Profesionales de salud ante la mejora de la higiene de las manos: estrategias clásicas versus estrategias avanzadas

Herrera-Usagre, Manuel; Pérez-Pérez, Pastora; Vázquez-Vázquez, Marta; Santana-López, V.

doi:10.4067/s0716-10182014000500004

Cited by 6 publications

(7 citation statements)

References 26 publications

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“…Research has shown variations in the compliance rates with hand hygiene reported by healthcare professionals, with percentages ranging from 8% to 84.5% (5,(7)(8)(9)16,(22)(23)(24) . However, different factors may be related to low compliance (4,25) . Among them, the following are highlighted: healthcare services with limited resources; overcrowding, with inadequate or no spatial separation between beds (26) ; physical structure, which includes poorly located sinks (3,22) ; the use of gloves (16) ; ability, attitudes, and motivation (25) ; the importance given by healthcare professionals to the risks of not being in compliance with the recommendations for hand hygiene; and the training received and the time provided for it (27) .…”

Section: Hand Hygiene Compliancementioning

confidence: 99%

“…However, different factors may be related to low compliance (4,25) . Among them, the following are highlighted: healthcare services with limited resources; overcrowding, with inadequate or no spatial separation between beds (26) ; physical structure, which includes poorly located sinks (3,22) ; the use of gloves (16) ; ability, attitudes, and motivation (25) ; the importance given by healthcare professionals to the risks of not being in compliance with the recommendations for hand hygiene; and the training received and the time provided for it (27) . Researchers also continue to point to factors related to inadequate flow of patient care due to overcrowding, heavy workloads, stress, activities with high risk of cross-transmission of pathogens, lack of knowledge about protocols for hand hygiene, lack of positive examples by their superiors, bad habits, simple forgetfulness, and skin irritation and drying caused by the successive use of products (1,4,9,15,20) .…”

Section: Hand Hygiene Compliancementioning

confidence: 99%

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Hand hygiene compliance of healthcare professionals in an emergency department

Zottele

Magnago

Dullius

et al. 2017

Rev. esc. enferm. USP

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Objective:To analyze compliance with hand hygiene by healthcare professionals in an emergency department unit. Method: This is a longitudinal quantitative study developed in 2015 with healthcare professionals from a university hospital in the state of Rio Grande do Sul. Each professional was monitored three times by direct non-participant observation at WHO's five recommended moments in hand hygiene, taking the concepts of opportunity, indication and action into account. Descriptive and analytical statistics were used. Results: Fifty-nine healthcare professionals participated in the study. The compliance rate was 54.2%. Nurses and physiotherapists showed a compliance rate of 66.6% and resident physicians, 41.3%. When compliance was compared among professional categories, nurses showed greater compliance than resident physicians (OR=2.83, CI=95%:1.09-7.34). Conclusion: Hand hygiene compliance was low. Multidisciplinary approaches could be important strategies for forming partnerships to develop learning and implementation of hand hygiene practices. Hand hygiene compliance of healthcare professionals in an emergency department* Adesão dos profissionais de saúde à higienização das mãos em pronto-socorro Adhesión de los profesionales sanitarios a la higienización de las manos en servicio de urgencias DESCRIPTORS INTRODUCTIONHealthcare-related infections (HCRI) are adverse events that occur in healthcare services worldwide, even when broadly avoidable (1) . A study of the prevalence of HCRI, coordinated by the World Health Organization (WHO) in 55 hospitals in 14 countries in Asia, Europe, the Eastern Mediterranean and the Western Pacific revealed that on average 8.7% of patients experience infections during hospitalization (2) . In developed countries, HCRI rates ranged from 5% to 15% in hospitalized patients, and may have affected from 9% to 37% of patients admitted to intensive care units (ICUs) (2) . In 2004, the World Alliance for Patient Safety launched their First Global Challenge, with a central focus on HCRI prevention. In Brazil, the challenge was entitled "Clean Care is Safer Care." It was implemented in the biennium [2005][2006], aiming at promoting hand hygiene as a sensitive and effective method to prevent infections (2) . Even 10 years later, the proposal focused on patient safety, which points to hand hygiene as a simple and effective measure in the prevention of HCRI still has an impact on current clinical and care practices in different services (3) . Although scientific evidence points to a relationship between an increase in hand hygiene and reduction of HCRI rates, consistency and compliance rates remain low (4)(5) . There are efforts to increase this practice; however, the general rate of hand hygiene compliance has been around 40%, varying from 5% to 81% (6) . Scientific evidence has shown a compliance rate of 20% by ICU healthcare professionals (nurses, physicians and physiotherapists) (7)(8) , 29% in emergency rooms (9) , and 40% among medical students in open units (10) , confirmin...

