Hospital Cleaning Research Articles

Co-occurrence of occupational outcomes and associated factors among hospitals cleaners, eastern ethiopia: a cross sectional study

BackgroundHospital cleaners face a complex and varied work environment due to several potentially dangerous circumstances, including the risk of getting injured by sharp objects and being subjected to various ergonomic and physical risks. They thus acquire a combination or co-occurrence of outcomes associated to their line of work. In this study it stands for occurrence of occupational injuries and musculoskeletal disorders (MSDs) during study period, which has not been explored in developing countries like Ethiopia, particularly among hospital cleaners.ObjectiveTo assess the prevalence of co-occurrence of occupational outcomes and associated factors among hospital cleaners, Eastern Ethiopia.MethodsA cross sectional study was conducted on 741 cleaners in eight hospitals in eastern Ethiopia from May, 2023 to 30th August, 2023. Face-to-face interview was conducted. The data quality was maintained by designing standard questions that preserved both external and internal validity. The entered data was exported from Epi-Data 3.1 to Stata 17MP. Descriptive statistic was used to characterize one variable, While, binary logistic regression was used to explore the relationship of the predictors. At binary analysis variables having a p-value of < 0.20 were candidates for multivariate logistic regression. The crude odds ratio and adjusted odds ratio (AOR) with a 95% confidence interval (CI) were presented. Those variables having < 0.05 were reported. The variance inflation factor used to test multicollinearity. While, Hosmer-Lemeshow goodness-of-fit-test was applied for model fit.ResultFrom total of 741 hospital cleaners, 679 (91.63%) of them were responded. The prevalence co-occurrence of occupational outcome among cleaners was 25.04% (95%CI: 21.82, 28.47). The multivariate logistic regression shows that those had workload (AOR:2.78, 95%CI: 1.25,6.17), those worked more than 8r/day (AOR:3.45, 95%CI:2.34,6.32), those have sleeping disorders (AOR: 4.61,95%CI: 2.89, 8.03), those had work stress (AOR:2.05, 95%CI:0.98,4.29), those highly exposed with hazards (AOR: 4.22, 95%CI:2.40, 7.45) and those had poor knowledge of risk (AOR:2.41, 95%CI:1.06, 5.50) were more likely increase the odds of co-occurrence of occupational outcome as compared to their counterparts.ConclusionThe current study concluded that one-fourth of the co-occurrence of occupational outcomes was reported among hospital cleaners. The study also found that lack of supervision, workload, working more hours per a day, severely presence of occupational hazards, lack of regular job rotation, the sleeping disorders and having work stress all increased the odds of co-occurrence occupational outcome.Graphical

Perceptions and Practices of Sanitary Workers toward Hepatitis B Virus Infection and Vaccination in Tertiary Care Hospitals of Rawalpindi: A Cross Sectional Analytical Study

Objective: The purpose of this study is to evaluate the sanitary staff at selected tertiary care hospitals of Rawalpindi. Study Design: Cross-sectional analytical study. Place and Duration of Study: study was conducted from Nov 2021 to May 2022. In four Tertiary Care Hospitals in Rawalpindi Pakistan. Methodology: The sample size of 200 was calculated as per the reference study. Convenience sampling technique was used.Hospital cleaners over the age of 18 who worked daily in all clinical units and were involved in cleaning, waste collection and disposal. Results: In this study majority of the participants were males 178(89%) and majority 75(38%) were of age group 35-44 years and 45-54 years 69(35%). More than two third 156(78%) were married. Almost equal proportion of participants had middle 83(42%) and primary 77(39%) education There was significant association of gender with knowledge of Hepatitis-B (pvalue=0.004), knowledge of cure (p-value=0.001) and symptoms (p-value=00.02), transmission through blood transfusion (pvalue=0.027). There was also significant association between age group and provision of HBV vaccination to the staff (pvalue=0.009), knowledge of availability of HBV vaccination at hospital (p-value=0.001), screening for HBV (p-value=0.025),handling of sharps carefully (p-value=0.000), vaccination status for HBV (p-value=0.010), wearing gloves during work (pvalue=0.017). Conclusion: the study offers helpful information into potential idiosyncrasies of sanitary workers and hospital cleaners that may serve as the foundation for future, more extensive studies.

