Technology-assisted Index on Improving Hand Hygiene of Registered Nurses

The Effectiveness of Technology-assisted Index on Improving Hand Hygiene of Registered Nurses - An Experimental Research

In 2009, the World Health Organization (WHO) recommended the use of a multi-faceted, multi-modal hand hygiene strategy (Five Moments for Hand Hygiene) to improve hand hygiene compliance among healthcare staff. The outbreak of coronavirus disease 2019 (COVID-19) has rapidly spread globally. The novel coronavirus is characterized by rapid human-to-human transmission. Hand washing is a part of measures recommended by the World Health Organization (WHO) to avoid contracting COVID-19.The purpose of this study was to use adenosine triphosphate (ATP) testing and direct observation for improving hand hygiene and compliance in nurse.

Study Overview

• Status: Unknown
• Conditions: Hand Hygiene
• Intervention / Treatment: Behavioral: Technology-assisted Index

Detailed Description

The purpose of this study was to use adenosine triphosphate (ATP) testing and direct observation as technology-assisted index on improving hand hygiene and compliance in nurse.

• Study Type: Interventional
• Enrollment (Anticipated): 120
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Taiwan
  • Taipei, Taiwan, 10051, Taiwan
    • Recruiting
    • NTUH
    • Contact: Wei-Wen Wu; Phone Number: 88422 +886-2-23123456; Email: weiwen@ntu.edu.tw

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• (1)Day shift nurse on cancer ward,(2)who speak in Taiwanese and Mandarin,(3)and are willing to participate in the study.

Exclusion Criteria:

• (1)There is any wound or scar on hand.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: control group; Participants in the control group will not receive the ATP testing result (pretest) immediately until finished the research.
Experimental: experimental group; Participants in the experimental group will be informed the ATP testing result (pretest) and receive the explanation by research assistant.	Behavioral: Technology-assisted Index; The participant will be informed the ATP testing result and explanation in pretest.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Demographics	gender, age, education, nursing job tenure, job tenure in ward	Pre-test
Knowledge of My 5 Moments for Hand Hygiene	The assessment consisted of 5 questions ,including (1)before touching a patient,(2)before clean/aseptic procedures,(3)after body fluid exposure/risk,(4)after touching a patient, (5)and after touching patient surroundings.The participant can get one point for a correct answer.Total scores range from 0 to 5.	Pre-test
Knowledge of My 5 Moments for Hand Hygiene (Post-test)	The assessment consisted of 5 questions ,including (1)before touching a patient,(2)before clean/aseptic procedures,(3)after body fluid exposure/risk,(4)after touching a patient, (5)and after touching patient surroundings.The participant can get one point for a correct answer.Total scores range from 0 to 5.	Immediately after completing the pre-test.
Frequency of performing My 5 Moments for Hand Hygiene	The assessment is a 5-point Likert scale with 5 items ,including (1)before touching a patient,(2)before clean/aseptic procedures,(3)after body fluid exposure/risk,(4)after touching a patient, (5)and after touching patient surroundings,from 1 to 5 that measure the frequency of performing the hand hygiene,so that higher scores indicate higher implementation of My 5 Moments for Hand Hygiene in the last week.	Pre-test
Frequency of performing My 5 Moments for Hand Hygiene (Post-test)	The assessment is a 5-point Likert scale with 5 items ,including (1)before touching a patient,(2)before clean/aseptic procedures,(3)after body fluid exposure/risk,(4)after touching a patient, (5)and after touching patient surroundings,from 1 to 5 that measure the frequency of performing the hand hygiene,so that higher scores indicate higher belief of conducting My 5 Moments for Hand Hygiene in the next week.	Immediately after completing the pre-test.
Attitude on hand hygiene	The assessment is a 5-point Likert scale with 1 items ,including the general attitude about the hand hygiene on working,so that higher scores indicate higher confident of hand hygiene.	Pre-test
Attitude on hand hygiene (Post-test)	The assessment is a 5-point Likert scale with 1 items ,including the general attitude about the hand hygiene on working,so that higher scores indicate higher confident of hand hygiene.	Immediately after completing the pre-test.
ATP testing	The 3M™ Clean-Trace™ Surface ATP test is a single-use test device that contains a swab for the collection of a sample from a surface. The swab is pre-moistened with a cationic agent to aid in the collection of soil and the release of Adenosine Tri-Phosphate (ATP) from intact cells.Upon activation of the test, reagent in the cuvette of the test device reacts with ATP collected on the swab to produce light.The intensity of the light is proportional to the amount of ATP and therefore the degree of contamination. Measurement of the light requires the use of a 3M™ Clean-Trace™ NG Luminometer and the results are displayed in Relative Light Units (RLU).ATP is an indicator of organic residues and microorganisms. Detection of ATP is used to rapidly assess the standards of hygiene and sanitation procedures for surfaces and equipment.	Pre-test
ATP testing (Post-test)	The 3M™ Clean-Trace™ Surface ATP test is a single-use test device that contains a swab for the collection of a sample from a surface. The swab is pre-moistened with a cationic agent to aid in the collection of soil and the release of Adenosine Tri-Phosphate (ATP) from intact cells.Upon activation of the test, reagent in the cuvette of the test device reacts with ATP collected on the swab to produce light.The intensity of the light is proportional to the amount of ATP and therefore the degree of contamination. Measurement of the light requires the use of a 3M™ Clean-Trace™ NG Luminometer and the results are displayed in Relative Light Units (RLU).ATP is an indicator of organic residues and microorganisms. Detection of ATP is used to rapidly assess the standards of hygiene and sanitation procedures for surfaces and equipment.	Immediately after completing the pre-test.

Collaborators and Investigators

• Sponsor: National Taiwan University Hospital
• Investigators: Principal Investigator: Wei-Wen Wu, PhD, National Taiwan University, College of Medicine

Study record dates

Study Major Dates

• Study Start (Actual): August 10, 2020
• Primary Completion (Anticipated): May 1, 2022
• Study Completion (Anticipated): May 1, 2022

Study Registration Dates

• First Submitted: August 5, 2020
• First Submitted That Met QC Criteria: August 9, 2020
• First Posted (Actual): August 11, 2020

Study Record Updates

• Last Update Posted (Actual): September 9, 2020
• Last Update Submitted That Met QC Criteria: September 7, 2020
• Last Verified: July 1, 2020

More Information

Terms related to this study

• Keywords: nurse; ATP; hand washing
• Other Study ID Numbers: 202006019RINB

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No