scholarly journals Evaluation of Nurses’ Views about Hand Washing Habits and Hand Hygiene Compliance Rates

2019 ◽  
Author(s):  
Mete Kağan Karaoğlu ◽  
Semiha Akın
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Hand Washing ◽  
Hygiene Compliance

Addressing Hand Hygiene Compliance in a Low-Resource Neonatal Intensive Care Unit: a Quality Improvement Project

2018 ◽  
Vol 8 (5) ◽  
pp. 408-413 ◽  
Author(s):  
Arunava Biswas ◽  
Sangeeta Das Bhattacharya ◽  
Arun Kumarendu Singh ◽  
Mallika Saha
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hand Hygiene ◽  
Neonatal Intensive Care Unit ◽  
Conceptual Framework ◽  
Neonatal Intensive Care ◽  
Hand Hygiene Compliance ◽  
Hand Washing ◽  
Root Cause ◽  
Hygiene Compliance

Abstract Objective Our goal for this study was to quantify healthcare provider compliance with hand hygiene protocols and develop a conceptual framework for increasing hand hygiene compliance in a low-resource neonatal intensive care unit. Materials and Methods We developed a 3-phase intervention that involved departmental discussion, audit, and follow-up action. A 4-month unobtrusive audit during night and day shifts was performed. The audit results were presented, and a conceptual framework of barriers to and solutions for increasing hand hygiene compliance was developed collectively. Results A total of 1308 hand hygiene opportunities were observed. Among 1227 planned patient contacts, hand-washing events (707 [58.6%]), hand rub events (442 [36%]), and missed hand hygiene (78 [6.4%]) events were observed. The missed hand hygiene rate was 20% during resuscitation. Missed hand hygiene opportunities occurred 3.2 times (95% confidence interval, 1.9–5.3 times) more often during resuscitation procedures than during planned contact and 6.14 times (95% confidence interval, 2.36–16.01 times) more often when providers moved between patients. Structural and process determinants of hand hygiene noncompliance were identified through a root-cause analysis in which all members of the neonatal intensive care unit team participated. The mean hand-washing duration was 40 seconds. In 83% of cases, drying hands after washing was neglected. Hand recontamination after hand-washing was seen in 77% of the cases. Washing up to elbow level was observed in 27% of hand-wash events. After departmental review of the study results, hand rubs were placed at each bassinet to address these missed opportunities. Conclusions Hand hygiene was suboptimal during resuscitation procedures and between patient contacts. We developed a conceptual framework for improving hand hygiene through a root-cause analysis.

scholarly journals Hand hygiene compliance among healthcare workers in Ghana’s health care institutions: An observational study

2020 ◽  
Vol 25 (5) ◽  
pp. 177-186
Author(s):  
Aaron Asibi Abuosi ◽  
Samuel Kaba Akoriyea ◽  
Gloria Ntow-Kummi ◽  
Joseph Akanuwe ◽  
Patience Aseweh Abor ◽  
...  
Keyword(s):  
Health Care ◽  
Observational Study ◽  
Hand Hygiene ◽  
Outcome Measures ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Hand Washing ◽  
Job Aids ◽  
The Mean ◽  
Hygiene Compliance

Objective To assess hand hygiene compliance in selected primary hospitals in Ghana. Design A cross-sectional health facility-based observational study was conducted in primary health care facilities in five regions in Ghana. A total of 546 healthcare workers including doctors, nurses, midwives and laboratory personnel from 106 health facilities participated in the study. Main outcome measures The main outcome measures included availability of hand hygiene materials and alcohol job aids; compliance with moments of hand hygiene; and compliance with steps in hygienic hand washing. These were assessed using descriptive statistics. Results The mean availability of hand hygiene material and alcohol job aids was 75% and 71% respectively. This was described as moderately high, but less desirable. The mean hand hygiene compliance with moments of hand hygiene was 51%, which was also described asmoderately high, but less desirable. It was observed that, generally, hand hygiene was performed after procedures than before. However, the mean compliance with steps in hygienic hand washing was 86%, which was described as high and desirable. Conclusion Healthcare workers are generally competent in performance of hygienic hand washing. However, this does not seem to influence compliance with moments of hand hygiene. Efforts must therefore be made to translate the competence of healthcare workers in hygienic hand washing into willingness to comply with moments of hand hygiene, especially contact with patients.

Inverse Correlation Between Level of Professional Education and Rate of Handwashing Compliance in a Teaching Hospital

2008 ◽  
Vol 29 (6) ◽  
pp. 534-538 ◽  
Author(s):  
Joan M. Duggan ◽  
Sandra Hensley ◽  
Sadik Khuder ◽  
Thomas J. Papadimos ◽  
Lloyd Jacobs
Keyword(s):  
Hand Hygiene ◽  
Healthcare Worker ◽  
Teaching Hospital ◽  
Hand Hygiene Compliance ◽  
Compliance Rate ◽  
Inverse Correlation ◽  
Hand Washing ◽  
Surgical Intensive Care Unit ◽  
Hygiene Compliance ◽  
Attending Physicians

