Impact of audit and feedback programme to improve room cleaning. Journal of Hospital Infection, 92, 161-166. doi.org/10.1016/j.jhin.2015.11.001

Strassle, P., Thom, K. A., Johnson, J. K., Leekha, S., Lissauer, M., Zhu, J., & Harris, A. D. (2012). The effect of terminal cleaning on environmental contamination rates of multidrug-resistant Acinetobacter baumannii. American Journal of Infection Control, 40(10), 1005-1007.

Tappen, R. M., Weiss, S. A., & Whitehead, D, K. (2004). Giving and receiving feedback. In Essentials of nursing leadership and management (3rd ed., pp. 34-45). Philadelphia: F. A. Davis.
The APSIC. (2013). APSIC guidelines for environmental cleaning and decontamination. Retrieved from http://apsic.info/documents/Environmental-Cleaning-APSIC-Guideline-14-Jan-2013.pdf.

Thom, K. A., Johnson, J. K., Lee, M. S., & Harris, A. D. (2011). Environmental contamination because of multidrug-resistant Acinetobacter baumannii surrounding colonized or infected patients. American Journal of Infection Control, 39(9), 711-715. doi: 10.1016/j.ajic.2010.09.005

Thongcharoen, P., Moongtui, W, & Unahalekhaka, A. (2015). Effects of multi-modal intervention on the practices of healthcare workers on the prevention of multidrug resistant, Nursing Journal, 42(1), 61-73.

Trajtman, A. N., Manickam, K., Macrae, M., Bruning, N. S., & Alfa, M. J. (2013). Continuing performance feedback and use of the ultraviolet visible marker to assess cleaning compliance in the healthcare environment. Journal of Hospital Infection, 84(2), 166-172.

World Health Organization. (2011). Report on the burden of endemic health care-associated Infection Available online. Retrieved from http://whqlibdoc.who.int/publications/2011/9789241501507_eng.pdf

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Published

2021-06-11

How to Cite

Nuankum , T., Unahalekhaka , A., & Chitreecheur , J. (2021). Effects of Knowledge, Feedback and Equipment Provision on Practices and Efficiency of Environmental Cleaning Among Personnel in General Hospital . Nursing Journal CMU, 48(2), 13–25. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/251494

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RESEARCH  ARTICLES