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Section: Hand Hygiene Compliancementioning

confidence: 99%

Section: Hand Hygiene Compliancementioning

confidence: 99%

Hand hygiene compliance of healthcare professionals in an emergency department

Zottele

Magnago

Dullius

et al. 2017

Rev. esc. enferm. USP

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“…Pesquisas apresentam variações entre as taxas de adesão reportadas à HM pelos profissionais de saúde, com percentuais de 8% a 84,5% 15,24 . Contudo, diferentes fatores podem estar relacionados à baixa adesão 25 . Entre eles, destacam-se: serviços de saúde com recursos limitados, superlotados, com inadequada ou nenhuma separação espacial entre camas, a estrutura física, que inclui as pias mal localizadas; o uso de luvas; a habilidade, as atitudes e a motivação; a importância atribuída pelo profissional de saúde para o risco de não estar em conformidade com as recomendações para HM, além da formação recebida e do tempo dispensado para o procedimento 26,27 .…”

Section: Resultsunclassified

Monitoramento da adesão à higiene das mãos em uma unidade de terapia intensiva [Monitoring hand hygiene adherence in an intensive care unit] [Monitoreo de la adhesión a la higiene de las manos en una unidad de terapia intensiva]

et al. 2018

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Objetivo: caracterizar a adesão da prática de higienização das mãos pelos profissionais de saúde. Método: estudo transversal, com a equipe multidisciplinar da unidade de terapia intensiva de um hospital do Rio de Janeiro, entre janeiro e fevereiro de 2017. A coleta de dados foi através da observação direta com um formulário adaptado. Foram realizadas 165 observações analisadas pelo software R. O projeto foi aprovado por Comitê de Ética em Pesquisa. Resultados: em 13% das observações foi alcançado o padrão ouro que corresponde a higiene das mãos antes e após o contato com o paciente com a técnica correta. Todas as categorias profissionais realizaram mais a higienização das mãos após o contato com o paciente. Conclusão: verificou-se baixa taxa de adesão à higienização das mãos pelos profissionais de saúde. Contudo, a categoria enfermeiro é a que mais higieniza as mãos antes e após o contato com o paciente, conforme a técnica correta.ABSTRACTObjective: to characterize health professionals’ adherence to hand hygiene procedure. Method: this cross-sectional study with the multidisciplinary team of an intensive care unit at a hospital in Rio de Janeiro was conducted between January and February 2017. Data were collected in 165 direct observations using an adapted form, and analyzed by R software. The project was approved by the research ethics committee. Results: the gold standard (hand hygiene before and after contact with the patient using the correct technique) was achieved in 13% of the observations. All categories of health personnel performed hand hygiene more after contact with the patient. Conclusion: the rate of adherence to hand hygiene by health professionals was low. However, the category that most hygienized hands before and after contact with patients, using the correct technique, was nurses.RESUMENObjetivo: caracterizar la adhesión de la práctica de higienización de las manos por los profesionales de salud. Método: estudio transversal, con el equipo multidisciplinario de la unidad de terapia intensiva de un hospital de Río de Janeiro, entre enero y febrero de 2017. La recolección de datos fue a través de la observación directa con un formulario adaptado. Fueron realizadas 165 observaciones analizadas por el software R. El proyecto fue aprobado por el Comité de Ética en Investigación. Resultados: en el 13% de las observaciones se alcanzó el patrón oro que corresponde a la higiene de las manos antes y después del contacto con el paciente, utilizando la técnica correcta. Todas las categorías profesionales realizaron más la higienización de las manos después del contacto con el paciente. Conclusión: se verificó baja tasa de adhesión a la higienización de las manos por los profesionales de salud. Sin embargo, la categoría enfermera es la que más higieniza las manos antes y después del contacto con el paciente según la técnica correcta.

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“…Among the strategies identified, 100% of them describe, at least, a strategic component belonging to the WHO guidelines for HH at health services [12][13][14][15][16][17][18][19][20][21]24 and, even in studies 23 that did not discuss WHO multimodal approach, these components emerge leading to outcomes, proving that factors mentioned as a barrier to the non- Although modifying some factors/barriers is impracticable, studies 14,16, invest in identifying those possible modifiable targets, in favor of eliminating professionals' difficulties to HH products and equipment, and ensuring adequate quantity and quality of supply for HH was the concern in the studies. 13,18,22 New sinks in the corridors and wards were installed, as well as dispensers with alcoholic formulations placed on each bed and frequent replacement of paper towel.…”

Section: Strategic Components and Modifiable Factors To The Adherence To Hand Hygienementioning

confidence: 99%

Estratégias para a adesão à higienização das mãos

Santos

Brandão

Sánchez

et al. 2019

Rev enferm UFPE on line.

