A systematic review on hand hygiene knowledge and compliance in student nurses

Labrague, Leodoro J.; McEnroe–Petitte, Denise M.; Mortel, Thea van de; Nasirudeen, A.M.A.

doi:10.1111/inr.12410

Cited by 77 publications

(82 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A majority of students (98.3%) received hand hygiene training; however, mean scores on knowledge, attitude and practice were only moderate after participation in the practicum. The present findings are consistent with other research demonstrating a moderate level of hand hygiene knowledge for students in developing countries (Ariyarathne et al ; Arthi et al ; Labrague et al ; Mahadeo & Vaishali ; Paudel et al ) suggesting current hand hygiene training for healthcare students in Cambodia may not be effective or students need to have hand hygiene frequently reinforced during clinical experiences.…”

Section: Discussionsupporting

confidence: 92%

Hand hygiene of nursing and midwifery students in Cambodia

Tem

Kong

Him

et al. 2019

International Nursing Review

View full text Add to dashboard Cite

Aim To determine the relationship between knowledge, attitude and the practice of hand hygiene by nursing and midwifery students in Cambodia. Background Hand hygiene is the most cost‐effective means to prevent hospital‐acquired infections. Techniques of hand hygiene are simple; however, many researchers have found hand hygiene knowledge, attitude and practice to be poor in many healthcare settings worldwide, especially in developing countries. Cambodia is a developing country in Southeast Asia and data regarding hand hygiene are limited. Methods A cross‐sectional descriptive study was conducted to assess the level of knowledge, attitude and practice of hand hygiene. Students in nursing and midwifery programmes were the target population (n = 300). Survey data were collected from January to May 2017. Descriptive statistics, t‐tests and correlation coefficients were calculated to assess relationships between student knowledge, attitude and hand hygiene practice. Result The level of knowledge, attitude and practice of hand hygiene in nursing and midwifery students was moderate. A majority of students had received hand hygiene training. There was no significant difference between nursing and midwifery students in knowledge, attitude and practice of hand hygiene. However, a Pearson correlation of attitude and practice had a weak positive relationship. Conclusion Both nursing and midwifery students demonstrated moderate levels of knowledge, attitudes and practice of hand hygiene. Implication for nursing and health policy This study identified a need for hand hygiene training. Developing training programmes to improve attitudes about hand hygiene is strongly recommended. Effective training may contribute to change behaviours of hand hygiene (attitude), improve practice and ultimately reduce hospital‐acquired infections.

show abstract

Section: Discussionsupporting

confidence: 92%

Hand hygiene of nursing and midwifery students in Cambodia

Tem

Kong

Him

et al. 2019

International Nursing Review

View full text Add to dashboard Cite

show abstract

“…However, it fits to findings reported in literature. 6,7 We found that females had a better overall knowledge regarding hand hygiene. This phenomenon was also recently reported for hand hygiene adherence in a hospital setting.…”

Section: Discussionmentioning

confidence: 72%

Knowledge about hand hygiene in the Generation Z: A questionnaire-based survey among dental students, trainee nurses and medical technical assistants in training

Baier

Albrecht

Ebadi

et al. 2020

American Journal of Infection Control

View full text Add to dashboard Cite

“…In an Irish study using WHO's tool for hand hygiene observations, they found 91.0% hand hygiene adherence among nursing students (Kingston, O'Connell, & Dunne, ), and the adherence by nursing students in another study from a university hospital in Norway was at 83.5% (Sundal et al, ). However, a systematic review revealed a low‐to‐moderate knowledge of, and compliance with, hand hygiene among nursing students (Labrague, McEnroe‐Petitte, van de Mortel, & Nasirudeen, ). These results emphasise the need for improving training programmes targeting hand hygiene practices among nursing students.…”

Section: Discussionmentioning

confidence: 99%

Students' observations of hand hygiene in nursing homes using the five moments of hand hygiene

Løyland

Peveri

Hessevaagbakke

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To use nursing students to observe hand hygiene adherence in nursing homes and to explore whether the students' reflections after observing hand hygiene practices gives them a deeper understanding of the subject matter. Background Residents in nursing homes worldwide have low tolerance for healthcare‐associated infections that require antibiotics, and hand hygiene is the single most effective action to reduce infections. Design Observational study using (a) World Health Organization's (WHO) “Five moments for hand hygiene” validated tool to record indications and adherence and (b) an exploratory study of individual reflection notes from students conducted during and after observations. Methods From February 12–15, 2018, 26 nursing students in their second semester of a 3‐year bachelor programme participated as observers in five wards in four nursing homes in the Oslo metropolitan area. This study was performed according to the STROBE statement. Results Hand hygiene was performed for 57.2% of the 2,393 indications observed and recorded. Adherence differed significantly by type of personnel and by location. Four thematic categories emerged from the reflection notes: (a) practical awareness and introspection; (b) visualisation and enhancement of understanding of practice learning; (c) incorrect hand hygiene practices; and (d) stimulation to increase essential knowledge. Conclusion Hand hygiene adherence was too low to prevent healthcare‐associated infections and to reduce the use of antibiotics. The students' reflection notes indicated more “insight and understanding of the complexity of hand hygiene.” We suggest using nursing students in clinical placement as a means of incorporating different interventions as part of their learning skills and become “living reminders” of the importance of hygiene and infection prevention. Relevance for clinical practice Improving the student's activity about hygiene and infection prevention in clinical placement may help to raise awareness by healthcare workers in nursing homes.

show abstract

A systematic review on hand hygiene knowledge and compliance in student nurses

Cited by 77 publications

References 48 publications

Hand hygiene of nursing and midwifery students in Cambodia

Hand hygiene of nursing and midwifery students in Cambodia

Knowledge about hand hygiene in the Generation Z: A questionnaire-based survey among dental students, trainee nurses and medical technical assistants in training

Students' observations of hand hygiene in nursing homes using the five moments of hand hygiene

Contact Info

Product

Resources

About