Compliance with a novel hand hygiene protocol tailored to non-sterile healthcare workers in the operating theatre

Dijk, Manon D. van; Breejen, Mieke C.M. Waltmans-den; Vermeeren, Joke M.J.J.; Berg, Sonja van den; Beeck, Ed F. van; Vos, Margreet C.

doi:10.1016/j.jhin.2022.10.009

Cited by 2 publications

(1 citation statement)

References 24 publications

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“…그러나 이러한 관련요인은 주로 전체 의료기관종 사자나 중환자실 의료기관종사자에 국한되어 연구되었다 [14,15,[17][18][19][20][21][22]. 수술실에서의 손위생 수행률 관련요인은 간호직이 의사직보다 높았으며 [23], 마취참여인력이 수술 참여인력보다 낮았다는 보고 [9]…”

Section: 연구의 필요성unclassified

Characteristics and Affecting Factors of Hand Hygiene Adherence of Healthcare Workers at Operating Room Using Self-administered and Direct-observational Method

Jeong

Ryu

2023

Korean J healthc assoc Infect Control Prev

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Background: Hand hygiene (HH) is needed for healthcare workers (HCWs) at the operating room (OR) to prevent their hands from becoming reservoirs for pathogenic. This study was carried out to investigate the level of knowledge and perception and the barriers to HH and to identify the factors that affect HH. Methods: This was a cross-sectional study. The participants were those who worked at an OR at a teaching hospital. A total of 244 HCWs were enrolled, among whom we distributed a selfadministered survey regarding the knowledge, perception, and barriers and adherence of to HH. Finally, 159 survey sheets were retrieved, and a concurrent direct-observation of HH was conducted. Results: HH adherence was differed from the method using self-administration or direct observation. HH adherence accounted for 83.4% of the survey respondents and 68.5% with direct observation, with statistical significance (P<.001). This presented confirmative results in doctors (85.4% vs. 52.5%). The HH of HCWs in surgery (85.8%) was significantly higher than that of HCWs in anesthesia (76.0%). A multivariate hierarchical linear regression model was constructed by three-layer models consisting of demographic, occupational, and motivational factors. It revealed that perception, barrier, type of duty (surgery vs. anesthesia), and years of career experience were affecting factors of HH adherence. Conclusion:The HH adherence of HCWs in anesthesia was lower than of those in surgery, presenting a wide gap between self-administration and direct observation. The HH perception increased with self-administered HH, but barriers acted reversely. Therefore, improvement on perception and decrease of the barriers is necessary to raise the HH adherence of HCWs in the OR.

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