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Type: Journal article
Title: Changes in knowledge and attitudes of hospital environmental services staff: the Researching Effective Approaches to Cleaning in Hospitals (REACH) study
Author: Mitchell, B.G.
White, N.
Farrington, A.
Allen, M.
Page, K.
Gardner, A.
Halton, K.
Riley, T.V.
Gericke, C.A.
Paterson, D.L.
Graves, N.
Hall, L.
Citation: American Journal of Infection Control, 2018; 46(9):980-985
Publisher: Elsevier
Issue Date: 2018
ISSN: 0196-6553
Statement of
Brett G. Mitchell, Nicole White, Alison Farrington, Michelle Allen, Katie Page ... Christian A. Gericke ... et al.
Abstract: BACKGROUND:The Researching Effective Approaches to Cleaning in Hospitals (REACH) study tested a multimodal cleaning intervention in Australian hospitals. This article reports findings from a pre/post questionnaire, embedded into the REACH study, that was administered prior to the implementation of the intervention and at the conclusion of the study. METHODS:A cross-sectional questionnaire, nested within a stepped-wedge trial, was administered. The REACH intervention was a cleaning bundle comprising 5 interdependent components. The questionnaire explored the knowledge, reported practice, attitudes, roles, and perceived organizational support of environmental services staff members in the hospitals participating in the REACH study. RESULTS:Environmental services staff members in 11 participating hospitals completed 616 pre- and 307 post-test questionnaires (n = 923). Increases in knowledge and practice were seen between the pre-and post-test questionnaires. Minimal changes were observed in attitudes regarding the role of cleaning and in perceived organizational support. CONCLUSION:To our knowledge, this is the first study to report changes in knowledge, attitudes, and perceived organizational support in environmental services staff members, in the context of a large multicenter clinical trial. In this underexplored group of hospital workers, findings suggest that environmental services staff members have a high level of knowledge related to cleaning practices and understand the importance of their role.
Keywords: Cross infection
Health services
Infection control
Translational research
Rights: © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by ElsevierInc. This is an open access article under the CC BY-NC-ND license (
DOI: 10.1016/j.ajic.2018.02.003
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