The influence of the education for hand hygiene compliance combined with PDCA circle on the nosocomial infection

Abstract

Objective To explore the influence of the education for hand hygiene compliance combined with PDCA circle on the nosocomial infection. Methods From March 2013 to September 2015, nursing staffs in our hospital from respiration medicine, oncology department and gynecological clinic were given the hand hygiene compliance education and PDCA circle.And the results were cleared up and observed.The qualification rate of hospital environment monitoring, the implementation rate of the prevention measures for hospital infection, the infection incidence of relevant indicators before and after the experiment were compared. Results After implementing, it was evident that the infection rate of clinic of gynaecology and obstetrics was decreased from 16.29% to 2.47%.The infection rate of oncology department was decreased from 27.12% to 16.10%.The infection rate of respiration medicine was decreased from 51.16% to 21.71%.And the differences were statistically significant.It was found that the air culture of the treatment room and the qualification rate of bacteriology monitoring of the objects' surface were significantly improved after monitoring the hospital's environment after the implementation of clinical experiment.The qualification rate of air culture of the treatment room was promoted from 91.21% to 96.76%.The qualification rate of bacteriology-monitoring of objects' surface was promoted from 86.78% to 93.44%.And the differences were statistically significant.The practice qualification rate of the medical staffs before and after the implementation were compared.The practice qualification rate was significantly improved after the implementation of PDCA circle.The qualification rate after the implementation was nearly 100%.And the difference was statistically significant by comparing the data before and after the implementation.In terms of the comparison of the way of infection of the patients before and after the implementation of the relevant experiment, the infection rate caused by the vagina, urinary tract and skin incision was significantly decreased in the obstetrics and gynecology department.The respiratory tract infection rate of the oncology department and respiration medicine was significantly decreased.There was statistical significance in terms of the differences between the above ways of infection. Conclusions Hand hygiene compliance education combined with PDCA circle can effectively reduce the incidence of hospital infection, improve the normalization of operation of medical staffs.It is meaningful for the research of microbial infection.It worth a clinical promotion and further study. Key words: Hand hygiene compliance education; PDCA circle; Nursing management; Hospital infection