Community case study for surveillance and early case-detection of SARS-CoV-2 infections across high-risk key populations: the Sentinella programme.

At the beginning of the COVID-19 pandemic, an ad hoc organisational framework was established between academic, local government and community partners to implement the "Sentinella - Identify, Trace and Prevent" screening programme in Verona, north-east Italy. Between September 2020 and May 2021, key populations not covered by any screening policies at the local and national level were screened for SARS-CoV-2. Target populations were: older adult residents (males >65 years and females >75 years), bus and taxi drivers, social workers, supermarket employees, hospital cleaning and catering staff, researchers working in the local hospitals, students, and people experiencing homelessness (PEH). Five dedicated swab clinics, home testing facilities, and one mobile clinic were activated to collect nasopharyngeal swabs. Molecular analysis was performed for all the subjects; an antigen-rapid diagnostic test (Ag-RDT) was also implemented as a point-of-care test for PEH. Medical follow-up, psychological support, and quarantine facilities were organised for subjects who tested positive for SARS-CoV-2. Overall, 2075 subjects participated in the surveillance programme. Amongst these, 1,572 were residents/workers, whilst 503 were PEH. A total of 127 (6.2%) participants tested positive for SARS-CoV-2. Sixty-nine were residents, 58 PEH. The incidence rate was 4 per 10.000 person/day (95% CI 3.1-5.0). The highest prevalence and incidence rates were found amongst supermarket employees (9.7% and 8.5 per 10.000 person/day, 95% CI 3.81-18.86, respectively), followed by hospital cleaning staff (8.1%, 7.6 per 10.000 person/day, CI 95% 4.9-11.7). Regarding PEH, the prevalence of SARS-CoV-2 was 11.5%. All PEH identified as positive were isolated in dedicated shelter facilities. Amongst the 69 residents/workers who were quarantined, 53 were reached for initial psychological support for assessing the presence of any psychological distress or psychiatric pathology. Amongst the subjects evaluated, 10 (18.9%) presented clinically significant psychological discomfort and accessed the stepped-care psychological intervention. The community partnerships played a pivotal role in optimising early case detection. Promotion of testing helped to prevent and contain more efficiently potential clusters through strategic planning, especially for PEH. Insights from the study highlight the importance of community partnerships in public health emergencies, particularly in the context of highly transmissible diseases pathways.

Nurses' Adherence to Infection Control Practices in Emergency Departments

Background: Follow-Up on Infection Prevention Measures It is an assortment of techniques intended to keep things free of microbes, Patient protection from diseases necessitates several actions. Preventing and controlling infections is one of the most crucial tasks for nurses. Using hand hygiene with personal protection equipment is a crucial step that can help prevent infections or their repercussions. The safety of patients and maintaining sterility and cleanliness in hospitals are the responsibilities of all nurses working there. Objectives: to evaluate the adherence of emergency department nurses to infection control protocols and recommendations. Methodology: This cross-sectional study selected a nonprobability (purposive) sample of 120 nurses working in emergency departments across three hospitals: Baghdad Teaching Hospital (50%), Al-Kindy Teaching Hospital (35.8%), and Sheik Zaydi Hospital 14.2%. The study was conducted from September 20, 2023, to 30 June 2024. collection tool, which consists of two parts: The first part is the demographic characteristics of the nursing staff (age, gender, level of education, years of experience in the emergency department, and participation in training courses related to infection control measures). Second part: Checklists were utilized for observation. The study instrument's reliability was assessed using the Statistical Package for Social Science Program (IBM SPSS) by applying Cronbach's Alpha. Results: The study finding shows that, based on the data, 66.7% of the respondents reported a fair level of practices about infection control measures. Sociodemographic factors such as qualifications notably impact nurses' practices regarding adherence to infection control practices. CONCLUSIONS: The researcher concluded that the nurses' practices were not at the level required (fair) to fit with the critical and special nature of the emergency department. Recommendations: Standard precautions are the basic level of the infection control process. The participants may possess satisfactory knowledge and compliance levels. However, more training programs and more focus on the standard precautions by educational institutes are needed for nurses to improve their knowledge and compliance with infection-control standard precautions.

