Factors affecting hand hygiene compliance in intensive care units : a systematic review

2012 ◽  
Author(s):  
Chun-ling Lau
Keyword(s):  
Systematic Review ◽  
Intensive Care ◽  
Hand Hygiene ◽  
Intensive Care Units ◽  
Hand Hygiene Compliance ◽  
Factors Affecting ◽  
Hygiene Compliance

scholarly journals Hand hygiene and the sequence of patient care

2021 ◽  
pp. 1-6
Author(s):  
Nai-Chung Chang ◽  
Michael Jones ◽  
Heather Schacht Reisinger ◽  
Marin L. Schweizer ◽  
Elizabeth Chrischilles ◽  
...  
Keyword(s):  
Intensive Care ◽  
Hand Hygiene ◽  
Patient Care ◽  
Intensive Care Units ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Resistant Bacteria ◽  
Surgical Intensive Care ◽  
Hygiene Compliance ◽  
Hand Hygiene Opportunity

Abstract Objective: To determine whether the order in which healthcare workers perform patient care tasks affects hand hygiene compliance. Design: For this retrospective analysis of data collected during the Strategies to Reduce Transmission of Antimicrobial Resistant Bacteria in Intensive Care Units (STAR*ICU) study, we linked consecutive tasks healthcare workers performed into care sequences and identified task transitions: 2 consecutive task sequences and the intervening hand hygiene opportunity. We compared hand hygiene compliance rates and used multiple logistic regression to determine the adjusted odds for healthcare workers (HCWs) transitioning in a direction that increased or decreased the risk to patients if healthcare workers did not perform hand hygiene before the task and for HCWs contaminating their hands. Setting: The study was conducted in 17 adult surgical, medical, and medical-surgical intensive care units. Participants: HCWs in the STAR*ICU study units. Results: HCWs moved from cleaner to dirtier tasks during 5,303 transitions (34.7%) and from dirtier to cleaner tasks during 10,000 transitions (65.4%). Physicians (odds ratio [OR]: 1.50; P < .0001) and other HCWs (OR, 2.15; P < .0001) were more likely than nurses to move from dirtier to cleaner tasks. Glove use was associated with moving from dirtier to cleaner tasks (OR, 1.22; P < .0001). Hand hygiene compliance was lower when HCWs transitioned from dirtier to cleaner tasks than when they transitioned in the opposite direction (adjusted OR, 0.93; P < .0001). Conclusions: HCWs did not organize patient care tasks in a manner that decreased risk to patients, and they were less likely to perform hand hygiene when transitioning from dirtier to cleaner tasks than the reverse. These practices could increase the risk of transmission or infection.

scholarly journals P117: Hand hygiene compliance in intensive care units in the Madrid region

2013 ◽  
Vol 2 (S1) ◽  
Author(s):  
M Cantero Caballero ◽  
P Rodriguez ◽  
R Pla ◽  
AB Jimenez ◽  
A Sanchez ◽  
...  
Keyword(s):  
Intensive Care ◽  
Hand Hygiene ◽  
Intensive Care Units ◽  
Hand Hygiene Compliance ◽  
Hygiene Compliance

scholarly journals Barriers to Hand Hygiene Compliance in Intensive Care Units From the Perspective of Healthcare Workers: A Qualitative Study

2021 ◽  
Author(s):  
Parvin Mangolian shahrbabaki ◽  
Mahlagha Dehghan ◽  
Mehdi Ahmadinejad ◽  
Maryam jabarpour ◽  
Mahbubeh Mazallahi
Keyword(s):  
Intensive Care ◽  
Qualitative Study ◽  
Hand Hygiene ◽  
Intensive Care Units ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Physical Space ◽  
Main Theme ◽  
Hygiene Practice ◽  
Hygiene Compliance

Abstract Background: Hand hygiene is one of the simplest and most important ways to prevent nosocomial infections. However, the available evidence indicates that hand hygiene is not fully practiced by healthcare workers. Several factors affect hand hygiene. Therefore, this study aimed to explain the experiences of healthcare workers in the barriers to hand hygiene compliance in intensive care units.Methods: This qualitative study was performed on 25 doctors, anesthesiologists, nurses and physiotherapists working in intensive care units by using purposive sampling and semi-structured individual interviews. The data analysis process was performed with Lundman and Graneheim approach.Results: The main theme of “barriers to hand hygiene practice” with three main categories, including 1- barriers related to healthcare providers with subcategories of workload, insufficient knowledge, inappropriate attitude and wrong behavioral patterns, 2- barriers related to management with the subcategories of improper planning and training, improper design of the physical space of the department and 3- barriers related to equipment and facilities with the subcategories of lack of equipment and poor quality equipment were identified in this study.Conclusion: The results of the present study can help the relevant authorities in adopting appropriate strategies to remove barriers to hand hygiene practice and promote the right attitude and behavior in healthcare workers.

Correlation of Hand Hygiene Compliance Measured by Direct Observation with Estimates Obtained from Product Usage

2018 ◽  
Vol 39 (6) ◽  
pp. 746-749 ◽  
Author(s):  
Westyn Branch-Elliman ◽  
Graham M. Snyder ◽  
Aleah D. King ◽  
Linda M. Baldini ◽  
Kaitlyn M. Dooley ◽  
...  
Keyword(s):  
Intensive Care ◽  
Hand Hygiene ◽  
Intensive Care Units ◽  
Direct Observation ◽  
Hand Hygiene Compliance ◽  
Infection Prevention ◽  
Infect Control Hosp ◽  
Moderate Correlation ◽  
Product Usage ◽  
Hygiene Compliance

Improving compliance with hand hygiene is a cornerstone of infection prevention. However, data regarding practical methods for monitoring compliance are limited. We found that product use metrics have a moderate correlation with direct observation in ward settings and limited correlation in intensive care units.Infect Control Hosp Epidemiol 2018;39:746–749

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