Researching Effective Approaches to Cleaning in Hospitals: Protocol of the REACH Study, A Multi-Site Stepped-Wedge Randomised Trial

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avondale-bepress-to-dspace.facultyNursing
avondale-bepress-to-dspace.grant1076006
avondale-bepress-to-dspace.licensehttp://creativecommons.org/licenses/by/4.0/
avondale-bepress-to-dspace.peer_review_statusPeer reviewed before publication
avondale-bepress.abstract<p><strong>Background:</strong> The Researching Effective Approaches to Cleaning in Hospitals (REACH) study will generate evidence about the effectiveness and cost-effectiveness of a novel cleaning initiative that aims to improve the environmental cleanliness of hospitals. The initiative is an environmental cleaning bundle, with five interdependent, evidence-based components (training, technique, product, audit and communication) implemented with environmental services staff to enhance hospital cleaning practices.</p> <p><strong>Methods/design:</strong> The REACH study will use a stepped-wedge randomised controlled design to test the study intervention, an environmental cleaning bundle, in 11 Australian hospitals. All trial hospitals will receive the intervention and act as their own control, with analysis undertaken of the change within each hospital based on data collected in the control and intervention periods. Each site will be randomised to one of the 11 intervention timings with staggered commencement dates in 2016 and an intervention period between 20 and 50 weeks. All sites complete the trial at the same time in 2017. The inclusion criteria allow for a purposive sample of both public and private hospitals that have higher-risk patient populations for healthcare-associated infections (HAIs). The primary outcome (objective one) is the monthly number of Staphylococcus aureus bacteraemias (SABs), Clostridium difficile infections (CDIs) and vancomycin resistant enterococci (VRE) infections, per 10,000 bed days. Secondary outcomes for objective one include the thoroughness of hospital cleaning assessed using fluorescent marker technology, the bio-burden of frequent touch surfaces post cleaning and changes in staff knowledge and attitudes about environmental cleaning. A cost-effectiveness analysis will determine the second key outcome (objective two): the incremental cost-effectiveness ratio from implementation of the cleaning bundle. The study uses the integrated Promoting Action on Research Implementation in Health Services (iPARIHS) framework to support the tailored implementation of the environmental cleaning bundle in each hospital</p> <p><strong>Discussion:</strong> Evidence from the REACH trial will contribute to future policy and practice guidelines about hospital environmental cleaning. It will be used by healthcare leaders and clinicians to inform decision-making and implementation of best-practice infection prevention strategies to reduce HAIs in hospitals.</p>
avondale-bepress.articleid1105
avondale-bepress.authorsLisa Hall
avondale-bepress.authorsAlison Farrington
avondale-bepress.authorsBrett G Mitchell
avondale-bepress.authorsAdrian G Barnett
avondale-bepress.authorsKate Halton
avondale-bepress.authorsMichelle Allen
avondale-bepress.authorsKatie Page
avondale-bepress.authorsAnne Gardner
avondale-bepress.authorsSally Havers
avondale-bepress.authorsEmily Bailey
avondale-bepress.authorsStephanie Dancer
avondale-bepress.authorsThomas V Riley
avondale-bepress.authorsChristian A Gericke
avondale-bepress.authorsDavid L Paterson
avondale-bepress.authorsNicholas Graves
avondale-bepress.context-key8442856
avondale-bepress.coverpage-urlhttps://research.avondale.edu.au/nh_papers/102
avondale-bepress.document-typearticle
avondale-bepress.field.associated_research_publicationshttps://research.avondale.edu.au/research_documentation/17/
avondale-bepress.field.author_faculty_disciplineNursing
avondale-bepress.field.comments<p>Used by permission: the authors.</p>
avondale-bepress.field.custom_citation<p>Hall, L., Farrington, A., Mitchell, B. G., Barnett, A. G., Halton, K., ... Graves, N. (2016). Researching effective approaches to cleaning in hospitals: Protocol of the REACH study, a multi-site stepped-wedge randomised trial. <em>Implementation Science, 11,</em>44. doi:10.1186/s13012-016-0406-6</p>
avondale-bepress.field.distribution_licensehttp://creativecommons.org/licenses/by/4.0/
avondale-bepress.field.doihttps://doi.org/10.1186/s13012-016-0406-6
avondale-bepress.field.embargo_date2016-04-06T00:00:00Z
avondale-bepress.field.field_of_education06 Health
avondale-bepress.field.for111705 Environmental and Occupational Health and Safety
avondale-bepress.field.grant_num1076006
avondale-bepress.field.grant_purl<p>http://purl.org/au-research/grants/nhmrc/GNT1076006</p>
avondale-bepress.field.issn1748-5908
avondale-bepress.field.journalImplementation Science
avondale-bepress.field.page_numbers44
avondale-bepress.field.peer_reviewBefore publication
avondale-bepress.field.publication_date2016-03-24T00:00:00Z
avondale-bepress.field.reportable_itemsC1
avondale-bepress.field.research_centreLifestyle Research Centre
avondale-bepress.field.source_fulltext_urlhttp://dx.doi.org/10.1186/s13012-016-0406-6
avondale-bepress.field.source_publication<p>This article was originally published as:</p> <p>Hall, L., Farrington, A., Mitchell, B. G., Barnett, A. G., Halton, K., ... Graves, N. (2016). Researching effective approaches to cleaning in hospitals: Protocol of the REACH study, a multi-site stepped-wedge randomised trial. <em>Implementation Science, 11</em>44. doi: 10.1186/s13012-016-0406-6</p> <p>ISSN:1748-5908</p>
avondale-bepress.field.staff_classificationPermanent
avondale-bepress.field.volume_number11
avondale-bepress.fulltext-urlhttps://research.avondale.edu.au/cgi/viewcontent.cgi?article=1105&amp;context=nh_papers&amp;unstamped=1
avondale-bepress.keywordsHospital cleaning
avondale-bepress.keywordsCleaning bundle
avondale-bepress.keywordsCost-effectiveness
avondale-bepress.keywordsHealthcare-associated infection
avondale-bepress.keywordsiPARIHS
avondale-bepress.label102
avondale-bepress.publication-date2016-03-24T00:00:00Z
avondale-bepress.publication-titleNursing and Health Papers and Journal Articles
avondale-bepress.statepublished
avondale-bepress.submission-date2016-04-06T17:07:09Z
avondale-bepress.submission-pathnh_papers/102
avondale-bepress.titleResearching Effective Approaches to Cleaning in Hospitals: Protocol of the REACH Study, A Multi-Site Stepped-Wedge Randomised Trial
avondale-bepress.typearticle
dc.contributor.authorGraves, Nicholas
dc.contributor.authorPaterson, David L.
