A Motivational interview and teach back: effectiveness on the rate of hand hygiene compliance in ICU Nurses
Vol. 65 No. 2 (2024), Nursing
Vol. 65 No. 2 (2024)

A Motivational interview and teach back: effectiveness on the rate of hand hygiene compliance in ICU Nurses

Nursing
https://doi.org/10.15167/2421-4248/jpmh2024.65.2.2484
Published 2024-08-02 — Updated on 2024-08-02
zohreh Vafadar
Associate Professor of Nursing. Health Management Research Center. Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran. zohrehvafadar@gmail.com. ORCID ID: 0000-0002-3079-2796
Zeinab Abbasi
Mohsen Mollahadi
Feryal Khamseh

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Keywords

Hand Hygiene, Motivational Interview, Teach back, Nurses, Intensive Care Unit

Abstract

Introduction: Hand hygiene in nurses is the most effective factor in controlling nosocomial infections. The objective of this study was to compare the effectiveness of motivational interview and teach back on the rate of hand hygiene compliance in Intensive Care Unit nurses.

Methods: A quasi-experimental study with pre-test and post-test design was performed. Three Intensive Care Units with 88 nurses were randomly divided into three study groups. The control group received only the usual hospital teaching in hand hygiene, the experimental groups 1 and 2, in addition to the usual teaching, they received motivational interview and teach back in five weekly sessions, respectively. The rate of hand hygiene compliance in nurses was measured by Hand Hygiene Practices Inventory (HHPI).

Results: There was a statistically significant difference for the rate of hand hygiene compliance before and after the intervention in the study groups with (P <0.001). In comparison before and after, in experimental group 1, the rate of hand rub increased from 8% to 18.5% and the rate of hand wash from 1.5% to 22%; and in the experimental group 2, these values ​​increased from 4% to 19.5% in hand rub and from 3.5% to 17% in hand wash, respectively. However, in the control group, the rate of hand hygiene compliance before and after the test did not show a statistically significant difference with (p value> 0.05).

Conclusion:  Motivational interview and teach back methods were effective in promoting hand hygiene compliance in nurses and thus improve the control of nosocomial infections.

https://doi.org/10.15167/2421-4248/jpmh2024.65.2.2484
pdf

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