scholarly journals Assessment of correlates of hand hygiene compliance among final year medical students: a cross-sectional study in the Netherlands

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e029484
Author(s):  
Vicki Erasmus ◽  
Suzie Otto ◽  
Emmely De Roos ◽  
Rianne van Eijsden ◽  
Margreet C Vos ◽  
...  
Keyword(s):  
Risk Perception ◽  
Medical Students ◽  
The Netherlands ◽  
Hand Hygiene ◽  
Self Efficacy ◽  
Hand Hygiene Compliance ◽  
Secondary Outcome ◽  
Factual Knowledge ◽  
Cross Sectional ◽  
Hygiene Compliance

ObjectivesTo identify the factors that influence the hand hygiene compliance of final year medical students, using a theoretical behavioural framework.DesignCross-sectional survey assessing self-reported compliance and its behavioural correlates.SettingInternships of medical students in the Netherlands.Participants322 medical students of the Erasmus Medical Center were recruited over a period of 12 months during the Public Health internship, which is the final compulsory internship after an 18-month rotation schedule in all major specialities.Primary and secondary outcome measuresBehavioural factors influencing compliance to hand hygiene guidelines were measured by means of a questionnaire based on the Theory of Planned Behaviour and Social Ecological Models. Multiple linear regression analysis was used to identify the effect of including attitudes, social norms, self-efficacy, knowledge, risk perception and habit on hand hygiene compliance.ResultsWe included 313 students in the analysis (response rate 97%). The behavioural model explained 40% of the variance in self-reported compliance (adjusted R2=0.40). Hand hygiene compliance was strongly influenced by attitudes (perceived outcomes of preventive actions), self-efficacy (perception of the ability to perform hand hygiene at the clinical ward) and habit, but was not associated with knowledge and risk perception.ConclusionsTargeting medical students’ behaviour should focus on the empowerment of these juniors and provide them with evidence on the health benefits of prevention, rather than increasing their factual knowledge of procedures. Clinical teaching environments could help them form good patient safety habits during this vital phase of their career.

scholarly journals An evaluation of the effectiveness of nursing students' hand hygiene compliance: A cross-sectional study

2018 ◽  
Vol 65 ◽  
pp. 218-224 ◽  
Author(s):  
Emine Öncü ◽  
Sümbüle Köksoy Vayısoğlu ◽  
Diğdem Lafcı ◽  
Ebru Yıldız
Keyword(s):  
Nursing Students ◽  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hygiene Compliance

scholarly journals Hygiene perception and motivational factors of influence on high-quality hand hygiene performance among emergency medical service providers: Results from an international survey

2019 ◽  
Vol 2 (3) ◽  
pp. 53
Author(s):  
Heidi Storm Vikke
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Self Efficacy ◽  
Hand Hygiene Compliance ◽  
Motivational Factors ◽  
High Quality ◽  
Training And Education ◽  
Hygiene Compliance ◽  
And Control ◽  
And Training

Background: Hand hygiene a cornerstone in infection prevention and control lacks quality in the EMS. Improvement is complicated and includes both individual and institutional aspects. However, little is known about EMS providers' perception and motivational factors leading to a high-quality hand hygiene.  We aimed to describe 1) EMS providers’ perception on hand hygiene, 2) practical measures’ feasibility to improve compliance and 3) motivational factors related to high-quality hand hygiene among the cohort. Methods: A cross-sectional, self-administered questionnaire consisting of 24 items (developed from WHOs Perception Survey for Health-Care Workers) provided information on demographics, improvement feasibility of practical measures, and various subjective, normative and control beliefs among EMS providers from Finland, Sweden, Denmark and Australia. Results: Overall, 933 questionnaires were returned (response rate 15%). Most respondents were advanced-care providers, male and had > 5 years EMS experience. In total, 61% received hand hygiene training < 3 years ago, and 93% perceived hand hygiene a routine. Most perceived access to hand hygiene supplies, and training and education as feasible practical measures to improve overall hand hygiene compliance.  The majority acknowledged the scope and severity of health-care associated infections and the preventive effect of hand hygiene. Overall, 55% believed that hand hygiene was an organizational priority, 26% that it was important to their managers, 36% to colleges, and 58% to patients. Also, 44% perceived their colleges' hand hygiene compliance high (≥ 80% compliance rate), 71% perceived hand hygiene relatively easy to perform. Organizational priority, peer pressure, and self-efficacy were separately associated with self-reported high-quality hand hygiene. Conclusions: Hand hygiene supplies, simple and clear instructions, and training and education are highly warranted. Moreover, organizational priority, role models, and self-efficacy are motivational components with the potential to empower hand hygiene compliance within this cohort. Future interventional studies are needed to investigate the effect of a multimodal improvement strategy including both practical and behavioral aspects.