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RESUMO Objetivo: identificar as estratégias empregadas pelas organizações de saúde para promover a adesão à higienização das mãos entre a equipe multiprofissional. Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa, com buscas de artigos nas Bases de dados BDENF, LILACS e PubMed, publicados entre os anos de 2011 a 2016. Elaborou-se por meio de um instrumento para a coleta dos dados, o delineamento, os resultados e as estratégias à higienização das mãos, apresentam-se em forma de figuras e analisados à luz de literatura. Resultados: revisaram-se 15 artigos, e agrupados por semelhança didática na categoria “componentes estratégicos e fatores modificáveis à adesão da higienização das mãos”. Evidenciou-se o emprego de recursos multimodais, com potencial de melhorar a conformidade e reduzir as oportunidades perdidas à higienização das mãos, sendo a abordagem “Meus Cinco Momentos” da OMS a estratégia empregada nas organizações de saúde. Conclusão: entende-se que o tema é multicausal e exige a produção de conhecimento, a partir do cotidiano assistencial, para o reconhecimento das possíveis barreiras e potenciais facilitadores para a adesão de higienização das mãos. Descritores: Equipe de Assistência ao Paciente; Higiene das Mãos; Controle de Infecções; Segurança do Paciente; Organizações em Saúde; Enfermagem.ABSTRACT Objective: to identify the strategies employed by health organizations to promote adherence to hand hygiene among the multiprofessional team. Method: this is a bibliographic, descriptive study, integrative-review type, with searches for articles in the databases BDENF, LILACS, and PubMed, published in the years from 2011 to 2016. Its development occurred by means of an instrument for data collection, the design, the results and the strategies to hand hygiene are presented in the form of figures and analyzed in the light of the literature. Results: 15 articles were reviewed, and grouped by didactic similarity in the category of “strategic components and modifiable factors to the adherence to hand hygiene”. The use of multimodal resources stood out, with potential to improve compliance and reduce the missed opportunities for hand hygiene, being the approach “My Five Moments” of WHO the strategy employed at health organizations. Conclusion: this is a multicausal topic that requires the production of knowledge, from the daily care, for the recognition of potential barriers and potential facilitators for the adherence to hand hygiene. Descriptors: Patient Care Team; Hand Hygiene; Infection Control; Patient Safety; Health Organizations; Nursing.RESUMEN Objetivo: identificar las estrategias empleadas por las organizaciones de salud para promover la adhesión a la higiene de las manos entre el equipo multiprofesional. Método: este es un estudio bibliográfico, descriptivo, del tipo revision integradora, con búsquedas de artículos en las bases de datos BDENF, LILACS y PubMed, publicados en los años de 2011 a 2016. Producido por medio de un instrumento de recopilación de datos, el diseño, los resultados y las estrategias para la higiene de las manos se presentan en forma de figuras y analizados a la luz de la literatura. Resultados: 15 artículos fueron revisados y agrupados por similitud didáctica en la categoría de “Componentes estratégicos y factores modificables para la adhesión de higiene de manos”. Se evidenció el uso de recursos multimodales, con potencial para mejorar el cumplimiento y reducir las oportunidades perdidas para la higiene de las manos, siendo el enfoque “Mis cinco momentos” de la OMS la estrategia empleada en las organizaciones de salud. Conclusión: se entiende que el tema tiene múltiples causas y requiere la producción de conocimiento, desde el cuidado diario, para el reconocimiento de posibles barreras y facilitadores para la posible adhesión de higiene de las manos. Descriptores: Equipo de asistencia al Paciente; Higiene de las Manos; Control de Infecciones; Seguridad del Pacientes; Organizaciones en Salud; Enfermería.

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Profesionales de salud ante la mejora de la higiene de las manos: estrategias clásicas versus estrategias avanzadas

Cited by 6 publications

References 26 publications

Hand hygiene compliance of healthcare professionals in an emergency department

Hand hygiene compliance of healthcare professionals in an emergency department

Monitoramento da adesão à higiene das mãos em uma unidade de terapia intensiva [Monitoring hand hygiene adherence in an intensive care unit] [Monitoreo de la adhesión a la higiene de las manos en una unidad de terapia intensiva]

Estratégias para a adesão à higienização das mãos

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