Quality of Hand Hygiene in a Pediatric Hospital in Rio de Janeiro, Brazil

2007 ◽  
Vol 28 (05) ◽  
pp. 622-624 ◽  
Author(s):  
C. B. Hofer ◽  
T. F. Abreu ◽  
E. G. Silva ◽  
C. A. Sepúlveda ◽  
F. A. Gibara ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Hand Hygiene ◽  
Rio De Janeiro ◽  
Healthcare Workers ◽  
Pediatric Hospital ◽  
Correct Performance

We assessed the quality of hand hygiene among healthcare workers at a pediatrics hospital in Rio de Janeiro, Brazil. Hand hygiene was performed in 491 (34%) of 1,455 opportunities. Of these hand hygiene events, correct performance was observed in only 173 (35%). Multivariate analysis revealed that correct performance of hand hygiene was associated with the use of an alcohol-based product and a lack of jewelry (for all events) and employment in an infirmary with a comparatively higher ratio of nurses to patients (for events involving nurses).

scholarly journals Influence of workload, mental health and professional quality of life on healthcare workers’ hand hygiene behavior in medical aid during COVID-19 pandemic

2020 ◽  
Author(s):  
Qian Zhou ◽  
Xinping Zhang
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Hand Hygiene ◽  
Structural Equation ◽  
Healthcare Workers ◽  
Professional Quality Of Life ◽  
Final Model ◽  
Professional Quality ◽  
Hygiene Behavior

Abstract BackgroundAppropriate hand hygiene behavior is much crucial during COVID-19 pandemic, which is influenced by workload, mental health and professional quality of life. The increasing workload, worse mental health and negative professional quality of life are severe challenges for healthcare workers, whereas the evidence of mechanism between them and hand hygiene behavior are limited. This study aimed to understand and model how HCWs’ hand hygiene behaviors were influenced by workload, mental health and professional quality of life.MethodsA total of 1,734 healthcare workers were investigated, covering self-reported hand hygiene behavior, mental health, workload, professional quality of life and socio-demographic characteristics. Structural equation modelling was conducted to confirm interrelationships and parameters among the variables.Findings The final model had a good fit (CFI=0.980; TLI=0.941; RMSEA=0.055). Higher workload was linked to worse mental health (β = 0.165, p < 0.001) and higher burnout (β = 0.183, p < 0.001). Worse mental health was linked to higher burnout (β = 0.339, p < 0.001). The higher burnout was associated with worse self-reported hand hygiene behavior (β = -0.302, p < 0.001).ConclusionWorkload is positively associated with mental health and burnout; mental health is positively related to burnout; burnout is negatively associated with hand hygiene behavior. Thus, hand hygiene behavior can be promoted by the strategy to decrease the workload, burnout and enhance mental health.

scholarly journals Assessment of Fidelity in Interventions to Improve Hand Hygiene of Healthcare Workers: A Systematic Review

2016 ◽  
Vol 37 (5) ◽  
pp. 567-575 ◽  
Author(s):  
Jackson S. Musuuza ◽  
Anna Barker ◽  
Caitlyn Ngam ◽  
Lia Vellardita ◽  
Nasia Safdar
Keyword(s):  
Systematic Review ◽  
Hand Hygiene ◽  
Behavioral Interventions ◽  
Healthcare Workers ◽  
Cochrane Library ◽  
Intervention Fidelity ◽  
Improve Hand Hygiene ◽  
Participant Responsiveness ◽  
Fidelity Measures

OBJECTIVECompliance with hand hygiene in healthcare workers is fundamental to infection prevention yet remains a challenge to sustain. We examined fidelity reporting in interventions to improve hand hygiene compliance, and we assessed 5 measures of intervention fidelity: (1) adherence, (2) exposure or dose, (3) quality of intervention delivery, (4) participant responsiveness, and (5) program differentiation.DESIGNSystematic reviewMETHODSA librarian performed searches of the literature in PubMed, Cumulative Index to Nursing and Allied Health (CINAHL), Cochrane Library, and Web of Science of material published prior to June 19, 2015. The review protocol was registered in PROSPERO International Prospective Register of Systematic Reviews, and assessment of study quality was conducted for each study reviewed.RESULTSA total of 100 studies met the inclusion criteria. Only 8 of these 100 studies reported all 5 measures of intervention fidelity. In addition, 39 of 100 (39%) failed to include at least 3 fidelity measures; 20 of 100 (20%) failed to include 4 measures; 17 of 100 (17%) failed to include 2 measures, while 16 of 100 (16%) of the studies failed to include at least 1 measure of fidelity. Participant responsiveness and adherence to the intervention were the most frequently unreported fidelity measures, while quality of the delivery was the most frequently reported measure.CONCLUSIONSAlmost all hand hygiene intervention studies failed to report at least 1 fidelity measurement. To facilitate replication and effective implementation, reporting fidelity should be standard practice when describing results of complex behavioral interventions such as hand hygiene.Infect Control Hosp Epidemiol2016;37:567–575

scholarly journals Hitek és tévhitek, azaz vitatott esszenciális kérdések a kézhigiénéről az evidencia tükrében

