Assessment of Knowledge, Attitude and Practice of Hand Hygiene in Healthcare Workers of Gulab Devi Chest Hospital Lahore, Pakistan

Background: Hand hygiene is a general term referring to any action of hand cleansing by using water and detergent and for the removal of transient microorganisms from hands. Hand hygiene is recognized as the leading measure to prevent cross-transmission of microorganisms and to reduce the incidence of healthcare associated infections. There are many experiences that the lack of knowledge, attitude and poor practice in hand hygiene in healthcare workers transmit infection in patients and in other healthcare workers. Methodology: This descriptive study was conducted in Gulab Devi Chest Hospital. I had taken 100 healthcare workers to complete my research. The sampling technique of my research was cross-sectional sampling technique, use to collect the data. Results: In this research knowledge was not good in all HCWs, Overall knowledge of hand hygiene by all HCWs was less than 50%. The attitude in nurses and medical student in this research was moderate doctors and technologists have poor attitude in hand hygiene. The practices among HCWs in Gulab Devi Chest Hospital were also poor which was less than 50%. Conclusion: The HCWs in Gulab Devi Hospital had poor knowledge, practices on hand hygiene. However, attitudes of medical student and nursing had satisfactory.

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Hand hygiene compliance among rural healthcare workers of Nepal

Journal of Patan Academy of Health Sciences ◽

10.3126/jpahs.v5i1.24050 ◽

2018 ◽

Vol 5 (1) ◽

pp. 90-95

Author(s):

Ajay Kumar Rajbhandari ◽

Reshu Agrawal Sagtani ◽

Kedar Prasad Baral

Keyword(s):

Health Care ◽

Hand Hygiene ◽

Healthcare Workers ◽

Compliance Rate ◽

Hand Washing ◽

World Health ◽

Cross Sectional ◽

Hygiene Compliance ◽

Health Organization ◽

Healthcare Associated

Introductions: Transmission of healthcare associated infections through contaminated hands of healthcare workers are common. This study was designed to explore the existing compliance of hand hygiene among the healthcare workers workings in different level of health care centers of Makwanpur district of Nepal. Methods: This was a cross sectional observational study conducted in Makwanpur district, Nepal, during 2015. Healthcare workers from nine healthcare centers were selected randomly for the study. Standard observation checklists and World Health Organization guidelines on hand hygiene were used to assess the compliance of hand hygiene during patient care. Results: There were 74 participants. Overall compliance for hand washing was 24.25% (range 19.63 to 45.56). Complete steps of hand washing were performed by 38.3% of health care workers. The factors associated for noncompliance were lack of time (29.3%), example set by seniors (20%), absence or inadequate institution protocol (20%) and unfavourable health care setting (> 20%). Conclusions: Overall hand washing compliance rate amongst the healthcare workers in rural health facilities of Nepal were low (24.25%).

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Patients' Beliefs and Perceptions of Their Participation to Increase Healthcare Worker Compliance with Hand Hygiene

Infection Control and Hospital Epidemiology ◽

10.1086/599118 ◽

2009 ◽

Vol 30 (9) ◽

pp. 830-839 ◽

Cited By ~ 61

Author(s):

Yves Longtin ◽

Hugo Sax ◽

Benedetta Allegranzi ◽

Stéphane Hugonnet ◽

Didier Pittet

Keyword(s):

Hand Hygiene ◽

Healthcare Worker ◽

Patient Participation ◽

Healthcare Workers ◽

Patient Empowerment ◽

Healthcare Associated Infections ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Active Involvement ◽

Healthcare Associated

Background.Research suggests that patients could improve healthcare workers' compliance with hand hygiene recommendations by reminding them to cleanse their hands.Objective.To assess patients' perceptions of a patient-participation program to improve healthcare workers' compliance with hand hygiene.Design.Cross-sectional survey of patient knowledge and perceptions of healthcare-associated infections, hand hygiene, and patient participation, defined as the active involvement of patients in various aspects of their health care.Setting.Large Swiss teaching hospital.Results.Of 194 patients who participated, most responded that they would not feel comfortable asking a nurse (148 respondents [76%]) or a physician (150 [77%]) to perform hand hygiene, and 57 (29%) believed that this would help prevent healthcare-associated infections. In contrast, an explicit invitation from a healthcare worker to ask about hand hygiene doubled the intention to ask a nurse (from 34% to 83% of respondents; P < .001) and to ask a physician (from 30% to 78%; P < .001). In multivariate analysis, being nonreligious, having an expansive personality, being concerned about healthcare-associated infections, and believing that patient participation would prevent healthcare-associated infections were associated with the intention to ask a nurse or a physician to perform hand hygiene (P < .05). Being of Jewish, Eastern Orthodox, or Buddhist faith was associated also with increased intention to ask a nurse (P < .05), compared with being of Christian faith.Conclusions.This study identifies several sociodemographic characteristics associated with the intention to ask nurses and physicians about hand hygiene and underscores the importance of a direct invitation from healthcare workers to increase patient participation and foster patient empowerment. These findings could guide the development of future hand hygiene-promotion strategies.

