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.

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.

Author Details

Reginald Mark R. Dimailig, DNP, MSN, BSN, RN

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

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2021-07-21

Full Text of Presentation

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