Selected aspects of the knowledge and practice concerning hand hygiene guidelines in the context of infection control structures in hospitals and long-term care facilities – findings of a questionnaire survey

• Authors: Grażyna Puto , Jadwiga Wójkowska-Mach , Marta Wałszek , Iwona Repka , Anna Różańska

Abstracts

EN

BackgroundHand hygiene (HH) is the simplest and the most fundamental means of hospital-acquired infection (HAI) prevention in both hospitals and long-term care facilities (LTCFs) which differ as to their structure, organization and epidemiology. The objective of this study was to evaluate the knowledge of, and attitudes towards, compliance with the HH guidelines by medical staff of LTCFs and hospitals, in the context of infection control organization.Material and MethodsThe study was carried out among medical staff of LTCFs and hospitals using an anonymous questionnaire designed by the authors. The questionnaire was composed of 22 questions.ResultsAmong 237 healthcare workers from LTCFs and hospitals (51.5% vs. 48.5%), the vast majority were women (97.5% vs. 94.8%), who were nurses (86.9% vs. 91.3%) with 21–30 years of experience (28.5% vs. 44.3%). The respondents, both working in hospitals and in LTCFs, declared that there was some surveillance of HAIs in their workplace – 78.8% vs. 87.8%, respectively, p = 0.082. However, the respondents from LTCFs significantly more often than those working in hospitals declared the lack of HAI registration (12.3% vs. 0.9%, p = 0.002), as well as the lack of surveillance of multidrug-resistant microorganisms (16.4% vs. 4.3%, p = 0.010). Although the knowledge of WHO HH guidelines was declared by over 90% of the respondents, only about 70% of them (with no significant difference between both types of facilities) properly indicated the 5 moments of HH.ConclusionsThe results of the study indicate that the organizational conditions and practice of HH in LTCFs and hospitals present some differences. Therefore, there is a need for observational studies concerning HH in the context of the structure and organization of infection control, as they are necessary for the development and implementation of effective programs to improve the situation in this field.

Keywords

EN

knowledge; practice; hospital; hand hygiene; infections; long-term care

• Publisher: Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
• Journal: Medycyna Pracy
• Year: 2020
• Volume: 71
• Issue: 5
• Pages: 531-537

Dates

published

2020

Contributors

author

Grażyna Puto

• Jagiellonian University Medical College, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery, Department of Clinical Nursing)

author

Jadwiga Wójkowska-Mach

• Jagiellonian University Medical College, Kraków, Poland (Faculty of Medicine, Chair of Microbiology)

author

Marta Wałszek

• State Higher Vocational School, Tarnów, Poland (Health Department)

author

Iwona Repka

• Jagiellonian University Medical College, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery, Department of Clinical Nursing)

author

Anna Różańska

• Jagiellonian University Medical College, Kraków, Poland (Faculty of Medicine, Chair of Microbiology)

Identifiers

DOI

10.13075/mp.5893.00992

Biblioteka Nauki

2085708