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Home / Publications / Influencing factors of hand hygiene in critical sections of a Brazilian hospital

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

  • Authors: Thaissa Blanco Bezerra, Marilia Duarte Valim, Juliano Bortolini, Adriano Menis Ferreira, Willian Albuquerque de Almeida, Marcelo Alessandro Rigotti, Denise de Andrade, Inês Fronteira, Alvaro Francisco Lopes Sousa
  • Publication Year: 2021
  • Journal: The Journal of Infection in Developing Countries, 15(06), pp 840-846
  • Link: https://doi.org/10.3855/jidc.13658

ABSTRACT

‘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.

KEYWORDS

Hand hygiene; cross infection; patient safety; safety climate.

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About GHTM

GHTM is a R&D Unit that brings together researchers with a track record in Tropical Medicine and International & Global Health. It aims at strengthening Portugal's role as a leading partner in the development and implementation of a global health research agenda. Our evidence-based interventions contribute to the promotion of equity in health and to improve the health of populations.

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