2017 ◽  
Vol 158 (6) ◽  
pp. 212-219
Author(s):  
Borbála Szél ◽  
Kamilla Nagy ◽  
Márta Milassin ◽  
Gyula Tálosi
Keyword(s):  
Hand Hygiene ◽  
Healthcare Workers ◽  
Negative Influence ◽  
Healthcare Associated Infections ◽  
Know How ◽  
Quality Of Patient Care ◽  
Hygiene Compliance ◽  
High Level ◽  
Healthcare Associated

Abstract: Contaminated hands can play pivotal role in the development and spread of healthcare-associated infections. Consequently hand hygiene practice performed with adequate technique and with adequate timing is an essential implement for patient safety. Inhibition of the practice of high level hand hygiene by the misconceptions or deficient knowledge of healthcare workers may lead to negative influence on the quality of patient care. Erroneous beliefs or “rumourous knowledge” acquired from colleagues can not only influence the attitude of healthcare workers, but can also give rise to insufficient hand hygiene compliance. Finding, interpreting and imparting the related evidence by delivering continuing education and lectures, highlighting the theoretical and practical know-how on hand hygiene could help to understand and imprint the evidence-based practice and adequate technique in the essential issue of hand hygiene. Orv. Hetil., 2017., 158(6), 212–219.

scholarly journals Prevalence and impact of burnout, secondary traumatic stress and compassion satisfaction on hand hygiene of healthcare workers in medical aid team during COVID-19 pandemic

2020 ◽  
Author(s):  
Qian Zhou ◽  
Xiaoquan Lai ◽  
Chaoyang Wan ◽  
Xinping Zhang ◽  
Li Tan
Keyword(s):  
Quality Of Life ◽  
Hand Hygiene ◽  
Traumatic Stress ◽  
Healthcare Workers ◽  
Compassion Satisfaction ◽  
Professional Quality Of Life ◽  
Medical Aid ◽  
Professional Quality ◽  
Hygiene Behavior

Abstract Background Healthcare workers suffered mental burden, especially in the period of COVID-19. Professional quality of life quality is suitable to measure how healthcare workers feel in medical aid team. Current evidence of impact of professional quality of life on hand hygiene behavior or even IPC measures was limited, especially in emerging infectious disease period. This study aimed to assess the prevalence of burnout, secondary traumatic stress and compassion satisfaction and explore their impact on self-reported hand hygiene behavior among medical aid team in Wuhan, China, where strict management was conducted to prevent COVID-19 spread and guarantee healthcare workers’ health. Results A cross-sectional study was conducted using online questionnaire covering professional quality of life and self-reported hand hygiene behavior based on COVID-19 guideline. A total of 1,734 healthcare workers were surveyed. The prevalence of burnout, secondary trauma and compassion satisfaction were low and average levels (69.61 and 30.39%), low and average levels (33.33 and 66.21%), average and high levels (49.65 and 49.71%), respectively. Burnout was negatively associated with overall hand hygiene (Coef. =-0.088, p<0.001), low hand hygiene (Coef. =-0.109, p<0.001), medium hand hygiene (Coef. =-0.088, p<0.001) and high hand hygiene (Coef. =-0.065, p<0.001). Conclusions Healthcare workers with higher compassion satisfaction reported higher hand hygiene compared to the lower. Healthcare workers in medical aid team experience lower level burnout, and higher level of compassion satisfaction during COVID-19 pandemic compared to the general period. The lower burnout and higher compassion satisfaction are associated with higher self-reported hand hygiene behavior. Burnout and compassion satisfaction in healthcare workers should be emphasize and need interventions targeting. The management of healthcare workers in Wuhan, China may be constructive for the future medical aid team.

scholarly journals Mindful Hand Hygiene and Self-guided Training Using a Mobile Phone App

2021 ◽  
Vol 10 (1) ◽  
pp. 157-164
Author(s):  
Joan Cahill ◽  
Alison Kay ◽  
Vivienne Howard ◽  
Ber Mulcahy ◽  
Mary Forde ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Mobile Phone ◽  
Healthcare Workers ◽  
Self Care ◽  
Design Evaluation ◽  
Counselling Services ◽  
Working Lives ◽  
And Training ◽  
Professional Counselling

This paper presents a preliminary concept for a ‘Mobile Phone App’ providing training in mindful hand hygiene integrated with the WHO hand hygiene protocol. A range of human factors action research methods were used to specify the preliminary concept. This includes stakeholder interviews, workshops, and participatory co-design/evaluation sessions. Mindfulness enables HCW to focus on the correct procedure for HH, along with addressing the need for self-care. The proposed Mobile Phone App enables training in mindful HH, from home. Mindful HH training forms parts of a wider learner journey which includes addressing self-care and training in PPE donning and doffing. Mindfulness is an inexpensive strategy to reduce stress and improve the quality of the working lives of healthcare workers. However, it is not a substitute for professional counselling services.