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

Indonesian Journal of Global Health Research ◽

10.37287/ijghr.v1i1.2 ◽

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

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Perspective of health professionals on hand hygiene in a tertiary care center in Pakistan

Journal of the Pakistan Medical Association ◽

10.47391/jpma.532 ◽

2020 ◽

pp. 1-11

Author(s):

Attia Bari ◽

Izza Imran ◽

Nasir Ali Nawaz ◽

Rizwana Kamran ◽

Iqbal Bano ◽

...

Keyword(s):

Hand Hygiene ◽

Care Center ◽

Tertiary Care ◽

Subscale Score ◽

Cross Sectional Study ◽

Attitude Score ◽

Care Hospital ◽

Cross Sectional ◽

Healthcare Associated ◽

Knowledge Attitude And Practice

Abstract Objective: To determine the awareness of postgraduate residents and nurses working in a tertiary care hospital about hand hygiene. Method: The cross-sectional study was conducted in October 2018 at The Children’s Hospital and the Institute of Child Health, Lahore, Pakistan, and comprised postgraduate residents and nurses. Data was collected using a 31-item self-administered inventory. Data analysis was done using SPSS 21. Results: Of the 360 subject, 152(%) were postgraduate residents and 208(%) were nurses. Overall score of knowledge 202(56%) was low compared to attitude 260(72%) and practice 283(78.6%). The combined score of all three domains was 245(68%), indicating moderate awareness. Postgraduate residents had significantly better knowledge 98(64%) compared to nurses 104 (50%) (p=0.01), while nurses had better attitude score 159(76.4%) compared to the residents 103(68%) (p<0.05). The practice subscale score was not significantly different between the groups (p>0.05). Conclusion: Both postgraduate residents and nurses showed moderately satisfactory knowledge, attitude and practice towards hand hygiene. Key Words: Hand hygiene, Healthcare-associated infections, Postgraduate residents, Nurses, Knowledge, Practices. Continuous...

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Knowledge, attitude and practice concerning healthcare-associated infections among healthcare workers in Wuhan, China: cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-042333 ◽

2021 ◽

Vol 11 (1) ◽

pp. e042333

Author(s):

Wenwen Wu ◽

Wenru Wang ◽

Yufeng Yuan ◽

Likai Lin ◽

Yibin Tan ◽

...

Keyword(s):

Healthcare Workers ◽

Cross Sectional Study ◽

Central China ◽

Antibacterial Drug ◽

Healthcare Associated Infections ◽

Sectional Study ◽

Cross Sectional ◽

Attitude And Practice ◽

Healthcare Associated ◽

Knowledge Attitude And Practice

ObjectivesTo assess the knowledge, attitude and practice (KAP) concerning healthcare-associated infections (HAIs) among healthcare givers and to identify the factors influencing KAP.DesignThis was a hospital-based, cross-sectional study.SettingTwo public hospitals in Wuhan, central China.ParticipantsParticipants were recruited among healthcare workers (HCWs) of one general hospital and one children’s hospital in Wuhan city between 1 June and 30 September 2019.Primary and secondary outcome measuresThe outcomes were KAPs concerning HAIs.ResultsData from 455 HCWs were included in the final data analysis. The mean scores of KAP and total KAP were 15.67±3.32, 25.00±2.75, 43.44±5.15 and 84.76±6.72, respectively. The following factors were significantly associated with the total KAP score concerning HAIs, explaining 61% of the variance (p<0.001): gender (β=2.36, 95% CI 1.11 to 4.40), age (β=6.65, 95% CI 5.07 to 7.74), position (β=7.02, 95% CI 3.88 to 8.45), type of employment (β=−1.08, 95% CI −2.08 to −0.07), with HAI education within last year (β=−2.98, 95% CI −4.23 to −1.72), with invasive operation authority (β=−4.22, 95% CI −5.46 to −2.99), antibacterial drug training (β=−4.38, 95% CI −5.45 to −3.31) and with antibacterial drug training and clinical consultation (β=−4.35, 95% CI −5.38 to −3.32).ConclusionThe controllable factors identified in this study can be used by hospital managers to implement measures that improve KAP among HCWs. Moreover, these measures should be customised, based on uncontrollable factors to suit the specific characteristics of medical staff and to improve KAP. Training programmes should be designed for medical workers to increase their awareness of HAIs and to foster positive attitudes and practices.