scholarly journals Knowledge, socio-cognitive perceptions and the practice of hand hygiene and social distancing during the COVID-19 pandemic: a cross-sectional study of UK university students

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Christine Barrett ◽  
Kei Long Cheung
Keyword(s):  
Risk Perception ◽  
Hand Hygiene ◽  
University Students ◽  
Self Efficacy ◽  
Online Survey ◽  
Time Factors ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Social Distancing ◽  
Hygiene Behaviour

Abstract Background During the first wave of the COVID-19 pandemic, social distancing and hand hygiene have been the primary means of reducing transmission in the absence of effective treatments or vaccines, but understanding of their determinants is limited. This study aimed to investigate knowledge and socio-cognitive perceptions, and their associations with such protective behaviours, in UK university students. Methods A cross-sectional online survey of 293 students was undertaken on 13 May 2020. Survey questions addressed demographics, knowledge of the disease and effectiveness of the protective measures, risk perception, socio-cognitive perceptions (e.g. attitude, social support, and self-efficacy), habit, time factors and trust, as well as the hand hygiene and social distancing behaviours. Multiple linear regression was used to identify the strongest associations of potential determinants with behaviour. Results Participants reported high levels of social distancing with 88.9% answering “Mostly” or “Always” for every activity, but only 42.0% reporting the same for all hand hygiene activities. Knowledge of the effectiveness of each activity in preventing transmission was high, with 90.7% and 93.5% respectively identifying at least 7 of 8 hand hygiene or 9 of 10 social distancing activities correctly. Habit (β = 0.39, p = 0.001) and time factors (β = 0.28, p = 0.001) were the greatest contributors to unique variance in hand hygiene behaviour, followed by ethnicity (β = − 0.13, p = 0.014) and risk perception (β = 0.13, p = 0.016). For social distancing behaviour, the determinants were self-efficacy (β = 0.25, p < 0.001), perceived advantages (β = 0.15, p = 0.022), trust in policy (β = 0.14, p = 0.026) and gender (β = − 0.14, p = 0.016). Regression models explained 40% hand hygiene and 25% social distancing variance. Conclusions This study indicated that communications about effectiveness of hand hygiene and social distancing behaviours had been effective in terms of knowledge acquisition. However, in the light of likely second waves of COVID-19, attention to maintaining social distancing behaviour and improving hand hygiene behaviour may need to address more difficult areas of changing habits, overcoming time factors and building trust, as well as interventions to increase self-efficacy and address risk perception concerns.

scholarly journals GAMBARAN KEPATUHAN TENAGA KESEHATAN DALAM MENERAPKAN HAND HYGIENE DI RAWAT INAP RSUP PROF. Dr. R D. KANDOU MANADO

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Citra Prasilya Karuru ◽  
Theresia Isye Mogi ◽  
Lidwina Sengkey
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Health Workers ◽  
Compliance Rate ◽  
Cross Sectional ◽  
Route Of Transmission ◽  
Health Care Associated Infections ◽  
Cross Sectional Design ◽  
Hygiene Compliance

