![]() Hand hygiene compliance was low and influenced by multiple factors, several of which varied among different cadres of staff. In the ‘risk perception’ domain, this included a resident's risk of acquiring an infection as a result of the nursing professional’s failure to comply with the hand hygiene guidelines. In the domain ‘social context and leadership’, this included (1) how the manager addresses barriers to enable hand hygiene as recommended and (2) how the manager pays attention to correct adherence to the hand hygiene guidelines. In two domains, several barriers were perceived differently by nursing assistants and nurses. For all nursing professionals, we found multiple determinants in four domains: ‘social context and leadership’, ‘resources’, ‘individual healthcare professional factors’ and ‘risk perception’. The determinant analysis was conducted on 177 questionnaires. In addition, hand hygiene compliance varied widely within and between different cadres of staff. ![]() There was considerable variation between wards (5–38%) and between specific World Health Organization hand hygiene moments. We found an overall mean hand hygiene compliance of 17%. ![]() We used a principal component analysis approach with varimax rotation to explore the underlying factor structure of the determinants. In addition, we performed a survey to examine determinants that may influence hand hygiene and to determine differences between different cadres of staff. We conducted two sub-studies: we measured hand hygiene compliance of 496 professionals in 14 long-term care facilities (23 wards) through direct observation using World Health Organisation’s ‘five moments of hand hygiene’ observation tool. To evaluate compliance with hand hygiene recommendations by different nursing professionals in long-term care facilities and to investigate determinants potentially influencing hand hygiene and whether these differed between the different cadres of staff. Hand hygiene is an important measure to prevent healthcare-associated infections in long-term care facilities.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |