Application of the gold standard direct observation tool to estimate hand hygiene compliance among healthcare providers in Dessie referral hospital, Northeast Ethiopia

2021 ◽  
pp. 1-14
Author(s):  
Gashaw Tesfaye ◽  
Mesfin Gebrehiwot ◽  
Haileyesus Girma ◽  
Asmamaw Malede ◽  
Kefelegn Bayu ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Direct Observation ◽  
Gold Standard ◽  
Hand Hygiene Compliance ◽  
Healthcare Providers ◽  
Referral Hospital ◽  
Northeast Ethiopia ◽  
Hygiene Compliance ◽  
Dessie Referral Hospital

scholarly journals Observed and Self-reported Hand Hygiene Compliances and Associated Factors among Healthcare Workers at a County Referral Hospital in Kenya

2020 ◽  
Author(s):  
Karlmax Kiprotich ◽  
Atipatsa Chiwanda Kaminga ◽  
Miriam Kessi ◽  
Wang Honghong
Keyword(s):  
Hand Hygiene ◽  
Direct Observation ◽  
Healthcare Workers ◽  
Associated Factors ◽  
Hand Hygiene Compliance ◽  
Social Influences ◽  
Professional Role ◽  
Referral Hospital ◽  
Environmental Resources ◽  
Hygiene Compliance

Abstract Background: Hand hygiene is effective in preventing and controlling healthcare-associated infections (HCAIs); however, its compliance remains low, and reasons are poorly understood, thus its research and feedback may lead to successful interventions. This study aimed to explore the observed and self-reported hand hygiene compliance and associated factors among healthcare workers (HCWs) in the medical/surgical ward of a county referral hospital. Methods: Cross-sectional study design was used in this study. Direct observation guided by 5 moments for hand hygiene concept was carried to describe compliance, and the questionnaire technique informed by Theoretical Domains Framework (TDF) was employed to investigate self-reported compliance, barriers, and facilitators of hand hygiene compliance. This study was done at a county referral hospital in Kenya. The total number of hand hygiene opportunities observed was 347 among 55 HCWs, and 132 HCWs filled the questionnaires. Results: The overall compliance based on direct observation was 23.9%, whereas self-reported compliance was 80.0%. Hand hygiene was significantly associated with indication (p < 0.001), training (p = 0.014), social influences (p = 0.002) and knowledge (p = 0.044). Barriers identified were environmental resources, social influences, beliefs about consequences, memory, attention, and decision processes. Facilitators included knowledge and social/professional role, and identity.Conclusions: Despite the high report rate of hand hygiene compliance, the observed compliance is unacceptably low. Although knowledge, and social/professional role and identity of the HCWs may primarily facilitate hand hygiene compliance, barriers associated with non-compliance such as environmental resources remain significant constraints and should be considered to ensure optimal hand hygiene compliance and quality of patient care. The results also suggest that HCWs education on hand hygiene still needs improvements, particularly on the 5 moments for hand hygiene.

Five Indications for Hand Hygiene Compliance among Healthcare Providers in a University Hospital

2014 ◽  
Vol 26 (1) ◽  
pp. 17-20 ◽  
Author(s):  
Sevim Sen ◽  
Meral Sonmezoglu ◽  
Elif Akbal ◽  
Esra Ugur ◽  
Sibel Afacan
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Healthcare Providers ◽  
University Hospital ◽  
Hygiene Compliance

Correlation of Hand Hygiene Compliance Measured by Direct Observation with Estimates Obtained from Product Usage

2018 ◽  
Vol 39 (6) ◽  
pp. 746-749 ◽  
Author(s):  
Westyn Branch-Elliman ◽  
Graham M. Snyder ◽  
Aleah D. King ◽  
Linda M. Baldini ◽  
Kaitlyn M. Dooley ◽  
...  
Keyword(s):  
Intensive Care ◽  
Hand Hygiene ◽  
Intensive Care Units ◽  
Direct Observation ◽  
Hand Hygiene Compliance ◽  
Infection Prevention ◽  
Infect Control Hosp ◽  
Moderate Correlation ◽  
Product Usage ◽  
Hygiene Compliance

Improving compliance with hand hygiene is a cornerstone of infection prevention. However, data regarding practical methods for monitoring compliance are limited. We found that product use metrics have a moderate correlation with direct observation in ward settings and limited correlation in intensive care units.Infect Control Hosp Epidemiol 2018;39:746–749

scholarly journals NICU Healthcare Workers Hand Hygiene Compliance during 6 Months of Direct Observation