Evaluation of the microbiological and physical-chemical quality of salted bovine meat marketed in establishments and free fairs in the north zone of Rio de Janeiro

2018 ◽  
Vol 6 (4) ◽  
pp. 65
Author(s):  
Julio Cesar Queiroz Penha ◽  
Robson Maia Franco ◽  
Maria Carmela Kasnowski Holanda Duarte ◽  
Katia Christina Leandro
Keyword(s):  
Rio De Janeiro ◽  
Chemical Quality ◽  
The North ◽  
Physical Chemical

scholarly journals Healthcare workers' attitudes towards hand-hygiene monitoring technology

2019 ◽  
Vol 102 (4) ◽  
pp. 413-418 ◽  
Author(s):  
C. Tarantini ◽  
P. Brouqui ◽  
R. Wilson ◽  
K. Griffiths ◽  
P. Patouraux ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Healthcare Workers ◽  
Monitoring Technology

scholarly journals Hand Hygiene Compliance Study at a Large Central Hospital in Vietnam

2019 ◽  
Vol 16 (4) ◽  
pp. 607 ◽  
Author(s):  
Cam Le ◽  
Erik Lehman ◽  
Thanh Nguyen ◽  
Timothy Craig
Keyword(s):  
Quality Assurance ◽  
Hand Hygiene ◽  
Healthcare Workers ◽  
Medical Center ◽  
Compliance Rate ◽  
World Health ◽  
Limiting Factors ◽  
Cultural Attitudes ◽  
Knowledge And Attitude ◽  
Hygiene Compliance

Lack of proper hand hygiene among healthcare workers has been identified as a core facilitator of hospital-acquired infections. Although the concept of hand hygiene quality assurance was introduced to Vietnam relatively recently, it has now become a national focus in an effort to improve the quality of care. Nonetheless, barriers such as resources, lack of education, and cultural norms may be limiting factors for this concept to be properly practiced. Our study aimed to assess the knowledge and attitude of healthcare workers toward hand hygiene and to identify barriers to compliance, as per the World Health Organization’s guidelines, through surveys at a large medical center in Vietnam. In addition, we aimed to evaluate the compliance rate across different hospital departments and the roles of healthcare workers through direct observation. Results showed that, in general, healthcare workers had good knowledge of hand hygiene guidelines, but not all believed in receiving reminders from patients. The barriers to compliance were identified as: limited resources, patient overcrowding, shortage of staff, allergic reactions to hand sanitizers, and lack of awareness. The overall compliance was 31%; physicians had the lowest rate of compliance at 15%, while nurses had the highest rate at 39%; internal medicine had the lowest rate at 16%, while the intensive care unit had the highest rate at 40%. In summary, it appears that addressing cultural attitudes in addition to enforcing repetitive quality assurance and assessment programs are needed to ensure adherence to safe hand washing.

scholarly journals Facile Use of ZnO Nanopowders to Protect Old Manual Paper Documents

Materials ◽  
2020 ◽  
Vol 13 (23) ◽  
pp. 5452
Author(s):  
Ludmila Motelica ◽  
Aurelian Popescu ◽  
Anca-Gabriela Răzvan ◽  
Ovidiu Oprea ◽  
Roxana-Doina Truşcă ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Antimicrobial Agents ◽  
Storage Conditions ◽  
Human Pathogens ◽  
Accessible Method

One of the main problems faced by libraries, archives and collectors is the mold degradation of the paper-based documents, books, artworks etc. Microfungi (molds) emerge in regular storage conditions of such items (humidity, usually over 50%, and temperatures under 21 °C). If the removal of the visible mycelium is relatively easy, there is always the problem of the subsequent appearance of mold as the spores remain trapped in the cellulosic, fibrillary texture, which acts as a net. Moreover, due to improper hand hygiene bacteria contamination, old books could represent a source of biohazard, being colonized with human pathogens. An easy and accessible method of decontamination, which could offer long term protection is therefore needed. Here, we present a facile use of the ZnO nanopowders as antimicrobial agents, suitable for cellulose-based products, conferring an extended antibacterial and anti-microfungal effect. The proposed method does not adversely impact on the quality of the cellulose documents and could be efficiently used for biodegradation protection.

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