Inverse Correlation Between Level of Professional Education and Rate of Handwashing Compliance in a Teaching Hospital

Abstract

An inverse correlation existed between the level of professional educational and the rate of compliance. Future research initiatives may need to address the different motivating factors for hand hygiene among nurses and physicians to increase compliance.

Educating healthcare workers to optimal hand hygiene practices: addressing the need

“…Data on long-term compliance are insufficient in almost all reports. Practices sometimes differ between professional groups and during different work shifts [41]. It is recognized that physicians are usually more resistant to hand hygiene-related behavioural change [1,7,42,43] and less prone to attend educational sessions than other HCW categories, but educational strategies specifically addressing these aspects have not been reported in published studies.…”

Education of hand rubbing technique to prospective medical staff, employing UV-based digital imaging technology

“…The main reported reasons for this poor performance include the tight time schedules, forgetfulness, unsatisfactory knowledge on HH guidelines, denying the importance of hands as a source of infection, negative influence of older, more experienced specialists, and skin irritations caused by hand rub solutions [6,7]. Education and training play a vital role in promoting HH [8,9].It is a widely shared concept that the nursing staff shows a better compliance on average than the physicians [3,10]. The unsatisfactory quality of knowledge is clearly supported by the observation that according to physicians' opinion, less HH moments are enough than the amount believed necessary by other healthcare workers [11].…”

“…The main reported reasons for this poor performance include the tight time schedules, forgetfulness, unsatisfactory knowledge on HH guidelines, denying the importance of hands as a source of infection, negative influence of older, more experienced specialists, and skin irritations caused by hand rub solutions [6,7]. Education and training play a vital role in promoting HH [8,9].…”

Monitoração da adesão à higienização das mãos: uma revisão de literatura

“…Quadro 1 -Métodos utilizados, local e ano onde foram realizados os estudos (países) e principais resultados (taxa de adesão autorreportada e observada) (30) 7,6%-91,3% Menor taxa gl obal reportada em estudo australiano; e maior taxa global encontrada em hospital norteamericano. Qualiquanti tativa (31) Japão/2004 (31) 40%-53% Taxa de aderência pré e pós-intervenção, para toda equipe, em estudo real izado no Japão.…”

“…Estudos realizados com base nesta técnica encontraram taxas de adesão entre 7,6% -91,3% (2)(3)(4)(7)(8)(9)14,(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30) . Vale lembrar ainda que mesmo se tratando de estudos observacionais os critérios utilizados em cada estudo variaram consideravelmente, sendo que, em alguns trabalhos, foram observadas as lavagens das mãos apenas antes do contato com o paciente; enquanto outros estudos foram além, observando a adesão durante a assistência inclusive de um mesmo paciente, diferenciando atenção nas áreas mais contaminadas para áreas menos contaminadas do corpo.…”