Reporting of self-reported hand eczema as an occupational disease in hospital cleaners: A cross-sectional questionnaire-based study.

Hand eczema (HE) is a prevalent disease among professional cleaners. To investigate how often cleaners have their self-reported HE, induced or worsened by cleaners' occupational activities, reported as an occupational disease to the authorities in Denmark and to identify reasons for underreporting. In addition, consultation by physicians and treatment for HE among cleaners were also investigated. This cross-sectional questionnaire-based study included hospital cleaners at three different hospitals in Region Zealand, Denmark. We included 224 out of 234 cleaners from three hospitals (response rate: 96%). The lifetime prevalence of self-reported HE with onset in adulthood was 18.3% (n = 41), with cleaners believing every case to be caused or exacerbated by their occupation. Only 9.7% (n = 4/41) of the cases were reported as an occupational disease to the authorities. The most common reasons for non-reporting were a lack of perceived seriousness of the disease (40.5%) and unawareness of the risk of self-reported HE being of occupational origin (32.4%). Remarkably, only 75.7% (n = 28/37) of workers with unreported cases had consulted a physician at some point. Additionally, among cleaners who self-reported HE attributed or aggravated by their occupation, but not officially reported as such, only 56.8% (n = 21/37) had ever used hand moisturisers, while less than 45% had ever used topical steroids or calcineurin inhibitors. Our findings reveal substantial underreporting of self-reported HE, perceived to be induced or worsened by the cleaner's occupational activities, as an occupational disease to the authorities.

Factors Determining Adherence to Hand Antisepsis by Healthcare Workers during Pandemic Infection Spread (as exemplified by COVID­-19)

Relevance. The healthcare personnel’s adherence to hand antisepsis is а pressing problem during any epidemic outbreak. In the context of high biological hazards, the possibility of performing proper antiseptic procedures is reduced while nosocomial pathogen transmission and healthcare-associated infection (HAI) rate growth are promoted. Aims. Studying the factors determining the healthcare workers’ adherence to hand antisepsis during a pandemic infection spread (as exemplified by COVID-19). Materials and methods. The study was conducted during the entire COVID-19 pandemic. To estimate the rate of adherence rate by the healthcare personnel to hand hygiene, we conducted an anonymous questionnaire survey of the staff in infectious disease hospitals (2021–2022) as well as assessed the viral and bacterial contamination rates of the personnel’s hands and the hospital environment items (2021–2023). Epidemiological (descriptive-evaluation), bacteriological (conventional culture, AMR determination using a VITEK2 analyzer), molecular biological (RT-PCR, Sanger sequencing) and statistical (a questionnaire survey, building machine learning models) methods were used in the study. Results. Based on the results of the survey, the main factors influencing the formation of attitudes towards antiseptics among the staff of medical organizations with medical and non-medical education were identified. It was found that the pandemic spread of infections negatively affects the level of contamination of the hands of infectious diseases hospital staff, which amounted to 35.3% of doctors, 28.8% of nurses, and 25% of hospital cleaners. The spectrum of isolated pathogens included viruses (SARS-CoV-2) and opportunistic microorganisms (Enterococcus faecalis, Enterococcus faecium, Pantoea agglomerans, Acinetobacter baumannii, Klebsiella pneumoniae, Staphylococcus aureus, Escherichia coli), including those with a wide profile of antimicrobial resistance. Conclusion. During the COVID-19 epidemic, the rate of adherence to hand antisepsis in the infectious disease hospital was 82.3% in the staff with a medical background and 71.2% in the staff without one. The results confirm the significant role of staff hands in the in-hospital transmission of dangerous pathogens and indicate the need for systematic monitoring of the level of knowledge on antiseptics among all employees of a medical organization, regardless of specialization and level of education.

