Please use this identifier to cite or link to this item: https://www.um.edu.mt/library/oar/handle/123456789/55962
Title: Train-the-trainers in hand hygiene : a standardized approach to guide education in infection prevention and control
Authors: Tartari Bonnici, Ermira
Fankhauser, Carolina
Masson-Roy, Sarah
Márquez-Villarreal, Hilda
Fernández Moreno, Inmaculada
Rodriguez Navas, Ma Luisa
Sarabia, Odet
Bellissimo-Rodrigues, Fernando
Hernández-de Mezerville, Marcela
Fong Lee, Yew
Aelami, Mohammad Hassan
Mehtar, Shaheen
Agostinho, Americo
Camilleri, Liberato
Allegranzi, Benedetta
Pires, Daniela
Pittet, Didier
Keywords: Hand washing
Hygiene
Cross infection -- Prevention
Health facilities -- Standards
Hand -- Care and hygiene
Infection -- Prevention
Issue Date: 2019
Publisher: BMC
Citation: Tartari, E., Fankhauser, C., Masson-Roy, S., Márquez-Villarreal, H., Moreno, I. F., Navas, M. L. R., ... & Aelami, M. H. (2019). Train-the-Trainers in hand hygiene: a standardized approach to guide education in infection prevention and control. Antimicrobial Resistance & Infection Control, 8(1), 206.
Abstract: Background Harmonization in hand hygiene training for infection prevention and control (IPC) professionals is lacking. We describe a standardized approach to training, using a “Train-the-Trainers” (TTT) concept for IPC professionals and assess its impact on hand hygiene knowledge in six countries.
Methods We developed a three-day simulation-based TTT course based on the World Health Organization (WHO) Multimodal Hand Hygiene Improvement Strategy. To evaluate its impact, we have performed a pre-and post-course knowledge questionnaire. The Wilcoxon signed-rank test was used to compare the results before and after training.
Results Between June 2016 and January 2018 we conducted seven TTT courses in six countries: Iran, Malaysia, Mexico, South Africa, Spain and Thailand. A total of 305 IPC professionals completed the programme. Participants included nurses (n = 196; 64.2%), physicians (n = 53; 17.3%) and other health professionals (n = 56; 18.3%). In total, participants from more than 20 countries were trained. A significant (p < 0.05) improvement in knowledge between the pre- and post-TTT training phases was observed in all countries. Puebla (Mexico) had the highest improvement (22.3%; p < 0.001), followed by Malaysia (21.2%; p < 0.001), Jalisco (Mexico; 20.2%; p < 0.001), Thailand (18.8%; p < 0.001), South Africa (18.3%; p < 0.001), Iran (17.5%; p < 0.001) and Spain (9.7%; p = 0.047). Spain had the highest overall test scores, while Thailand had the lowest pre- and post-scores. Positive aspects reported included: unique learning environment, sharing experiences, hands-on practices on a secure environment and networking among IPC professionals. Sustainability was assessed through follow-up evaluations conducted in three original TTT course sites in Mexico (Jalisco and Puebla) and in Spain: improvement was sustained in the last follow-up phase when assessed 5 months, 1 year and 2 years after the first TTT course, respectively.
Conclusions The TTT in hand hygiene model proved to be effective in enhancing participant’s knowledge, sharing experiences and networking. IPC professionals can use this reference training method worldwide to further disseminate knowledge to other health care workers.
URI: https://www.um.edu.mt/library/oar/handle/123456789/55962
Appears in Collections:Scholarly Works - FacSciSOR

Files in This Item:
File Description SizeFormat 
Train_the_trainers_in_hand_hygiene.pdf694.09 kBAdobe PDFView/Open


Items in OAR@UM are protected by copyright, with all rights reserved, unless otherwise indicated.