Abstract: Hands are the main route of transmission of germs during patient care. Nosocomial infection transmission can occur due to poor sanitation. Hand hygiene of health workers is very helpful in preventing the transmission of harmful germs and health care-associated infections. However, health workers still have less attention about the role of hand hygiene. This study aimed to determine the doctors and nurses’ compliance rate in implementing hand hygiene in Prof. Dr. R.D. Kandou Hospital Manado. This was an observational study with a cross-sectional design. Samples were specialist doctors, residents, and nurses in IRINA A, E, and F. The general compliance rate of hand hygiene was 5,2%. Based on the profession, the hand hygiene compliance rate of doctors was 2.4% (n=21) and of nurses 6.6% (n=113). Based on the monitored time, the compliance rate before entering rooms was 3.02% (n=39) and after entering rooms 7.35% (n=95). Conclusion: Hand hygiene compliance rate among health workers was still low.Keywords: health workers, hand hygiene compliance rate Abstrak: Tangan merupakan jalur utama penularan kuman selama perawatan pasien. Penularan infeksi nosokomial bisa terjadi akibat sanitasi yang kurang. Kebersihan tangan tenaga kesehatan sangat membantu pencegahan penularan kuman berbahaya dan mencegah infeksi terkait perawatan kesehatan. Namun, pentingnya penerapan hand hygiene masih kurang mendapat perhatian oleh tenaga kesehatan. Penelitian ini bertujuan untuk melihat gambaran kepatuhan tenaga kesehatan yakni tenaga dokter dan perawat dalam menerapkan hand hygiene di ruang rawat inap RSUP Prof. Dr. R. D. Kandou Manado. Metode penelitian yang digunakan ialah observasional dengan desain potong lintang. Sampel meliputi dokter spesialis, dokter residen, dan perawat. Angka kepatuhan keseluruhan ialah 5,2%. Berdasarkan kelompok pekerjaan, angka kepatuhan dokter 2,4% (n=21) dan perawat 6,6% (n=113). Dari dua indikasi yang diamati, angka kepatuhan sebelum masuk ruangan 3,02% (n=39) dan setelah keluar ruangan 7,35% (n=95). Simpulan: Tingkat kepatuhan hand hygiene tenaga kesehatan masih rendah.Kata kunci: tenaga kesehatan, tingkat kepatuhan hand hygiene

HUBUNGAN MOTIVASI DENGAN KEPATUHAN PERAWAT DALAM PRAKTIK KEBERSIHAN TANGAN DI RUANG BEDAH RSUD KABUPATEN INDRAMAYU

2018 ◽  
Vol 5 (2) ◽  
pp. 81-88
Author(s):  
Muhammad Saefulloh ◽  
Heri Sugiarto ◽  
Suwanto Suwanto
Keyword(s):  
Hand Hygiene ◽  
Nosocomial Infection ◽  
Hand Hygiene Compliance ◽  
P Value ◽  
Hygiene Practice ◽  
Chi Square ◽  
Improve Hand Hygiene ◽  
Cross Sectional ◽  
High Motivation ◽  
Hygiene Compliance

ABSTRAK Menjaga kebersihan tangan merupakan upaya pencegahan infeksi nosokomial yang ditularkan melalui tangan. Penelitian ini bertujuan untuk mengetahui hubungan antara motivasi dengan kepatuhan perawat dalam praktik kebersihan tangan di ruang Bedah RSUD Indramayu Tahun 2017. Metode Penelitian ini merupakan penelitian survei analitik dengan pendekatan cross sectional. Sampel penelitian ini sebanyak 30 perawat yang bekerja di ruang Bedah RSUD Kabupaten Indramayu. Alat pengumpulan data menggunakan kuesioner. Berdasarkan hasil penelitian diketahui motivasi tinggi sebanyak 66,7%. Dan kepatuhan perawat dengan kategori patuh sebesar 90,0%. Hasil analisis bivariat menunjukan p-value sebesar 0,03 dan α = 0,05 yang berarti ada hubungan antara motivasi dengan kepatuhan perawat dalam praktik kebersihan tangan di ruang Bedah RSUD Kabupaten Indramayu tahun 2017 (p-value 0,03, α = 0,05). Saran dari penelitian ini adalah perawat dipaparkan untuk menjaga kebersihan tangan dan meningkatkan ketaatan kebersihan tangan untuk mengurangi infeksi nosokomial Kata Kunci : Kebersihan tangan, motivasi, kepatuhan ABSTRACT Keeping hand hygiene will prevent the nosocomial infection that is transmitted by hand. The objective of this study is to find the correlation between motivation towards nurses obedience in implementing hand hygiene at Surgery care room RSUD Kabupaten Indramayu year 2017. The study used correlation methode with Crossectional approach. The sample were 30 nurses in Surgery care room RSUD Kabupaten Indramayu. The instrument used questioner. The data was analized by Chi square. The correlation showed that high motivation is 66,7%. Nurse compliance in hand hygiene practice as much as 90,0%. Bivariate analize showed that there is a correlation between motivation towards nurse obedience in implementing hand hygiene at Surgery care room RSUD Kabupaten Indramayu should be 2017 (p-value 0.03, α = 0.05) Suggestion from this study are nurses exposed to maintain hand hygiene and improve hand hygiene compliance to reduce nosocomial infections. Keywords : Hand Hygiene, Motivation, Obedience.