Does Patient Perception of Cleanliness Still Matter? The Relationship between HCAHPS and HAC During the COVID-19 Pandemic

Background: Environmental contamination of surfaces is known to be one of the most common causes of healthcare associated infections (HAIs), with cleaning and disinfection of surfaces shown to reduce the incidence of HAIs and contribute to overall hospital cleanliness. Prior research showed that there was a relationship between a hospital’s performance on the Hospital Consumer Assessment of Healthcare Providers and Systems survey question on patient perception of cleanliness and their HAC score. However, this research was done prior to the COVID-19 pandemic. This study looked to examine if the pandemic changed the relationship between patient perception of cleanliness and HAC score performance. Method: A retrospective correlational study was performed to examine if the relationship between patient perception of cleanliness and the incidence of Clostridioides difficile (CDI) and Methicillin-Resistant Staphylococcus aureus (MRSA) HAIs, as defined by the facility’s HAC score, were affected by the COVID-19 pandemic. Multiple Center for Medicare and Medicaid Services (CMS) datasets were utilized for the study. There were approximately 2700 acute care facilities that reported data on the HCAHPS perception of cleanliness question and either a MRSA or CDI HAC score for the period of January 1, 2021, to December 31st, 2021. Basic descriptive statistics and Spearman’s rho correlation analyses were performed to examine the potential associations between the two scores. Result: For MRSA, the study found that as the percentage of patients who reported that their room was “always” clean increased, the hospital’s HAC score decreased (r= −0.141, p = &lt; 0.001). Additionally, as the percentage of patients who reported their room was “never” clean increased, the hospital’s HAC score increased (r= 0.175, p = &lt;0.001) For C. difficile, the analysis also revealed that as the percentage of patients who reported their room was “always” clean increased, there was not a significant change in the hospital’s HAC score (r= −0.023, p = 0.237). There was also not a significant change in the HAC score when the percentage of patients who reported their room as “never” clean increased (r= −0.012, p = 0.527).Conclusion: The study found that for MRSA, a hospital’s performance on the HCAHPS performance on patient perception of cleanliness is related to their performance on their HAC score. This did not hold true when looking at C. difficile infections, which is in contrast to the prior evidence. Further research is needed to determine if there are specific factors that may have influenced this change.Disclosure: Caitlin Crews-Stowe: Employee- ActivePure Medical

Study on Knowledge of Infection Control Practice of Healthcare Workers

ABSTRACT Background: Healthcare-associated infections (HAIs), also known as nosocomial infections, are a significant risk in hospitals, leading to increased morbidity and mortality among patients due to poor hygiene practices. Materials and Methods: This descriptive study involved 350 participants from Wuhan’s private hospitals. Respondents answered a questionnaire distributed in person or via email, and data were analyzed using SPSS version 25.0. Results: Analysis revealed a knowledge gap among healthcare workers in infection control, affecting their ability to maintain hospital cleanliness. Education levels were assessed, showing that 60% of participants held diplomas or higher qualifications. Conclusion: The study highlights the urgent need for enhanced training and information dissemination on infection control practices among healthcare staff. Identifying this knowledge and practice gap is crucial for improving hospital hygiene and reducing HAI incidence.

Infection prevention and control: knowledge, practices and associated factors among cleaners at a National Referral Hospital in Uganda

