BACKGROUND Current clinical guidelines support family-centered care in Neonatal Intensive Care Units (NICUs). This implies parents should also be involved in the most critical patient safety measures. Hand hygiene is the single most important tool to prevent healthcare-associated infections and related long-term effects. Although often studied in healthcare workers, the hand hygiene compliance of parents is rarely assessed. The aim of this study was to evaluate the effectiveness of an educational video, available in ten different languages, in teaching parents hand hygiene techniques in a NICU, lowering the burden on the staff. METHODS Parents in the intervention group were educated through a video; the control group received personal instruction from healthcare workers. The primary outcome parameter was the predicted probability of passing a subsequent hand scan. RESULTS The quality of hand hygiene among parents educated through the video was at least as good as that of those who received instruction from a healthcare worker, demonstrated by a higher predicted probability of passing the hand scan (43.8% vs. 57.1% in male and 67.9% vs. 75.9% in female participants). The feedback from the intervention group was predominantly positive, with most parents (62%) expressing a preference for video-based education. CONCLUSION Implementing a video-based approach seems to be effective for educating parents about hand hygiene in a NICU and was well accepted by the parents. This method offers a consistent standard of hand hygiene education, helps to overcome language barriers, and can also be used as regular reminder of the importance and proper technique of hand hygiene.

中文翻译：

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新生儿重症监护病房家长手部卫生教育基于视频的概念评估。


背景当前的临床指南支持新生儿重症监护病房（NICU）中以家庭为中心的护理。这意味着父母也应该参与最关键的患者安全措施。手部卫生是预防医疗相关感染和相关长期影响的最重要的工具。尽管经常在医护人员中进行研究，但很少评估父母的手卫生依从性。本研究的目的是评估以十种不同语言提供的教育视频在新生儿重症监护病房 (NICU) 向家长传授手部卫生技术、减轻工作人员负担的效果。方法干预组家长通过视频进行教育；对照组接受医护人员的个人指导。主要结果参数是通过后续手部扫描的预测概率。结果 通过视频教育的家长的手部卫生质量至少与接受医护人员指导的家长一样好，通过手部扫描的预测概率更高（男性和女性分别为 43.8% 和 57.1%）。女性参与者为 67.9%，女性参与者为 75.9%）。干预组的反馈大多是积极的，大多数家长（62%）表示偏爱视频教育。结论 在新生儿重症监护病房 (NICU) 中实施基于视频的方法似乎可以有效地对家长进行手部卫生教育，并得到家长的广泛接受。这种方法提供了一致的手部卫生教育标准，有助于克服语言障碍，也可以用来定期提醒手部卫生的重要性和正确的技术。