Patient participation in hand hygiene among health professionals

Abstract

Objective: To investigate the perception and attitude of health professionals (HPs) about the patient participation in hand hygiene (HH). Method: A cross-sectional study with 150 HPs from a university hospital in Brazil. A descriptive analysis was conducted. Results: Simple hand hygiene was the preferred method of HPs, rather than hand rubbing with alcohol-based solutions. A total of 83.3% of the HPs supported the patient participation in reminding them about HH, but 48% reported that they would feel uncomfortable; 45.3%, comfortable; and 20.7% were familiar with the "Patients for Patient Safety" program. RESUMO Objetivo: Investigar a percepção e atitude dos profi ssionais de saúde (PS) sobre a participação do paciente na higienização das mãos (HM). Método: Estudo transversal, realizado com 150 PS de um hospital universitário do Brasil. Realizou-se uma análise descritiva. Resultados: A higiene simples das mãos foi o método preferido dos PS, em detrimento da fricção com preparação alcoólica. Dos PS, 83,3% apoiavam à participação do paciente em lembrá-los sobre a HM, mas 48% relataram que se sentiriam desconfortáveis; 45,3%, confortáveis; e 20,7% conheciam o programa "Paciente Pela Segurança do Paciente". Conclusão: PS mostraram conhecimento limitado sobre a HM, contrapondo as recomendações sobre o tema. Revelou-se a contradição entre a aceitação e atitude dos PS em serem questionados pelo paciente a respeito da HM, refl etindo desconhecimento do programa da OMS e a necessidade de implementação de práticas educativas em saúde. Descritores: Pessoal da Saúde; Higiene das Mãos; Participação do Paciente; Segurança do Paciente; Infecção Hospitalar. RESUMEN Objetivo: Investigar la percepción y actitud de profesionales de salud (PS) sobre la participación del paciente en la higienización de manos (HM). Método: Estudio transversal, realizado con 150 PS de un hospital universitario de Brasil. Se realizó un análisis descriptivo. Resultados: La higiene simple de manos fue el método preferido de los PS, en detrimento de la fricción con preparación alcohólica. De los PS, 83,3% apoyaban a la participación del paciente en recordarlos sobre la HM, pero 48% relataron que se sentirían incómodos; 45,3%, confortables; y 20,7% conocían el programa "Pacientes en Defensa de su Seguridad". Conclusión: Los PS mostraron conocimiento limitado sobre HM, contraponiendo las recomendaciones sobre el tema. Además, revelaron contradicción entre su aceptación y actitud a respecto de que sean cuestionados por el paciente sobre la HM, refl etando desconocimiento del programa de la OMS y la necesidad de implementación de prácticas educativas en salud.

Overview of the actions to combat bacterial resistance in large hospitals

“…These findings confirm that, although the professionals recognize hand hygiene as one of the essential measures to control the spread of resistant microorganisms in the hospital environment, knowledge on the five moments remains a challenge ( 38 - 40 ) . Above all, the different opportunities for adhering to the care of the same patient.…”

“…The knowledge on the five moments for hand hygiene was considered the second item for containing bacterial resistance in the health services; however, it was one of the measures with the lowest percentage of correct answers. In line with the results found, a study carried out in a Brazilian hospital verified that 56.7% of the professionals claimed to know the five moments for hand hygiene; however, 8.1% correctly described the moments, and just over 50% reported having received hand hygiene training ( 38 ) . In two hospitals of Paraná, the knowledge of Nursing professionals on hand hygiene was assessed and it was concluded that 86.5% of the interviewees did not fully know the five moments ( 39 ) .…”

Determinants of patient participation for safer care: A qualitative study of physicians' experiences and perceptions

“…We have identified a few studies that have addressed physicians' perspectives on patient involvement for safer care; two studies have used hypothetical hand hygiene and medication error scenarios. Schwappach et al conducted a study in Switzerland involving 1141 health care professionals (15% of which were physicians).…”

Hand hygiene: knowledge and skill of caregivers in the hematopoietic stem cell transplantation

“…These data can be both the reflection of the routine in the domestic environment, in which there is no restricted indication to the use of alcoholic solution, as well as of the own form of orientation by the professional. According to the results of a recent study carried out with 150 physicians and members of the nursing team, they showed a preference for hand hygiene with water and liquid soap (78%) instead of rubbing with alcohol solution (22%) (23) .…”