While most infection prevention and control (IPC) studies focus on healthcare professionals, IPC is everyone's responsibility in any healthcare facility. There is little known about the IPC knowledge among the cleaners who are responsible for housekeeping, environmental cleaning, and waste management within hospitals. This study sought to evaluate the knowledge and practice of IPC among cleaners at Mulago National Referral Hospital (MNRH) to establish a foundation for empowering a strategic workforce that will improve IPC practices within the hospital. A cross-sectional study was conducted among the cleaners in a national referral hospital in Uganda. The participants were purposively sampled, and data was collected using a web-based, interviewer-administered, questionnaire about IPC knowledge and practices. Of the 120 cleaners recruited, 52.5% were female. Good IPC knowledge was demonstrated in 58.3%, and 30.8% reported good IPC practices. Participants with at least 5 years' work experience had higher knowledge levels (aOR: 10.3, P=0.006, 95% CI: 2-54). Those closely supervised had lower IPC knowledge compared with those with less supervision. Participants with fixed work schedules (aOR: 0.2, P=0.028, 95%CI: 0-0.8), were less likely to exhibit good IPC practices. In addition, 63.1% were knowledgeable about waste segregation, recognising bin colours and the correct disposal of sharps and needles. Despite good compliance with personal protective equipment, poor hand-washing practices were reported. A positive correlation between knowledge and practice scores was established. Hospital cleaners in a national referral hospital in Uganda IPC reported poor infection prevention practices despite good knowledge. For IPC knowledge and practice to correlate positively, ongoing practical training is vital to maintain knowledge and good practice to establish a successful IPC program.

Effects of the use of face masks on the vital signs and headache of healthy healthcare workers during the COVID-19 pandemic: A hospital-based cross-sectional study

The study aimed to assess the impact of wearing protective facial masks (PFMs) on various health parameters of hospital staff amidst the COVID-19 pandemic. The aim of this study was to investigate the effects of wearing a face mask on blood oxygen saturation, heart rate, headache, fatigue, and shortness of breath in hospital staff during routine work shifts and COVID-19. In this study, participants from various clinical, administrative, and hospital cleaning professions who had at least one month of work experience were enrolled and their oxygen saturation (SpO2), heart rate (HR), and headache were measured during routine shifts with normal daily activities. The fatigue severity scale (FSS) and the modified Borg dyspnea scale were used to assess the participants. The significance level was set at 0.05. SpO2 and HR were lower at the end of the work shift than at the beginning (93.96 ± 1.57 vs. 95.03 ± 1.7 and 82.1 ± 11.83 vs. 83.93 ± 12.31, respectively). According to the result of the Borg scale, 59.2 % of the participants did not feel short of breath and 34.3 % had “mild-moderate” shortness of breath. The total FSS (21.46 ± 2.31) showed that the participants did not fall into the “fatigued” category. The Kruskal-Wallis test showed no significant difference in Borg score, FSS, HR, and SpO2 participants with different mask types (P > 0.05). The result of the Kruskal-Wallis test also showed no significant difference in Borg score between the occupational groups (P = 0.073). The results showed that the frequency of pre-existing headaches had increased in 18.2 % of the respondents. The findings indicated that wearing PFMs did not have a notable impact on oxygen levels and heart rate during the regular tasks of hospital staff. However, the use of PFMs led to the development of new headaches associated with PFMs or worsened existing headaches.

Assessing Maternal Satisfaction: Patient-Centered Care, Hospital Environment, and Information-Seeking in Chanika Hospital in Tanzania.

This study examined the impact of patient-centered care, satisfaction with the hospital environment, and maternal information-seeking on maternal healthcare satisfaction in Tanzania. A total of 707 mothers who delivered at Chanika Hospital in Tanzania were surveyed using a structured questionnaire. Multiple regression analyses were conducted to identify factors related to maternal satisfaction. Only 9.9% of the participants reported that they "usually" or "always" felt involved in treatment decisions. High levels of satisfaction were found for hospital cleanliness (93.6%) and safety (94.9%). However, there was a significant gap in satisfaction regarding the adequacy of water quality for medical services, with only 8.1% expressing satisfaction. Limited use of digital platforms was observed in terms of information-seeking behavior for fetal development, with only 19.5% of the participants using the internet and 14.3% using mobile apps. Patient-centered experiences with healthcare providers, especially midwives, had a significant positive impact on maternal satisfaction (β = 0.11, p = 0.021). Other significant variables were satisfaction with the hospital environment (β = 0.25, p < 0.001) and satisfaction with hospital water (β = 0.13, p < 0.001). It is recommended that healthcare improvements focus on patient-centered experiences and water quality for drinking and medical services to improve patient satisfaction.

Assessing the impact of a cleaning programme on environmental hygiene in labour and neonatal wards: an exploratory study in The Gambia.

