WHO Guidelines on Hand Hygiene in Health Care - Safe Care ...

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<strong>WHO</strong> GUIDELINES ON HAND HYGIENE IN HEALTH CARE 7. Strategy and resources for developing, implementing, and evaluating a patient/healthcare worker empowerment programme in a health-care facility or community Patient/HCW empowerment programmes should form one component of an evidence-based multimodal hand hygiene improvement strategy. Table V.7.1 presents a template of a strategy to develop an empowerment programme in a health-care community by providing several steps for ownership, programme review, development, implementation, and evaluation. Each step identifies a task, or tasks, with the process that is needed to complete each one. Background information and resources are cross-referenced with the text of the guidelines, as well as with Appendix 6 for the survey results. Table V.7.1 Template of a strategy to develop an empowerment programme) 1. Ownership: develop a shared responsibility Task Process <strong>Guidelines</strong> (Part V) Section no. Introduce empowerment in the context of hand hygiene improvement to key decisionmakers Present the evidence-based multimodal Hand Hygiene Improvement Strategy to key decision-makers Discuss <strong>WHO</strong> commitment for improving hand hygiene (through lobbying for adoption of recommendations in the <strong>WHO</strong> <strong>Guidelines</strong>) Highlight better outcomes by using multimodal Hand Hygiene Improvement Strategy approach 4, 5 2 3.4, 4 Share results of the <strong>WHO</strong> patient survey in your region Appendix 6, Table 2 Determine the most appropriate terminology to describe empowerment in your culture or community Establish your core support network Decide on wording that is positive, not easily misunderstood, and appropriate for your community/ organization. Some of the most common terminology: — patient empowerment — patient involvement — patient participation — patient engagement Identify sources for individual and organizational support. Suggestions: — HCWs — community leaders — champions of health-care causes — patient advocates — advisers Form a support/action team responsible for making hand hygiene initiatives top priority To ensure involvement, implement the step of positive deviance 1, 2 3.4 3.4, 4.1.1 3.4 196
PART V. PATIENT INVOLVEMENT IN HAND HYGIENE PROMOTION Table V.7.1 Template of a strategy to develop an empowerment programme (Cont.) 2. Review existing empowerment models/programmes Task Empowerment models <strong>Guidelines</strong> (Part V) Section Research existing empowerment programmes for information on how they are structured and implemented. Four types are listed here Multimodal 4 Education 5.2.1 Motivation 5.2.2 Role modelling 5.2.3 3. Programme development: know your organization Task Process <strong>Guidelines</strong> (Part V) Section no. Review and understand current knowledge, skills, and attitudes of HCWs and patients at your healthcare facility Establish each team member’s role 4 Evaluate your current knowledge and perception of hand hygiene and target areas to seek additional information – use <strong>WHO</strong> Knowledge and Perception Surveys 4, Appendix 6, Table 6 Evaluate your team’s skills 4 Evaluate the degree to which you have a facilitating environment for empowerment Evaluate the willingness of patients and HCWs to participate in empowerment Evaluate the barriers of patients and HCWs to participation in empowerment 4 4.1.1, Appendix 6, Figure 4 4.1.2, Appendix 6, Table 3, Figure 2 Understand <strong>WHO</strong> survey expectations Appendix 6,Table 5 Review and understand patient factors that may present challenges to implementing the programme. Use knowledge and skills to design tasks that overcome challenges Review and understand HCW factors which may present challenges to implementing the programme. Use knowledge and skills to design tasks that overcome challenges Understanding of self-empowerment 3.1, 4.1.1 Willingness to be in a partnership with HCWs 4.1.1 Understand how respect is shown towards HCWs (reinforced directly or subliminally by HCWs) Understand cultural barriers that patients may have towards communicating with their HCW Attitudes towards patient input 3.1 4.1.2 4.1.2 Availability and use of printed materials 5.2.1 Availability and use of visual reminders 5.2.2 Attitudes towards the message: HCW + patient partnership 5.2.3 Degree of agreement with the <strong>WHO</strong> survey – patient responses 6.6, Appendix 6, Figure 3, Table 2 Plan and develop educational materials based on your organization’s norms Include patient input in the design and wording of your materials Design printed materials 5.2.1, 5.2.2 5.1, Appendix 6, Tables 4 & 5 Design visual reminders 5.2.2 All materials should promote the message: HCW + patient partnership Incorporate insight and local understanding from <strong>WHO</strong> survey – patient responses Appendix 6, Tables 4 & 6 Appendix 6, Figure 1, Table 4 197
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