scholarly journals Factors influencing hand hygiene compliance of healthcare students

2019 ◽  
Vol 15 (4) ◽  
Author(s):  
Salah H Elsafi ◽  
Shahad Y Al-Howti
Keyword(s):  
Hand Hygiene ◽  
Knowledge Score ◽  
Healthcare Associated Infections ◽  
Healthcare Students ◽  
Attitude And Practice ◽  
Validated Questionnaire ◽  
Significant Difference ◽  
Knowledge And Attitude ◽  
Hygiene Compliance ◽  
Healthcare Associated

Hand hygiene is the most effective way to control healthcare-associated infections. The aim of this study is to measure the hand hygiene awareness and practices in relation to various variables among the healthcare students. A structured validated questionnaire was completed by the participants to assess their awareness and compliance with hand hygiene. The average knowledge score of 500 students was 6.24/10 with a significant difference between various departments (p = 0.001). Knowledge significantly increased by advanced years of study. The average attitude and practice scores were 6.96 and 5.13, respectively with significant differences only in practice between various departments but not within other variables. Despite an overall good knowledge and attitude, the compliance of hand hygiene was generally poor. These findings suggested that other factors than knowledge and attitude might play a role in compliance. Although there appears to be a direct correlation with knowledge and year of study (Correlation coefficient r = 0.96) a weaker correlation value was detected with attitude (r = 0.02). Conversely, we detected a negative correlation between compliance with hand hygiene and the year of study (r = -0.55). In contrast to many other studies, no gender difference in attitude and practice in this study.

scholarly journals 1314. From Book to Bedside: Theoretical and Applied Knowledge on the Topic of Healthcare-Associated Infections in Second-Year Nursing Students from a Croatian University

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S402-S402
Author(s):  
Tomislav Mestrovic ◽  
Goran Kozina ◽  
Marijana Neuberg ◽  
Rosana Ribic
Keyword(s):  
Nursing Students ◽  
Hand Hygiene ◽  
Health Workers ◽  
Healthcare Associated Infections ◽  
Standard Precautions ◽  
Significant Difference ◽  
Level Of Knowledge ◽  
Second Year ◽  
Healthcare Associated ◽  
Applied Knowledge

Abstract Background Adequate training of health workers is pivotal in the prevention of healthcare-associated infections (HAI). Our aim was to assess the theoretical and applied knowledge about the risk factors and effective measures of HAI prevention (most notably the use of standard precautions and hand hygiene practices) in second year undergraduate university nursing students that have already completed obligatory courses in microbiology, infectious diseases and epidemiology. Methods This study included a whole generation of second year undergraduate nursing students, comprised of 161 female and 25 male participants (186 in total), from a public university in Croatia (University Centre Varaždin, University North). They were given an anonymous questionnaire (developed on the model used by Tavolacci et al. in 2008) covering three domains: General Knowledge of HAI, Standard Precautions (SP) and Hand Hygiene (HH). The acceptable score overall (max. 30) and for each area (max. 10) was arbitrarily set at ≥ 20 and ≥ 7, respectively (in accordance with prior research). Results The age range of surveyed students was 19–37 (mean: 21.97, median: 21, mod: 20). An accurate definition of nosocomial infections was provided by 98.92% students (with 60.75% of them defining it as the infection occurring 48 hours after hospital admission). The overall score was 21.5, which indicates sufficient level of applied knowledge of healthcare-associated infections. Very high level of knowledge was observed for the SP area (total score of 9.5); however, the level of knowledge in HAI and HH domains was inadequate (5.9 and 6.1, respectively). There was no statistically significant difference in the overall or specific scores between male and female students (P > 0.05). Formal teaching during the curriculum was students’ primary source of information (60.22%), followed by practical learning in the ward during work (23.65%), formal teaching in the ward (9.68%) and self-learning (6.45%). Conclusion Periodical checking of nursing students’ knowledge on HAI and corresponding curriculum modifications in obligatory courses tackling this topic are advised in order to fill the knowledge gaps, improve training, reduce infection rates and increase compliance with prevention measures. Disclosures All authors: No reported disclosures.

scholarly journals Reduction in Intraoperative Bacterial Contamination of Peripheral Intravenous Tubing Through the Use of a Novel Device

2009 ◽  
Vol 110 (5) ◽  
pp. 978-985 ◽  
Author(s):  
Matthew D. Koff ◽  
Randy W. Loftus ◽  
Corey C. Burchman ◽  
Joseph D. Schwartzman ◽  
Megan E. Read ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Hand Hygiene ◽  
Odds Ratio ◽  
Hand Hygiene Compliance ◽  
Group Versus ◽  
Control Group ◽  
Healthcare Associated Infections ◽  
Intravenous Tubing ◽  
Hygiene Compliance ◽  
Healthcare Associated

