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Facilitators and barriers to a family empowerment strategy to improve healthcare worker hand hygiene in a resource-limited setting.

Abstract：

OBJECTIVES:The World Health Organization recommends empowering patients/families to remind healthcare workers (HCWs) to perform hand hygiene (HH). We sought to understand acceptability of a family empowerment strategy in a Vietnamese pediatric intensive care unit (PICU). METHODS:With end-user input, we designed a tool to help families in a PICU in Vietnam to remind HCWs to perform HH. We conducted 3 preliminary focus group discussions (FGDs) with patients' family members (n = 8), physicians (n = 9), and nurses (n = 8) to understand acceptability of preliminary tools, attitudes towards HH and barriers to HH. Tools were then modified and implemented in a 5-week intervention study. We then conducted 3 more FGDs with families (n = 7), physicians (n = 7), and nurses (n = 8). Discussions were analyzed using qualitative directed content analysis. Families who used the tool were asked to complete written surveys. FINDINGS:Both family members and HCWs felt that HCWs had a responsibility to perform HH. Barriers to performing HH were identified, including forgetfulness and time constraints. Family members felt shy reminding HCWs to perform HH. However, the HH reminder tool was acceptable, and some felt it could overcome barriers to reminding HCWs to perform HH. HCWs felt embarrassed when reminded to perform HH, but felt that the reminder was useful. Nearly all (99%) survey respondents felt that family members should speak up if they noticed HCWs omitting HH. CONCLUSIONS:A tool given to families to remind HCWs to perform HH was largely acceptable in a pediatric ICU in Vietnam. Perceived benefits of improving HH were felt to surmount barriers to tool use.

journal_name

Am J Infect Control

journal_title

American journal of infection control

authors

Campbell JI,Pham TT,Le T,Dang TTH,Chandonnet CJ,Truong TH,Duong H,Nguyen DD,Le TH,Tran TH,Nguyen TKO,Ho TMT,Le KN,Pollack TM,Sandora TJ

doi

10.1016/j.ajic.2020.05.030

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

1485-1490

issue

eissn

0196-6553

issn

1527-3296

pii

S0196-6553(20)30346-1

journal_volume

pub_type

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Facilitators and barriers to a family empowerment strategy to improve healthcare worker hand hygiene in a resource-limited setting.