Surgical handwashing practices of operating room staff: An observational study

• Published in: Scandinavian journal of caring sciences 2022-12, Vol.36 (4), p.926-934
• Main Authors: Gülşen, Muaz, Aydıngülü, Nursevim, Arslan, Sevban, Doğan, Sevgi Deniz, Alptekin, Dudu, Nazik, Evşen
• Format: Article
• Language: English
• Subjects: Arms; Behavior change; guidelines for handwashing in the operating room; Hands; handwashing technique; Nurses; Observational studies; Operating theatres; Sociodemographics; Surgeons; Surgery; surgical handwashing; surgical handwashing practices; surgical site infection; Surgical site infections; Teams; Washing; Water
• ISSN: 0283-9318; 1471-6712
• DOI: 10.1111/scs.12988

Objective This descriptive and cross‐sectional study aims to assess the surgical handwashing practices of operating room staff. Design Single‐blind study. Methods The study was conducted with 66 staff (surgeons and operating room nurses) employed in the surgery department of a university hospital in Turkey. Data were collected using a Staff Information Form prepared in light of the literature to collect the participants’ sociodemographic data and the Surgical Hand Washing Procedure Checklist developed according to the guidelines of the Centers for Disease Control and Prevention (CDC), World Health Organization (WHO) and Association of Surgical Technologists (AST). The staff assigned to operating rooms were identified, and then, their surgical handwashing practices were observed by one of the researchers. Findings Of the participants, 77.3% were dressed suitable to the operating room field, 56.1% appropriately wet both of their hands and forearms, and 72.7% used a sufficient amount of antiseptic solution (3–5 ml) in their palms. More than half of them (51.5%) inappropriately performed the procedure of surgical handwashing (applying an antiseptic solution to hands and arms with circular motions, starting from the fingertips up to 3–5 cm above their elbows for a minute), and 47% incorrectly performed the procedure of rinsing hands and arms while keeping the hands above the elbows under running water and passing arms through the water in one direction during this process. Conclusion In the study, it was determined that none of the team members completed the preparation, application and drying steps of the surgical handwashing procedure. Therefore, it is necessary to make arrangements that will facilitate the handwashing procedures of the personnel. Personnel‐related problems, such as the duration of washing and drying methods, are possible to be avoided with periodic in‐service training and with posters demonstrating the washing stages, which might lead to behavioural changes.