Background Hand hygiene is a vital intervention to reduce health-care associated infections, but compliance remains low. The authors hypothesized that improvements in intraoperative hand hygiene compliance would reduce transmission of bacteria to surgical patients and reduce the incidence of postsurgical healthcare-associated infections. Methods The authors performed a controlled before-and-after study over 2 consecutive months. One hundred fourteen operative cases were enrolled. Two predesignated sites on the anesthesia machine were selected, decontaminated, and cultured via aseptic technique. These sites and the peripheral intravenous stopcock were cultured again after completion of the surgery. The treatment phase used a novel personal hand-decontamination device capable of recording hand-decontamination events. Results There were no significant differences in patient location, age, or case duration and procedure type between groups. Use of the Sprixx GJ device (Harbor Medical Inc., Santa Barbara, CA) increased hourly hand decontamination events by 27-fold as compared with baseline rates (P < 0.002; 95% confidence interval, 3.3-13.4). Use of the device was associated with a reduction in contamination in the anesthesia work area and peripheral intravenous tubing. Intravenous tubing contamination was identified in 32.8% of cases in the control group versus 7.5% in the treatment group (odds ratio, 0.17; 95% confidence interval, 0.06-0.51; P < 0.01). Healthcare-associated infections rates were reduced in the device group (3.8%) as compared with the control group (17.2%) (odds ratio, 0.19; 95% confidence interval, 0.00-0.81; P = 0.02). Conclusions Improved hand hygiene compliance through the use of a novel hand sanitation strategy reduces the risk of intraoperative bacterial transmission. The intervention was associated with a reduction in healthcare-associated infections.

scholarly journals Healthcare Workers Knowledge, Attitude, and Availability of Facilities Toward Compliance Hand Hygiene

2019 ◽  
Vol 1 (1) ◽  
pp. 13-20
Author(s):  
Richa Noprianty ◽  
Gendis Kintan Dwi Thahara
Keyword(s):  
Hand Hygiene ◽  
Healthcare Workers ◽  
Sampling Method ◽  
Compliance Rate ◽  
Sample Selection ◽  
The United States ◽  
Cross Sectional ◽  
Knowledge And Attitude ◽  
Hygiene Compliance ◽  
Healthcare Associated

Failure to perform good hand hygiene is considered as an major cause of Healthcare Associated Infections (HAIs). From the WHO data, compliance rate of nurses hand hygiene activity at the United States is about 50%, Australia 65% while in Indonesia 47%. This study aims to determine healthcare workers knowledge, attitude, and availability of facilities toward that affect hand hygiene compliance. This research method is analytical descriptive with cross-sectional approach. The object of data collection is an healthcare workers (nurse, doctor, and pharmacy) at General Hospitalin West Java as many as 51 samples. Sample selection using stratified sampling method with research instrument in the form of questionnaire and observation sheet about knowledge and attitude to hand hygiene adopted from WHO. The results of this study that obtained in the group of nurse were 48.6% doing imperfect hand hygiene and group of doctor respectively 80.0% and pharmacy were 100.0%. In terms of nurses knowledge about hand hygiene is 59.5%, doctor80.0% and pharmacy 50.0%. In terms of attitudes about the implementation of hand hygiene, the nurses group is 48.6%, doctors respectively 40% and pharmacy 50.00% have a positive attitude. In terms of facilities is 40.5% nurses stated available, doctors 20% and pharmacy 0.00%. There was a significant relationship between hand hygiene with knowledge (p = 0,019), attitude (0.004) and hand hygiene facility (p = 0.040).   Keywords: attitude, hand hygiene, health care, knowledge

scholarly journals Implementation of the WHO Hand Hygiene Strategy in Faranah Regional Hospital, Guinea

2019 ◽  
Author(s):  
Sophie Alice Müller ◽  
Alpha Oumar Karim Diallo ◽  
Rebekah Wood ◽  
Mouctar Bayo ◽  
Tim Eckmanns ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Improve Patient Safety ◽  
Knowledge Score ◽  
Regional Hospital ◽  
Healthcare Associated Infections ◽  
Baseline Assessment ◽  
Improvement Strategy ◽  
Resource Limited ◽  
Healthcare Associated

