Train-the-Trainers in hand hygiene: a standardized approach to guide education in infection prevention and control

Harmonization in hand hygiene training for infection prevention and control (IPC) professionals is lacking. We describe a standardized approach to training, using a "Train-the-Trainers" (TTT) concept for IPC professionals and assess its impact on hand hygiene knowledge in six countries. We...

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Published in:Antimicrobial resistance & infection control 2019-12, Vol.8 (1), p.206
Main Authors: Tartari, Ermira, Fankhauser, Carolina, Masson-Roy, Sarah, Márquez-Villarreal, Hilda, Fernández Moreno, Inmaculada, Rodriguez Navas, Ma Luisa, Sarabia, Odet, Bellissimo-Rodrigues, Fernando, Hernández-de Mezerville, Marcela, Lee, Yew Fong, Aelami, Mohammad Hassan, Mehtar, Shaheen, Agostinho, Américo, Camilleri, Liberato, Allegranzi, Benedetta, Pires, Daniela, Pittet, Didier
Format: Article
Language:English
Subjects:
Education
Hand Hygiene - methods
Hand Hygiene - standards
Health Personnel
Humans
Infection Control - methods
Infections
Iran
Malaysia
Mexico
Nurses
Physicians
Simulation Training
South Africa
Spain
Surveys and Questionnaires
Thailand
World Health Organization
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container_title Antimicrobial resistance & infection control
container_volume 8
creator Tartari, Ermira
Fankhauser, Carolina
Masson-Roy, Sarah
Márquez-Villarreal, Hilda
Fernández Moreno, Inmaculada
Rodriguez Navas, Ma Luisa
Sarabia, Odet
Bellissimo-Rodrigues, Fernando
Hernández-de Mezerville, Marcela
Lee, Yew Fong
Aelami, Mohammad Hassan
Mehtar, Shaheen
Agostinho, Américo
Camilleri, Liberato
Allegranzi, Benedetta
Pires, Daniela
Pittet, Didier
description Harmonization in hand hygiene training for infection prevention and control (IPC) professionals is lacking. We describe a standardized approach to training, using a "Train-the-Trainers" (TTT) concept for IPC professionals and assess its impact on hand hygiene knowledge in six countries. We developed a three-day simulation-based TTT course based on the World Health Organization (WHO) Multimodal Hand Hygiene Improvement Strategy. To evaluate its impact, we have performed a pre-and post-course knowledge questionnaire. The Wilcoxon signed-rank test was used to compare the results before and after training. Between June 2016 and January 2018 we conducted seven TTT courses in six countries: Iran, Malaysia, Mexico, South Africa, Spain and Thailand. A total of 305 IPC professionals completed the programme. Participants included nurses (n = 196; 64.2%), physicians (n = 53; 17.3%) and other health professionals (n = 56; 18.3%). In total, participants from more than 20 countries were trained. A significant (p 
doi_str_mv 10.1186/s13756-019-0666-4
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We describe a standardized approach to training, using a "Train-the-Trainers" (TTT) concept for IPC professionals and assess its impact on hand hygiene knowledge in six countries. We developed a three-day simulation-based TTT course based on the World Health Organization (WHO) Multimodal Hand Hygiene Improvement Strategy. To evaluate its impact, we have performed a pre-and post-course knowledge questionnaire. The Wilcoxon signed-rank test was used to compare the results before and after training. Between June 2016 and January 2018 we conducted seven TTT courses in six countries: Iran, Malaysia, Mexico, South Africa, Spain and Thailand. A total of 305 IPC professionals completed the programme. Participants included nurses (n = 196; 64.2%), physicians (n = 53; 17.3%) and other health professionals (n = 56; 18.3%). In total, participants from more than 20 countries were trained. A significant (p < 0.05) improvement in knowledge between the pre- and post-TTT training phases was observed in all countries. Puebla (Mexico) had the highest improvement (22.3%; p < 0.001), followed by Malaysia (21.2%; p < 0.001), Jalisco (Mexico; 20.2%; p < 0.001), Thailand (18.8%; p < 0.001), South Africa (18.3%; p < 0.001), Iran (17.5%; p < 0.001) and Spain (9.7%; p = 0.047). Spain had the highest overall test scores, while Thailand had the lowest pre- and post-scores. Positive aspects reported included: unique learning environment, sharing experiences, hands-on practices on a secure environment and networking among IPC professionals. Sustainability was assessed through follow-up evaluations conducted in three original TTT course sites in Mexico (Jalisco and Puebla) and in Spain: improvement was sustained in the last follow-up phase when assessed 5 months, 1 year and 2 years after the first TTT course, respectively. 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subjects Education
Hand Hygiene - methods
Hand Hygiene - standards
Health Personnel
Humans
Infection Control - methods
Infections
Iran
Malaysia
Mexico
Nurses
Physicians
Simulation Training
South Africa
Spain
Surveys and Questionnaires
Thailand
World Health Organization
title Train-the-Trainers in hand hygiene: a standardized approach to guide education in infection prevention and control
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