Effective surface cleaning in hospitals is crucial to prevent the transmission of pathogens. However, hospitals in low- and middle-income countries face cleaning challenges due to limited resources and inadequate training. We assessed the effectiveness of a modified TEACH CLEAN programme for trainers in reducing surface microbiological contamination in the newborn unit of a tertiary referral hospital in The Gambia. We utilised a quasi-experimental design and compared data against those from the labour ward. Direct observations of cleaning practices and key informant interviews were also conducted to clarify the programme's impact. Between July and September 2021 (pre-intervention) and October and December 2021 (post-intervention), weekly surface sampling was performed in the newborn unit and labour ward. The training package was delivered in October 2021, after which their surface microbiological contamination deteriorated in both clinical settings. While some cleaning standards improved, critical aspects such as using fresh cleaning cloths and the one-swipe method did not. Interviews with senior departmental and hospital management staff revealed ongoing challenges in the health system that hindered the ability to improve cleaning practices, including COVID-19, understaffing, disruptions to water supply and shortages of cleaning materials. Keeping a hospital clean is fundamental to good care, but training hospital cleaning staff in this low-income country neonatal unit failed to reduce surface contamination levels. Further qualitative investigation revealed multiple external factors that challenged any possible impact of the cleaning programme. Further work is needed to address barriers to hospital cleaning in low-income hospitals.

Musculoskeletal disorders and its associated factors among hospital cleaners in Addis Ababa, Ethiopia

There is a paucity of published evidence about musculoskeletal disorders among hospital cleaners in Ethiopia. Therefore, this study was conducted to assess the prevalence of musculoskeletal disorders and its associated factors among hospital cleaners in Addis Ababa, Ethiopia. A total of 437 hospital cleaners participated in the study. A standardized questionnaire adapted from the Nordic musculoskeletal questionnaire was used for data collection. Bivariate and multivariable logistic regression analyses were used to determine factors associated with musculoskeletal disorders. The prevalence of work-related musculoskeletal disorders among hospital cleaners was 57.2% with 95% CI (52.6–62.0). Occupational safety training [AOR: 2.34, 95% CI (1.47–3.73)], repetitive tasks [AOR: 3.09, 95% CI (1.61–5.94)], heavy lifting [AOR: 5.21, 95% CI (3.20–8.48)], work-related stress [AOR: 2.42, 95% CI (1.48–3.97) and work-related dissatisfaction [AOR: 1.97, 95% CI (1.23–3.13)] were identified as associated factors for the development of musculoskeletal disorders. In conclusion the study revealed a high prevalence of musculoskeletal disorder. Notably, work related and organizational factors emerged as key contributing factors to the development of disorders. The identified associations underscore the importance of targeted interventions promoting organizational change involving managers to mitigate the risk of musculoskeletal disorders and enhance overall occupational health and well-being.

Can the adenosine triphosphate (ATP) bioluminescence assay be used as an indicator for hospital cleaning? - A pilot study.

In hospital cleaning, there is currently no standard for uniform monitoring of surface cleaning, either in Germany or internationally. One possibility for monitoring is the use of so-called objective methods for checking cleaning performance (e.g. fluorescence or adenosine triphosphate (ATP) method). The aim of the study was to monitor and evaluate the implementation of the adenosine triphosphate (ATP) bioluminescence assay as a cleaning indicator in everyday hospital cleaning, in order to verify its utility and effectiveness. In three phases, five frequently touched surfaces were examined with the ATP bioluminescence assay at different time points. 846 measurements were performed on the dermatology ward of a university hospital (phase 1), 1,350 measurements were performed on five different wards of the university hospital (phase 2), and 1,044 measurements were performed on five wards of another large hospital (phase 3). For this purpose, one structurally old and one structurally new ward as well as an intensive care unit (ICU), an outpatient clinic and a radiology department were selected for phases 2 and 3. With the ATP bioluminescence method, we were able to demonstrate a reduction in values after cleaning: before cleaning mean of ATP, 907 relative light units (RLU) (95% confidence interval [CI] 777; 1,038); after cleaning mean=286 RLU (CI=233; 495) (phase 1) and by intervention (five hours after daily cleaning mean=360 RLU (CI=303; 428); five hours after daily cleaning and two additional cleanings mean=128 RLU (CI=107; 152) (phase 3). The ATP values increased five hours after cleaning in phases 1 and 2, and eight hours after cleaning in phase 3. The structurally old wards had the highest ATP content, the ICU and the radiology department, among others, the lowest. In all phases, door handles showed both a reduction after cleaning or intervention and a subsequent increase in ATP values. Chair armrests, examination tables and door handles had high ATP values overall. The study shows ward differences both for cleaning effects and for the soiling characteristics of surfaces during the course of the day. In addition, it demonstrates the benefit of intermediate cleaning twice a day. It is noteworthy that structurally old stations and older inventory were more heavily soiled and, in some cases, more difficult to clean. The results show that the ATP bioluminescence method is suitable for detecting cleaning effects and can be used in everyday clinical practice for simple cleaning monitoring. Furthermore, it enables the detection of risk surfaces and easy-to-clean surfaces with significant re-soiling.

