Abstract
Background: Hand hygiene is the main pillar on standard precautions (hospital infection prevention), and of increasing concern. Nevertheless few is known about cognitive, attitude, perception and motivational determinants of hand hygiene’s health care workers in a surgical arena where they have never been exposed to amultimodal hand hygiene campaign. Methods: Cross-sectional study in a 900-bed university teaching hospital in Barcelona (Spain). A confidential self-administered and validated questionnaire survey was conducted in a sample of 176 surgical units’ healthcare workers (medical and nursing) before a multimodal Hand hygiene (HH) campaign started. Results: A total of 172 questionnaires were returned (response rate 97.7%), 54 (30.7%) were physicians, 75 (42.6%) were nurses and 47 (26.7%) nursing assistants. The median years of institution experience was 13.00 years (IQR 20.0), 68.8% were women, 21% were from the General Surgery ward, 21.6% were from the Urology, 39.8% from the Orthopedics and 17.6% from the Vascular Surgery ward. The self HH compliance estimated was 77.47(DE17.74), being in 107 participants (63.7%) higher than 80%. Knowledge determinants were poorly ranked as determinants of hand hygiene (OR 1.08, CI95% 1,02—1.15), while motivation to improve the hand hygiene compliance (OR 0.59, CI95% 0,39—0.88) and medical staff (OR 0.11, CI95% 0.02—0.55) or nurses (OR 0.15, CI95% 0.04—0.66) versus nursing assitants were higly ranked as determinants, independently of positive perception about hand hygiene, gender, attitude toward HH and years of institutional experience. Conclusion: In a setting of absent exposure to hand hygiene campaign, knowledge about hand hygiene, motivation and profesional status are strongly in favor of hand hygiene, rather than behavioral beliefs, independently of gender, more than 10 years of institution experience, and professional category. These results are quite different from that observed in an extensive exposure to hand hygiene campaigns where behavioral beliefs and the perception of high self-efficacy are related to hand hygiene compliance rather than reasoning. This additional insight should be considered in settings that have never been exposed to promotion activities about standard precautions.
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
