Hand hygiene practices and adherence determinants in surgical wards across Europe and Israel: A multicenter observational study

Lee, Andie; Chalfine, Annie; Daikos, George L.; Garilli, Silvia; Jovanović, Biljana; Lemmen, Sebastian; Martínez, José Antonio; Masuet-Aumatell, Cristina; McEwen, J.; Pittet, Didier; Rubinovitch, Bina; Sax, Hugo; Harbarth, Stéphan Juergen

doi:10.1016/j.ajic.2010.09.007

Cited by 58 publications

(45 citation statements)

References 9 publications

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“…There was a robust “it’s not me, it’s you” mentality between nursing and nonnursing professionals, a finding that has also been previously described (Jackson, Lowton, et al, 2014). Nevertheless, although there is a universal desire to consider oneself as “the best in class,” studies measuring performance of hand hygiene in different professional groups have shown that variations in adherence are related as much to unit and institutional culture as to discipline or specialty (Alsubaie et al, 2013; Lebovic, Siddiqui, & Muller, 2013; Lee et al, 2011). …”

Section: Discussionmentioning

confidence: 99%

Staff Knowledge, Awareness, Perceptions, and Beliefs About Infection Prevention in Pediatric Long-term Care Facilities

Løyland

Wilmont

Hessels³

et al. 2016

Nursing Research

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Background The burden of healthcare-associated infection worldwide is considerable, and there is a need to improve surveillance and infection control practices such as hand hygiene. Objectives The aims of this study were to explore direct care providers’ knowledge about infection prevention and hand hygiene, their attitudes regarding their own and others’ hand hygiene practices, and their ideas and advice for improving infection prevention efforts. Methods This exploratory study included interviews with direct care providers in three pediatric long-term care facilities. Two trained nurse interviewers conducted semistructured interviews using an interview guide with open-ended questions. Two other nurse researchers independently transcribed the audio recordings and conducted a thematic analysis using a strategy adapted from the systematic text condensation approach. Results From 31 interviews, four major thematic categories with subthemes emerged from the analysis: (a) hand hygiene products; (b) knowledge, awareness, perceptions, and beliefs; (c) barriers to infection prevention practices; and (d) suggested improvements. There was confusion regarding hand hygiene recommendations, use of soap or sanitizer, and isolation precaution policies. There was a robust “us” and “them” mentality between professionals. Discussion One essential driver of staff behavior change is having expectations that are meaningful to staff, and many staff members stated that they wanted more in-person staff meetings with education and hands-on, practical advice. Workflow patterns and/or the physical environment need to be carefully evaluated to identify systems and methods to minimize cross-contamination. Further studies need to evaluate if personal sized containers of hand sanitizer (e.g., for the pocket, attached to a belt or lanyard) would facilitate improvement of hand hygiene in these facilities.

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Section: Discussionmentioning

confidence: 99%

Staff Knowledge, Awareness, Perceptions, and Beliefs About Infection Prevention in Pediatric Long-term Care Facilities

Løyland

Wilmont

Hessels³

et al. 2016

Nursing Research

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“…A crença pessoal e os hábitos adquiridos durante a vida podem desempenhar maior influência na adesão à HM do que o conhecimento sobre as medidas de precaução e controle de infecção adotadas na prática (14) . Estudos demonstram que a maior adesão dos profissionais à HM após o cuidado ao paciente e contato com fluidos corporais representa mais uma prática de autocuidado do que uma prática de cuidado com o paciente (14)(15)(16) . Pesquisa realizada com enfermeiros durante a coleta de exame de Papanicolaou demonstrou que nenhum dos sujeitos realizou a HM antes do procedimento (17) .…”

Section: Discussionunclassified

Adesão Dos Profissionais De Enfermagem À Higienização Das Mãos: Uma Análise Segundo O Modelo De Crenças Em Saúde

Guedes¹,

Miranda²,

Maziero³

et al. 2012

Cogitare Enferm.

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Estudo descritivo e analítico cujo objetivo foi compreender fatores relacionados à prática da higienização das mãos. Participaram 40 profissionais de enfermagem de um hospital de ensino da capital paranaense, no período de Abr a maio de 2007. Realizou-se entrevista semiestruturada baseada no Modelo de Crenças em Saúde; a análise dos dados foi realizada com auxílio de estatística descritiva e recortes dos depoimentos foram utilizados para ilustrar a opinião e valor atribuídos à prática de higienização de mãos. A maioria referiu ter participado de treinamento sobre o tema em estudo, reconheceram sua importância e a própria suscetibilidade a infecções, citaram como beneficio a prevenção desses egravos e apontaram como barreiras a falta de conhecimento e as lesões cutâneas decorrentes da higienização das mãos. O Modelo de Crenças em Saúde proporcionou reconhecimento da realidade local e pode contribuir para o planejamento das ações que visem a promoção da higienização de mãos.

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“…Hands of healthcare personnel are known to be the main culprit of cross transmission of pathogens in healthcare facilities, and, as stated by the WHO and Centers for Disease Control and Prevention (CDC), HH is the most effective preventive measure against HAIs. Nonetheless, HH compliance among healthcare workers is not acceptable, below 40% globally [3, 7–9]. Noncompliance reasons are surveyed in different studies.…”

Section: Introductionmentioning

confidence: 99%

Impact of WHO Hand Hygiene Improvement Program Implementation: A Quasi-Experimental Trial

Farhoudi

Dashti

Davani

et al. 2016

BioMed Research International

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Objectives. As affirmed by the World Health Organization (WHO), hand hygiene is the most powerful preventive measure against healthcare-associated infections (HCAIs) and, thus, it has become one of the five key elements of patient safety program. The aim is to assess the effect of implementation of the WHO's Multimodal Hand Hygiene Improvement Strategy among healthcare workers of a tertiary teaching hospital in a developing country. Methods. Hand hygiene compliance was assessed among healthcare workers, according to five defined moments for hand hygiene of the WHO, before and after implementation of the WHO's Multimodal Hand Hygiene Improvement Strategy in fourteen wards of a tertiary teaching hospital in Shiraz, Iran. We used direct observation method and documented the results in WHO hand hygiene observation forms. Results. There was a significant change in compliance before and after implementation of WHO's Multimodal HH Improvement Strategy (29.8% and 70.98%, resp.). Conclusions. Implementing WHO hand hygiene program can significantly improve hand hygiene compliance among nurses.

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Hand hygiene practices and adherence determinants in surgical wards across Europe and Israel: A multicenter observational study

Cited by 58 publications

References 9 publications

Staff Knowledge, Awareness, Perceptions, and Beliefs About Infection Prevention in Pediatric Long-term Care Facilities

Staff Knowledge, Awareness, Perceptions, and Beliefs About Infection Prevention in Pediatric Long-term Care Facilities

Adesão Dos Profissionais De Enfermagem À Higienização Das Mãos: Uma Análise Segundo O Modelo De Crenças Em Saúde

Impact of WHO Hand Hygiene Improvement Program Implementation: A Quasi-Experimental Trial

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