Understanding Practice: Factors That Influence Physician Hand Hygiene Compliance

Squires, Janet E.; Linklater, Stefanie; Grimshaw, Jeremy; Graham, Ian D.; Sullivan, Katrina; Bruce, Natalie; Gartke, Kathleen; Karovitch, Alan; Roth, Virginia; Stockton, Karen; Trickett, John; Worthington, Jim; Suh, Kathryn N.

doi:10.1086/678597

Cited by 62 publications

(68 citation statements)

References 36 publications

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“…With respect to the factors that hindered HH, it should be noted that they were consistent with those reported in the literature, which were generally related to professional category, physical and structural factors, material resources, knowledge, beliefs, goals, memory, attention, and decision making (6,8,(17)(18) . The type of HH procedure (simple cleaning or ABH) used most frequently by professionals varies according to country, study type, and intervention (19)(20)(21) .…”

Section: Discussionsupporting

confidence: 83%

“…However, in other studies, including Canadian Overall, respondents indicated a statistically significant preference for soap and water over ABH (4) . The reasons for this choice vary and include the feeling that hands are clean after using soap and water in HH, low tolerance of the alcohol-based product offered by the institution, lack of knowledge/training, behavioral and cultural factors, and institutional safety culture (1,4,(6)(7)(8) .…”

Section: Introductionmentioning

confidence: 99%

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Adherence and factors related to acceptance of alcohol for antiseptic hand rubbing among nursing professionals

Oliveira

Gama

Paula

2017

Rev. esc. enferm. USP

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Objective: Identify rates of adhesion and related factors to acceptance of an alcohol based preparation to hands antiseptic friction among nursing professionals in a unit of intensive therapy. Method: A cross-sectional study, which involved direct observation of hand hygiene opportunities and nursing professionals' completion of questionnaires, was conducted at a university hospital between January and July 2015. Descriptive and univariate analyses were performed, with a 5% significance level. Results: It was observed 956 opportunities of hand hygiene among 46 nursing professionals. The rate of adhesion to alcohol-based handrub (ABH) was 34.8% and about 87.0% preferred handwashing. Nurses used ABH more frequently than nursing technicians (p <0.001), and the report of feeling of clean hands after using the alcohol product was directly related to higher rates of adherence to antiseptic friction through observation (P <0.05). Conclusion: The finding indicating low ABH usage highlights the need for greater institutional investment in strategies that help health professionals to recognize the advantages of this type of HH with respect to time spent, ease of access to dispensers, effectiveness in eliminating microorganisms, and maintaining skin moisturization.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Adherence and factors related to acceptance of alcohol for antiseptic hand rubbing among nursing professionals

Oliveira

Gama

Paula

2017

Rev. esc. enferm. USP

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“…Los cirujanos declararon que no eran influidos por otros miembros del equipo en su práctica de la higiene de manos, tal vez debido a que los cirujanos deben trabajar más independientemente que los médicos que tienden a trabajar más en equipo. 9 Las limitaciones del sistema en cuanto a recursos son una barrera importante para que el médico realice higiene de manos, principalmente a facilitar el acceso en el sitio de atención del paciente. Las altas cargas de trabajo también se surgieren como una limitación.…”

Section: Discussionunclassified

Estrategia de uno en uno para mejorar la técnica correcta de higiene de manos

Hernández-Orozco¹,

Jl²,

Lucas-Reséndiz³

et al. 2017

Acta Pediatr Mex

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299www.actapediatrica.org.mx Artículo originAl Acta Pediatr Mex. 2017 sep;38(5):299-307.Estrategia de uno en uno para mejorar la técnica correcta de higiene de manos Resumen INTRODUCCIÓN: la higiene de las manos es considerada la estrategia más importante para prevenir infecciones asociadas con la atención de la salud. En nuestra institución, un estudio previo mostró que 93% del personal del hospital dijo conocer la técnica de higiene de manos, pero las observaciones de vigilancia activa no reflejaban estos resultados.OBJETIVO: mejorar la técnica de higiene de manos apropiada a través de una estrategia de "uno a uno". MATERIAL Y MÉTODOS: estudio comparativo de antes y después, prospectivo, longitudinal, realizado entre 2012-2013, con personal de enfermería de cinco servicios. El estudio se realizó en tres etapas: la primer etapa consistió en observar la realización de higiene de manos reforzando verbalmente si era incorrecta; en la segunda etapa se pidió que se realizara la higiene de manos, si era incorrecta se pidió se repitiera realizándola al mismo tiempo con el observador; la tercera etapa fue la evaluación final de higiene de manos, después de al menos 15 días de la segunda etapa. Analizamos frecuencias de eventos correctos y realizamos comparaciones entre grupos por McNemar para evaluar si el efecto de la intervención se sostenía a pesar del tiempo; se evaluaron las mismas variables un año después del inicio del estudio.RESULTADOS: la prueba de McNemar mostró diferencias estadís-ticamente significativas entre la realización de la higiene de manos correcta entre la etapa 1 en comparación con las siguientes 35 versus 85%; p < 0.001.CONCLUSIONES: se confirmó que la intervención dirigida logra mayor cooperación por parte del personal e incrementa la técnica correcta de higiene de manos a corto plazo.PALABRAS CLAVE: higiene de manos, cumplimiento, técnica correcta. Este artículo debe citarse comoHernández-Orozco HG, Castañeda-Narváez JL, Lucas-Reséndiz ME, Rosas-Ruiz A, Aparicio-Santiago GL, Sandoval-Medina MC. Estrategia de uno en uno para mejorar la técnica correcta de higiene de manos. Acta Pediatr Mex. 2017;38 (5)

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“…3 Additionally, provider experience may be linked to a more casual attitude toward infection prevention precautions. 4 Virginia Hospital Center (VHC) is a 334-bed teaching hospital in Arlington, Virginia, located in the Washington, D.C., metropolitan area. Hand hygiene rates have historically beeñ 50%-60% among providers, and they have increased since 2012 to 85% with stronger emphasis on hand hygiene.…”

Section: Specialty But Not Age Is Related To Provider Hand Hygiene mentioning

confidence: 99%

Specialty, but Not Age, Is Related to Provider Hand Hygiene Compliance

Modak

Rajput²,

Seemungal

et al. 2016

Infect. Control Hosp. Epidemiol.

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Understanding Practice: Factors That Influence Physician Hand Hygiene Compliance

Abstract: We identified several key determinants that physicians believe influence whether and when they practice hand hygiene at work. These beliefs identify potential individual, team, and organization targets for behavior change interventions to improve physician hand hygiene compliance.

Cited by 62 publications

References 36 publications

Adherence and factors related to acceptance of alcohol for antiseptic hand rubbing among nursing professionals

Adherence and factors related to acceptance of alcohol for antiseptic hand rubbing among nursing professionals

Estrategia de uno en uno para mejorar la técnica correcta de higiene de manos

Specialty, but Not Age, Is Related to Provider Hand Hygiene Compliance

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