scholarly journals Hand hygiene knowledge, perception and practice of healthcare workers in a Turkish university hospital intensive care unit

2019 ◽  
Vol 13 (08) ◽  
pp. 744-747 ◽  
Author(s):  
Uluhan Sili ◽  
Pinar Ay ◽  
Huseyin Bilgin ◽  
Seyhan Hidiroglu ◽  
Volkan Korten
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hand Hygiene ◽  
Healthcare Workers ◽  
Compliance Rate ◽  
Cross Sectional Study ◽  
University Hospital ◽  
World Health ◽  
Training Methods ◽  
Cross Sectional

Introduction: While improvement of hand hygiene (HH) compliance is considered as the best approach to reduce healthcare-associated infections, the instructional interventions in HH among healthcare workers of intensive care unit (ICU) of our hospital was not successful enough. The following study was conducted to evaluate HH knowledge, perception, practice and effectiveness of the trainings among healthcare workers of ICU in our hospital. Methodology: A cross-sectional study was conducted in the ICU containing 8 medical and 16 surgical beds with 284 filled questionnaires about HH knowledge and 1187 observed opportunities for HH compliance. Results: Overall observed HH compliance rate was 40.6%; lowest compliance was 21.7% for “before clean/aseptic procedure” indication and highest compliance was 68.6% for “after touching a patient” indication. Although > 90% healthcare workers correctly identified the World Health Organization’s five indications for HH, 82 – 85% failed to recognize non-indications, i.e. when it was not necessary to perform HH. Our study showed that 15.1% of healthcare workers neither received nor felt the need for HH training. Conclusions: Despite regular HH trainings, healthcare workers could not differentiate when HH was not required which suggested failure to understand HH rationale. This may explain poor HH compliance rates. A systematic study is needed in order to find out the reasons behind of this noncompliance and improve HH training methods for educating healthcare workers.

scholarly journals Hand hygiene adherence according to World Health Organization Recommendations in a Neonatal Intensive Care Unit

2017 ◽  
Vol 17 (3) ◽  
pp. 551-559 ◽  
Author(s):  
Daiane Santos Silva ◽  
Ana Amelia G. Dourado ◽  
Caroline Ramos Eustaquio Cerqueira ◽  
Fernando Hernandez Romero ◽  
Nair Almeida Amaral ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hand Hygiene ◽  
Neonatal Intensive Care Unit ◽  
World Health Organization ◽  
Neonatal Intensive Care ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional ◽  
Health Organization

Abstract Objectives: to evaluate the application of hand hygiene technique, according to the World Health Organization (WHO) recommendations, in the neonatal intensive care unit, at a Maternity in Salvador de Bahia, Brazil. Methods: cross-sectional study. Hand hygiene technique by professional category and alcohol solution consumption were systematically registered. For this task an adapted instrument created by the WHO was used and applied using factsheets. The sample was taken from medical physicians, physiotherapists, nurses and nursing technicians. Results: hand hygiene adherence regarding WHO recommendations was deficient in terms of technique and in terms of frequency (adequate technique ranged from 0% to 13.3% between professional categories). Hand hygiene was frequently ignored (27% between physicians and 51.8% between nursing technicians). The moment right after touching surfaces next to patients was the most ignored one. Alcohol gel solution monthly use was only 35% of the expected value for the unit. Conclusions: despite the international investigations and efforts for better results, the adherence and compliance to the hand hygiene guidelines is still deficient and continues to be a major problem.

scholarly journals Hand hygiene compliance among rural healthcare workers of Nepal

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%).

Perfil de pacientes críticos com risco de olho seco: estudo transversal

2019 ◽  
Vol 17 (2) ◽  
Author(s):  
Jéssica Araújo Olímpio ◽  
Jéssica Naiara de Medeiros Araújo ◽  
Vanessa Pinheiro Barreto ◽  
Raianny Alves Costa Medeiros ◽  
Mércio Gabriel de Araújo ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Dry Eye ◽  
Invasive Mechanical Ventilation ◽  
Cross Sectional Study ◽  
Direct Care ◽  
University Hospital ◽  
Ocular Complications ◽  
Cross Sectional ◽  
The Mean

