Naslov
Educational impact on compliance of medical personnel In hand hygiene in General county hospital Požega

Autori
Lovrić, Božica

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, prošireni sažetak, ostalo

Izvornik
Dies Doctorandorum 2017:Book of abstracts / Smolić, Martina ; Miškulin, Maja ; Včev, Aleksandar - Osijek : Medicinski fakultet, Sveučilište u Osijeku, 2017, 69-75

ISBN
978-953-7736-33-0

Skup
Dies Doctorandorum 2017

Mjesto i datum
Osijek, Hrvatska, 2017

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
hand hygiene ; hygienic washing ; hygienic rubbing ; my five moments ; compliance

Sažetak
Introduction: Infections related to healthcare represent a great problem for the patient safety and, due to that, its supervision and prevention should be at the top of priority list of a healthcare institution. In developed countries, 5-10% of patients get that kind of infection in acute care hospitals. In third world, proportion of patients with infection related to healthcare, exceeds 25%. While having these infections, problems are multiplex and they consider long- lasting stay in hospital, possible longterm invalidity, increased resistance of microorganisms to antimicrobial medications, additional financial burden, high expenses for the patient and his family, but also the high number of deceased (1, 2, 3). The importance of hand hygiene education of the entire personnel in the healthcare institution is extremely important (4). Education of healthcare employees is an inseparable part of operating range of the Hospital infection team (5). Permanent education is not just a legal, but also an ethical duty of each healthcare worker (6). A consequence to that is arise of Croatian directions for hand hygiene published in 2011, in which a concept of "My five moments for hand hygiene" is explained In a detailed way (6, 7). "My five moments for hand hygiene" is a concept developed by a group of experts from World health organization (WHO) while working on Directions for hand hygiene. The concept has been proposed as a reference approach for accurate conduction, teaching and evaluation of hand hygiene. Moment 1 signifies conduction of hand hygiene before a contact with a patient. Moment 2 signifies conduction of hand hygiene before an aseptic procedure. Moment 3 signifies conduction of hand hygiene after the exposure to body fluids. Moment 4 signifies conduction of hand hygiene after a contact with a sick person. Moment 5 signifies conduction of hand hygiene after a contact with the environment of a sick person. Aims: The aim of research was to identify compliance in hand hygiene of healthcare workers before and after education, as well as to identify which method of hand hygiene healthcare workers apply more often. Materials/ Participants and Methods: Research was conducted on three groups of healthcare workers. The first group were nurses, the second group were physical therapists and the third group were laboratory technicians. Hand hygiene acts of healthcare workers, were observed before and after the education of measures of proper hand hygiene. Through the process of education went 212 nurses/ medical technicians, 10 physical therapists and 13 laboratory technicians. All examinees are employees of General county hospital Požega. Research was conducted in General county hospital Požega in a period from 1 December 2013 until 1 April 2014. Before the education 473 observations were collected and 613 observations were collected after the education. Before the education, in a period of eight weeks, views were taken on a daily basis. Education of proper hand hygiene measurements was conducted through work in small groups in a period of seven weeks and WHO's presentation materials (slides and movies) were used for it (8, 9). After the education, everyday views were conducted in a period of five weeks. Proper hand hygiene performance was observed by a nurse responsible for control of hospital infections. Observation of compliance in the acts of hand hygiene was conducted in accordance to the rules defined by WHO. Compliance during hand hygiene is a proportion between the number of performed actions and the number of opportunities. Monitoring hand hygiene included five moments for hand hygiene. Results have been registered in observation forms. Proper hand hygiene methods included applying alcohol and rubbing it into hands, or washing hands with soap and under the source of running water. Statistical methods: Nominal indicators were shown by division of frequency in groups and by its proportion. For affirmation of differences between proportions of two independent samples (number of indications before and after the education) x^test and Fisher's exact test were used. For the evaluation of importance of the obtained results, P < 0.05 level of importance has been chosen. Originally written database programs and statistical package Statistica (Stat Soft Inc ver 12) have been chosen. Results: In this research, 473 indications for hand hygiene were recorded before the education and 613 indications for hand hygiene were recorded after the conducted education. Before the education, compliance in hand hygiene was 261 (55, 2%) indications, whereas after the education compliance was 483 (78, 8%) indications (Fisher's exact test, p < 0, 001 ). After the education, in. 45 indications (9, 3%) hygienic hand washing was carried out, and in 438 indications (90, 7%) hygienic rubbing (Fisher's exact test, p < 0, 001) (Table 1). Before the contact with a patient, out of 371 indications, 98 indications (26, 4%) are without conducted hand hygiene, out of which 72 indications (45%) were before the education (Fisher's exact test, p < 0, 001). Before the education, without conducted hand hygiene and before the aseptic procedure, there were 55 indications (68, 8%), whereas after the education there were 25 indications (31, 3 %) without conducted hand hygiene. (Fisher's exact test, p < 0, 001). (Table 2). Table 2. Hand hygiene before the contact with a patent and aseptic procedure before and after the education., .........

Izvorni jezik
Engleski

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