Investigation of Fluorescent Concretization Intervention on Intensive Care Nurses' Hand Hygiene Training

NCT06572176 | Completed

• 1 other identifier: 2021-7/18
• Study Type: interventional
• Target: 76
• Locations: 1 country
• Sites: 1

Brief Summary

Aim: The primary objective was to assess the effect of fluorescent concretization intervention on intensive care nurses' hand-washing efficiency, skill performance, and duration scores during the training process. A secondary objective was to investigate the intensive care nurses to determine their level of hand hygiene knowledge before and after the training. Design: Cluster-randomised controlled pretest-posttest and follow-up research design was used. Methods: This study was conducted at a tertiary hospital in XX province, Türkiye. Seventy-six nurses from intensive care units participated in hand hygiene training. In addition to routine hand hygiene training, the participants in the intervention group (n=39) had their hand washing efficiency evaluated using ultraviolet A light. The dirty spots were shown to the participants, and the reasons were discussed. The participants in the control group (n=37) received hand washing training without fluorescent concretization and ultraviolet light intervention. The Hand Hygiene theoretical information is an evidence-based workplace intervention delivered by trained facilitators across two training. Hand Hygiene Information Forms were administered upon registration and before randomisation of all participants immediately after the final training. Two independent researchers observed Hand Washing Skill Checklist and Efficacy forms in three follow-ups (before training, 15 days after training, and four months after training).

Conditions

Hand; Health Care Associated Infection; Training Group, Sensitivity

Keywords

health care associated infections; fluorescent; hygiene; intensive care units

Outcome Measures

Primary Outcomes (1)

• Hand Washing Skill Efficacy (HWSE)

  The hands were examined in seven areas: the palm, the back of the hand, and between the fingers, specifically the thumb, fingertips, nails, the anterior side of the wrist, and the posterior side. Under the UV light, dirty spots were marked separately for the right and left hands. The dirty spot was calculated as 1 point, and the clean spot was calculated as 0 points. 0-3-point range was considered clean; 4-7 point range was considered dirty (Škodová et al., 2015). ICC coefficient was 0.98 for the right HWSE before training, 1.0 after 15 days, and 1.0 at four months after training. The ICC coefficient was 0.96 for the left HWSE before training, 1.0 at 15 days after training, and 1.0 at four months after training. Two independent researchers completed this form in three repeated follow-ups.

  through study completion, an average 1 year

Secondary Outcomes (1)

• Hand Hygiene Information Form (HHIF)

  through study completion, an average 1 year

Study Arms (2)

Experimental: With fluorescent concretization group

EXPERIMENTAL

Nurses were given the fluorescent lotion and asked to apply it all over their hands. The CE-certified test lotion is in gel form and is safety-approved. The lotion disperses particles the same size as bacteria on the skin. These particles settle on the skin, similar to the behavior of microorganisms, but disappear with hand washing under the influence of fluorescent light. They were then asked to wash their hands with 4 ml of soap. Two researchers marked the hand washing steps independently using the "Hand Washing Skill Checklist." The duration of hand washing was recorded with a mobile stopwatch for each participant. Hand washing efficiency was evaluated using the "Derma Litecheck" device. UV rays were used after using the test lotion and drying the hands. Since any fluorescent material left on the hands would shine under UV light, it was possible to judge how well the hands were cleansed. The dirty spots were shown to the participants, and the reason for this was discussed.

Behavioral: With fluorescent concretization group

Control: Without fluorescent concretization group

NO INTERVENTION

The same interventions were repeated without fluorescent concretization and UV-A light intervention.

Interventions

With fluorescent concretization group BEHAVIORAL

Nurses were given the fluorescent lotion and asked to apply it all over their hands. The CE-certified test lotion is in gel form and is safety-approved. The lotion disperses particles the same size as bacteria on the skin. These particles settle on the skin, similar to the behavior of microorganisms, but disappear with hand washing under the influence of fluorescent light. They were then asked to wash their hands with 4 ml of soap. Two researchers marked the hand washing steps independently using the "Hand Washing Skill Checklist." The duration of hand washing was recorded with a mobile stopwatch for each participant. Hand washing efficiency was evaluated using the "Derma Litecheck" device. UV rays were used after using the test lotion and drying the hands. Since any fluorescent material left on the hands would shine under UV light, it was possible to judge how well the hands were cleansed. The dirty spots were shown to the participants, and the reason for this was discussed.

