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dc.contributor.authorStackelroth, J
dc.contributor.authorShaban, RZ
dc.contributor.editorElizabeth Gillespie
dc.date.accessioned2017-10-26T01:31:34Z
dc.date.available2017-10-26T01:31:34Z
dc.date.issued2011
dc.date.modified2011-08-24T07:14:38Z
dc.identifier.issn1835-5617
dc.identifier.doi10.1071/HI11001
dc.identifier.urihttp://hdl.handle.net/10072/40277
dc.description.abstractDirect observation of health professionals is recognised as the 'gold standard' for monitoring hand hygiene compliance. Trained and validated auditors directly observe health professionals' hand hygiene behaviours, and assess their compliance with standard guidelines. In June 2010, a hand hygiene program that coincided with the adoption of the National Hand Hygiene Initiative (NHHI), including the Five Moments for Hand Hygiene, was introduced into a rural health service district in Australia. Infection prevention and control representatives from each inpatient facility within the district attended hand hygiene auditor training during a 2-day face-to-face workshop using standard models and training materials. The district infection control practitioner and a representative from the jurisdiction's infection prevention and control unit conducted the workshop. The success of the program has been variable, particularly at the institutional level. In part, this has been due to a lack of administrative leadership and refusal by Directors of Nursing in some facilities to site the alcohol-based hand hygiene product at the point of care. At the individual level, not all representatives have achieved the benchmark set by the NHHI for validation of auditors, with some reporting difficulty grasping the definitions and methodology of auditing. The subsequent process of re-training auditors has been resource-intensive due to the significant physical distance between facilities and limited on-site resources. These challenges and difficulties have brought into question the sustainability of the NHHI model for a geographically vast health service district. This paper examines the implementation of a nationally sanctioned hand hygiene program in a rural and remote health service district, and proposes a novel model for monitoring hand hygiene compliance in such settings.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherCSIRO
dc.publisher.placeAustralia
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom63
dc.relation.ispartofpageto70
dc.relation.ispartofissue2
dc.relation.ispartofjournalHealthcare Infection
dc.relation.ispartofvolume16
dc.rights.retentionY
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchNursing not elsewhere classified
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode420599
dc.titleThe challenges of implementing a national hand hygiene initiative in rural and remote areas: Is it time for a new approach to auditing?
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Nursing and Midwifery
gro.date.issued2011
gro.hasfulltextNo Full Text
gro.griffith.authorShaban, Ramon Z.
gro.griffith.authorStackelroth, Jenny L.


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