Applied infection prevention amp control interventions programme The SHIP Research G roup Safeguarding Health through Infection Prevention Scottish HAI Prevention Institute SHAIPI Consortium ID: 783455
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Dr Lesley Price on behalf of:Applied infection prevention & control interventions programmeThe ‘SHIP’ Research Group (Safeguarding Health through Infection Prevention)Scottish HAI Prevention Institute (SHAIPI) Consortium
Infection prevention and control: developing the evidence, challenging the interventions and moving towards implementation science
Slide2Overview of presentation:
The Problem
Our contributions
Slide3Evidence for the effectiveness of the WHO 6 step hand hygiene technique
Slide4Follow up studies from the 3v6 RCT – could it be how we teach it? Inconclusive re multimodal or single intervention more effective.Lack of robust design & theoretical underpinning.
1 year follow up no significant difference in recall of the 6 steps between participants and non-participants.
Slide5Need to think beyond the practitioner what can healthcare facilities and countries do? Interventions were categorised according to type: multimodal, education, care bundles, policy, surveillance and monitoring and feedback.Evidence of effectives in all categories but best evidence for multimodal interventions and monitoring and feedback.
ImpactProvided evidence for the WHO Core Components for National IPC guidance.
Slide6Currently PhD project exploring the contribution of each of the 6 steps in reducing the bacterial load.Currently conducting a systematic review on hand hygiene with regard to volume of product, time and hand size. Developing a CRT comparing normal practice against 3 different adapted 6 step techniques.
Next steps: continuing to develop the evidence base for the most effective hand hygiene technique
Slide7Currently undertaking study looking at how many days deliberate practice is required before proficiency is developed.Next steps: challenging hand hygiene interventions
Developing a CRT to test the contribution of each of the 5 components of the WHO multimodal hand hygiene
strategy.
Slide8Next steps: developing the evidence base for implementation of IPC guidelines2 PhD projects evaluating the process of implementing the WHO’s Core Component for IPC Guidelines:National level in Brazil & Scotland
Hospital level in Uganda
Slide9SHAIPI’s predecessor (SIRN) funded a study that initiated this programme of work (3v6 RCT).SHAIPI has facilitated a programme of work bulding on this study by:
Funding a systematic review on hand hygiene techniquesFunding an overview of systematic reviews on hand hygiene interventions
Funding an evaluation of a Guinness World Record
Funding a PhD studentship
Pump
priming the Systematic Review on National IPC intervention
Currently
funding the Deliberate Practice Study & the development of 2 CRTs.
Summary & conclusion:
Slide10In addition in recognition of this programme of work GCU has matched funded two other PhD studentships.The work within this programme has been acknowledged by the CDC, WHO & SHEA and changed the WHO’s IPC guidelines.This programme of work is contributing to the evidence base for hand hygiene and other IPC interventions, has had international impact & has and is contributing to IPC research capacity building.
Slide11Thank you.Any questions?l.price@gcu.ac.uk