Table 3 Interventional studies applying education and training in infection prevention and control – Systematic review on implementation of infection prevention and control in acute care hospitals in Mainland China, 2012–2017

Chen S, 2017, Yunnan [24]

To assess the effectiveness of IPC training delivered at morning shift meetings

Single centre; 239 healthcare workers (nurses and doctors)

IPC lectures delivered at morning shift meetings

Same group of HCWs

NCITS; knowledge tests before, immediately after, and 3 months after IPC training

Knowledge significantly improved from 45.1 to 96.7%, and 83.9% (P < 0.001)

High

He M, 2017, Fujian [25]

To assess the effectiveness of IPC training delivered to new employees

Single centre; 343 new employees in pre-job training (nurses and doctors)

Lectures, problem-based learning, group discussions, demonstrations of various procedures

Same group of HCWs

NCBA; knowledge test before and after training

Knowledge on IPC significantly improved from 29.15–58.02% before training to 63.56–92.13% after training (P < 0.01)

High

Zhang Y, 2016, Guangdong [26]

To assess the effectiveness of an enhanced IPC training programme on new employees

Single centre; 716 HCWs in intervention group;

Lectures, video scenarios, simulation training, and group discussion

445 HCWs in control group

CBA; knowledge test and competency assessments before and after training using a structured questionnaire

Scores on both IPC knowledge and practice improved after training (P < 0.05). Scores during intervention period were higher compared to the pre-intervention period (P < 0.05)

High

Huang M, 2014, Hebei [27]

To assess the effect of IPC training among nursing students on HH compliance

Single centre; 520 HH opportunities of 42 nursing students in the intervention group

8 h IPC training (video scenarios, on-site training, knowledge test)

518 HH opportunities of 38 nursing students in the control group

CBA; HH compliance of nursing students receiving and not receiving additional 8 h of IPC training one week after starting internship

HH compliance was significantly higher in the intervention group (74.2% vs. 46.7%; P < 0.01)

High

Zhao L, 2014, Guizhou [28]

To assess the effectiveness of IPC training in reducing HAI incidence

Single centre; 641 trained healthcare workers; 81 patients with HAI

Lectures, problem-based learning, on-site training, knowledge test

Same group of HCWs; 10,734 patients without HAI

NCBA; knowledge test and competency assessment before and after an IPC training programme; incidence of HAI before and during intervention

Higher knowledge and competency test scores after training. Significant reduction of HAI incidence from 1.26% in 2009 to 0.43% in 2012 (P < 0.05)

High