Marika D. Balilla, RN; Rod Christian P. Bernabe, RN; Robinson J. Del Rosario, RN
Philippine Heart Center
Background of the Study
Effective hand hygiene compliance is the simplest and most valuable method of infection control. Exploring the gaps in knowledge, attitude, and practice (KAP) on hand hygiene is of critical importance to strengthening nurses’ compliance to WHO standards.
This study aimed to determine the effects of training and education on KAP on Hand Hygiene of Medical-Surgical staff nurses in the Philippine Heart Center.
This study utilized cross-sectional analytic research design. Evaluation of KAP on hand hygiene was divided into: Assessment Phase, Training and Education Phase, and Evaluation Phase. Descriptive statistics was used to summarize the demographic and clinical characteristics of the nurses. Paired sample T-test was used to determine the difference on a continuous variable from baseline to post intervention. Fisher’s exact and chi-square tests were used to determine the difference of proportion of the response of the nurses before and after intervention. Null hypotheses were rejected at 0.05α-level of significance. STATA 13.1 was used for data analysis.
The study included staff nurses assigned at the Medical-Surgical wards (n=173). Hand hygiene baseline scores for KAP showed statistically significant improvement (P-value of <0.001) after training and education phase. Knowledge scores improved from 32.82% to 43.26%; Attitude scores escalated from 42.71% to 63.54%); and Practice scores advanced from 33.06% to 46.77%). Training and education play a crucial role in setting a culture of change that promotes patient safety in terms of infection control. A multi-modal approach is necessary to sustain and improve hand hygiene.