Ergonomic risks and musculoskeletal pain in hospital cleaning workers: Convergent Care Research with mixed methods.

to analyze exposure to ergonomic risks and the occurrence of musculoskeletal pain in workers in the Hospital Cleaning Service. Convergent Care Research, with data production designed using mixed methods, implemented with 149 hospital cleaning workers. The methodological strategy of the convergent parallel project was employed, using observation, photographic records, questionnaires and convergence groups. The results were integrated through joint display. Data analysis with descriptive and inferential statistics and content analysis. the mixing of data highlighted the multifactorial nature of exposure to ergonomic risks (uncomfortable work postures; repetitive movements; prolonged orthostatism; use of equipment not adapted to the psychophysiological needs of workers) and musculoskeletal pain in the population investigated. The latter was prevalent in the lumbar spine, ankles or feet, wrists or hands, thoracic spine and shoulders. The concept of ergonomic risk was expanded and was influenced by the psychosocial aspects of work. the workers investigated are exposed to modifiable multifactorial ergonomic risks related to musculoskeletal pain. It is possible to promote innovations and teaching-learning actions to minimize them, such as the continuing education program, collectively constructed with recommendations for improvements.

An Evaluation of Hand Hygiene Practices and Beliefs of Hospital Cleaning Workers

This study aims to examine the knowledge, beliefs, attitudes and behaviors of hospital cleaning workers concerning hand hygiene. This descriptive cross-sectional study was conducted with 130 cleaning workers working at a university hospital. The questionnaire forms are individual introduction questionnaire, Hand Hygiene Belief Scale (HHBS), and Hand Hygiene Practices Inventory (HHPI). The median HHBS score was 80.0, and the median HHPI score was 73.0. When we compared the participants' HHBS mean scores with their sociodemographic-occupational characteristics and their knowledge and attitudes about hand hygiene, a statistically significant relationship was found between gender (p= 0.048), total working years (p

Analysis of Nurse Ability In Preventing Nosocomial Infections on the 6b Floor Using the Nvivo Method

Nosocomial infection is an infection originating from a hospital caused by hospital staff or health workers during the health service process or hospital visitors. The background of this research is the lack of role of nurses in the process of preventing nosocomial infections. The purpose of this study was to explain the role of nurses in preventing nosocomial infections at RSU Royal Prima. This type of research uses a qualitative approach method with in-depth interviews with informants in order to know clearly and in depth the role of nurses in preventing nosocomial infections at RSU Royal Prima. The results showed that nurses already know their role in terms of reporting to the doctor if there are signs and symptoms of infection and implementing isolation of infectious diseases and maintaining prevention while on duty at the hospital. However, there are still nurses who do not know their role optimally in terms of maintaining hospital cleanliness. In maintaining hand hygiene, nurses only know their role in terms of washing hands, the implementation is not in accordance with procedures. In using Personal Protective Equipment, nurses know their role in terms of wearing masks and gloves, but in practice there are still nurses who have not used Personal Protective Equipment according to standards. In addition, there are obstacles for nurses in preventing nosocomial infections such as inadequate infrastructure

