Does size matter? The impact of a small but targeted cleaning training intervention within a paediatric wardThe 5 component cleaning bundle

Stacey Rawlinson; Faiza Asadi; Helen Saraqi; Barbara Childs; Lena Ciric; Elaine Cloutman-Green

Infection Prevention in Practice (Dec 2020)

Does size matter? The impact of a small but targeted cleaning training intervention within a paediatric wardThe 5 component cleaning bundle

Stacey Rawlinson,
Faiza Asadi,
Helen Saraqi,
Barbara Childs,
Lena Ciric,
Elaine Cloutman-Green

Affiliations

Stacey Rawlinson: Department of Civil, Environmental and Geomatic Engineering, University College London, Chadwick Building, London, UK; Corresponding author. Department of Civil, Environment and Geomatic Engineering, University College London, Chadwick Building, Room 222, WC1E 6BT, UK.
Faiza Asadi: Great Ormond Street Hospital NHS Foundation Trust, Camellia Botnar Laboratories, Department of Microbiology, London, UK
Helen Saraqi: Great Ormond Street Hospital NHS Foundation Trust, Camellia Botnar Laboratories, Department of Microbiology, London, UK
Barbara Childs: Great Ormond Street Hospital NHS Foundation Trust, Cardiac Intensive Care Unit, London, UK
Lena Ciric: Department of Civil, Environmental and Geomatic Engineering, University College London, Chadwick Building, London, UK
Elaine Cloutman-Green: Department of Civil, Environmental and Geomatic Engineering, University College London, Chadwick Building, London, UK; Great Ormond Street Hospital NHS Foundation Trust, Camellia Botnar Laboratories, Department of Microbiology, London, UK

Journal volume & issue: Vol. 2, no. 4
p. 100083

Abstract

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Summary: Background: Cleaning is a critical tool for infection prevention and control, and is a key intervention for preventing healthcare associated infections (HCAIs) and controlling intermediate transmission routes between patient and environment. This study sought to identify potential areas of weakness in clinical surface cleaning, and assess the effectiveness of a staff group specific training intervention. Observations: One-hundred hours of audit observations in a paediatric cardiac intensive care unit (CICU) assessed surface cleaning technique of healthcare staff within bedspaces. Cleaning was assessed with a 5-component bundle, with each cleaning opportunity scored out of five. Training Intervention: Fifty hours of audit observations before and after a training intervention tested the efficacy of a staff group specific education intervention. The intervention was developed and implemented for 69% of nurses and 100% of cleaners. Results: One hundred and eighteen cleaning opportunities were observed before training, and scored an average of 2.4. One hundred and twenty-one cleaning opportunities were observed after training and scored an average 3.0. On average, before training, each cleaning opportunity by nurses and cleaners fulfilled 2.4 and 2.5, respectively, of the 5 bundle components. Following training, this improved to 3.3 and 2.9 respectively. There was a statistically significant improvement in bundle scores for nurses (P=.004) and cleaners (P=.0003). Conclusions: Surface wipe methods were inconsistent between all staff groups. The education based intervention resulted in a small improvement in most of the cleaning components. This study has identified how a small but targeted cleaning training intervention can have a significant (P= <.0001) impact on cleaning bundle compliance for both nurses and cleaners.

Published in Infection Prevention in Practice

ISSN: 2590-0889 (Online)
Publisher: Elsevier
Country of publisher: United Kingdom
LCC subjects: Medicine: Internal medicine: Infectious and parasitic diseases; Medicine: Public aspects of medicine
Website: https://www.journals.elsevier.com/infection-prevention-in-practice

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