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Are Mobile Phones part of the chain of transmission of SARS-CoV-2 in the hospital?

10.1101/2020.11.02.20224519 ◽

2020 ◽

Author(s):

Evelyn Patricia Sánchez Espinoza ◽

Marina Cortes Farrel ◽

Saidy Vasconez Nogueira ◽

Anderson Vicente de Paula ◽

Thais Guimarães ◽

...

Keyword(s):

Intensive Care Unit ◽

Hand Hygiene ◽

Mobile Phones ◽

Healthcare Workers ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Hospital Policies ◽

Cross Transmission ◽

Educational Campaign

AbstractSARS-CoV-2 cross-transmission has become an concern in hospitals. We investigate healthcare workers(HCWs) knowledge about SARS-CoV-2 cross-transmission and conceptions whether the virus can remain on HCWs mobile phones(MPs) and be part of the chain of transmission.A cross-sectional study was conducted at a COVID-19 Intensive Care Unit of a teaching-hospital. Fifty-one MPs were swabbed and a questionnaire about hand hygiene and MP use and disinfection was applied after an educational campaign. Although most of HCWs believed on the importance of cross-transmission and increased hand hygiene adhesion and MP disinfection during the pandemic, SARS-CoV-2 RNA was detected in two MPs(culture of the samples was negative).Implementation of official hospital policies to guide HCWs regarding disinfection and care of personal MP are needed.

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Healthcare workers’ compliance and its potential determinants to prevent COVID-19 in public hospitals in Western Ethiopia

BMC Infectious Diseases ◽

10.1186/s12879-021-06149-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Werku Etafa ◽

Gosa Gadisa ◽

Shibiru Jabessa ◽

Tagay Takele

Keyword(s):

Healthcare Workers ◽

Preventive Measures ◽

Binary Logistic Regression ◽

Multivariate Regression Analysis ◽

Public Hospitals ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Healthcare Associated ◽

Staff Commitment ◽

Western Ethiopia

Abstract Background Globally, Coronavirus disease-19 has created unprecedented challenges to public health. Healthcare workers (HCWs) are at risk of COVID-19 because of their profession. There are limited studies conducted in Ethiopia among HCWs regarding their compliance with COVID-19 preventive measures. Therefore, this study intended to assess HCWs’ compliance with measures to prevent COVID-19, and its potential determinants in public hospitals in Western Ethiopia. Methods A self-administered, multicenter hospital-based cross-sectional survey was proposed to 422 randomly selected HCWs working in seven public hospitals in Western Ethiopia identified as COVID-19 referral centers. Data were entered into Epi Data version 3.1 and analyzed using SPSS version 24. Binary logistic regression was used to identify potential determinants of outcome variables at p-value < 0.05. Results Out of 422 completed questionnaires, the overall HCWs’ compliance with COVID-19 prevention is 22% (n = 404). In multivariate regression analysis, factors such as spending most of caring time at bedside (AOR = 1.94, 95%CI, 1.06–3.55), receiving training on infection prevention/COVID-19 (AOR = 1.86, 95%CI, 1.04–3.33), reading materials on COVID-19 (AOR = 2.04, 95%CI, 1.14–3.63) and having support from hospital management (AOR = 2.09, 95%CI, 1.20–3.64) were found to be significantly associated with COVID-19 preventive measures. Furthermore, inadequate supplies of appropriate personal protective equipment (83.2%), insufficient supportive medications (78.5%), and lack of provision of adequate ventilation (77.7%) were the barriers to COVID-19 prevention most frequently mentioned by participants. Conclusion Our findings highlight HCWs’ poor compliance with COVID-19 preventive measures. Providing information and refreshing training to improve the level of healthcare workers’ adherence with COVID-19 prevention is as imperative as increasing staff commitment to supply resources necessary to protect HCWs and to reduce healthcare-associated infections transmission of SARS-COV-2.

