Abstract
Adequate hand hygiene is known to diminish surgical site infections (SSIs) and prevent healthcare-associated infections (HAIs) in the post-operative settings. An increase in SSIs due to poor hand hygiene compliance was observed at the chosen project site. The purpose of this quantitative quasi-experimental quality improvement project was to determine if the implementation of the World Health Organization's (WHO) Five Moments of Hand Hygiene, would improve hand hygiene compliance and reduce post-operative infection rates among orthopedic patients in a same-day surgery unit. The project took place in a medical center located in the Northeast United States. The health belief model (HBM) by Rosenstock, Hochbaum, Kegeles, and Leventhal was the theoretical framework for the project. The sample size of nurses was 10 and a total sample size of patients was 71, n = 28 in the comparative group and n = 43 in the implementation group. A paired t-test showed a statistical and clinically significant improvement in nurses' compliance in hand hygiene from pre (M = 77.8%, SD = 5.4%) to post-intervention (M = 96.3%, SD = 3.4%), t (9) = -5.20 p = .000. An independent samples t-test revealed a statistical and clinically significant decline in SSI rates from pre (M = 3.6 SD = 0.4) to post (M = 2.3, SD = 0.5), t (69) = 16.99, p = .000. The results indicate the WHO's Five Moments of Hand Hygiene may reduce patient SSI rates and improve hand hygiene compliance. Recommendations include sustaining the project, disseminating the findings, and extending the project to other organizational units to improve adherence to hand hygiene to reduce SSI outcomes for patients.
Sigma Membership
Nu Upsilon
Type
Dissertation
Format Type
Text-based Document
Study Design/Type
Quasi-Experimental Study, Other
Research Approach
Quantitative Research
Keywords:
WHO's Five Moments for Hand Hygiene, Healthcare-Associated Infections (HAIs), Surgical Site Infections (SSIs), Reducing Post-Operative Infection Rates, Improving Hand Hygiene, Same-Day Surgery Unit, Rosenstock, Hochbaum, Kegeles, and Leventhal's Health Belief Model
Advisor
Bridget Drafahl
Second Advisor
Rodolfo Sangalang Jr.
Degree
DNP
Degree Grantor
Grand Canyon University
Degree Year
2020
Recommended Citation
Dimailig, Reginald Mark R., "Improving post-operative infection rates using my five moments for hand hygiene" (2021). Dissertations. 1478.
https://www.sigmarepository.org/dissertations/1478
Rights Holder
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Review Type
None: Degree-based Submission
Acquisition
Proxy-submission
Date of Issue
2021-07-21
Full Text of Presentation
wf_yes
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28494949; ProQuest document ID: 2531195753. The author still retains copyright.