Active Integration of Patients into Infection Control, as perceived by Health Care Professionals: Results of the AHOI Pilot Study

Abstract

Stephan Diedrich,1,* Tillmann Görig,2,* Kathleen Dittmann,2 Axel Kramer,3 Claus-Dieter Heidecke,1 Nils-Olaf Hübner2 1Department of General Surgery, Visceral, Thoracic and Vascular Surgery, Universitätsmedizin Greifswald, Greifswald, Germany; 2Central Unit for Infection Prevention and Control, Universitätsmedizin Greifswald, Greifswald, Germany; 3Institute of Hygiene and Environmental Medicine, Universitätsmedizin Greifswald, Greifswald, Germany*These authors contributed equally to this workCorrespondence: Tillmann GörigAHOI-Projekt, Zentralbereich Hygiene, Universitätsmedizin Greifswald, Walther-Rathenau-Straße 49a, Greifswald 17475, GermanyTel [phone]Fax [phone]Email [email protected]: Medical professionals have a key role in active patient involvement in infection control and prevention (ICP). ICP of hospital-associated infections is critical for patient safety and requires targeted integration of patients and their relatives. The possibilities of proper involvement are identified, tested and realized in the innovative AHOI project. Its acronym stands for Activation, Help, Open communication and Infection prevention. The project is based on the three dimensions acceptance, empowerment and adherence. The results presented here are from a health-care professional (HCP) focused part of a pilot study to implement AHOI intervention. This section aimed at the HCPs’ evaluation of the intervention material, their perception and acceptance of the adherence and empowerment of patients, as well as the perception of their and colleagues’ own behavior.Methods: The cross-sectional survey was conducted with a questionnaire at two surgical wards of a third-level hospital for 14 weeks. All HCPs with contact to patients were entitled to voluntarily participate in the study. AHOI instruments such as visual reminder, videos for patients and the AHOI-box were implemented on the wards. Additionally, the ward personnel received a psychological and practical train-the-trainer curriculum.Results: Sixty-nine questionnaires were handed out and 29 returns were analyzed. The results show a strong identification and acceptance of HCPs with their role in the AHOI project. No additional workload was perceived by implementing AHOI. Teaching of medical professionals and information materials are seen as good supports. HCPs are empowering hygienic behavior in patients and colleagues. HCPs observed increasing adherence of patients.Conclusion: HCPs positively perceived acceptance, support and identification with the ideas of the AHOI project. Therefore, since HCPs are key for patients and their relatives, AHOI intervention seems to be a feasible instrument and aid in implementing national and international recommendations for hygienic behavior.Keywords: healthcare professional, patient involvement, patient empowerment, patient adherence, patient safety, infection control

Keywords

• healthcare professional
• patient involvement
• patient empowerment
• patient adherence
• patient safety
• infection control