Evaluation of Peroxynitrite and Some Chemical Parameters in Sera of Hospital Cleaning Staffs

Evaluation of Peroxynitrite and Some Chemical Parameters in Sera of Hospital Cleaning Staffs

1705. Comparative Analysis of Luminometry -vs- Fluorescent Marker Use for Cleaning and Disinfection Processes in a Pediatric Hospital

Abstract Background The cleaning and disinfection process (CDP) of hospital surfaces has proven to be an effective tool in preventing healthcare-associated infections. ATP bioluminescence meters have been established as the standard for CDP evaluation. The use of fluorescent markers has also been established as an alternative to this. The aim of this study was to assess the concordance between luminometry measurements and fluorescent marker use in the CDP of a pediatric hospital. Methods A diagnostic test study was conducted in which luminometry (Clean-Trace™ LX25 - 3M™) was compared with the use of a fluorescent marker (West Scan - West Química). Joint relative light units (RLU) were taken, and a subjective scale was used to define the erasure of the fluorescent marker after the cleaning and disinfection process (completely erased, partially erased, and intact). The process was established as adequate when less than 65 ATP units were obtained in critical sites and less than 175 in general hospitalization sites. The R program v 4.2.2 was used for data analysis. Results We performed 292 paired measurements: 222 (76%) in critical areas and 70 (24%) in non-critical areas. Measurements were taken from different high-contact surfaces such as crash carts, monitor screens, worktables, dressing carts, and defibrillators, among others. The luminometries carried out in 244 (83.5%) were adequate, and the measurements with fluorescent marker showed that 187 (64%) presented total erasure, 37 (12.6%) showed partial erasure, and 66 (22%) were intact. The Kappa index between both tests for total erasure was calculated as adequate, being 0.155 (p-value 0.002). When the tests with the criteria of partial or total erasure were compared as adequate, the Kappa index was 0.007 (p-value 0.6). When they were sub-analyzed according to the areas (critical and non-critical), a kappa value of 0.141 (p-value 0.02) was found for critical areas and 0.194 (p-value 0.03) for non-critical areas. Conclusion The correlation between the evaluation of the cleaning and disinfection process using a luminometer and a fluorescent marker showed slight agreement for total erasure. More studies are required to understand the reasons for this low correlation. Disclosures All Authors: No reported disclosures

Do Hospital Characteristics Predict Racial-and-Ethnic Disparities in Patient Experience? National Results From the HCAHPS Survey.

Assess whether hospital characteristics associated with better patient experiences overall are also associated with smaller racial-and-ethnic disparities in inpatient experience. Hospitals that are smaller, non-profit, and serve high proportions of White patients tend to be high-performing overall, but it is not known whether these hospitals also have smaller racial-and-ethnic disparities in care. We used linear mixed-effect regression models to predict a summary measure that averaged eight Hospital CAHPS (HCAHPS) measures (Nurse Communication, Doctor Communication, Staff Responsiveness, Communication about Medicines, Discharge Information, Care Coordination, Hospital Cleanliness, and Quietness) from patient race-and-ethnicity, hospital characteristics (size, ownership, racial-and-ethnic patient-mix), and interactions of race-and-ethnicity with hospital characteristics. Inpatients discharged from 4,365 hospitals in 2021 who completed an HCAHPS survey ( N =2,288,862). While hospitals serving larger proportions of Black and Hispanic patients scored lower on all measures, racial-and-ethnic disparities were generally smaller for Black and Hispanic patients who received care from hospitals serving higher proportions of patients in their racial-and-ethnic group. Experiences overall were better in smaller and non-profit hospitals, but racial-and-ethnic differences were slightly larger. Large, for-profit hospitals and hospitals serving higher proportions of Black and Hispanic patients tend to be lower performing overall but have smaller disparities in patient experience. High-performing hospitals might look at low-performing hospitals for how to provide less disparate care whereas low-performing hospitals may look to high-performing hospitals for how to improve patient experience overall.