Aim: characterize the sociodemographic and clinical profile of patients with the diagnosis of dry eye risk nursing in intensive care unit. Methods: this is a cross-sectional study carried out at the intensive care unit of a university hospital located in the northeastern region of Brazil between January and July 2016. Results: it was observed that 51% of the patients were male, the mean age was 59.5 years, and 65.6% had a partner. Regarding the reasons for hospitalization, 53.1% were in the postoperative period and 46.9% were clinical patients; 49% were on invasive mechanical ventilation. Conclusion: to know the characteristics of patients with the diagnosis of dry-eye risk nursing in an intensive care unit becomes important in order to direct care for the prevention and early detection of the problem in order to reduce ocular complications

scholarly journals Nursing Interventions in the Clinical Practice of an Intensive Care Unit

2010 ◽  
Vol 18 (5) ◽  
pp. 873-880 ◽  
Author(s):  
Amália de Fátima Lucena ◽  
Maria Gaby Rivero de Gutiérrez ◽  
Isabel Cristina Echer ◽  
Alba Lucia Bottura Leite de Barros
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Clinical Practice ◽  
Nursing Care ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Nursing Interventions ◽  
Sectional Study ◽  
Cross Sectional ◽  
Respiratory Management

This cross-sectional study was carried out at a university hospital to describe the nursing interventions most frequently performed in the clinical practice of an intensive care unit, based on nursing care prescriptions, and to investigate their similarity to the Nursing Interventions Classification (NIC). The sample consisted of 991 hospitalizations of patients. Data were retrospectively collected from the computer database and analyzed through descriptive statistics and cross-mapping. A total of 57 different NIC interventions frequently used in the unit were identified; most of them in the complex (42%) and basic physiological (37%) domains, in the classes ‘respiratory management’ and ‘self-care facilitation’. Similarity between the nursing care prescribed and nursing interventions/NIC was found in 97.2% of the cases. The conclusion is that the interventions/NIC used in the clinical practice of this intensive care unit reflects the level of complexity of nursing care, which is mainly directed at the regulation of the body’s physical and homeostatic functioning.

scholarly journals Clima Organizacional em uma Unidade de Terapia Intensiva: percepções da equipe de enfermagem

2021 ◽  
Vol 20 (2) ◽  
pp. 390-425
Author(s):  
Flávia Barreto Tavares Chiavone ◽  
Claúdia Cristiane Filgueira Martins Rodrigues ◽  
Larissa De Lima Ferreira ◽  
Pétala Tuani Candido de Oliveira Salvador ◽  
Manaces Dos Santos Bezerril ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Organizational Climate ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Nursing Team ◽  
Terapia Intensiva ◽  
Nursing Professionals

Objetivo: Medir el clima organizacional del equipo de enfermería en la unidad de cuidados intensivos. Método: Este es un estudio transversal, con enfoque cuantitativo, desarrollado en una unidad de cuidados intensivos de un hospital universitario en el noreste de Brasil. La recolección de datos se realizó en 2016, con la participación de 30 profesionales de enfermería. Se realizó el análisis de datos a partir de estadística descriptiva y análisis de datos bivariados. Resultados: Se encontró que los profesionales de enfermería perciben un clima organizacional bajo en el sector en que trabajan y el desarrollo profesional y los beneficios fueron el factor considerado más bajo entre los trabajadores. El análisis bivariado infiere significativamente que los profesionales que tienen hijos tienen una baja percepción del clima organizacional. Conclusión: La percepción del clima organizacional del equipo de enfermería investigado es baja. Objective: To measure the organizational climate of the nursing team in the intensive care unit. Method: This is a cross-sectional study, with a quantitative approach, developed in the intensive care unit of a university hospital in the Northeast of Brazil. Data collection was carried out in 2016, with the participation of 30 nursing professionals. Data analysis was carried out using descriptive statistics and a bivariate analysis of data. Results: It was found that nursing professionals perceive a low organizational climate score in the sector they work. The professional Development and the benefits were considered the lowest factor by the workers. The bivariate analysis significantly infers that the professionals who have children have a low perception of the organizational climate. Conclusion: The nursing team investigated is perceives the score of the organizational climate to be low. Objetivo: Mensurar o clima organizacional da equipe enfermagem na unidade de terapia intensiva. Método: trata-se de um estudo transversal, de abordagem quantitativa, desenvolvida em uma unidade de terapia intensiva em um hospital universitário no nordeste do Brasil. A coleta de dados foi realizada em 2016, com a participação de 30 profissionais de enfermagem. A análise dos dados se deu por estatística descritiva e análise bivariada dos dados. Resultados: Verificou-se que os profissionais de enfermagem percebem um baixo clima organizacional no setor que atuam e o Desenvolvimento profissional e benefícios foi o fator considerado mais baixo entre os trabalhadores. A análise bivariada infere de maneira significativa que os profissionais que possuem filhos têm uma baixa percepção do clima organizacional. Conclusão: A percepção do clima organizacional da equipe de enfermagem investigada é baixa.