dc.contributor.authorGericke, Christian A.
dc.contributor.authorRiley, Thomas V.
dc.contributor.authorDancer, Stephanie
dc.contributor.authorBailey, Emily
dc.contributor.authorHavers, Sally
dc.contributor.authorGardner, Anne
dc.contributor.authorPage, Katie
dc.contributor.authorAllen, Michelle
dc.contributor.authorHalton, Kate
dc.contributor.authorBarnett, Adrian G.
dc.contributor.authorMitchell, Brett G.
dc.contributor.authorFarrington, Alison
dc.contributor.authorHall, Lisa
dc.date.accessioned2023-11-01T00:23:42Z
dc.date.available2023-11-01T00:23:42Z
dc.date.issued2016-03-24
dc.date.submitted2016-04-06T17:07:09Z
dc.description.abstract<p><strong>Background:</strong> The Researching Effective Approaches to Cleaning in Hospitals (REACH) study will generate evidence about the effectiveness and cost-effectiveness of a novel cleaning initiative that aims to improve the environmental cleanliness of hospitals. The initiative is an environmental cleaning bundle, with five interdependent, evidence-based components (training, technique, product, audit and communication) implemented with environmental services staff to enhance hospital cleaning practices.</p> <p><strong>Methods/design:</strong> The REACH study will use a stepped-wedge randomised controlled design to test the study intervention, an environmental cleaning bundle, in 11 Australian hospitals. All trial hospitals will receive the intervention and act as their own control, with analysis undertaken of the change within each hospital based on data collected in the control and intervention periods. Each site will be randomised to one of the 11 intervention timings with staggered commencement dates in 2016 and an intervention period between 20 and 50 weeks. All sites complete the trial at the same time in 2017. The inclusion criteria allow for a purposive sample of both public and private hospitals that have higher-risk patient populations for healthcare-associated infections (HAIs). The primary outcome (objective one) is the monthly number of Staphylococcus aureus bacteraemias (SABs), Clostridium difficile infections (CDIs) and vancomycin resistant enterococci (VRE) infections, per 10,000 bed days. Secondary outcomes for objective one include the thoroughness of hospital cleaning assessed using fluorescent marker technology, the bio-burden of frequent touch surfaces post cleaning and changes in staff knowledge and attitudes about environmental cleaning. A cost-effectiveness analysis will determine the second key outcome (objective two): the incremental cost-effectiveness ratio from implementation of the cleaning bundle. The study uses the integrated Promoting Action on Research Implementation in Health Services (iPARIHS) framework to support the tailored implementation of the environmental cleaning bundle in each hospital</p> <p><strong>Discussion:</strong> Evidence from the REACH trial will contribute to future policy and practice guidelines about hospital environmental cleaning. It will be used by healthcare leaders and clinicians to inform decision-making and implementation of best-practice infection prevention strategies to reduce HAIs in hospitals.</p>
dc.description.versionBefore publication
dc.identifier.citation<p>Hall, L., Farrington, A., Mitchell, B. G., Barnett, A. G., Halton, K., ... Graves, N. (2016). Researching effective approaches to cleaning in hospitals: Protocol of the REACH study, a multi-site stepped-wedge randomised trial. <em>Implementation Science, 11,</em>44. doi:10.1186/s13012-016-0406-6</p>
dc.identifier.doihttps://doi.org/10.1186/s13012-016-0406-6
dc.identifier.issn1748-5908
dc.identifier.urihttps://research.avondale.edu.au/handle/123456789/08442856
dc.language.isoen_us
dc.provenance<p>This article was originally published as:</p> <p>Hall, L., Farrington, A., Mitchell, B. G., Barnett, A. G., Halton, K., ... Graves, N. (2016). Researching effective approaches to cleaning in hospitals: Protocol of the REACH study, a multi-site stepped-wedge randomised trial. <em>Implementation Science, 11</em>44. doi: 10.1186/s13012-016-0406-6</p> <p>ISSN:1748-5908</p>
dc.rights<p>Used by permission: the authors.</p>
dc.rights.licensehttp://creativecommons.org/licenses/by/4.0/
dc.subjectHospital cleaning
dc.subjectCleaning bundle
dc.subjectCost-effectiveness
dc.subjectHealthcare-associated infection
dc.subjectiPARIHS
dc.titleResearching Effective Approaches to Cleaning in Hospitals: Protocol of the REACH Study, A Multi-Site Stepped-Wedge Randomised Trial
dc.typeJournal Article
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