- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT01419054
Understanding Hand Hygiene Behavior at Unidad Nacional Oncologia Pediatrica (HHFG)
21. november 2013 opdateret af: St. Jude Children's Research Hospital
Understanding Hand Hygiene Behavior at Unidad Nacional Oncologia Pediatrica: A Focus Group Approach
Healthcare associated infections increase morbidity and mortality among all hospitalized patients, especially in those who are immunocompromised, in both developed and in countries with limited resources.
However, when resources are limited, infection prevention and control measures are often overlooked by personnel and institutions.
Hand hygiene has been shown numerous times to be the most effective way to prevent infections in the healthcare setting.
In Unidad Nacional de Oncologia Pediatrica (UNOP) in Guatemala City, Guatemala, there have been several infrastructural improvements and periodic education and promotion activities.
Still, acceptable hand hygiene compliance has not yet been sustainably achieved.
The investigators wish to study reasons why staff at UNOP do or do not practice hand hygiene when it is indicated through the use of focus groups and interviews.
Studieoversigt
Status
Afsluttet
Betingelser
Detaljeret beskrivelse
Healthcare associated infections (HAI) are a concern in all parts of the world.
Patients who are immune-compromised by chemotherapy, HIV/AIDS, or organ transplant are especially susceptible to infection.
In addition to the opportunistic infections that these patients are at risk of acquiring, the emergence of methicillin resistant Staphylococcus aureus and vancomycin resistant Enterococcus species pose a risk to healthy individuals as well.
Hand hygiene is one of the most important infection prevention practices for everyone in a hospital.
In resource-poor countries, infection prevention and control programs are often neglected due to a lack of funding and organizational priorities.
The Division of Infectious Diseases - International Outreach (ID-IO) has partnered with several hospitals in Latin America to mentor healthcare providers and provide key supplies so that they deliver the best care and prevent infection in units where the patients have the greatest risk of acquiring and dying from infections.
Because of its importance, ID-IO has focused on hand hygiene as a building block for safe care at these hospitals; therefore, each year, at these hospitals, a hospital-wide education and promotion effort on hand hygiene is completed.
The topics covered are general hospital hygiene, access to hand hygiene stations, and ensuring that adequate supplies for hand hygiene are available.
Observation of hand hygiene practices before, during, and after bedside clinical activities shows there is a temporary improvement in compliance with current hand hygiene guidelines; however, the rates of compliance decline again as HAIs increase.
In this study, the investigators propose to use already available hand hygiene practice surveillance and healthcare associated infection documentation and obtain the healthcare professionals' opinions and experiences that affect the practice of hand hygiene.
Because motivation and barriers to practice hand hygiene derive from more than just education and adequate supplies, the investigators would like to understand the reasons why the healthcare providers do and do not practice hand hygiene when indicated.
The methods to be used in this study are focus group meetings and structured interviews with staff of Unidad Nacional de Oncologia Pediatrica in Guatemala City, Guatemala.
Undersøgelsestype
Observationel
Tilmelding (Faktiske)
55
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
-
-
-
Guatemala, Guatemala, 01011
- Unidad Nacional Oncologia Pediatrica
-
-
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Ja
Køn, der er berettiget til at studere
Alle
Prøveudtagningsmetode
Sandsynlighedsprøve
Studiebefolkning
Health-care providers
Beskrivelse
Inclusion Criteria:
- Position held/job responsibilities of staff at Unidad Nacional de Oncologia Pediatrica in Guatemala City, Guatemala.
Exclusion Criteria:
- Does not hold position or have job responsibilities at Unidad Nacional de Oncologia Pediatrica in Guatemala City, Guatemala.
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Identify changes, if any, in hand hygiene following improvements identified during the focus group sessions aimed at increasing hand hygiene compliance of staff members.
Tidsramme: One (1) year
|
The investigators propose to use already available hand hygiene practice surveillance and healthcare-associated infection documentation and obtain the healthcare professionals' opinions and experiences that affect the practice of hand hygiene to assess: (1) hand hygiene education and promotion; (2) access to hand hygiene supplies at the point of care; and (3) in other specific barriers to practice hand hygiene.
|
One (1) year
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Identify educational, motivational, and infrastructural issues that need to be addressed to increase hand hygiene practice compliance.
Tidsramme: One (1) year
|
Focus group meetings and structured interviews with staff with be used to assess the issues to be addressed.
|
One (1) year
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Efterforskere
- Studiestol: Kyle M. Johnson, PhD, St. Jude Children's Research Hospital
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Hjælpsomme links
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. august 2011
Primær færdiggørelse (Faktiske)
1. juli 2013
Studieafslutning (Faktiske)
1. juli 2013
Datoer for studieregistrering
Først indsendt
15. august 2011
Først indsendt, der opfyldte QC-kriterier
16. august 2011
Først opslået (Skøn)
17. august 2011
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
25. november 2013
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
21. november 2013
Sidst verificeret
1. november 2013
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- HHFG
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
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