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

  • Thaissa Blanco Bezerra Department of Nursing, Federal University of Mato Grosso, Cuiabá, Mato Grosso, Brazil
  • Marilia Duarte Valim Department of Nursing, Federal University of Mato Grosso, Cuiabá, Mato Grosso, Brazil
  • Juliano Bortolini Department of Exact sciences and Eearth, Federal University of Mato Grosso, Cuiabá, Mato Grosso, Brazil
  • Adriano Menis Ferreira Department of Nursing, Federal University of Mato Grosso do Sul, Três Lagoas, Mato Grosso do Sul, Brazil
  • Willian Albuquerque de Almeida Department of Nursing, Federal University of Mato Grosso do Sul, Três Lagoas, Mato Grosso do Sul, Brazil
  • Marcelo Alessandro Rigotti Department of Nursing, Federal University of Mato Grosso do Sul, Três Lagoas, Mato Grosso do Sul, Brazil
  • Denise de Andrade University of São Paulo, Ribeirão Preto, São Paulo, Brazil
  • Inês Fronteira Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisbon, Portugal
  • Alvaro Francisco Lopes Sousa Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisbon, Portugal
Keywords: Hand hygiene, cross infection, patient safety, safety climate

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.

Published
2021-06-30
How to Cite
1.
Bezerra TB, Valim MD, Bortolini J, Ferreira AM, Almeida WA de, Rigotti MA, de Andrade D, Fronteira I, Lopes Sousa AF (2021) Influencing factors of hand hygiene in critical sections of a brazilian hospital. J Infect Dev Ctries 15:840-846. doi: 10.3855/jidc.13658
Section
Original Articles