Nurses’ knowledge, behaviour and compliance concerning hand hygiene in nursing homes: a cross-sectional mixed-methods study

Hammerschmidt, Judith; Manser, Tanja

doi:10.1186/s12913-019-4347-z

Cited by 57 publications

(64 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The main reasons for non-compliance include the lack of time, staff and hygiene products [12,15], despite the fact that about 75.4% of LTCF workers and 68.7% of hospital workers declared that they did not encounter any difficulties in implementing the HH guidelines. Similar results were obtained in a study carried out in Germany by Hammersschmidt and Manser [20] regarding the knowledge and attitudes of long-term care nurses, where about 70% of the respondents declared that they had personal protective equipment, and over 80% confirmed the availability of HH preparations. However, the respondents in the German study declared more often (56%) that they always had the opportunity to carry out HH procedures when working with patients.…”

Section: Discussionsupporting

confidence: 86%

Selected aspects of the knowledge and practice concerning hand hygiene guidelines in the context of infection control structures in hospitals and long-term care facilities – findings of a questionnaire survey

Puto¹,

Wójkowska‐Mach²,

Wałszek³

et al. 2020

Med Pr

View full text Add to dashboard Cite

Background: Hand hygiene (HH) is the simplest and the most fundamental means of hospital-acquired infection (HAI) prevention in both hospitals and long-term care facilities (LTCFs) which differ as to their structure, organization and epidemiology. The objective of this study was to evaluate the knowledge of, and attitudes towards, compliance with the HH guidelines by medical staff of LTCFs and hospitals, in the context of infection control organization. Material and Methods: The study was carried out among medical staff of LTCFs and hospitals using an anonymous questionnaire designed by the authors. The questionnaire was composed of 22 questions. Results: Among 237 healthcare workers from LTCFs and hospitals (51.5% vs. 48.5%), the vast majority were women (97.5% vs. 94.8%), who were nurses (86.9% vs. 91.3%) with 21-30 years of experience (28.5% vs. 44.3%). The respondents, both working in hospitals and in LTCFs, declared that there was some surveillance of HAIs in their workplace-78.8% vs. 87.8%, respectively, p = 0.082. However, the respondents from LTCFs significantly more often than those working in hospitals declared the lack of HAI registration (12.3% vs. 0.9%, p = 0.002), as well as the lack of surveillance of multidrug-resistant microorganisms (16.4% vs. 4.3%, p = 0.010). Although the knowledge of WHO HH guidelines was declared by over 90% of the respondents, only about 70% of them (with no significant difference between both types of facilities) properly indicated the 5 moments of HH. Conclusions: The results of the study indicate that the organizational conditions and practice of HH in LTCFs and hospitals present some differences. Therefore, there is a need for observational studies concerning HH in the context of the structure and organization of infection control, as they are necessary for the development and implementation of effective programs to improve the situation in this field.

show abstract

Section: Discussionsupporting

confidence: 86%

Selected aspects of the knowledge and practice concerning hand hygiene guidelines in the context of infection control structures in hospitals and long-term care facilities – findings of a questionnaire survey

Puto¹,

Wójkowska‐Mach²,

Wałszek³

et al. 2020

Med Pr

View full text Add to dashboard Cite

show abstract

“…Residents undid the nurses' hygienic efforts with contaminated hands, and managers provided insufficient attention to hand hygiene practices. Regarding the latter, Hammer Schmidt et al also described how compliance depended upon role modelling from nursing managers [29]. Despite a general awareness of the impact of leadership on staff behaviour, nursing managers struggled with taking this role.…”

Section: Discussionmentioning

confidence: 99%

“…We also identified some setting-transcending barriers in concordance with previous studies focusing on hand hygiene compliance in LTCFs for the elderly. We identified determinants -also present in hospitals-that were related to guidelines, availability of materials and incentives/recourses, for example a scarcity of continuous hand hygiene training [18,19,[26][27][28][29]. Similarly, determinants such as forgetfulness, lack of time, considering gloves as a substitute for good hand hygiene, and lack of hand hygiene materials are also present in hospitals, paediatric LTCFs, and LTCFs for the elderly [18,19,21,29].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Exploring determinants of hand hygiene compliance in LTCFs: a qualitative study using Flottorps’ integrated checklist of determinants of practice