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Knowledge, Attitude, and Practice Related to Malaria Diagnosis among Healthcare Workers in Hospitals: A Cross-Sectional Survey

Journal of Tropical Medicine ◽

10.1155/2019/1414079 ◽

2019 ◽

Vol 2019 ◽

pp. 1-9

Author(s):

Kwuntida Uthaisar Kotepui ◽

Manas Kotepui ◽

Chuchard Punsawad

Keyword(s):

Early Detection ◽

Healthcare Workers ◽

Malaria Diagnosis ◽

Medical Emergency ◽

Medical Laboratory ◽

P Value ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Attitude And Practice ◽

Knowledge Attitude And Practice

Malaria is a potential medical emergency and should be treated immediately because delays in diagnosis and treatment are the leading causes of death in many countries. This study aimed to assess the knowledge, attitude, and practice related to malaria diagnosis for early detection among healthcare workers in the laboratories of hospitals in Thailand. The design of the study was a descriptive cross-sectional study carried out between January 2016 and March 2017 at 11 hospitals in Thailand. The interviewees included any scientists who were currently working in a medical laboratory. Mean scores for knowledge, attitude, and practice for each healthcare group were calculated and compared between groups. Data analysis was performed using the SPSS version 11.5 software package (SPSS Inc., Chicago, IL, USA). Among a total of 118 healthcare workers, most of the healthcare workers had fair to good knowledge, attitude, and practice related to malaria detection. Among the various positions of healthcare workers, medical technologists possessed a greater knowledge on malaria detection than medical technician assistants or laboratory assistants (X2 = 9.822, d.f. = 2, and P value=0.007). This study infers that knowledge, attitude, and practice related to malaria detection among healthcare workers in laboratories were adequate. However, some points of knowledge and practice must be updated. There is a very urgent need to update knowledge on malaria, especially about the number of Plasmodium species causing relapse in malaria patients. In addition, there is an urgent need to update the practice related to malaria detection, especially about the staining process for early detection of malaria.

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Compliance with Standard Precautions and Associated Factors among Healthcare Workers in Gondar University Comprehensive Specialized Hospital, Northwest Ethiopia

Journal of Environmental and Public Health ◽

10.1155/2017/2050635 ◽

2017 ◽

Vol 2017 ◽

pp. 1-8 ◽

Cited By ~ 15

Author(s):

Tariku Gebre Haile ◽

Eshetu Haileselassie Engeda ◽

Abdella Amano Abdo

Keyword(s):

Healthcare Workers ◽

Associated Factors ◽

Sampling Technique ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Management Support ◽

Standard Precautions ◽

Cross Sectional ◽

Specialized Hospital

Background. In many studies, compliance with standard precautions among healthcare workers was reported to be inadequate.Objective.The aim of this study was to assess compliance with standard precautions and associated factors among healthcare workers in northwest Ethiopia.Methods.An institution-based cross-sectional study was conducted from March 01 to April 30, 2014. Simple random sampling technique was used to select participants. Data were entered into Epi info 3.5.1 and were exported to SPSS version 20.0 for statistical analysis. Multivariate logistic regression analyses were computed and adjusted odds ratio with 95% confidence interval was calculated to identify associated factors.Results.The proportion of healthcare workers who always comply with standard precautions was found to be 12%. Being a female healthcare worker (AOR [95% CI] 2.18 [1.12–4.23]), higher infection risk perception (AOR [95% CI] 3.46 [1.67–7.18]), training on standard precautions (AOR [95% CI] 2.90 [1.20–7.02]), accessibility of personal protective equipment (AOR [95% CI] 2.87 [1.41–5.86]), and management support (AOR [95% CI] 2.23 [1.11–4.53]) were found to be statistically significant.Conclusion and Recommendation.Compliance with standard precautions among the healthcare workers is very low. Interventions which include training of healthcare workers on standard precautions and consistent management support are recommended.

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

Media Keperawatan Indonesia ◽

10.26714/mki.1.1.2018.12-19 ◽

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.

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