Introduction of New Theory for Hand Hygiene Surveillance: Healthcare Environment Theory

2018 ◽  
Vol 32 (2) ◽  
pp. 144-167
Author(s):  
Sharon Lea Kurtz
Keyword(s):  
Hand Hygiene ◽  
Family Environment ◽  
Hand Hygiene Compliance ◽  
Theoretical Foundation ◽  
Demographic Variables ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Healthcare Environment ◽  
Hygiene Behavior ◽  
Hygiene Compliance

Background and Purpose:The purpose of this article is to introduce a theoretical foundation, the healthcare environment theory (HET), tested in a quantitative, cross-sectional, overt observational study measuring the association of demographic variables with consistent hand hygiene compliance of the ICU nurse.Methods:Six environments found in a hospital ICU setting (family, church, work, administration, community, and culture) work bi-directionally to influence and be influenced by the nurse, simultaneously influencing each of the other environments in a multidirectional manner. The HET was used as the theoretical foundation for a study, which included a convenience sample of registered nurses (RNs) from five ICUs (64 participating RNs) in four hospitals in Texas who were observed for a total of 18 days (144 hours). The desired sample size of 613 hand hygiene opportunities for each ICU was obtained in 3 days of observation at 3 ICUs, 4 days in one ICU, and 5 days in one ICU. The six environments were used to support the results observed.Results:Through the variables of age and having children, hand hygiene rates were influenced by the family environment. Community environment was associated with a change in hand hygiene behavior in hospital hand hygiene rates in regards to age of the nurse. Younger nurses had higher hand hygiene compliance rates than older nurses.Implications for Practice:The different hospital environments surrounding the nurse can be used to explain hand hygiene compliance rates in association with demographic variables.

scholarly journals An Evaluation of the Hand Hygiene Behaviour and Compliance of the General Public When Using Public Restrooms in Northern Ireland (NI) during the Initial Weeks of the Novel Coronavirus (COVID-19) Pandemic

2021 ◽  
Vol 18 (12) ◽  
pp. 6385
Author(s):  
Aaron Lawson ◽  
Robert Cameron ◽  
Marie Vaganay-Miller
Keyword(s):  
Northern Ireland ◽  
Hand Hygiene ◽  
General Public ◽  
Hand Hygiene Compliance ◽  
Infrared Imaging ◽  
Protective Measure ◽  
Cross Sectional ◽  
Hygiene Behaviour ◽  
Hygiene Compliance ◽  
Novel Coronavirus

Background: The ongoing novel coronavirus (COVID-19) global pandemic has resulted in significant levels of morbidity and mortality worldwide, particularly among the elderly and immuno-suppressed groups. Although adequate hand hygiene (HH) behaviour and compliance is widely accepted as being the most effective self-protective measure in preventing the spread of diseases like COVID-19, previous research suggests that normal hand hygiene compliance is poor, but generally improves during a disease pandemic. This research aimed to evaluate the hand hygiene behaviour and compliance of the general public in the initial weeks of the COVID-19 pandemic in Northern Ireland (NI). Methods: This cross-sectional study involved the use of infrared-imaging cameras to observe the hand hygiene behaviour and compliance of the general public when using one set of male and female public restrooms. Results: The findings of this study indicated that the level of hand hygiene compliance of the general public was poor in the initial weeks, with 82.93% overall not washing their hands adequately. Conclusions: Inadequate HH behaviour and compliance may have added significantly to the rapid rate of spread of COVID-19 in the initial weeks of the pandemic in NI. Current public health campaigns do not appear, based on this study, to have the desired impact and may need to be reviewed or re-enforced in order to achieve the levels of hand hygiene compliance required to slow the spread of COVID-19 and other communicable diseases in the future.

scholarly journals TRANSLATING HAND HYGIENE PRACTICE INTO COMPLIANCE DURING ASEPTIC WOUND DRESSING

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Iszaid Bin Idris ◽  
Azizan Binti Atan ◽  
Noor Shahidah Binti Ahmad Yatim ◽  
Mahani Binti Abdullah
Keyword(s):  
Hand Hygiene ◽  
Wound Dressing ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Public Healthcare ◽  
Healthcare Associated Infection ◽  
Cross Sectional Survey ◽  
Common Procedure ◽  
Cross Sectional ◽  
Hygiene Compliance

INTRODUCTION: Over the past decade, we have witnessed some amazing innovations in the field of aseptic wound dressing. However, hygiene compliance during this common procedure still remains poorly observed. BACKGROUND: In the late 1800s, Florence Nightingale, revolutionised the practice by implementing the principle of hand washing and other hygienic practice during the Crimean War. Growing burden of healthcare-associated infection have yielded enough scientific evidence to support the claim that hand hygiene alone is capable of substantially reducing the risk of cross-transmission. AIMS: This study explores factors associated with hand hygiene compliance during aseptic wound dressing among healthcare workers. METHOD: This is a cross-sectional survey conducted among various public healthcare workers in the state of Johor (Malaysia). Descriptive and inferential statistics were computed to analyse the data. RESULT: A total of 451 HCWs have volunteer and out of which majority work as a Registered Nurse (n=262, 58%), compared to other health worker (n=189, 42%). Almost all of HCW (n=446, 99%) feel wound dressing took long time to finish regardless of experience. DISCUSSION: We found that using the standardised forms as the assisting method significantly improved hand hygiene compliance during aseptic wound dressing regardless of working experience. CONCLUSION: Although nurses are predominantly responsible for handling wound care, but various factors are almost similar which can improve adherence to hand hygiene standards, and experience can be gained along the way.

scholarly journals The compliance of routine hand hygiene among nurses and midwives at Tra Vinh Hospital of Obstetrics, Gynecology and Pediatrics in 2020 and associated factors

2021 ◽  
Vol 62 (2) ◽  
Author(s):  
Nguyễn Phương Nam ◽  
Lê Thị Thanh Hương
Keyword(s):  
Hand Hygiene ◽  
Associated Factors ◽  
Hand Hygiene Compliance ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Spss Software ◽  
Hygiene Compliance ◽  
Nurses And Midwives

Objective: The study described the routine hand hygiene of nurses and midwives at Tra Vinh Hospital of Obstetrics, Gynecology and Pediatrics in the year 2020 and some associated factors. Method: This was a cross sectional study. Totally, there were 360 chances of hand hygiene to be observed using a checklist. Data was analyzied by SPSS software version 20.0. Chi square test and odd ratios were applied with significant level at 0.05. Results: The prevalence of routine hand hygiene compliance was 33.3% by chances of hand hygiene, and was 30.3% by nurses and midwives. The highest prevalence of compliance was “After contact with patients” (55.5%) and the lowest prevalence was “After contact with blood and fluids”. Some factors associated with the compliance of routine hand hygiene among nurses and midwives were the availability of hand rubs, facilities supporting hand hygiene compliance, workload, rewards and punishments for the compliance of routine hand hygiene. Conclusion: There is a need to retrain routine hand hygiene for nurses and midwives. Supervision of the compliance of routine hand hygiene needs to be conducted, especially for Departments of Obstetrics, Department of Pediatrics, and Department of Surgical Obstetrics.

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