TY - JOUR
T1 - Influencing factors of hand hygiene in critical sections of a brazilian hospital
AU - Bezerra, Thaissa Blanco
AU - Valim, Marília Duarte
AU - Bortolini, Juliano
AU - Ferreira, Adriano Menis
AU - de Almeida, Willian Albuquerque
AU - Rigotti, Marcelo Alessandro
AU - de Andrade, Denise
AU - Fronteira, Inês
AU - Sousa, Alvaro Francisco Lopes
N1 - Funding Information:
This study was funded by the research support foundation in Mato Grosso.
Publisher Copyright:
Copyright © 2021 Bezerra et al. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
PY - 2021/6/30
Y1 - 2021/6/30
N2 - 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.
AB - 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.
KW - Cross infection
KW - Hand hygiene
KW - Patient safety
KW - Safety climate
UR - http://www.scopus.com/inward/record.url?scp=85110282769&partnerID=8YFLogxK
U2 - 10.3855/jidc.13658
DO - 10.3855/jidc.13658
M3 - Article
C2 - 34242195
AN - SCOPUS:85110282769
VL - 15
SP - 840
EP - 846
JO - Journal Of Infection In Developing Countries
JF - Journal Of Infection In Developing Countries
SN - 1972-2680
IS - 6
ER -
