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How Can We Improve Cleaning & Disinfection Practices to Reduce HAI Transmission?

APR 06, 2017 | KRISTI ROSA
Furthermore, Dr. Calfee and his colleagues were able to quantify some barriers that the workers were up against, which included “pushback from patients regarding cleaning in their immediate vicinity and clutter in the environment,—both of which inhibited daily cleaning activities—interruptions, lack of clarity regarding cleaning responsibilities, and some larger cultural issues such as perceived lack of appreciation and respect from other HCWs, and a concern about not wanting to get near patients for cleaning because they world disturb and interrupt them and interfere with their healing process.”
Dr. Calfee then shared a project that they have been carrying out to “address more of those adaptive issues that we’ve identified.” The project entails an interactive educational series consisting of five sessions, as follows:
  1. Introduction to HAI and Infection Prevention;
  2. Hand Hygiene and Isolation Precautions;
  3. Discharge Cleaning;
  4. Daily Cleaning; and
  5. Common Challenges and Barriers.
So, has the program effective? To evaluate this, Dr. Calfee and his team used the Kirkpatrick Model for evaluating the effectiveness of training, which consists of four levels: 1) Reaction; 2) Learning; 3) Behavior; 4) Results.

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