Influencing factors of hand hygiene in critical sections of a brazilian hospital

The aim of this study was to monitor adherence to hand hygiene by health professionals working in critical sections and to assess the factors that influenced adherence, such as physical structure of the units, use of procedure gloves, employment bond of the worker, and perception of patient safety c...

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Bibliographic Details
Published in:Journal of infection in developing countries 2021-06, Vol.15 (6), p.840-846
Main Authors: Bezerra, Thaissa Blanco, Valim, Marilia Duarte, Bortolini, Juliano, Ferreira, Adriano Menis, Almeida, Willian Albuquerque de, Rigotti, Marcelo Alessandro, De Andrade, Denise, Fronteira, Inês, Lopes Sousa, Alvaro Francisco
Format: Article
Language:English
Subjects:
Brazil
Cross Infection - prevention & control
Guideline Adherence
Hand Disinfection
Health Personnel
Hospitals
Humans
Hygiene
Infection Control
Inservice Training
Intensive Care Units, Neonatal
Occupational Diseases - prevention & control
Patient safety
Workplace
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Summary:The aim of this study was to monitor adherence to hand hygiene by health professionals working in critical sections and to assess the factors that influenced adherence, such as physical structure of the units, use of procedure gloves, employment bond of the worker, and perception of patient safety climate. Observational and correlational study carried out in critical areas of a university hospital in the Midwest region of Brazil. The overall hand hygiene adherence rate was 46.2% (n = 3,025). Adherence was higher among nurses 59.8% (n = 607) than among nursing technicians (p < 0.001), and the section with the greatest adherence was the neonatal Intensive Care Unit 62.9% (n = 947) (p < 0.001). Unlike the neonatal unit, in the adult unit the dispensers of alcohol-based handrubs were poorly located, without arms reach, and the taps were manual. In this section, a greater frequency of procedure glove use was also observed, 90.6% (n = 536), as compared to the other sections (p < 0.001). Regarding safety climate perception, temporary employees had higher means as compared to regular employees (p = 0.0375). Hand hygiene adherence was affected and/or influenced by the physical structure, use of procedure gloves, work regime, and patient safety climate.
ISSN:1972-2680
2036-6590
1972-2680
DOI:10.3855/jidc.13658