Also known as: fluorescent concretization group

Experimental: With fluorescent concretization group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• nurses who have not received previous training on UVA-supported hand hygiene devices
• nurses who have not visibly damaged skin integrity on the hands
• Nurses are willing to participate in the study and take primary responsibility for patient care.
• nurses who have six months or more of intensive care experience

You may not qualify if:

• nurses who have received previous training on UVA-supported hand hygiene devices.
• nurses who do not have visibly damaged skin integrity on the hands.
• Nurses are willing to participate in the study and take primary responsibility for patient care.
• nurses who have six months or less of intensive care experience

Sponsors & Collaborators

• Uludag University: lead

Study Sites (1)

Bursa Uludag University Health Sciences Faculty of the Nursing Department

Nilufer, Bursa, 16059, Turkey (Türkiye)

Location

Related Publications (5)

• Bounou L, Katelani S, Panagiotopoulou KI, Skouloudaki AI, Spyrou V, Orfanos P, Lagiou P. Hand hygiene education of Greek medical and nursing students: A cross-sectional study. Nurse Educ Pract. 2021 Jul;54:103130. doi: 10.1016/j.nepr.2021.103130. Epub 2021 Jun 28.

  PMID: 34246184 BACKGROUND

• Cambil-Martin J, Fernandez-Prada M, Gonzalez-Cabrera J, Rodriguez-Lopez C, Almaraz-Gomez A, Lana-Perez A, Bueno-Cavanillas A. Comparison of knowledge, attitudes and hand hygiene behavioral intention in medical and nursing students. J Prev Med Hyg. 2020 Apr 2;61(1):E9-E14. doi: 10.15167/2421-4248/jpmh2020.61.1.741. eCollection 2020 Mar.

  PMID: 32490263 BACKGROUND

• Diefenbacher S, Fliss PM, Tatzel J, Wenk J, Keller J. A quasi-randomized controlled before-after study using performance feedback and goal setting as elements of hand hygiene promotion. J Hosp Infect. 2019 Apr;101(4):399-407. doi: 10.1016/j.jhin.2019.02.001. Epub 2019 Feb 8.

  PMID: 30738912 BACKGROUND

• Du Q, Zhang D, Hu W, Li X, Xia Q, Wen T, Jia H. Nosocomial infection of COVID-19: A new challenge for healthcare professionals (Review). Int J Mol Med. 2021 Apr;47(4):31. doi: 10.3892/ijmm.2021.4864. Epub 2021 Feb 4.

  PMID: 33537803 BACKGROUND

• Yilmaz H, Ayhan D, Yilmaz D, Ozen Y. Investigation of Fluorescent Concretisation Intervention on Intensive Care Nurses' Hand Hygiene Training According to the Kirkpatrick Model: A Cluster Randomised Controlled Study. Nurs Crit Care. 2025 Sep;30(5):e70141. doi: 10.1111/nicc.70141.

  PMID: 40814898 DERIVED

MeSH Terms

Conditions

Cross Infection; Hypersensitivity

Condition Hierarchy (Ancestors)

Infections; Iatrogenic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Immune System Diseases

Study Officials

• Hülya YILMAZ, Phd, Msc

  Bursa Uludag University, Faculty of Health Sciences

  PRINCIPAL INVESTIGATOR

• Dilan Ayhan, Msc

  Health Research and Application Center, Faculty of Medicine, Bursa Uludag University

  STUDY CHAIR

• Dilek YILMAZ, Phd, Msc

  Bursa Uludag University, Faculty of Health Sciences

  STUDY CHAIR

• Yılmaz Özen, Professor

  Health Research and Application Center, Faculty of Medicine, Bursa Uludag University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Because of the nature of the device and the procedure of fluorescent, blinding couldn't be performed.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: A cluster-randomized controlled pretest-posttest and follow-up research design were used.

Study Record Dates

• First Submitted: August 21, 2024
• First Posted: August 27, 2024
• Study Start: July 17, 2021
• Primary Completion: November 15, 2021
• Study Completion: October 10, 2022
• Last Updated: August 27, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)