Focus Group Study of Hand Hygiene Practice among Healthcare Workers in a Teaching Hospital in Toronto, Canada

Jang, Ji-Hyun; Wu, Samantha; Kirzner, Debra; Moore, Christine; Youssef, Gomana; Tong, Agnes; Lourenço, J.P.; Stewart, Robyn B.; McCreight, Liz; Green, Karen; McGeer, Allison

doi:10.1086/649792

Cited by 134 publications

(121 citation statements)

References 29 publications

(14 reference statements)

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“…This links with other studies regarding role models and the importance of having good role models for hand hygiene on sites to champion hand hygiene for others (Jang et al, 2010, Dixit et al, 2012. Feather et al (2000) found that medical students were modelling the poor hand hygiene practices of medical personnel.…”

Section: Discussionsupporting

confidence: 72%

Factors that influence hand hygiene practice amongst occupational therapy students

Wall

Smiddy

2017

IJOT

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Purpose Hand hygiene is the single most important intervention to reduce the risk of acquiring infection. All healthcare workers and healthcare students have a responsibility to prevent transmission of infection. The purpose of this study is to investigate students’ attitudes to hand hygiene following university-based education and practice placement. Students attended a lecture, completed an e-learning module, participated in a practical session using a ultra-violet light hand inspection cabinet and engaged in clinical placement. Design/methodology/approach In all, 64 students participated in a multimodal hand hygiene education programme before clinical placement, with each student completing an in-class questionnaire after placement. Data were analysed using descriptive and comparative statistics. Students rated educational methods that had most influence on them. Their preference was for a practical hand hygiene education session. Students were also influenced by the therapist they were on placement with. They were least influenced by the didactic college presentation. Findings This study highlights that students may be influenced by different methods of education at different stages in their course and that placement may be an important influencing factor in the earlier years of occupational therapy education. Research limitations/implications This study highlights the importance of the availability of a multimodal educational approach and clinical placement to promote increased compliance with hand hygiene amongst students. Practical implications University healthcare course curricula should include multimodal approaches to the education of hand hygiene. While hand hygiene e-learning modules are beneficial, they should be used in conjunction with a multimodal educational strategy that incorporates practical elements. The influence of the therapist on a students’ behaviour should be utilised to improve both student and professionals hand hygiene adherence. Originality/value Original piece of work that is not widely discussed in Occupational Therapy literature.

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Section: Discussionsupporting

confidence: 72%

Factors that influence hand hygiene practice amongst occupational therapy students

Wall

Smiddy

2017

IJOT

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“…3 Furthermore, many studies done to assess the knowledge, attitudes, compliance and reasons for non-adherence to hand hygiene guidelines have found that compliance with hand hygiene protocols by health care workers (HCW) is poor 4,5,6 due to several constraints, including heavy work load, high number of clinical procedures and skin conditions of the HCW. 7,8 An alarming revelation was that compliance was found to be worst before highrisk procedures. 5,9 In Asia there is a paucity of studies 10,11,12 exploring this subject, although the prevalence of health care associated infections is high in this region.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and practices of hand hygiene among final year medical and nursing students at the University of Sri Jayewardenepura

Ariyarathne¹,

Gunasekara²,

Weerasekara³

et al. 2013

Sri Lankan J Infec Dis

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Effective hand hygiene is essential for reducing healthcare associated infections. However, compliance of healthcare workers to hand hygiene guidelines are reportedly poor. It is important therefore to instill adequate knowledge and good attitudes and practices at the time of primary training of the healthcare workers. This study was done to identify gaps in knowledge, attitudes and practices to improve existing training programs and enhance good practices and working ethics in the future. A self-administered questionnaire based cross sectional study was done to compare the knowledge, attitudes, practices and satisfaction (KAPS) of facilities between final year medical and nursing students of the Faculty of Medical Sciences, University of Sri Jayewardenepura. Participants had moderate knowledge (77%) but attitudes, practices and satisfaction of facilities of all the participants was overall poor (<50%). However the nursing students had better knowledge (p=0.023), attitudes (p<0.001), practices (p<0.001) and satisfaction of facilities (p<0.001) compared with the medical students. The knowledge, attitudes, practices and satisfaction of facilities of medical and nursing students are unsatisfactory. The study shows the need for further improvement of the existing hand hygiene training programs to address the gaps in knowledge, attitudes and practices. Further, there is a need to improve the facilities available for hand hygiene and make them readily accessible for students at their training centers to enable them to engage in good practices which will be beneficial for them as doctors and nurses in the future.

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“…7 Healthcare workers may feel that wearing gloves not only protects them from the pathogens on patients but also protects patients from the pathogens on healthcare workers' hands 30,31 and that this obviates the need for hand disinfection. Hand hygiene behavior has been classified as being either inherent (motivated by feelings of disgust, after contact with dirt or perceived dirt) or elective (not motivated by disgust).…”

mentioning

confidence: 99%

“The Dirty Hand in the Latex Glove”: A Study of Hand Hygiene Compliance When Gloves Are Worn

Fuller

Savage

Besser

et al. 2011

Infect. Control Hosp. Epidemiol.

138

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JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range of content in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new forms of scholarship. For more information about JSTOR, please contact support@jstor.org. http://www.jstor.org infection control and hospital epidemiology december 2011, vol. 32, no. 12 o r i g i n a l a r t i c l e background and objective. Wearing of gloves reduces transmission of organisms by healthcare workers' hands but is not a substitute for hand hygiene. Results of previous studies have varied as to whether hand hygiene is worse when gloves are worn. Most studies have been small and used nonstandardized assessments of glove use and hand hygiene. We sought to observe whether gloves were worn when appropriate and whether hand hygiene compliance differed when gloves were worn.

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Focus Group Study of Hand Hygiene Practice among Healthcare Workers in a Teaching Hospital in Toronto, Canada

Cited by 134 publications

References 29 publications

Factors that influence hand hygiene practice amongst occupational therapy students

Factors that influence hand hygiene practice amongst occupational therapy students

Knowledge, attitudes and practices of hand hygiene among final year medical and nursing students at the University of Sri Jayewardenepura

“The Dirty Hand in the Latex Glove”: A Study of Hand Hygiene Compliance When Gloves Are Worn

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