Scientific article
Open access

Game-based training to promote handwashing, handrub and gloving for hospital pharmacy operators

Published inEuropean journal of hospital pharmacy, vol. 0, no. 0, p. ejhpharm-2022-003648
Publication date2023-03-16
First online date2023-03-16

Objectives: Adherence to handwashing, handrub and gloving procedures is mandatory for safe, aseptic drug compounding in hospital pharmacies. This study measured participants' satisfaction and effectiveness of a game-based training tool (Handtastic Box) developed to improve adherence.

Methods: Handtastic Boxes were played by pairs of pharmacy operators (introductory video, 1 min study of guidelines, game). In module 1, players watched videos of somebody handwashing and had to find the missing step. They examined wooden models of hands under ultraviolet (UV) light, with some areas stained with fluorescein, to find the hand showing contamination. In module 2, players used a fluorescein hydroalcoholic solution and placed their hands under UV light to highlight missing areas. In module 3, players identified major errors that could compromise glove sterility and linked them to a problem explanation. Then, they applied paint to their fingertips and donned gloves-the paint had to stay inside them. Satisfaction about the training was assessed with a 10-question survey; knowledge about procedures was assessed using a before-and-after questionnaire of nine questions, a 100-point confidence score (modules 1 and 2), and the number of before-and-after errors made during donning gloves (module 3).

Results: Operators were very satisfied and felt more competent after training. Average knowledge score increased from 56.3% (SD 18.2%) to 93.7% (SD 9.5%), and confidence in answers increased from 66.4% (SD 18.7%) to 95.7% (SD 5.52%) (n=14, both modules 1 and 2). The mean error score for gloving procedure decreased from 1.7 (SD 0.8%) to 0.3 (SD 0.5%) (n=10, module 3).

Conclusion: Handtastic Boxes proved to be a highly effective training method for improving knowledge of handwashing, handrub and gloving.

  • Education, pharmacy
  • Education, pharmacy, continuing
  • Pharmacy service, hospital
  • Professional competence
  • Public health
Citation (ISO format)
GARNIER, Alexandra Nadège Xenia et al. Game-based training to promote handwashing, handrub and gloving for hospital pharmacy operators. In: European journal of hospital pharmacy, 2023, vol. 0, n° 0, p. ejhpharm–2022–003648. doi: 10.1136/ejhpharm-2022-003648
Main files (1)
Article (Published version)
ISSN of the journal2047-9956

Technical informations

Creation01/25/2024 7:52:50 AM
First validation05/03/2024 8:47:51 AM
Update time05/03/2024 8:47:51 AM
Status update05/03/2024 8:47:51 AM
Last indexation05/03/2024 8:48:13 AM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack