scholarly journals ADHERENCE TO HAND HYGIENE IN A NEPHROLOGY SERVICE

2020 ◽  
Vol 6 ◽  
Author(s):  
Ivonizete Pires Ribeiro ◽  
Elizana Carvalho Oliveira ◽  
Ana Maria Ribeiro dos Santos ◽  
Adélia Dalva da Silva Oliveira ◽  
Herica Emilia Félix de Carvalho
Keyword(s):  
Patient Safety ◽  
Hand Hygiene ◽  
Public Hospital ◽  
Descriptive Study ◽  
Educational Interventions ◽  
Adherence Rate ◽  
Educational Activities

Objective: To evaluate adherence to hand hygiene in a nephrology service. Method: Descriptive study, performed in a public hospital in Teresina, Piauí, Brazil. Adherence percentage to five moments of hand hygiene was collected in a database of Center for Patient Safety in the period from March to April 2019. Results: Adherence rate varied in all the periods analyzed, reached 25% of adherence, and there were almost no stabilization periods. By relating the variation of adherence rate with the activities performed in the same period, it may be inferred that the greatest number of professionals who participated in educational activities on hand hygiene influenced in the increased adherence rate. Conclusion: The adherence was low; therefore, it is necessary that educational interventions be constant and not punctual so that hand hygiene becomes routine inherent in care.

scholarly journals Implantação da Comissão de Prevenção e Tratamento de Lesões na Pele em um Hospital Público

2018 ◽  
Vol 86 (24) ◽  
Author(s):  
Roberta Carozo Torres ◽  
Sacha Jamille de Oliveira ◽  
Ana Cristina Freire Abud ◽  
Rita Maria Viana Rego
Keyword(s):  
Patient Safety ◽  
Nursing Care ◽  
Public Hospital ◽  
Wounds And Injuries ◽  
Descriptive Study ◽  
Skin Lesions ◽  
Care Patient ◽  
Skin Injuries ◽  
Individualized Care ◽  
Prevention And Treatment

O cuidado aos indivíduos com lesões na pele é um desafio multiprofissional, porém com maiorresponsabilidade para a equipe de enfermagem, por ter a responsabilidade da execução dos curativos. Esteestudo objetivou relatar a experiência de implantação da Comissão de Prevenção e Tratamento de Lesões naPele (CPTLP) em um hospital público do estado de Sergipe. Trata-se de um estudo descritivo, do tipo relato deexperiência, realizado a partir da vivência profissional na CPTLP de um hospital público de Sergipe. Com ointuito de sistematizar a assistência aos portadores de feridas e aqueles com risco de desenvolvê-las, a equipeda CPTLP foi criada e organizada com a finalidade de prevenir e tratar lesões na pele dos pacientes internados.A CPTLP tem o enfermeiro como profissional de referência para esses cuidados tendo em vista o protagonismodesse profissional nesse cenário. Assim, a equipe da CPTLP tem conseguido minimizar o surgimento de lesõescomplexas, além de tratar de forma efetiva as existentes através do atendimento individualizado e educaçãodas equipes assistenciais.Palavras-chave: Ferimentos e lesões; Cuidados de Enfermagem; Segurança do Paciente. AbstractCare for individuals with skin lesions is a multiprofessional challenge, but with greater responsibility for thenursing team, for having responsibility for the dressings execution. This study aimed to report the experienceof the Commission for the Prevention and Treatment of Skin Injuries (CPTLP) implementation in a publichospital in the state of Sergipe. This is a descriptive study, of the experience report type, carried out from theprofessional experience in the CPTLP of a public hospital in Sergipe. To systematize assistance to woundpatients and those at risk of developing them, the CPTLP team was created and organized to prevent and treatinjuries to the patients' skin. The CPTLP has the nurse as a reference professional for such care in view of thisprofessional role in this scenario. Thus, the CPTLP team has managed to minimize the complex lesionsoccurrence, in addition to effectively treating existing ones through the individualized care and the care teams’education.Keywords: Wounds and Injuries; Nursing Care; Patient Safety.

scholarly journals Influencing factors of hand hygiene in critical sections of a brazilian hospital

2021 ◽  
Vol 15 (06) ◽  
pp. 840-846
Author(s):  
Thaissa Blanco Bezerra ◽  
Marilia Duarte Valim ◽  
Juliano Bortolini ◽  
Adriano Menis Ferreira ◽  
Willian Albuquerque de Almeida ◽  
...  
Keyword(s):  
Patient Safety ◽  
Hand Hygiene ◽  
Neonatal Intensive Care ◽  
Safety Climate ◽  
Physical Structure ◽  
University Hospital ◽  
Adherence Rate ◽  
Patient Safety Climate ◽  
Midwest Region ◽  
Critical Sections

Introduction: The aim of this study was to monitor adherence to hand hygiene by health professionals working in critical sections and to assess the factors that influenced adherence, such as physical structure of the units, use of procedure gloves, employment bond of the worker, and perception of patient safety climate. Methodology: Observational and correlational study carried out in critical areas of a university hospital in the Midwest region of Brazil. Results: The overall hand hygiene adherence rate was 46.2% (n = 3,025). Adherence was higher among nurses 59.8% (n = 607) than among nursing technicians (p < 0.001), and the section with the greatest adherence was the neonatal Intensive Care Unit 62.9% (n = 947) (p < 0.001). Unlike the neonatal unit, in the adult unit the dispensers of alcohol-based handrubs were poorly located, without arms reach, and the taps were manual. In this section, a greater frequency of procedure glove use was also observed, 90.6% (n = 536), as compared to the other sections (p < 0.001). Regarding safety climate perception, temporary employees had higher means as compared to regular employees (p = 0.0375). Conclusions: Hand hygiene adherence was affected and/or influenced by the physical structure, use of procedure gloves, work regime, and patient safety climate.

scholarly journals Implementation of the Comprehensive Unit-Based Safety Program to Improve Hand Hygiene in Four NICUs in Pune, India

2020 ◽  
Vol 41 (S1) ◽  
pp. s8-s10
Author(s):  
Julia Johnson ◽  
Asad Latif ◽  
Bharat Randive ◽  
Abhay Kadam ◽  
Uday Rajput ◽  
...  
Keyword(s):  
Patient Safety ◽  
Hand Hygiene ◽  
Safety Culture ◽  
Assessment Tool ◽  
Tertiary Care ◽  
Infection Prevention And Control ◽  
Improvement Strategy ◽  
Implementation Phase ◽  
Healthcare Facilities ◽  
Safety Program

Background: In low- and middle-income country (LMIC) healthcare facilities, gaps in infection prevention and control (IPC) practices increase risk of healthcare-associated infections (HAIs) and mortality among hospitalized neonates. Method: In this quasi-experimental study, we implemented the Comprehensive Unit-based Safety Program (CUSP) to improve adherence to evidence-based IPC practices in neonatal intensive care units (NICUs) in 4 tertiary-care facilities in Pune, India. CUSP is a validated strategy to empower staff to improve unit-level patient safety. Baseline safety culture was measured using the Hospital Survey on Patient Safety Culture (HSOPS). Baseline IPC assessments using the Infection Control Assessment Tool (ICAT) were completed to describe existing IPC practices to identify focus areas, the first of which was hand hygiene (HH). Sites received training in CUSP methodology and formed multidisciplinary CUSP teams, which met monthly and were supported by monthly coaching calls. Staff safety assessments (SSAs) guided selection of multimodal interventions. HH compliance was measured by direct observation using trained external observers. The primary outcome was HH compliance, evaluated monthly during the implementation and maintenance phases. Secondary outcomes included CUSP meeting frequency and HH compliance by healthcare worker (HCW) role. Result: In March 2018, 144 HCWs and administrators participated in CUSP training. Site meetings occurred monthly. During the implementation phase (June 2018–January 2019), HH monitoring commenced, sites formed their teams, completed the SSA, and selected interventions to improve HH based on the WHO’s IPC multimodal improvement strategy: (1) system change; (2) training and education; (3) monitoring and feedback; (4) reminders and communication; and (5) a culture of safety (Fig. 1). During the maintenance phase (February–September 2019), HH was monitored monthly and sites adapted interventions as needed. HH compliance improved from 58% to 70% at participant sites from implementation to maintenance phases (Fig. 2), with an odds ratio (OR) of 1.66 (95% CI, 1.50–1.84; P < .001). HH compliance improved across all HCW roles: (1) physician compliance improved from 55% to 67% (OR, 1.69; 95% CI, 1.42–2.01; P < .001); (2) nurse compliance from 61% to 73% (OR, 1.68; 95% CI, 1.46–1.93; P < .001); and (3) other HCW compliance from 52% to 62% (OR, 1.48; 95% CI, 1.10–1.99; P = .010). Conclusion: CUSP was successfully adapted by 4 diverse tertiary-care NICUs in Pune, India, and it resulted in increased HH compliance at all sites. This multimodal strategy is a promising framework for LMIC healthcare facilities to sustainably address IPC gaps and reduce HAI and mortality in neonates.Funding: NoneDisclosures: Aaron Milstone, Johns Hopkins University, BD (consulting)

scholarly journals Interventions to improve healthcare workers’ hand hygiene compliance: A systematic review of systematic reviews

2018 ◽  
Vol 39 (12) ◽  
pp. 1449-1456 ◽  
Author(s):  
Lesley Price ◽  
Jennifer MacDonald ◽  
Lucyna Gozdzielewska ◽  
Tracey Howe ◽  
Paul Flowers ◽  
...  
Keyword(s):  
Systematic Review ◽  
Hand Hygiene ◽  
Systematic Reviews ◽  
Hand Hygiene Compliance ◽  
Educational Interventions ◽  
Risk Of Bias ◽  
Future Research ◽  
Monitoring Technology ◽  
Positive Effects ◽  
Hygiene Compliance

AbstractObjectiveTo synthesize the existing evidence base of systematic reviews of interventions to improve healthcare worker (HCW) hand hygiene compliance (HHC).MethodsPRISMA guidelines were followed, and 10 information sources were searched in September 2017, with no limits to language or date of publication, and papers were screened against inclusion criteria for relevance. Data were extracted and risk of bias was assessed.ResultsOverall, 19 systematic reviews (n=20 articles) were included. Only 1 article had a low risk of bias. Moreover, 15 systematic reviews showed positive effects of interventions on HCW HHC, whereas 3 reviews evaluating monitoring technology did not. Findings regarding whether multimodal rather than single interventions are preferable were inconclusive. Targeting social influence, attitude, self-efficacy, and intention were associated with greater effectiveness. No clear link emerged between how educational interventions were delivered and effectiveness.ConclusionsThis is the first systematic review of systematic reviews of interventions to improve HCW HHC. The evidence is sufficient to recommend the implementation of interventions to improve HCW HHC (except for monitoring technology), but it is insufficient to make specific recommendations regarding the content or how the content should be delivered. Future research should rigorously apply behavior change theory, and recommendations should be clearly described with respect to intervention content and how it is delivered. Such recommendations should be tested for longer terms using stronger study designs with clearly defined outcomes.

scholarly journals Adherence Improvement of Five Moments Hand Hygiene with Increasing Motivation of Nurses

2018 ◽  
Vol 1 (1) ◽  
pp. 12
Author(s):  
Menik Kustriyani ◽  
Ivana Probo Kaeksi ◽  
Tamrin Tamrin
Keyword(s):  
Hand Hygiene ◽  
Random Sampling ◽  
Public Hospital ◽  
Sampling Technique ◽  
P Value ◽  
Cross Sectional ◽  
The Public ◽  
Joint Commission International ◽  
R Value ◽  
Spearman Test

Joint Commission International ( JCI ) required the achievement of 100% five moment hand hygiene for the nurses who have provided care to patients. The adherence of five moments hand hygiene has been done to reduce the incidence of nosocomial infections. The adherence of five moments hand hygiene has been determined by inside and outside factors, and one of the inside factors is the motivation. The research is a qualitative research with cross sectional approach. The number of sample is 153 nurses with the proportionate random sampling technique at the Public Hospital of Loekmono Hadi Kudus. The research instruments used the questionaire and observation sheet. The research showed the result of Rank Spearman test p value = 0,000 with r value = 0.296, positive correlation means that the higher the nurse motivation, the higher the nurse aderence of five moment hand hygiene.

scholarly journals The practice of hand hygiene in the maternities of the public hospitals of Lubumbashi

2021 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Hand Hygiene ◽  
Descriptive Study ◽  
Public Hospitals ◽  
Hand Washing ◽  
Cesarean Sections ◽  
Cross Sectional ◽  
The Public ◽  
Hand Rubbing ◽  
Maternity Hospitals ◽  
The One

Introduction: The objective of this study was to evaluate the practice of hand hygiene in the maternities of the public hospitals of Lubumbashi. Method and techniques: We carried out a cross-sectional descriptive study in which the population consisted on the one hand of the technical rooms of the maternity hospitals and the operating rooms for cesarean sections and on the other hand the nurses responsible for these maternities. The observation technique using an observation guide of the WHO model allowed us to collect the data. Results: Hand hygiene was not properly carried out in the maternity wards of Lubumbashi's public hospitals. Most of the prerequisites before hand washing and hydro-alcoholic hand rubbing were not respected, the prerequisites for surgical hand washing were observed only at 21.4%:e wearing of short-sleeved clothing (43.0%),absence of jewelry (78.6%), short nails without varnish and false nails (50.0%). In the absence of hydroalcoholic solution (SHA) (71.4%) for the friction, they used denatured alcohol (28.6%). The duration of soaping and friction was in an interval between 11 to 20 seconds or 42.9% and that of hygienic hand washing was observed at 28.6%. The duration of surgical and antiseptic hand washing was 21 to 40 seconds to 35.7%. Only 21.4% of the departments surveyed had used the broad-spectrum antiseptic foaming solution, no structure had a sterile disposable brush for hygienic and surgical hand washing, 2/14 departments surveyed had sterile disposable towels, the water used had not undergone bacteriological control and only one service, ie 7.1%, which had non-manually operated bins. Conclusion: Hand hygiene is not properly carried out in maternity hospitals in Lubumbashi's public hospitals, due to a lack of equipment and knowledge on this practice, equipment must be provided and staff trained in hand hygiene.

scholarly journals KEPATUHAN PENERAPAN STANDAR PATIENT SAFETY PENYAKIT STROKE DI RS X

2019 ◽  
Author(s):  
Haira kaniara
Keyword(s):  
Patient Safety ◽  
Hand Hygiene

Keselamatan pasien (patient safety) adalah suatu sistem di mana rumah sakit membuat asuhan pasien lebih aman, mencegah terjadinya cidera yang disebabkan oleh kesalahan akibat melaksanakan suatu tindakan atau tidak mengambil tindakan yang seharusnya diambil. Tata kelola Patient Safety pada penyakit Stroke adalah penyusunan Standar Patient Safety untuk diterapkan pada pasien Stroke yang dirawat inap di RSKD. Sepuluh Standar Patient Safety yang diteliti adalah Identifikasi Pasien, Komunikasi Efektif, Obat High Alert, Ketepatan Pasien, Prosedur dan Lokasi Operasi, Hand Hygiene, Risiko Pasien Jatuh, Nama Obat Rupa Mirip, Akurasi Pemakaian Obat, Pemasangan Kateter/ Selang, Spuit Sekali Pakai merupakan kombinasi dari Solusi Keselamatan Pasien WHO dan Sasaran Keselamatan Pasien Internasional. Dalam penelitian ini, berhasil disusun Tatakelola Patient Safety (Patient Safety Pathway) penyakit Stroke di RSKD dan dianalisis kepatuhan penerapannya nya.

scholarly journals SEGURANÇA DO PACIENTE NA VISÃO DE ENFERMEIROS: UMA QUESTÃO MULTIPROFISSIONAL

2017 ◽  
Vol 8 (1) ◽  
pp. 52
Author(s):  
Marcos Antonio Nunes De Araujo ◽  
Wilson Danilo Lunardi Filho ◽  
Rosemary Silva Da Silveira ◽  
Jose Carlos Souza ◽  
Edison Luiz Devos Barlem ◽  
...  
Keyword(s):  
Patient Safety ◽  
Descriptive Study ◽  
Hospital Nurses ◽  
Cross Sectional ◽  
Mato Grosso ◽  
Safety Risks ◽  
City State ◽  
Promote Patient Safety ◽  
Mato Grosso Do Sul

Objetivo: identificar como o enfermeiro percebe a segurança do paciente na instituição de saúde em que atua. Metodologia: estudo descritivo, de corte transversal, realizado entre janeiro e fevereiro de 2016, em Dourados/MS, com 52,58% da população de 310 enfermeiros hospitalares. Aplicou-se questionário sociodemográfico com questões vinculadas à segurança do paciente, cujos dados foram submetidos à análise descritiva. Resultados: parte dos enfermeiros apontou menor segurança quanto aos procedimentos, cuidados e administração de medicamentos. Conclusão: compete à equipe multiprofissional atuar na promoção da segurança do paciente, sendo o enfermeiro o profissional apto a identificar e comunicar riscos iminentes, prevenindo a ocorrência de danos e promovendo saúde na sua integralidade, devido à assistência de enfermagem ocorrer ao longo das 24 horas do dia.Descritores: Segurança do paciente, Gerenciamento de risco, Papel do enfermeiro, Raciocínio clínico.PATIENT SAFETY IN THE PERPECTIVE OF NURSES: A MULTI PROFESSIONAL ISSUEObjective: to highlight how the institutional safety is in the perspective of nurses. Methodology: a cross-sectional descriptive study conducted between January and February 2016, in Dourados City, State of Mato Grosso do Sul, Brazil, with 52.58% of 310 hospital nurses. A sociodemographic questionnaire with questions about “patient safety” was used. A descriptive and statistical analysis was performed. Results: some of the nurses indicated less safety regarding procedures, care and administration of medication. Conclusion: It is the role of multi professional team to promote patient safety. Nurses are capable of identifying and communicating imminent risks, due to their 24 hours assistance, preventing injuries and promoting health in its entirety.Descriptors: Patient Safety, Risks Management, Nurse’s Role, Clinical reasoning.SEGURIDAD DE LOS PACIENTES EN LA PERCEPCIÓN DE ENFERMEROS: UNA CUESTIÓN MULTIPROFESIONALObjetivo: identificar cómo la enfermera percibe la seguridad del paciente en la institución de salud en que actúa. Metodologia: estudio descriptivo de corte trasversal hecho de enero a febrero de 2016, en Dourados/MS, con 52,58% de la población de enfermeros hospitalarias. Se utilizó encuesta sociodemografica respecto la “seguridad del paciente” Se hizo el análisis descriptivo y estadístico. Resultados: parte considerable de los enfermeros indicó menor seguridad cuanto a procedimientos, cuidados y administración medicamentosa. Conclusión: el equipo multiprofesional debe promover la seguridad del paciente, considerando el enfermero como el más apto a identificar y comunicar riesgos inminentes en las 24h de su asistencia, evitando danos e promocionando salud en su integralidad.Descriptores: Seguridad del paciente, Administración de riesgos, Función de los enfermeros, Raciocinio clínico.

scholarly journals Cateterismo cardíaco: experiência vivenciada por pacientes hospitalizados [Cardiac catheterization: experience faced by hospitalized patients] [Cateterismo cardiaco: experiencia que enfrentam los pacientes hospitalizados]

2017 ◽  
Vol 25 ◽  
pp. e15608
Author(s):  
Tamires Diogo Alves de Lira ◽  
Melissa Negro-Dellacqua ◽  
Victor Emmanuell Fernandes Apolônio dos Santos
Keyword(s):  
Data Analysis ◽  
Data Collection ◽  
Cardiac Catheterization ◽  
Public Hospital ◽  
Symbolic Interaction ◽  
Descriptive Study ◽  
Ethics Committee ◽  
Qualitative Approach ◽  
Life And Death ◽  
Data Collection Instrument

Objetivo: descrever a experiência vivenciada por pacientes submetidos ao cateterismo cardíaco à luz do Intervencionismo Simbólico. Método: estudo descritivo com abordagem qualitativa. Entrevistas do tipo narrativa foram utilizadas como instrumento de coleta de dados. A amostra foi composta por sete pacientes submetidos ao cateterismo cardíaco de diagnóstico. A análise foi ancorada a partir do Interacionismo Simbólico de Blumer. O trabalho foi aprovado pelo Comitê de Ética do Hospital Agamenon Magalhães sob o número 01536912.9.0000.5197. Resultados: diante da análise dos depoimentos emergiram as seguintes categorias: o medo como simbologia frente ao cateterismo cardíaco; o coração como símbolo da dualidade entre a vida e a morte; a figura onipotente do médico na decisão sobre a vida do paciente; e expectativas do pós cateterismo. Conclusão: os pacientes que se submetem ao cateterismo enfrentam sentimentos de ansiedade, medo e insegurança, mas também esperança e novas perspectivas para o futuro.ABSTRACTObjective: to describe the experience faced by patients undergoing to cardiac catheterization in a public hospital in Recife. Method: descriptive study, with qualitative approach. Narrative interviews were used as data collection instrument. Sample consisted of seven patients submitted to cardiac catheterization. Data analysis was anchored from the Blumer’s Symbolic Interaction. The study was approved by the Research Ethics Committee of Agamenon Magalhães Hospital under the number 01536912.9.0000.5197. Results: after statements analysis, the following categories emerged: fear as initial symbology of the cardiac catheterization; the heart as a symbol of duality between life and death; the omnipotent figure of the phisycian in the decision on the patient’s life; and expectations of post catheterization. Conclusion: patients undergoing catheterization face feelings of anxiety, fear and insecurity, but also hope and new prospects for the future. RESUMENObjetivo: describir la experiencia que enfrentan los pacientes sometidos a cateterismo cardíaco en un hospital público de Recife. Método: estudio descriptivo, con enfoque cualitativo. Las entrevistas narrativas se usaron como instrumento de recopilación de datos. La muestra consistió en siete pacientes sometidos a cateterismo cardíaco. El análisis de datos se basó en la interacción simbólica de Blumer. El estudio fue aprobado por el Comité de Ética de Investigación del Hospital Agamenon Magalhães con el número 01536912.9.0000.5197. Resultados: después del análisis de las declaraciones, surgieron las siguientes categorías: miedo como simbología inicial del cateterismo cardíaco; el corazón como símbolo de dualidad entre la vida y la muerte; la figura omnipotente del médico en la decisión sobre la vida del paciente; y las expectativas de post cateterismo. Conclusión: los pacientes sometidos a cateterismo enfrentan sentimientos de ansiedad, miedo e inseguridad, pero también esperanzas y nuevas perspectivas para el futuro. DOI: http://dx.doi.org/10.12957/reuerj.2017.15608

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