Lescure

Haenen

Greeff

et al. 2021

Antimicrob Resist Infect Control

View full text Add to dashboard Cite

Background Elderly residents in long-term care facilities (LTCFs) are vulnerable to healthcare-associated infections. Although hand hygiene is a leading measure for preventing infection, the compliance of healthcare workers is low. The aim of this study is to identify determinants that influence hand hygiene compliance of nursing staff in LTCFs. This information on determinants can eventually be used to develop a tailored implementation strategy for LTCFs. Methods This is an explorative, descriptive study using qualitative methods. We performed semi-structured focus group discussions with 31 nurses and nurse assistants from five Dutch LTCFs. Our focus group discussions continued until no new information could be identified from the data. We used Flottorps’ comprehensive checklist for identifying determinants of practice (the TICD checklist) to guide data collection and analysis. The audiotapes were transcribed verbatim and two authors independently analysed the transcripts with Atlas.ti software. Results LTCFs for the elderly have setting specific determinants that are decisive in explaining hand hygiene compliance. Most of these determinants are related to the residents with whom nurses build close relationships and for whom they want to create a homelike atmosphere. Residents can complicate the provision of care with unpredictable behaviour, being unwilling to receive care or use shared facilities. Our study also discovered setting-transcending determinants related to knowledge, professional interactions, guidelines, and incentives/resources. Conclusions Nurses in LTCFs are constantly pursuing a balance between working hygienically, responding adequately to acute care needs, and maintaining a homelike environment for their residents. As a result, setting-specific determinants affect hand hygiene compliance, as do the known determinants that are important in other care settings. To improve compliance in LTCFs, interventions should be selected on a theoretical base while linking these determinants to change interventions. Trial registration Registration number 50-53000-98-113, Compliance With Hand Hygiene in Nursing Homes: Go for a Sustainable Effect (CHANGE) on ClinicalTrials.gov. Date of registration 28-6-2016.

show abstract

“…Nurses play a key role in ensuring patient safety given their continuous presence at patients' bedsides and interaction with families and other healthcare professionals (Patient Safety Network, 2017). Therefore, nurse‐related factors influencing hospital patient safety, such as nurse's age, patient safety knowledge and education, infection‐related attitude, perception of the importance of patient safety (Baldwin et al, 2010; Hammerschmidt & Manser, 2019), nursing personnel, and patient safety culture (Dirik & Intepeler, 2017), have been found to influence patient safety. However, any organizational culture, whether it is positive or negative, can become self‐reinforcing and therefore difficult to change (van Buijtene & Foster, 2019).…”

Section: Introductionmentioning

confidence: 99%

Factors associated with patient safety in neonatal intensive care units: A multicenter study using ordinal logistic regression

Park

2020

Japan Journal Nursing Sci

View full text Add to dashboard Cite

AimThis study aimed to identify nurses' staffing levels, neonatal infection experience, infection control knowledge, and infection control performance, as well as levels of patient safety, and to verify the factors influencing patient safety related to infection control in multi‐centered neonatal intensive care units (NICUs).MethodsA self‐administered questionnaire was completed by 251 NICU nurses working in seven hospitals throughout South Korea. The data were collected in February 2019 and analyzed using generalized ordinal logistic regression.ResultsThe distribution of patient safety was as follows: level 1 (very poor) 0%, level 2 (poor) 6.8%, level 3 (fair) 29.7%, level 4 (good) 35.0%, level 5 (very good) 21.5%, and level 6 (excellent) 7.2%. The factors influencing patient safety differed across the different levels of patient safety. Comparing patient safety level 2 with the other levels (3, 4, 5, 6), the nurse staffing level (b = 1.12) was a significant influencing factor. Comparing patient safety levels 2, 3, 4 and 5 with level 6, the influencing factors were neonatal infection experience (b = −1.18) and infection control performance (b = 5.77).ConclusionThe nurse staffing level was a factor when patient safety levels were low, and nurses' neonatal infection experience and infection control performance were factors when patient safety levels were high. Institutional policy efforts are required to identify patient safety levels in NICUs to develop comprehensive strategies to ensure appropriate nurse staffing and enhance neonatal infection control performance to prevent infections.

show abstract

Nurses’ knowledge, behaviour and compliance concerning hand hygiene in nursing homes: a cross-sectional mixed-methods study

Cited by 57 publications

References 42 publications

Selected aspects of the knowledge and practice concerning hand hygiene guidelines in the context of infection control structures in hospitals and long-term care facilities – findings of a questionnaire survey

Selected aspects of the knowledge and practice concerning hand hygiene guidelines in the context of infection control structures in hospitals and long-term care facilities – findings of a questionnaire survey

Exploring determinants of hand hygiene compliance in LTCFs: a qualitative study using Flottorps’ integrated checklist of determinants of practice

Factors associated with patient safety in neonatal intensive care units: A multicenter study using ordinal logistic regression

Contact Info

Product

Resources

About