Bioluminometers Test to Improve Cleaning Efficacy
Rueckert-Hartman College for Health Professions
Doctor of Nursing Practice
Thesis - Open Access
Number of Pages
Clostridium difficile (C. difficile) has become the most common microbial cause of healthcareassociated infections (HAI) in U.S. hospitals and costs billions of dollars each year in excess of health care costs for acute care facilities alone (Centers for Disease Control and Prevention [CDC], 2015, para. 2). Inadequate cleaning of contaminated surfaces in the hospital environment may lead to an HAI. Potential barriers related to environmental cleaning of C. difficile infected rooms were identified at a small safety net hospital. The investigator used a convenience sample of 12 environmental staff (EVS) and a quasi-experimental pre-posttest design, to explore whether or not an educational intervention with EVS on a new cleaning process and Adenosine triphosphate (ATP) testing would improve environmental staff understanding of the cleaning process, as well as decrease the incidence of C. difficile HAI. Overall, the study supported the use of an educational intervention to improve cleaning efficacy with statistically significant results from the EVS staff educational pre-posttest (t= -2.680, p=.021) and pre-post ATP tests (t=12.520, p=.000). The study site’s C. difficile incidence rates changed from 3.76 to 1.86. The major limitation of this study was the small sample size. The most significant implication of this study is the investigator plans to continue implementing the new cleaning process with follow-up ATP testing, as well as conduct future research to assess other possible risk factors for C. difficile HAI.
Date of Award
© Rochelle Bello
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Bello, Rochelle D., "Enhancing Environmental Staff Cleaning Process and Adenosine Triphosphate (ATP)" (2019). Student Publications. 939.