Measuring readiness for and satisfaction with a hand hygiene e-learning course among healthcare workers in a paediatric oncology centre in Guatemala City

  • Miriam Lourdes Gonzalez St Jude Children's Research Hospital
  • Mario Melgar Unidad Nacional de Oncologia Pediatrica
  • Maysam Homsi St Jude Children's Research Hospital
  • Ana Shuler St Jude Children's Research Hospital
  • Federico Antillon-Klussmann Unidad Nacional de Oncologia Pediatrica
  • Laura Matheu Unidad Nacional de Oncologia Pediatrica
  • Marylin Ramirez Unidad Nacional de Oncologia Pediatrica
  • Michael M Grant University of South Carolina
  • Deborah L Lowther University of Memphis
  • George Relyea University of Memphis
  • Miguela Ayala Caniza St Jude Children's Research Hospital

Abstract

E-learning has been widely used in the infection control field and has been recommended for use in hand hygiene (HH) programs by the World Health Organization. Such strategies are effective and efficient for infection control, but factors such as learner readiness for this method should be determined to assure feasibility and suitability in low- to middle-income countries. We developed a tailored, e-learning, Spanish-language HH course based on the WHO guidelines for HH in healthcare settings for the paediatric cancer centre in Guatemala City. We aimed to identify e-readiness factors that influenced HH course completion and evaluate HCWs’ satisfaction. Pearson’s chi-square test of independence was used to retrospectively compare e-readiness factors and course-completion status (completed, non-completed, and never-started). We surveyed 194 HCWs for e-readiness; 116 HCWs self-enrolled in the HH course, and 55 responded to the satisfaction survey. Most e-readiness factors were statistically significant between course-completion groups. Moreover, students were significantly more likely to complete the course if they had a computer with an Internet connection (P=0.001) and self-reported comfort with using a computer several times a week (p=0.001) and communicating through online technologies (p=0.001). Previous online course experience was not a significant factor (p=0.819). E-readiness score averages varied among HCWs, and mean scores for all e-readiness factors were significantly higher among medical doctors than among nurses. Nearly all respondents to the satisfaction survey agreed that e-learning was as effective as the traditional teaching method. Evaluating HCWs’ e-readiness is essential while integrating technologies into educational programs in low- to middle-income countries.

Author Biographies

Miriam Lourdes Gonzalez, St Jude Children's Research Hospital
International Epidemiology Coordinator Department of Global Pediatric Medicine
Mario Melgar, Unidad Nacional de Oncologia Pediatrica
Infectious Disease Consultant
Maysam Homsi, St Jude Children's Research Hospital
Clinical Research Associate I Department of Global Pediatric Medicine
Ana Shuler, St Jude Children's Research Hospital
Coordinator Live Events/Content www.cure4kids.org Department of Global Pediatric Medicine
Federico Antillon-Klussmann, Unidad Nacional de Oncologia Pediatrica
Medical Director
Laura Matheu, Unidad Nacional de Oncologia Pediatrica
Infection Control Nurse
Marylin Ramirez, Unidad Nacional de Oncologia Pediatrica
Infection Control Nurse
Michael M Grant, University of South Carolina
Assistant Professor and Program Coordinator Educational Technology
Deborah L Lowther, University of Memphis
Professor Chair Instruction Curriculum Leadership
George Relyea, University of Memphis
Research Assistant Professor Division of Epidemiology, Biostatistics and Environment Health School of Public Health
Miguela Ayala Caniza, St Jude Children's Research Hospital
Associate Member, Department of Infectious Diseases Department of Global Pediatric Medicine Director of Infectious Disease Initiative
Published
2016-12-02
Section
Original Articles