title: Healthcare Associated Infections: educational intervention by "Adult Learning" in an Italian teaching hospital.
abstract: BACKGROUND
  An educational intervention for HAI prevention based on a combination of training, motivation and subsequent application in the current clinical practice in an Italian teaching hospital.
  
  
  METHODS
  In 2015-2016 a pilot mandatory training on HAI targeted to HCWs was organized in the 450 bed teaching hospital Sant'Andrea in Rome. By adopting the "Impact/control matrix" prioritization tool, the relative level of impact (risk in causing or favoring HAI) and control (possibility for HCWs to prevent HAI) attributed by the participants to the issues associated to HAI during their working groups was evaluated.
  
  
  RESULTS
  Overall, 34 physicians, 43 nurses and 15 non clinical professionals participated actively in seven courses, identifying 58 different issues related to HAI, which were reported 128 times. Results showed frequently that, within the same type of issue, HCW referred various levels of impact (risk in causing or favoring HAI) and personal control (possibility for HCW to prevent HAI). Overall staff shortage was the most reported problem by HCW in our hospital. Also hand washing was regarded as a main problem, but HCW expressed the feeling that individuals could act more successfully on this issue (high or medium control). Results showed that staff frequently did not know how to handle correctly visitors, similarly many colleagues expressed some difficulty in communicating information to patients and relatives on HAI. Surprisingly, "antimicrobial therapy" and "excessive invasive procedures" were not particularly highlighted by the personnel. HCW expressed satisfaction for the course approac.
  
  
  CONCLUSIONS
  The study showed an overall good level of knowledge regarding the importance and principles of infection control in our teaching hospital HCW. However personnel perceived a variability in the impact of many issues on HAI and even more on the personal possibility to control their effect. In order to improve HCW compliance with HAI prevention programs, the "Adult Learning" model seems to be very useful.
authors.affiliation: Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Rinaldi
authors.affiliation: Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Marani
authors.affiliation: Health Direction, Azienda Ospedaliero Universitaria Sant'Andrea, "Sapienza" University of Rome, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Montesano
authors.affiliation: Health Direction, Azienda Ospedaliero Universitaria Sant'Andrea, "Sapienza" University of Rome, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Berdini
authors.affiliation: Health Direction, Azienda Ospedaliero Universitaria Sant'Andrea, "Sapienza" University of Rome, Italy.
authors.forename: M C
authors.initials: MC
authors.lastname: Petruccioli
authors.affiliation: Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Di Ninno
authors.affiliation: Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, Italy.
authors.forename: R
authors.initials: R
authors.lastname: Orioli
authors.affiliation: Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Ferretti
authors.affiliation: Department of Medical-Surgical Sciences and Translational Medicine, "Sapienza" University of Rome, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Tarsitani
authors.affiliation: Department of Medical-Surgical Sciences and Translational Medicine, "Sapienza" University of Rome, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Napoli
authors.affiliation: Health Direction, Azienda Ospedaliero Universitaria Sant'Andrea, "Sapienza" University of Rome, Italy.
authors.forename: A
authors.initials: A
authors.lastname: De Luca
authors.affiliation: Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, Italy.
authors.forename: G B
authors.initials: GB
authors.lastname: Orsi
mesh_terms: D000328:Adult; D003428:Cross Infection / Q000517:prevention & control*; D006282:Health Personnel; D006784:Hospitals, Teaching; D006801:Humans; D017053:Infection Control; D007558:Italy; D011795:Surveys and Questionnaires
keywords: Adult learning; Education; Healthcare associated infection; Prevention