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

Abstract

Introduction: 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.
 Methodology: Observational and correlational study carried out in critical areas of a university hospital in the Midwest region of Brazil.
 Results: 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).
 Conclusions: Hand hygiene adherence was affected and/or influenced by the physical structure, use of procedure gloves, work regime, and patient safety climate.

Adherence to hand hygiene technique: an observational study

“…(27)(28)(29) Pode-se inferir que o uso de luvas foi um fator que impactou negativamente na adesão à HM pelos profissionais, pois verificou-se impacto significante do uso de luvas na não adesão à HM. Acredita-se que alguns profissionais de saúde têm a falsa impressão de que o uso de luvas antes do contato com paciente mantém as mãos protegidas, substituindo, portanto, a prática de HM, (30)(31)(32) incorrendo em grave erro.…”

Adesão à técnica de higiene das mãos: estudo observacional

“…(27)(28)(29) Pode-se inferir que o uso de luvas foi um fator que impactou negativamente na adesão à HM pelos profissionais, pois verificou-se impacto significante do uso de luvas na não adesão à HM. Acredita-se que alguns profissionais de saúde têm a falsa impressão de que o uso de luvas antes do contato com paciente mantém as mãos protegidas, substituindo, portanto, a prática de HM, (30)(31)(32) incorrendo em grave erro.…”