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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Jo A. Voss


hand hygiene, infection prevention, infection control, EMS, education program


Hand hygiene is the number one way to reduce the spread of diseases (Ho, Ansari, & Page, 2014). There is poor hand-hygiene compliance with an overall worldwide compliance rate of 40% (Bucher, Donovan, Ohman-Strickland, 2015). The purpose of the project was to create and implement a formal education program related to hand hygiene and infection prevention for Basic-Emergency Medical Service (B-EMS) providers. A pre-and post-test design was utilized with a non-randomized convenience sample. Formal education sessions focused on hand hygiene and infection prevention were provided in a rural setting with 60 participants. A survey was completed to determine feelings of competence and likelihood to utilize hand hygiene and infection prevention practices before and immediately after the formal education program; in addition, a written exam was administered prior to and after the formal education program. The participants were divided into either Group 1 or Group 2. Group 1 (n = 42) completed the written exam immediately after the education program; Group 2 (n = 18) completed the written exam one month after the education program. There was an increase in the mean survey and written exam scores in both groups (Group 1 and 2) with statistical and clinical significance as evidenced by a p value of < 0.00. Therefore, implementation of an education program related to hand hygiene and infection prevention specific to B-EMS may decrease transmission of diseases and improve the quality of care for patients.

Library of Congress Subject Headings

Hand washing.
Hand -- Care and hygiene.
Infection -- Prevention.
Emergency medical personnel -- Health and hygiene.


Includes bibliographical references



Number of Pages



South Dakota State University


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