For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
22
views
54
references
 Top references
cited by
14
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      37
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Hand hygiene technique quality evaluation in nursing and medicine students of two academic courses 1

      research-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Objective:

          because they are health professionals, nursing and medical students' hands during internships can function as a transmission vehicle for hospital-acquired infections.

          Method:

          a descriptive study with nursing and medical degree students on the quality of the hand hygiene technique, which was assessed via a visual test using a hydroalcoholic solution marked with fluorescence and an ultraviolet lamp.

          Results:

          546 students were assessed, 73.8% from medicine and 26.2% from nursing. The area of the hand with a proper antiseptic distribution was the palm (92.9%); areas not properly scrubbed were the thumbs (55.1%). 24.7% was very good in both hands, 29.8% was good, 25.1% was fair, and 20.3% was poor. The worst assessed were the male, nursing and first year students. There were no significant differences in the age groups.

          Conclusions:

          hand hygiene technique is not applied efficiently. Education plays a key role in setting a good practice base in hand hygiene, theoretical knowledge, and in skill development, as well as good practice reinforcement.

          Related collections

          Most cited references54

          • Record: found
          • Abstract: found
          • Article: not found

          Role of hand hygiene in healthcare-associated infection prevention.

          B Allegranzi, D Pittet (2009)
          Healthcare workers' hands are the most common vehicle for the transmission of healthcare-associated pathogens from patient to patient and within the healthcare environment. Hand hygiene is the leading measure for preventing the spread of antimicrobial resistance and reducing healthcare-associated infections (HCAIs), but healthcare worker compliance with optimal practices remains low in most settings. This paper reviews factors influencing hand hygiene compliance, the impact of hand hygiene promotion on healthcare-associated pathogen cross-transmission and infection rates, and challenging issues related to the universal adoption of alcohol-based hand rub as a critical system change for successful promotion. Available evidence highlights the fact that multimodal intervention strategies lead to improved hand hygiene and a reduction in HCAI. However, further research is needed to evaluate the relative efficacy of each strategy component and to identify the most successful interventions, particularly in settings with limited resources. The main objective of the First Global Patient Safety Challenge, launched by the World Health Organization (WHO), is to achieve an improvement in hand hygiene practices worldwide with the ultimate goal of promoting a strong patient safety culture. We also report considerations and solutions resulting from the implementation of the multimodal strategy proposed in the WHO Guidelines on Hand Hygiene in Health Care.
          Article 0 comments Cited 258 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Variability in the Hawthorne effect with regard to hand hygiene performance in high- and low-performing inpatient care units.

            Erol Kohli, K Kirkland, J Ptak … (2009)
            OBJECTIVE. To determine the impact of known observers on hand hygiene performance in inpatient care units with differing baseline levels of hand hygiene compliance. Observational study. Three inpatient care units, selected on the basis of past hand hygiene performance, in a hospital where hand hygiene observation and feedback are routine. Three infection control practitioners (ICPs) and a student intern observed hospital staff. Beginning in late 2005, the 3 ICPs, who were well known to the hospital staff, performed frequent, regular observations of hand hygiene in all 3 inpatient care units of the hospital, as part of routine surveillance. During the study period (January-May 2007), a student intern who was unknown to the hospital staff also performed observations of hand hygiene in the 3 inpatient care units. The rates of hand hygiene compliance observed by the 3 ICPs were compared with those observed by the student intern. The 3 ICPs observed 332 opportunities for hand hygiene during 15 observation periods, and the student intern observed 355 opportunities during 19 observation periods. The overall rate of hand hygiene compliance observed by the ICPs was 65% (ie, in 215 of the 332 opportunities, the performance of proper hand hygiene by hospital staff was observed), and the overall rate of hand hygiene compliance observed by the student intern was 58% (ie, in 207 of the 355 opportunities, the performance of proper hand hygiene by hospital staff was observed) (P=.1 ). Both the ICPs and the student intern were able to distinguish between inpatient care units with a high rate of hand hygiene compliance (hereafter referred to as high-performing units) and those with a low rate (hereafter referred to as low-performing units). However, in the 2 high-performing units, the ICPs observed significantly higher compliance rates than did the student intern, whereas in the low-performing unit, both the ICPs and the student intern measured similarly low rates of hand hygiene compliance. Recognized observers are associated with higher rates of hand hygiene compliance, even in a healthcare setting where such observations have become routine. This effect (ie, the Hawthorne effect) is more pronounced in high-performing units and insignificant in low-performing units. The use of unrecognized observers may be important for verifying high performance but is probably unnecessary for documenting poor performance. Moreover, the Hawthorne effect may be a useful tool for sustaining and improving hand hygiene compliance.
            Article 0 comments Cited 38 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Introducing alcohol-based hand rub for hand hygiene: the critical need for training.

