ABSTRACT

Hand hygiene is the cornerstone of infection prevention but is poorly undertaken and under-appreciated by medical, nursing, and other health care students. This systematic review aimed to identify and describe strategies used to teach the theory and practice of hand hygiene, determine impact on knowledge and practice, and identify need for future education and research. Ten studies met the criteria for review. Health care students’ theoretical knowledge of hand hygiene and their ability to practise are suboptimal and should be improved before they have contact with vulnerable patients. Educational input can increase knowledge and practice but the methodological heterogeneity of the studies and lack of rigour make it impossible to determine which interventions are most likely to be successful. The literature provides little evidence upon which to base educational practice in this area. There is a need for multi-centred longitudinal studies to measure effectiveness of teaching methods over time.

摘要

手部卫生是预防感染的基石，但医疗、护理和其他卫生保健专业的学生没有做好并没有得到充分的重视。该系统评价旨在确定和描述用于教授手部卫生理论和实践的策略，确定对知识和实践的影响，并确定未来教育和研究的需求。十项研究符合审查标准。卫生保健学生的手卫生理论知识和实践能力欠佳，应在接触易感患者之前加以提高。教育投入可以增加知识和实践，但研究的方法异质性和缺乏严谨性使得无法确定哪些干预措施最有可能成功。文献提供的证据很少，可作为该领域教育实践的基础。需要进行多中心纵向研究来衡量教学方法的有效性。