scholarly journals Hand Hygiene Knowledge and Perception among the Healthcare Workers during the COVID-19 Pandemic in Qassim, Saudi Arabia: A Cross-Sectional Survey

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1627
Author(s):  
Adil Abalkhail ◽  
Ilias Mahmud ◽  
Fahad A. Alhumaydhi ◽  
Thamer Alslamah ◽  
Ameen S. S. Alwashmi ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Hand Hygiene ◽  
Healthcare Workers ◽  
Primary Source ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Government ◽  
Health Organization

Hand hygiene is among the most important factors of infection control in healthcare settings. Healthcare workers are the primary source of hospital-acquired infection. We assessed the current state of hand hygiene knowledge, perception, and practice among the healthcare workers in Qassim, Saudi Arabia. In this cross-sectional study, we used the hand hygiene knowledge and perception questionnaire developed by the World Health Organization. Knowledge and perceptions were classified into good (80–100%), moderate (60–79%), and poor (<60% score). The majority of the healthcare workers had moderate knowledge (57.8%) and perception (73.4%) of hand hygiene. Males were less likely to have moderate/good knowledge compared to females (OR: 0.52, p < 0.05). Private healthcare workers were less likely (OR: 0.33, p < 0.01) to have moderate/good perceptions compared to the government healthcare workers. Healthcare workers who received training on hand hygiene were more likely to have good/moderate perception (OR: 3.2, p < 0.05) and to routinely use alcohol-based hand rubs (OR: 3.8, p < 0.05) than the ones without such training. Physicians are more likely (OR: 4.9, p < 0.05) to routinely use alcohol-based hand rubs than technicians. Our research highlighted gaps in hand hygiene knowledge, perception and practice among healthcare workers in Qassim, Saudi Arabia and the importance of training in this regard.

scholarly journals Compliance of Healthcare Workers with Hand Hygiene Practices in Neonatal and Pediatric Intensive Care Units: Overt Observation

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Ayşe Karaaslan ◽  
Eda Kepenekli Kadayifci ◽  
Serkan Atıcı ◽  
Uluhan Sili ◽  
Ahmet Soysal ◽  
...  
Keyword(s):  
Intensive Care ◽  
Hand Hygiene ◽  
Healthcare Workers ◽  
Pediatric Intensive Care ◽  
University Hospital ◽  
World Health ◽  
Routine Patient Care ◽  
Hygiene Practices ◽  
Health Organization ◽  
Observation Period

Background.The objective of this study was to assess the compliance of hand hygiene (HH) of healthcare workers (HCWs) in the neonatal and pediatric intensive care unit in a tertiary university hospital in Istanbul.Methods.An observational study was conducted on the compliance of HH for the five World Health Organization (WHO) indications. HCWs were observed during routine patient care in day shift. The authors also measured the technique of HH through hand washing or hand hygiene with alcohol-based disinfectant.Results.A total of 704 HH opportunities were identified during the observation period. Overall compliance was 37.0% (261/704). Compliance differed by role: nurses (41.4%) and doctors (31.9%) [P=0.02, OR: 1.504, CI 95%: 1.058–2.137]. HCWs were more likely to use soap and water (63.6%) compared to waterless-alcohol-based hand hygiene (36.3%) [P<0.05].Conclusion.Adherence to hand hygiene practice and use of alcohol-based disinfectant was found to be very low. Effective education programs that improve adherence to hand hygiene and use of disinfectants may be helpful to increase compliance.

scholarly journals Nível de conforto na dimensão segurança de familiares de pacientes internados em unidade de terapia intensiva

