Question

Conclusion of health and hygine project

Answer 1

Avoidable harm continues to occur to patients receiving health care, because of the unreliable systems and strategies that mitigate against optimal hand hygiene compliance. As part of the continued global effort to ensure that no patient is unavoidably harmed through lack of compliance with hand hygiene, consideration should be given to nationally-coordinated programmes (in some cases campaigns) to promote and sustain hand hygiene improvement, keeping the issue in the national spotlight1072 and ensuring effective implementation of guidelines that have an impact on hand hygiene at the bedside. Noar1066emphasizes that even taking into account the numerous caveats associated with campaigning, it is likely that targeted, well-executed mass media health campaigns can have some effects on health knowledge, beliefs, attitudes, and behaviour. The existence of guidelines does not in itself improve hand hygiene compliance. Therefore, the added impetus provided by a nationally coordinated campaign or programme, with some form of monitoring and evaluation, targets and regulation, has been demonstrated to provide a powerful adjunct to local implementation. In particular, to raise awareness of the issue and elevate it to a level of prominence that might not be realized in the absence of a nationally coordinated activity. For hand hygiene improvements to succeed within an integrated safety and infection control agenda, national-level approaches should be considered.


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