
Training in the practice of hand hygiene through an online course aimed at the health personnel of a second level hospital of Toluca, Mexico
Abstract
The aim of the study was to determine if training through an online course in the WHO Multimodal strategy improves the hand hygiene compliance of health personnel in a hospital. A quasi-experimental study was carried out that included 600 doctors and nurses from a second-level hospital, in which an online course on hand hygiene and an evaluation of knowledge at the beginning and at the end were used as an intervention maneuver. The course also identified the number of opportunities to practice hand hygiene and its compliance. During 15 months of follow-up, 17,763 opportunities for hand hygiene were detected, a total fulfillment of 7434 actions in that period, and a gap of 41.1% between the first and fifth semester. The results showed an improvement in the average knowledge of 15 points (76.1 pre and 91.1 post-test) with a significant difference P≤ 0.001. At a global level, adherence to the practice of hand hygiene constitutes a challenge, despite the fact that health professionals are aware of the problems that are generated by the lack of this activity. The study proves to determine that the use of strategies in continuing education is essential to improve the standards of care.