Abstract Background: Healthcare-associated infections are the most frequent adverse events in healthcare worldwide, with limited available evidence suggesting highest burden in resource-limited settings. Recent Ebola epidemics emphasize the disastrous impact that spread of infectious agents within healthcare facilities can have, accentuating the need for improvement of infection control practices. Hand hygiene (HH) measures are considered to be the most effective tool to prevent Healthcare-associated infections. However, HH knowledge and compliance are low, especially in vulnerable settings such as Guinea. The aim of PASQUALE (Partnership to Improve Patient Safety and Quality of Care) was to assess knowledge and compliance with HH and improve HH by incorporating the WHO HH Strategy within the Faranah Regional Hospital (FRH), Guinea.Methods: In a participatory approach, a team of HRF staff and leadership was invited to identify priorities of the hospital prior to the start of PASQUALE. The local hygiene committee was empowered to increase its activities and take ownership of the HH improvement strategy. A baseline assessment of knowledge, perception and compliance was performed months before the intervention. The main intervention consisted of local alcohol-based-hand-rub (ABHR) production, with final product efficacy testing, in conjunction with a training adapted to the needs identified in the baseline assessment. A follow-up assessment was conducted directly after the training. Effectiveness of the intervention was assessed via uncontrolled before-and-after comparison.Results: Baseline knowledge score (13.0/25) showed a significant increase to 19.0/25 in follow-up. Baseline-Compliance was 23.7% and increased significantly to 71.5% in follow-up. Compliance rose significantly across all professional groups except for midwifes and in all indications for HH, with the largest in the indication “Before aseptic tasks”. The increase in compliance was associated with the intervention and remained significant after adjusting for confounders. The local pharmacy successfully supplies the entire hospital. The local supply resulted in a ten-fold increase of monthly hospital disinfectant consumption.Conclusion: The WHO HH strategy is an adaptable and effective method to improve HH knowledge and compliance in a resource-limited setting. Local production is a feasible method for providing self-sufficient supply of ABHR to regional hospitals like the FRH. Participatory approaches like hygiene committee ownership builds confidence of sustainability.

scholarly journals Cleaning Staff’s Attitudes about Hand Hygiene in a Metropolitan Hospital in Australia: A Qualitative Study

2019 ◽  
Vol 16 (6) ◽  
pp. 1067 ◽  
Author(s):  
Marguerite Sendall ◽  
Laura McCosker ◽  
Kate Halton
Keyword(s):  
Qualitative Study ◽  
Hand Hygiene ◽  
Healthcare Associated Infections ◽  
Limited Information ◽  
Improve Hand Hygiene ◽  
Hygiene Practices ◽  
Hygiene Compliance ◽  
Cleaning Staff ◽  
Healthcare Associated ◽  
Hospital Cleaning

Background: In 2009, the National Hand Hygiene Initiative (NHHI) was implemented in hospitals across Australia with the aim of improving hand hygiene practices and reducing healthcare-associated infections. Audits conducted post-implementation showed the lowest rates of compliance with hand hygiene practices are among operational staff including hospital cleaners. There is limited information about hand hygiene issues in hospital cleaners to inform development of evidence-based interventions to improve hand hygiene compliance in this group. Aim: This qualitative study was undertaken to explore the attitudes of hospital cleaning staff regarding hand hygiene and the National Hand Hygiene Initiative. Methodology: Focus groups were conducted with 12 cleaning staff at a large Australian hospital implementing the National Hand Hygiene Initiative. Findings: Hospital cleaners recognise the importance of hand hygiene in preventing healthcare-associated infections. Cleaners cite peer support, leadership, and the recognition and reward of those excelling in hand hygiene as strong motivators. Barriers to optimal hand hygiene practice include the presence of multiple conflicting guidelines, hand hygiene “overload” and a lack of contextualised education programs. This exploratory qualitative study reveals three themes about attitudes of hospital cleaning staff towards hand hygiene. These themes are: (1) “The culture of hand hygiene: It’s drummed into us”; (2) “Reminders and promotion for hand hygiene: We just need a big ‘Please wash your hands’ sign”; and (3) “The personal value of hand hygiene: Like he said, it’s second nature to us”. Conclusion: Hand-hygiene messages and training need to be more consistent and contextualised to achieve improvements in hand hygiene practices in hospital cleaning staff in Australia.

Usability of Hand Hygiene Observation Apps

2019 ◽  
Vol 8 (1) ◽  
pp. 275-278
Author(s):  
Amanda Sivek ◽  
Erin Sparnon ◽  
Patrice D Tremoulet
Keyword(s):  
Antibiotic Resistance ◽  
Hand Hygiene ◽  
Mobile Devices ◽  
Clinical Training ◽  
Hand Hygiene Compliance ◽  
Healthcare Associated Infections ◽  
Targeted Interventions ◽  
Hygiene Compliance ◽  
Healthcare Associated ◽  
The U.S

Effective hand hygiene among clinicians decreases the incidence of healthcare-associated infections and helps slow the rate of antibiotic resistance, but hand hygiene compliance (HHC) rates among clinicians is often low. Facility-wide HHC monitoring is required by the U.S. Centers for Medicare & Medicaid Services. In general, HHC monitoring is important to identify facility care areas, units or departments that have low HHC rates so that targeted interventions can be implemented. Recently several hand hygiene observation apps (HHOA), which enable observers to use mobile devices to record HHC data, have become available. The overall goal of our effort was to evaluate how helpful five different HHOAs were in supporting users in collecting and aggregating HHC data. Overall our participants, which included nine individuals with clinical training, and eight biomedical engineers found that all five HHOAs were fairly hard to use given that they have a relatively simple and straightforward function. There was an interesting interaction, however, with the biomedical engineers rating highest the HHOAs that the clinically-trained users rated lowest.

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