Objective.To evaluate educational level as a contributing factor in handwashing compliance.Design.Observation of hand washing opportunities was performed for approximately 12 weeks before an announced Joint Commission on Accreditation of Healthcare Organizations (JCAHO) visit and for approximately 10 weeks after the visit. Trained observers recorded the date, time, and location of the observation; the type of healthcare worker or hospital employee observed; and the type of hand hygiene opportunity observed.Setting.University of Toledo Medical Center, a 319-bed teaching hospital.Results.A total of 2,373 observations were performed. The rate of hand washing compliance among nurses was 91.3% overall. Medical attending physicians had the lowest observed rate of compliance (72.4%; P < .001). Nurses showed statistically significant improvement in their rate of hand hygiene compliance after the JCAHO visit (P = .001), but no improvement was seen for attending physicians (P = .117). The compliance rate in the surgical intensive care unit was more than 90%, greater than that in other hospital units (P = .001). Statistically, the compliance rate was better during the first part of the week (Monday, Tuesday, and Wednesday) than during the latter part of the week (Thursday and Friday) (P = .002), and the compliance rate was better during the 3 PM-1 1 PM shift, compared with the 7 AM-3 PM shift (P < .001). When evaluated by logistic regression analysis, non-physician healthcare worker status and observation after the JCAHO accreditation visit were associated with an increased rate of hand hygiene compliance.Conclusion.An inverse correlation existed between the level of professional educational and the rate of compliance. Future research initiatives may need to address the different motivating factors for hand hygiene among nurses and physicians to increase compliance.

scholarly journals Hubungan Supervisi dan Motivasi Dengan Kepatuhan Perawat Mencuci Tangan Di RSUD

2019 ◽  
Vol 2 (1) ◽  
pp. 28
Author(s):  
Danuarsa Parwa ◽  
Menik Sri Krisnawati ◽  
Emy Darma Yanti
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Hand Washing ◽  
P Value ◽  
Cross Sectional ◽  
Motivation Factors ◽  
Hand Wash ◽  
Cross Sectional Design ◽  
Hygiene Compliance ◽  
Health Care Associated Infection

Health-care Associated Infection (HAIs) is a serious health problem and impact the country's economic burden. The efforts of hand wash is to prevent HAIs. Head of Space supervision and nurse’s motivation factors are affect hand washing compliance that remain poor among nurses. This research was conducted to determine the relationship between Head of Space supervision and nurse’s motivation with hand washing compliance in RSUD Y in 2018. This research was descriptive correlation with cross sectional design. The samples were 33 associate nurse through total sampling. The data was collected by questionnare and observation sheet. This research showed there is relationship between Head of Space supervision with hand washing compliance (p-value = 0.014, r = 0.423) and there is relationship between nurse’s motivation with hand hygiene compliance (p- value = 0.012, r = 0.433). This research concluded were Head of Space supervision by doing bad will decreased hand hygiene compliance and if nurse’s motivation increases will increased hand hygiene compliance among nurses in X room RSUD

scholarly journals Production of Disinfectants (Hand Sanitizers)

2021 ◽  
pp. 152-156
Author(s):  
Srushti Alesa
Keyword(s):  
Medicinal Plants ◽  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Ethanolic Extract ◽  
Hand Washing ◽  
Absolute Ethanol ◽  
Hand Sanitizer ◽  
Ethanolic Extraction ◽  
Hygiene Compliance ◽  
Locally Grown

Hand sanitizer is a supplement or alternative to hand washing with soap and water. The production of hand sanitizers from locally grown medicinal plants namely; wild spinach, turmeric, garlic) and camphor was achieved by obtaining the plants, grinding and performing ethanolic extraction for 72hrs on them. This ethanolic extract in combination with glycerin and absolute ethanol were used for the final preparation. Turmeric and garlic failed the hand sanitizer ‘s approval test based on their colour and pungent smell, but wild spinach and camphor were found to be good candidates for hand sanitizers production here in Nigeria and inclusion of such products here could increase hand hygiene compliance levels.

scholarly journals A Decade in Trying to Increase Hand Hygiene—Finally Success

2020 ◽  
Vol 41 (S1) ◽  
pp. s93-s94
Author(s):  
Linda Huddleston ◽  
Sheila Bennett ◽  
Christopher Hermann
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Compliance Rate ◽  
Bloodstream Infections ◽  
Central Line ◽  
Second Phase ◽  
Two Phase ◽  
Hygiene Compliance ◽  
Tract Infections ◽  
The Voice

Background: Over the past 10 years, a rural health system has tried 10 different interventions to reduce hospital-associated infections (HAIs), and only 1 intervention has led to a reduction in HAIs. Reducing HAIs is a goal of nearly all hospitals, and improper hand hygiene is widely accepted as the main cause of HAIs. Even so, improving hand hygiene compliance is a challenge. Methods: Our facility implemented a two-phase longitudinal study to utilize an electronic hand hygiene reminder system to reduce HAIs. In the first phase, we implemented an intervention in 2 high-risk clinical units. The second phase of the study consisted of expanding the system to 3 additional clinical areas that had a lower incidence of HAIs. The hand hygiene baseline was established at 45% for these units prior to the voice reminder being turned on. Results: The system gathered baseline data prior to being turned on, and our average hand hygiene compliance rate was 49%. Once the voice reminder was turned on, hand hygiene improved nearly 35% within 6 months. During the first phase, there was a statistically significant 62% reduction in the average number of HAIs (catheter associated urinary tract infections (CAUTI), central-line–acquired bloodstream infections (CLABSIs), methicillin-resistant Staphylococcus aureus (MRSA), multidrug-resistant organisms (MDROs), and Clostridiodes difficile experienced in the preliminary units, comparing 12 months prior to 12 months after turning on the voice reminder. In the second phase, hand hygiene compliance increased to >65% in the following 6 months. During the second phase, all HAIs fell by a statistically significant 60%. This was determined by comparing the HAI rates 6 months prior to the voice reminder being turned on to 6 months after the voice reminder was turned on. Conclusions: The HAI data from both phases were aggregated, and there was a statistically significant reduction in MDROs by 90%, CAUTIs by 60%, and C. difficile by 64%. This resulted in annual savings >$1 million in direct costs of nonreimbursed HAIs.Funding: NoneDisclosures: None

Sign in / Sign up

Export Citation Format

Share Document