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

Thaissa Blanco Bezerra, Marília Duarte Valim, Juliano Bortolini, Adriano Menis Ferreira, Willian Albuquerque de Almeida, Marcelo Alessandro Rigotti, Denise de Andrade, Inês Fronteira, Alvaro Francisco Lopes Sousa

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish
Pages (from-to)840-846
Number of pages7
JournalJournal Of Infection In Developing Countries
Issue number6
Publication statusPublished - 30 Jun 2021


  • Cross infection
  • Hand hygiene
  • Patient safety
  • Safety climate


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