Has the COVID 19 Virus Changed Adherence to Hand Washing among Healthcare Workers?
Open Access
- 15 April 2021
- journal article
- research article
- Published by MDPI AG in Behavioral Sciences
- Vol. 11 (4), 53
- https://doi.org/10.3390/bs11040053
Abstract
The aim of the study was to assess adherence to hand washing by healthcare workers (HCWs) and its variations over time in hospital wards. We wanted to check whether the pandemic had changed the behavior of HCWs. The study was conducted between 1 January 2015, and 31 December 2020. The HCWs were observed to assess their compliance with the Five Moments for Hand Hygiene. We described the percentage of adherence to World Health Organization (WHO) guidelines stratified per year, per specialty areas, per different types of HCWs. We also observed the use of gloves. Descriptive data were reported as frequencies and percentages. We observed 13,494 hand hygiene opportunities. The majority of observations concerned nurses who were confirmed as the category most frequently involved with patients. Hospital’s global adherence to WHO guidelines did not change in the last six years. During the pandemic, the rate of adherence to the procedure increased significantly only in Intensive Care Unit (ICU). In 2020, the use of gloves increased in pre-patient contact. The hand-washing permanent monitoring confirmed that it is very difficult to obtain the respect of correct hand hygiene in all opportunities, despite the ongoing pandemic and the fear of contagion.This publication has 48 references indexed in Scilit:
- Using a theory of planned behaviour framework to explore hand hygiene beliefs at the ‘5 critical moments’ among Australian hospital-based nursesBMC Health Services Research, 2015
- A mediation approach to understanding socio-economic inequalities in maternal health-seeking behaviours in EgyptBMC Health Services Research, 2015
- Explaining the effects of two different strategies for promoting hand hygiene in hospital nurses: a process evaluation alongside a cluster randomised controlled trialImplementation Science, 2013
- Audit and feedback: effects on professional practice and healthcare outcomesEmergencias, 2012
- Patient-centered hand hygiene: The next step in infection preventionAmerican Journal of Infection Control, 2012
- Multicenter Intervention Program to Increase Adherence to Hand Hygiene Recommendations and Glove Use and to Reduce the Incidence of Antimicrobial ResistanceInfection Control & Hospital Epidemiology, 2007
- Hand hygiene compliance in healthcare workersJournal of Hospital Infection, 2006
- Audit and feedback: effects on professional practice and health care outcomesPublished by Wiley ,2003
- Healthcare personnel and hand decontamination in intensive care units: knowledge, attitudes, and behaviour in ItalyJournal of Hospital Infection, 2002
- Effectiveness of a hospital-wide programme to improve compliance with hand hygieneThe Lancet, 2000