              A M Strandén, Andreas F. Widmer, M Tomić … (2006)
              Use of an alcohol-based hand rub for hand hygiene has recently been recommended by the Centers for Disease Control and Prevention. However, the proper technique for using hand rub has not been well described and is not routinely taught in hospitals. To evaluate the impact of training on proper technique as outlined by the European Standard for testing alcohol-based hand rubs (European Norm 1500) in a clinical study. Prospective study including 180 healthcare workers (HCWs) in a 450-bed, university-affiliated geriatric hospital where alcohol-based hand rub was introduced in the late 1970s. Structured training program in hand hygiene with alcohol-based hand rub. Technique for using hand rub was tested by the addition of a fluorescent dye to the disinfectant and the number of areas missed was quantified by a validated visual assessment method. In addition, the number of bacteria eradicated was estimated by calculating the difference between the log(10) number of colony-forming units (cfu) of bacteria on the fingertips before and after the procedure, and reported as reduction factor (RF). Log(10) cfu bacterial counts on fingertips before and after training in the appropriate technique for using hand rub. At baseline, only 31% of HCWs used proper technique, yielding a low RF of 1.4 log(10) cfu bacterial count. Training improved HCW compliance to 74% and increased the RF to 2.2 log(10) cfu bacterial count, an increase of almost 50% (P<.001). Several factors, such as applying the proper amount of hand rub, were significantly associated with the increased RF. These results demonstrate that education on the proper technique for using hand rub, as outlined in EN 1500, can significantly increase the degree of bacterial killing.
              Article 0 comments Cited 33 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (nlm-ta): Rev Lat Am Enfermagem
                Journal ID (iso-abbrev): Rev Lat Am Enfermagem
                Journal ID (publisher-id): rlae
                Title: Revista Latino-Americana de Enfermagem
                Publisher: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
                ISSN (Print): 0104-1169
                ISSN (Electronic): 1518-8345
                Publication date (Print and electronic): Jul-Aug 2015
                Publication date (Print): Jul-Aug 2015
                Volume: 23
                Issue: 4
                Pages: 708-717
                Affiliations
                [2 ] Doctoral student, Faculdad de Medicina, Universidad de Extremadura, Badajoz, Extremadura, Spain. Associate Professor, Servicio de Medicina Preventiva, Hospital Infanta Cristina, Badajoz, Spain.
                [3 ] PhD, Associate Professor, Departamento de Enfermería, Universidad de Extremadura, Badajoz, Extremadura, Spain.
                [4 ] Master's student, Faculdad de Medicina, Universidad de Extremadura, Badajoz, Extremadura, Spain. RN, Servicio Extremeño de Salud, Badajoz, Extremadura, Spain.
                [5 ] MSc, RN, Servicio Extremeño de Salud, Badajoz, Extremadura, Spain.
                [6 ] PhD, Associate Professor, Servicio de Medicina Preventiva, Hospital Infanta Cristina, Badajoz, Extremadura, Spain.
                Author notes
                Corresponding Author: Juan Francisco Morán Cortés Universidad de Extremadura. Departamento de Enfermería C/ Ordesa, 5 06006, Badajoz, Extremadura, España E-mail: juanfmoran@ 123456gmail.com
                Article
                DOI: 10.1590/0104-1169.0459.2607
                PMC ID: 4623734
                PubMed ID: 26444174
                SO-VID: c05fb493-f938-4aa3-8532-565f9161d9ef
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License

                History
                Date received : 30 September 2014
                Date accepted : 01 March 2015
                Page count
                Figures: 0, Tables: 9, Equations: 0, References: 24, Pages: 10
                Categories
                Subject: Original Articles

                Keywords: students,medicine,nursing,hand disinfection,evaluation
                Data availability:
                Keywords: students, medicine, nursing, hand disinfection, evaluation

                Comments

                Comment on this article

                scite_

                Similar content37

                See all similar

                Cited by14

                See all cited by