Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:Helping hands: A cluster randomised trial to evaluate the effectiveness of two different strategies for promoting hand hygiene in hospital nurses | Huis et al. Implementation Science 2011 6 101 http content 6 1 101 Implementation Science IMPLEMENTATION SCIENCE STUDY PROTOCOL Open Access Helping hands A cluster randomised trial to evaluate the effectiveness of two different strategies for promoting hand hygiene in hospital nurses Anita Huis Lisette Schoonhoven Richard Grol George Borm Eddy Adang Marlies Hulscher and Theo van Achterberg Abstract Background Hand hygiene prescriptions are the most important measure in the prevention of hospital-acquired infections. Yet compliance rates are generally below 50 of all opportunities for hand hygiene. This study aims at evaluating the short- and long-term effects of two different strategies for promoting hand hygiene in hospital nurses. Methods design This study is a cluster randomised controlled trial with inpatient wards as the unit of randomisation. Guidelines for hand hygiene will be implemented in this study. Two strategies will be used to improve the adherence to guidelines for hand hygiene. The state-of-the-art strategy is derived from the literature and includes education reminders feedback and targeting adequate products and facilities. The extended strategy also contains activities aimed at influencing social influence in groups and enhancing leadership. The unique contribution of the extended strategy is built upon relevant behavioural science theories. The extended strategy includes all elements of the state-of-the-art strategy supplemented with gaining active commitment and initiative of ward management modelling by informal leaders at the ward and setting norms and targets within the team. Data will be collected at four points in time with six-month intervals. An average of 3 000 opportunities for hand hygiene in approximately 900 nurses will be observed at each time point. Discussion Performing and evaluating an implementation strategy that also targets the social context of teams may considerably add to the general body of
