Hand Hygiene Practices and Microbial Contamination on Feeding Tubes and Other Components of Feeding Systems
|ClinicalTrials.gov Identifier: NCT04240132|
Recruitment Status : Active, not recruiting
First Posted : January 27, 2020
Last Update Posted : January 29, 2020
Enteral feeding tube (EFT) and component of feeding systems can serve as a reservoir of microorganisms, and the main reason is inappropriate hand hygiene practices. The aim of the project is to determine colonization of microorganisms on the EFT and other components and assess the relation between colonization and adherence to hand hygiene practices by healthcare workers in the intensive care unit.
This prospective, observational and semi-experimental study will be conducted in one year. The project will be completed with healthcare workers and 51 patients who are feeding enteral route via nasogastric tube at least for three days. The researchers will provide training to healthcare workers in accordance with the World Health Organization (WHO) Hand Hygiene Guidelines. Hand hygiene behaviors of the participants will be observed and the question forms will be filled before and after training by researchers. The samples for microbial analysis will be collected from the EFT by sterile swaps.
|Condition or disease||Intervention/treatment||Phase|
|Enteral Nutrition Microbial Colonization Adherence||Other: Adherence to Hand Hygiene||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||51 participants|
|Intervention Model:||Single Group Assignment|
|Intervention Model Description:||Prospective, observational and semi-experimental (mix method)|
|Masking:||None (Open Label)|
|Official Title:||Relation Between Adherence to Hand Hygiene Practices by Healthcare Providers Working in Intensive Care Unit and Microbial Contamination on Feeding Tubes and Other Components of Feeding Systems|
|Actual Study Start Date :||January 2, 2020|
|Estimated Primary Completion Date :||April 25, 2020|
|Estimated Study Completion Date :||June 1, 2020|
Experimental: Adherence to hand hygene
The face-to-face interview will be held in an appropriate empty room in the intensive care unit (ICU) in a time schedule suitable for the healthcare workers. The researchers will provide training to healthcare workers working in the ICU in accordance with the World Helath Organization (WHO) Hand Hygiene Guidelines. One day training on nursing interventions related to enteral feeding treatment will be provided to nurses and their questions will be answered. At the end of the each training, trainees will be given a data collection form to assess the effectiveness of the training.
Other: Adherence to Hand Hygiene
determine the colonization of microorganisms due to microbial reproduction on the external surface of the distal end of the enteral feeding tube (EFT), hub of the EFT and other feeding system components and assess the relation between the colonization and adherence to hand hygiene practices by nurses and other healthcare workers
- Adherence to hand hygiene at nurses [ Time Frame: up to 12 weeks ]Hand Hygiene Belief Scale will be used. The scale consists of 22 items on individual's beliefs on hand hygiene and perceptions on the importance of hand hygiene. The lowest total score is 22 and the highest total score is 110. Higher scores can be interpreted as having positive beliefs on hand hygiene.
- Adherence to hand hygiene at auxillary service staff [ Time Frame: up to 12 weeks ]Scale for Hand Hygiene Compliance of Auxillary Service Staff will be used. It consist of 21 items and has 4 dimensions; "After contact with patient" (6 items), "Before contact with patient" (6 items), "risk of contact with blood and body fluids" (4 items), "after contact with patient environment" (5 items). The lowest total score is 0 and the highest total score is 84. Higher scores represent higher adherence to hand hygiene.
- Microbial contamination rate [ Time Frame: up to 12 weeks ]The samples for microbial analysis will be collected from internal and external surface of the NGT and other components of the feeding system by sterile swaps from all of the participant patients.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04240132
|Demiroglu Bİlim University|
|Istanbul, Sisli, Turkey, 34360|
|Principal Investigator:||Nurten Ozen||Demiroglu Bilim Üniversitesi|