2020 ◽  
Vol 11 (3) ◽  
Author(s):  
Edineia Miranda Machado ◽  
Tatiana Brusamarello
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Family Members ◽  
Cross Sectional Study ◽  
Comfort Level ◽  
University Hospital ◽  
Cross Sectional ◽  
Terapia Intensiva ◽  
Quantitative Descriptive ◽  
Safety Dimension

Objetivo: Verificar o nível de conforto na dimensão segurança de familiares de pacientes internados em leitos de Unidade de Terapia Intensiva. Método: Estudo quantitativo, descritivo, transversal, realizado no período de junho a setembro de 2019, com 40 familiares de pacientes internados em leitos de Unidade de Terapia Intensiva de um hospital universitário do sul do Brasil. Os dados foram coletados por meio da Escala de Conforto para Familiares de Pessoas em Estado Crítico de Saúde e analisados por estatística descritiva simples. Resultados: Dos familiares entrevistados a maioria era do sexo feminino, com faixa etária de 40 a 59 anos, parentes de primeiro grau, com ensino médio completo. A média geral do nível de conforto em relação a dimensão segurança foi de 4,36 para Unidade de Terapia Intensiva I e 4,31 para a Unidade de Terapia Intensiva II, resultando em médio conforto. Conclusão: O nível de conforto na dimensão segurança mostrou-se médio, evidenciando reflexos positivos da inclusão familiar no contexto hospitalar relacionado ao acolhimento, interação com a equipe de saúde e confiabilidade no cuidado prestado.Descritores: Cuidados de Enfermagem; Família; Cuidados Críticos.COMFORT LEVEL IN THE SAFETY DIMENSION OF FAMILY MEMBERS OF PATIENTS HOSPITALIZED IN INTENSIVE CARE UNIT  Objective: To verify the level of comfort in the safety dimension of family members of patients admitted to beds in the Intensive Care Unit. Method: Quantitative, descriptive, cross-sectional study, carried out from June to September 2019, with 40 family members of patients admitted to beds in the Intensive Care Unit of a university hospital in southern Brazil. The data were collected using the Comfort Scale for Family Members of People in Critical Health and analyzed using simple descriptive statistics. Results: Of the interviewed family members, most were female, aged 40 to 59 years old, first-degree relatives, with high school education. The general average of the comfort level in relation to the safety dimension was 4.36 for the Intensive Care Unit I and 4.31 for the Intensive Care Unit II, resulting in medium comfort. Conclusion: The level of comfort in the safety dimension was shown to be medium, showing positive reflexes of family inclusion in the hospital context related to welcoming, interaction with the health team and reliability in the care provided.Descriptors: Nursing Care; Family; Critical Care. NIVEL DE CONFORT EN LA DIMENSIÓN DE SEGURIDAD DE LOS FAMILIARES MIEMBROS DE PACIENTES HOSPITALIZADOS EN LA UNIDAD DE ATENCIÓN INTENSIVAObjetivo: Verificar el nivel de confort en la dimensión de seguridad de los familiares de pacientes hospitalizados en camas de la Unidad de Cuidados Intensivos. Método: Estudio cuantitativo, descriptivo, transversal, realizado de junio a septiembre de 2019, con 40 familiares de pacientes ingresados en camas en la Unidad de Cuidados Intensivos de un hospital universitario en el sur de Brasil. Los datos fueron recolectados usando la Escala de Confort para los miembros de la familia de personas en estado crítico de salud y analizados usando estadísticas descriptivas simples. Resultados: De los familiares entrevistados, la mayoría eran mujeres, de 40 a 59 años, familiares de primer grado, con educación secundaria. El promedio general del nivel de comodidad en relación con la dimensión de seguridad fue 4.36 para la Unidad de Cuidados Intensivos I y 4.31 para la Unidad de Cuidados Intensivos II, lo que resultó en un confort medio. Conclusión: Se demostró que el nivel de comodidad en la dimensión de seguridad era medio, mostrando reflejos positivos de inclusión familiar en el contexto hospitalario relacionados con la acogida, la interacción con el equipo de salud y la confiabilidad en la atención brindada. Descriptores: Atención de Enfermería; Familia; Cuidados Críticos

scholarly journals Determinants and Magnitude of Neonatal Sepsis at Hiwot Fana Comprehensive Specialized University Hospital, Harar, Ethiopia: A Cross-Sectional Study

2021 ◽  
Author(s):  
Astawus Alemayehu Feleke ◽  
Mohammed Yusuf Abdella ◽  
Abebaw Demissie W/mariam
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Sepsis ◽  
Birth Asphyxia ◽  
Antibiotic Use ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Urban Residence ◽  
Cross Sectional

Introduction: Neonatal sepsis is a serious blood bacterial infection in neonates at the age of equal to or less than 28 days of life, and it's still the major significant cause of death and long-term morbidity in developing countries. Therefore, this study has assessed the prevalence and related factors with neonatal sepsis among new born admitted to the neonatal intensive care unit at Hiwot Fana Comprehensive Specialized University Hospital, Harar, Ethiopia. Methods: An institutional based retrospective cross-sectional study design was conducted among 386 neonates admitted to NICU from September 2017 to August 2019 G.C. A systematic random sampling method was used. Data was analyzed using SPSS V.26. Descriptive summary statistics was done. Bivariate analysis was computed to identify association between dependent and independent variables. Multivariate analysis was used to control possible confounder variables and variables with p-value <0.05 were declared as having statistically significant association. Result: The prevalence of neonatal sepsis was 53.1% and 59.5% were males. Among the total neonates who had sepsis, 67.8% had early neonatal sepsis. Among neonatal factors, preterm neonates (AOR: 8.1, 95%CI: 2.1, 31.2), birth asphyxia (AOR: 4.7, 95%CI: 1.6, 13.6); and among maternal factors, urban residence (AOR: 0.26, 95%CI: 0.1, 0.5), ANC attendance (AOR: 0.32, 95%CI: 0.2, 0.6), SVD (AOR: 0.047, 95%CI: 0.01, 0.2), Maternal antibiotic use (AOR: 0.39; 95%CI: 0.2, 0.8), duration of rupture of membrane < 12 hours (AOR: 0.11; 95%CI: 0.05, 0.2) were found to have significant association with neonatal sepsis. Conclusion: Overall, the magnitude of neonatal sepsis was high. Being preterm, low birth weight and having birth asphyxia were found to significantly increase the odds of neonatal sepsis. Urban residence, having ANC follow up, giving birth by SVD and CS, history of antibiotic use and having rupture of membrane < 18 hours were found to significantly decrease the odds of neonatal sepsis. Key words: Neonatal Sepsis, Intensive Care Unit, Harar

scholarly journals Handwashing Practices in Neonatal Intensive Care Unit, Paediatric Intensive Care Unit and Neonatal Nurseries in Patan Hospital

2017 ◽  
Vol 15 (1) ◽  
pp. 56-60
Author(s):  
Suchita Joshi ◽  
Puja Amatya ◽  
Bibek Poudel ◽  
Saroj Adhikari Yadav
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hand Hygiene ◽  
Healthcare Workers ◽  
Neonatal Intensive Care ◽  
World Health ◽  
Neonatal Intensive Care Units ◽  
Post Intervention ◽  
Health Organization ◽  
Hospital Acquired

Background: Hand hygiene has been identified as the single most important factor in minimising hospital acquired infections. However, compliance of handwashing guidelines has remained low. The aim of this study was to study the handwashing practices in the Paediatric and Neonatal intensive care units and Neonatal nurseries in Patan Hospital, and secondly to re-evaluate the improvement on compliance of handwashing guidelines after intervention.Methods: Pre-intervention study was conducted by covertly observing the handwashing practices by the healthcare workers. The healthcare workers were then shown the video demonstrating correct methods of handwashing as recommended by World health organization. The cycle was completed by discretely re-observing the handwashing practices following intervention.Results: Sixty five samples were collected initially. Only 6 (9.2%) had completed all steps of handwashing correctly. Post- intervention, 51 samples were collected, out of which 35 (68.6%) had correctly completed all the steps. Following audio-visual demonstration, 100% correctly completed 8/10 steps of handwashing with soap and water. 8 (16%) failed to dry hands using a single use towel and 14 (28%) failed to turn off the tap using elbow. Postintervention, 100% correctly completed 4/7 steps of handwashing using chlorhexidine. Four (15%) still failed to rub backs of fingers to opposite palm, eight (30%) failed to palm to palm with fingers interlaced, and rub thumb to opposite palm.Conclusions: Compliance in hand hygiene is low despite the known fact that it reduces nosocomial infections. However, a simple intervention like video demonstration can improve the compliance among healthcare workers.

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