2020 ◽  
Vol 11 (1) ◽  
pp. 41
Author(s):  
Inna Fairuuza Firdaus ◽  
Dwiyanti Puspitasari ◽  
Marijam Purwanta
Keyword(s):  
Hand Hygiene ◽  
General Hospital ◽  
Direct Observation ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Patient Contact ◽  
Healthcare Associated Infection ◽  
Effective Measure ◽  
Hygiene Compliance ◽  
Healthcare Associated

Introduction: Hospitalized neonates are at risk of developing nosocomial sepsis, a systemic infection due to unhygienic healthcare, especially in Indonesia where healthcare-associated infection incidence rate is 5.9%-8.3%. Hand hygiene by healthcare workers is an effective measure to prevent it. This study aimed to understand the healthcare workers’ hand hygiene compliance towards WHO guidelines 2009 in Dr. Soetomo General Hospital NICU. Methods: This research was an observational study. The healthcare workers’ hand hygiene compliance was obtained through 6 months of direct observation, from November 2018 to April 2019, with doctors and nurses who agreed to be observed and present during the observation period as samples. The observation was recorded with WHO observation form, and processed with Microsoft Excel 2013 to obtain compliance rate. Results: Overall, the compliance of healthcare worker in NICU Dr. Soetomo General Hospital during the 6 months of study was 84%. Nurses’ compliance was higher (87%) than doctors’ (78%). Compliance to My 5 Moments of Hand Hygiene indications varied from 82% for moments before patient contact to 93% for moments after patient contact. Conclusion: In conclusion, hand hygiene compliance of healthcare workers in Dr. Soetomo General Hospital NICU varied between profession categories and each indication. To maintain and improve hand hygiene compliance, intervention in healthcare workers’ behavior is needed, so that healthcare-associated infection can be better prevented.

scholarly journals Quantifying the Hawthorne Effect in Hand Hygiene Compliance Through Comparing Direct Observation With Automated Hand Hygiene Monitoring

2015 ◽  
Vol 36 (8) ◽  
pp. 957-962 ◽  
Author(s):  
Stefan Hagel ◽  
Jana Reischke ◽  
Miriam Kesselmeier ◽  
Johannes Winning ◽  
Petra Gastmeier ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Direct Observation ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Prospective Observational Study ◽  
University Hospital ◽  
Hawthorne Effect ◽  
Strong Positive Correlation ◽  
Working Shift ◽  
Hygiene Compliance

OBJECTIVETo quantify the Hawthorne effect of hand hygiene performance among healthcare workers using direct observation.DESIGNProspective observational study.SETTINGIntensive care unit, university hospital.METHODSDirect observation of hand hygiene compliance over 48 audits of 2 hours each. Simultaneously, hand hygiene events (HHEs) were recorded using electronic alcohol-based handrub dispensers. Directly observed and electronically recorded HHEs during the 2 hours of direct observation were compared using Spearman correlations and Bland-Altman plots. To quantify the Hawthorne effect, we compared the number of electronically recorded HHEs during the direct observation periods with the re-scaled electronically recorded HHEs in the 6 remaining hours of the 8-hour working shift.RESULTSA total of 3,978 opportunities for hand hygiene were observed during the 96 hours of direct observation. Hand hygiene compliance was 51% (95% CI, 49%–53%). There was a strong positive correlation between directly observed compliance and electronically recorded HHEs (ρ=0.68 [95% CI, 0.49–0.81], P<.0001). In the 384 hours under surveillance, 4,180 HHEs were recorded by the electronic dispensers. Of those, 2,029 HHEs were recorded during the 96 hours in which direct observation was also performed, and 2,151 HHEs were performed in the remaining 288 hours of the same working shift that were not under direct observation. Healthcare workers performed 8 HHEs per hour when not under observation compared with 21 HHEs per hour during observation.CONCLUSIONSDirectly and electronically observed HHEs were in agreement. We observed a marked influence of the Hawthorne effect on hand hygiene performance.Infect Control Hosp Epidemiol 2015;36(8):957–962

scholarly journals 1511Correlation of Hand Hygiene Compliance Measured by Direct Observation with Estimates Obtained from Product Usage

2014 ◽  
Vol 1 (suppl_1) ◽  
pp. S400-S400
Author(s):  
Roger V Araujo-Castillo ◽  
Graham M Snyder ◽  
Aleah D Holyoak ◽  
Linda M Baldini ◽  
Kaitlyn Dooley ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Direct Observation ◽  
Hand Hygiene Compliance ◽  
Product Usage ◽  
Hygiene Compliance
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