Prevalence and correlates of skin damage on the hands of nurses

Larson, Elaine; Friedman, Candace; Cohran, Jackie; Treston-Aurand, J.; Green, Sue

doi:10.1016/s0147-9563(97)90027-3

Cited by 134 publications

(143 citation statements)

References 36 publications

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“…Thus, as confirmed by many other studies 37,[40][41][42][43] providing sufficient and easy-to-access skin-friendly products might result in higher compliance with recommendations for hand hygiene.…”

Section: Analysis Of Behavioral Determinantssupporting

confidence: 57%

Behavioral Determinants of Hand Hygiene Compliance in Intensive Care Units

Wandel¹,

Maes²,

Labeau³

et al. 2010

American Journal of Critical Care

134

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Background Although hand hygiene is the most effective measure for preventing cross-infection, overall compliance is poor among health care workers. Objectives To identify and describe predictors and determinants of noncompliance with hand hygiene prescriptions in intensive care unit nurses by means of a questionnaire. Methods A questionnaire based on a behavioral theory model was filled out by 148 nurses working on a 40-bed intensive care unit in a university hospital. Subjects were asked to fill out the 56-item questionnaire twice within a 2-to 6-week period. During this period, no interventions to enforce hand hygiene occurred on the unit. Results Response rate for the test was 73% (108/148); response rate for the retest was 53% (57/108). The mean self-reported compliance rate was 84%. Factor analysis revealed 8 elementary factors potentially associated with compliance. Internal consistency of the scales was acceptable. Intraclass correlation was low (<0.60) for 2 subscales but acceptable (>0.60) for 6 subscales. A low self-efficacy was independently associated with noncompliance (β = .379; P = .001). After exclusion of this variable, a negative attitude toward time-related barriers was associated with noncompliance (β = -.147; P < .001). Conclusions Neither having good theoretical knowledge of hand hygiene guidelines nor social influence or moral perceptions had any predictive value relative to hand hygiene practice. A valid questionnaire to identify predictors and determinants of noncompliance with hand hygiene has been designed. Nurses reporting a poor self-efficacy or a poor attitude toward time-related barriers appear to be less compliant. (American Journal of Critical Care. 2010;19:230-240) BEHAVIORAL DETERMINANTS OF HAND HYGIENE COMPLIANCE IN INTENSIVE CARE UNITS C E 1.0 Hour Notice to CE enrollees:A closed-book, multiple-choice examination following this article tests your under standing of the following objectives:1. Recognize the impact of behavioral determinants on compliance with hand hygiene recommendations. 2. Describe determinants of noncompliance with hand hygiene prescriptions among nurses in a general intensive care unit. 3. Understand how a low self-efficacy and a negative attitude toward time-related barriers are predictors of poor compliance with hand hygiene recommendations. In accordance with the attitude-social influenceself-efficacy model, 12 which combines Fishbein and Ajzen's theory of reasoned action 13 and Bandura's social learning theory, 14 attitude, social influence, and self-efficacy are valid concepts in predicting one's intention to change one's behavior or even one's actual change in behavior. 15,16 Attitude is primordially based on earlier experiences: behavior that has led to success will be reinforced and vice versa. Although one's general attitude toward a certain behavior is often the result of success and failure (or perceived advantage and disadvantage), not all attitudes are based on reason and logical sense. Some attitudes can be very rigid and based on highly ...

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Section: Analysis Of Behavioral Determinantssupporting

confidence: 57%

Behavioral Determinants of Hand Hygiene Compliance in Intensive Care Units

Wandel¹,

Maes²,

Labeau³

et al. 2010

American Journal of Critical Care

134

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“…This condition impacts a large proportion of the nursing workforce at some point in their careers. 128 Symptoms include dryness, irritation, itching, cracking, and bleeding. 129 145 This wording has led some facilities to mandate hand hygiene immediately before nonsterile glove use.…”

Section: Methods For Hand Hygiene Adherence Measurementmentioning

confidence: 99%

Strategies to Prevent Healthcare-Associated Infections through Hand Hygiene

Ellingson

Haas

Aiello

et al. 2014

Infect. Control Hosp. Epidemiol.

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Previously published guidelines provide comprehensive recommendations for hand hygiene in healthcare facilities. The intent of this document is to highlight practical recommendations in a concise format, update recommendations with the most current scientific evidence, and elucidate topics that warrant clarification or more robust research. Additionally, this document is designed to assist healthcare facilities in implementing hand hygiene adherence improvement programs, including efforts to optimize hand hygiene product use, monitor and report back hand hygiene adherence data, and promote behavior change. This expert guidance document is sponsored by the Society for Healthcare Epidemiology of America (SHEA) and is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America (IDSA), the American Hospital Association (AHA), the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise. The list of endorsing and supporting organizations is presented in the introduction to the 2014 updates.

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“…572,573 Frequent and repeated use of hand hygiene products, particularly soaps and other detergents, is an important cause of chronic irritant contact dermatitis among HCWs. 574 Cutaneous adverse reaction was infrequent among HCWs (13/2750 exposed HCWs) exposed to an alcohol-based preparation containing chlorhexidine gluconate and skin emollient during a hand hygiene culture change, multimodal programme; 548 it represented one cutaneous adverse event per 72 years of HCW exposure.…”

Section: Frequency and Pathophysiology Of Irritant Contact Dermatitismentioning

confidence: 99%

“…Some studies have confirmed that these assessment techniques correlate well with other physiological measures such as transepidermal water loss or desquamation, tests which are not practical to use in clinical settings. 264,326,405,495,549,577,613,636 An example of a tolerability assessment framework for use in the clinical setting is included in Appendix 3 220,504,572 and is part of the WHO alcohol-based handrub tolerability and acceptability survey (Implementation Toolkit available at http://www.who. int/gpsc/en/) (see also Part I, Section 14).…”

Section: Dermal Tolerance and Skin Reactionsmentioning

confidence: 99%

“…657 In 11 observational studies, the duration of hand cleansing episodes by HCWs ranged on average from as short as 6.6 seconds to 30 seconds. In 10 of these studies, the hand hygiene technique monitored was handwashing, 79,124,135,[213][214][215][216]218,572,611 while handrubbing was monitored in one study. 457 .In addition to washing their hands for very short time periods, HCWs often failed to cover all surfaces of their hands and fingers.…”

Section: Hand Hygiene Practices Among Health-care Workersmentioning

confidence: 99%

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