To understand the effect of multidimensional training strategy based on learning organization on compliance of hand hygiene in ICU medical staff.

From January 2020 to December 2020, a total of 60 doctors and nurses who were randomly examined in ICU were studied. In order to standardize hand hygiene training, the multi-dimensional hand hygiene training strategy based on learning organization was used to train these doctors and nurses. The changes of hand hygiene compliance before (January to June 2020) and after the implementation of the training (July to December 2020) in different hand hygiene indication, different identity type and different professional titles were investigated, and the improvement of hand hygiene compliance in this training strategy was analyzed.

Compared with the first half of 2020 (before the implementation of the training strategy), the overall hand hygiene compliance of medical staff in the second half of 2020 (after the implementation of the training strategy) increased from 86.63% to 95.45%, and the difference was statistically significant (χ²=41.760, P＜0.001), among those, before contact with patients, it increased from 80.56% to 94.36%, and the difference was statistically significant (χ²=16.571, P＜0.001); from 87.00% to 98.11% after contact with patients, and the difference was statistically significant (χ²=24.199, P＜0.001); before aseptic operation, it increased from 85.71% to 97.97%, and the difference was statistically significant (χ²=14.713, P＜0.001). After the implementation of the training strategy, the hand hygiene compliance of doctors and nurses was significantly improved. The hand hygiene compliance of doctors before and after implementation was 85.42% and 93.27%, and the difference was statistically significant (χ²=10.788, P＜0.001), and that of nurses before and after implementation was 87.61% and 96.65%, and the difference was statistically significant (χ²=30.681, P＜0.001), and the differences were statistically significant. The hand hygiene compliance of medical staff with primary title was significantly improved before and after the training, and the difference was statistically significant (95.54% vs 84.76%, χ²=41.129, P＜0.001). However, there was no significant difference in hand hygiene compliance of medical staff with intermediate titles and senior professional titles before and after the training (P＞0.05). Up to 88.33% believed that the training based on multi-dimensional training strategy of learning organization could improve the correctness of hand hygiene, 81.67% believed that the training could improve the compliance of hand hygiene.

The establishment of multidimensional hand hygiene training strategy based on learning organization can significantly improve the compliance with hand hygiene of ICU medical staff, and provide important guarantee for ICU to prevent nosocomial infection in critically ill patients.