Write a research article to be submitted to the Journal of Hospital Infection.Should contain up to a maximum of 4000 words, which includes the structured summary, text, acknowledgements and references.

Write a research article to be submitted to the Journal of Hospital Infection.Should contain up to a maximum of 4000 words, which includes the structured summary, text, acknowledgements and references.

Full-length, original research articles
Should contain up to a maximum of 4000 words, which includes the structured summary, text, acknowledgements and references. Each figure and/or tables counts as 200 words towards the total. Separate Figures or Tables labelled 1A, 1B, 1C etc would count as three separate tables, not one.

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For this assignment, I am only targeting around 3000 words + 4-5 figures/tables.
Please do the reference format in EndNote so that it would be easier for me to track and simplify changes.

MAIN POINTS TO BE INCLUDED:
1. INTRODUCTION
-Why is hand hygiene (HH) important? Reduce hospital acquired infections that have detrimental effects
-HH compliance is low worldwide.
-Our hospital 50-60% compliance
-November 2013 our hospital started a campaign where each inpatient ward is allowed to select one or more interventions to be applied with the goal to improve HH.
-Aim: to determine which intervention combination works the best
-How? We compare the audit results before and after the program.
-We need to treat this as a cluster trial as groups of individuals rather than the individuals are randomized to different interventions (I have provided some papers on this). Need to elaborate.
2. METHODS
-Please refer to PROPOSAL.pdf and RESULTS.pdf
Sections
-Audit – refer to PROPOSAL
-Wards and HH moments included in the study (see DATA.xls)
-Types of intervention adopted by the wards (brief description)
-Study design
-Statistical analysis: paired t-test to compare overall and individual wards improvement before and after intervention. Multilevel modelling.
3. RESULTS (ATTACHED)

-Refer to RESULTS.pdf
4. DISCUSSION
-Overall improvement but some wards did better than others.
-Professions 1=nurses, 2=doctors, 3=allied health, 4=nursing students, 5=medical students. HH depends on profession. Why? Any other papers supporting this?
-If barriers to HH is removed so HH is easier to be done, HH compliance would improve.
-Our data suggest that visual or auditory or auditing alone do not improve HH compliance. What do other studies say?
-Interestingly, if combined together, they do display a strong effect.
What does this mean to healthcare workers: stop useless programs and use audio/visual/audit method – but phrase it cautiously as human behaviour is a dynamic interplay between individuals and their environment – what works in one ward may not work in another. No one size fits all.

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