Article

Hand‐washing behaviour and nurses' knowledge after a training programme

International Journal of Nursing Practice (Impact Factor: 0.88). 09/2011; 17(5):464 - 469. DOI: 10.1111/j.1440-172X.2011.01957.x

ABSTRACT Erkan T, Fındık UY, Tokuc B. International Journal of Nursing Practice 2011; 17: 464–469Hand-washing behaviour and nurses' knowledge after a training programmeThe aim of this study was to evaluate the nurses' hand-washing behaviour and knowledge before and after a training programme. This prospective study involved 200 nurses who participated in hand-washing training at a university hospital in Turkey. The data were collected using a personal information form and pre- and post-test surveys that had been developed by the researchers. During the study, the nurses received 40 min of training on hand washing and a handbook prepared by the researchers. The hand-washing behaviour and knowledge of the nurses were assessed before training and 1 month after the training. To analyse the data, descriptive statistics, a t-test and a Mc Nemar chi-squared test were used. Following the training, there was a significant increase in the frequency of hand washing by the nurses (t = −2.202, P = 0.029), together with an increase in the time allowed for hand washing (P = 0.024, P < 0.05), knowledge of hand-washing practices (t = −16.081, P < 0.05) and quality (t = −10.874, P < 0.05). Planned training programmes for hand washing should be implemented to improve the behaviour and knowledge of nurses.

0 Bookmarks
 · 
51 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: Few interventions to influence handwashing have had measurable effects. This prospective quasi-experimental study was designed to address predisposing, enabling, and reinforcing factors to improve frequency of handwashing. Over a 12-month time period, a multifaceted intervention including focus group sessions, installation of automated sinks, and feedback to staff on handwashing frequency was implemented in one intensive care unit; a second unit served as a control. Dependent variables observed were handwashing frequency and self-reported practices and opinions about handwashing. Study phases included baseline, three phases of about 2 months each in duration in which sink automation was incrementally increased, and follow-up 2 months after intervention. During 301 hours of observation, 2624 handwashings were recorded. Proportion of times hands were washed varied by indication, ranging from 38% before invasive procedures to 86% for dirty-to-clean procedures (p < 0.00001). Although there were some significant differences between experimental and control units in handwashing during the study, these differences had returned to baseline by the 2-month follow-up. There were no significant differences in self-reported practices and opinions from before to after intervention nor between units. Intensive intervention, including feedback, education, and increased sink automation, had minimal long-term effect on handwashing frequency.
    American Journal of Infection Control 03/1997; 25(1):3-10. · 2.73 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Cross-transmission of microorganisms by the hands of health care workers is considered the main route of spread of nosocomial infections. To study the process of bacterial contamination of health care workers' hands during routine patient care in a large teaching hospital. Structured observations of 417 episodes of care were conducted by trained external observers (S.T. and V.S.). Each observation period started after a hand-cleansing procedure and ended when the health care worker proceeded to clean his or her hands or at the end of a coherent episode of care. At the end of each period of observation, an imprint of the 5 fingertips of the dominant hand was taken and bacterial colony counts were quantified. Regression methods were used to model the intensity of bacterial contamination as a function of method of hand cleansing, use of gloves during patient care, duration and type of care, and hospital ward. Bacterial contamination increased linearly with time on ungloved hands during patient care (average, 16 colony-forming units [CFUs] per minute; 95% confidence interval, 11-21 CFUs per minute). Patient care activities independently (P<.05 for all) associated with higher contamination levels were direct patient contact, respiratory care, handling of body fluid secretions, and rupture in the sequence of patient care. Contamination levels varied with hospital location; the medical rehabilitation ward had higher levels (49 CFUs; P=.03) than did other wards. Finally, simple hand washing before patient care, without hand antisepsis, was also associated with higher colony counts (52 CFUs; P=.03). The duration and type of patient care affect hand contamination. Furthermore, because hand antisepsis was superior to hand washing, intervention trials should explore the role of systematic hand antisepsis as a cornerstone of infection control to reduce cross-transmission in hospitals.
    Archives of Internal Medicine 05/1999; 159(8):821-6. · 11.46 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Handwashing is widely accepted as being key to the prevention of hospital-acquired infection but the frequency of handwashing by healthcare workers has been found to be low. A systematic critical literature review was conducted to establish the effectiveness of interventions aimed at increasing compliance with handwashing in healthcare workers. The results showed that one-off educational interventions have a very short-term influence on handwashing behaviour. Use of strategically placed reminders, or asking patients to remind staff of the need to conduct handwashing can have a modest but more sustained effect. Feedback of performance can increase levels of handwashing but if feedback is not repeated regularly, then this effect is not maintained over long periods. Automated sinks increase the quality of handwashing but healthcare workers can be discouraged from using these because of the additional time involved. Provision of moisturized soaps appears to make little difference to handwashing behaviour but providing 'dry' hand rubs near patient beds may lead to a minimal increase in the frequency with which staff decontaminate their hands. Multifaceted approaches which combine education with written material, reminders and continued feedback of performance can have an important effect on handwashing compliance and rates of hospital-acquired infection.
    Journal of Hospital Infection 04/2001; 47(3):173-80. · 2.86 Impact Factor