Influencing Factors on Nurses' Hand Washing Compliance
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Abstract
Poor hand washing of nurses and unhealthy hospital environments contribute to the occurrence of nosocomial infections. Nurses who do not wash their hands before and after the procedure can become an intermediary for infection in patients at the service site or hospital and spread various multi-resistant organisms. This research aims to identify nurses' hand washing compliance and related factors. A descriptive correlation design was conducted in a hospital in West Java. Data on nurse characteristics and hand washing compliance were taken using a five moments test questionnaire cross-sectionally among nurses using the total sampling method and analyzed univariately and bivariately using descriptive analysis and the chi square test. A total of 67 nurses were involved in this research, the majority of respondents were aged 25-35 years (43/64.2%), women (42/62.7%), had a bachelor's degree (36/53.8%), had worked less than 5 years (42/62.7%) , lack of knowledge (35/52.2%), and have a positive attitude (38/56.7%), generally do not comply with hand washing protocols (34/50.7%). The nurse's age is related to hand washing compliance (p 0.002 < α 0.05), while gender (p 0.242), education (p 0.534), length of work (p 0.874), knowledge (p 0.907), and attitude (p 0.397) have α value > 0.05. Nurses' hand washing compliance is still less than the target. Age is related to nurses' compliance in implementing hand hygiene. Meanwhile, gender, education, length of work, knowledge and attitudes are not related to nurse compliance. Efforts are needed to increase nurses' knowledge to increase nurses' compliance in washing hands.
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References
H. A. Khan, F. K. Baig, and R. Mehboob, “Nosocomial infections: Epidemiology, prevention, control and
surveillance,” Asian Pac. J. Trop. Biomed., vol. 7, no. 5, pp. 478–482, May 2017, doi: 10.1016/j.apjtb.2017.01.019.
N. M. Abdella, M. A. Tefera, A. E. Eredie, T. F. Landers, Y. D. Malefia, and K. A. Alene, “Hand hygiene compliance and associated factors among health care providers in Gondar University Hospital, Gondar, North West Ethiopia,” BMC Public Health, vol. 14, no. 1, p. 96, Dec. 2014, doi: 10.1186/1471-2458-14-96.
A. D. Akyol, “Hand hygiene among nurses in Turkey: opinions and practices,” J. Clin. Nurs., vol. 16, no. 3, pp. 431–437, Mar. 2007, doi: 10.1111/j.1365-2702.2005.01543.x.
S. Mudassar, B. Adeel, M. Ali, F. Mehmood, and A. Hussain, “Nosocomial Infections: Awareness and Practices of Nurses Regarding its Spread in a Tertiary Care Hospital of Lahore, Pakistan,” Int. J. Contemp. Med. Res. [IJCMR], vol. 6, no. 1, Jan. 2019, doi: 10.21276/ijcmr.2019.6.1.29.
A. Alfahan, S. Alhabib, I. Abdulmajeed, S. Rahman, and S. Bamuhair, “In the era of corona virus: health care professionals’ knowledge, attitudes, and practice of hand hygiene in Saudi primary care centers: a cross-sectional study,” J. Community Hosp. Intern. Med. Perspect., vol. 6, no. 4, p. 32151, Jan. 2016, doi: 10.3402/jchimp.v6.32151.
J. B. Glowicz et al., “SHEA/IDSA/APIC Practice Recommendation: Strategies to prevent healthcare-associated infections through hand hygiene: 2022 Update,” Infect. Control Hosp. Epidemiol., vol. 44, no. 3, pp. 355–376, Mar. 2023, doi: 10.1017/ice.2022.304.
R. Biswas, R. Kirti, V. S. Ojha, Y. Jaiswal, and G. Kaur, “Efficacy of Interventions Based on WHO Multimodal Hand Hygiene Improvement Strategy in a Tertiary Care Hospital in Eastern India: A Quasi-Experimental Study,” Am. J. Med. Qual., vol. 38, no. 5, pp. 255–263, Sep. 2023, doi: 10.1097/JMQ.0000000000000145.
Y. Zhang, C. Zhang, X.-R. Han, W. Li, and Y. Wang, “Determinants of compassion satisfaction, compassion fatigue and burn out in nursing,” Medicine (Baltimore)., vol. 97, no. 26, p. e11086, Jun. 2018, doi: 10.1097/MD.0000000000011086.
M. Gholami Fesharaki, F. Rahmati-Najarkolaei, Z. Aghamiri, and M. Mohamadian, “Hand-Washing Compliance Rate and the Influencing Factors,” Arch. Clin. Infect. Dis., vol. 9, no. 4], Jun. 2014, doi: 10.5812/archcid.17316.
S. M. Damanik, “Kepatuhan Cuci Tangan Di Rumah Sakit Immanuel Bandung,” J. Unpad, 2012, Available: http://jurnal.unpad.ac.id/ejournal/article/view/683.
M. Malliarou, “Hand Hygiene of Nurses and Patient Safety,” Int. J. Nurs. Clin. Pract., vol. 4, no. 1, Jan. 2017, doi: 10.15344/2394-4978/2017/217.
World Health Organization, “WHO Guidelines on Hand Hygiene in Health Care : A Summary,” World Heal. Organ., vol. 30, no. 1, p. 270, 2009, [Online]. Available: http://whqlibdoc.who.int/publications/2009/9789241597906_eng.pdf
M. Bimerew and F. Muhawenimana, “Knowledge, attitudes, and practices of nurses towards hand washing in infection prevention and control at a psychiatric hospital,” Int. J. Africa Nurs. Sci., vol. 16, p. 100399, 2022, doi: 10.1016/j.ijans.2022.100399.
G. T. Engdaw, M. Gebrehiwot, and Z. Andualem, “Hand hygiene compliance and associated factors among health care providers in Central Gondar zone public primary hospitals, Northwest Ethiopia,” Antimicrob. Resist. Infect. Control, vol. 8, no. 1, p. 190, Dec. 2019, doi: 10.1186/s13756-019-0634-z.
V. Mouajou, K. Adams, G. DeLisle, and C. Quach, “Hand hygiene compliance in the prevention of hospital-acquired infections: a systematic review,” J. Hosp. Infect., vol. 119, pp. 33–48, Jan. 2022, doi: 10.1016/j.jhin.2021.09.016.
M. Alene, D. Tamiru, G. W. Bazie, W. Mebratu, and N. Kebede, “Hand hygiene compliance and its associated factors among health care providers in primary hospitals of Waghimira Zone, Northeast Ethiopia: a mixed study design,” Antimicrob. Resist. Infect. Control, vol. 11, no. 1, pp. 1–9, 2022, doi: 10.1186/s13756-022-01119-6.
M. Novák, J. Breznický, J. Kompaníková, N. Malinovská, and H. Hudečková, “Impact of hand hygiene knowledge on the hand hygiene compliance,” Med. Glas., vol. 17, no. 1, pp. 194–199, Sep. 2019, doi: 10.17392/1051-20.
J. M. Graveto et al., “Hand hygiene management among nurses: collective health challenges,” Rev. Bras. Enferm., vol. 71, no. suppl 1, pp. 562–567, 2018, doi: 10.1590/0034-7167-2017-0538.
A. Al-Maani et al., “The impact of the hand hygiene role model project on improving healthcare workers’ compliance: A quasi-experimental observational study,” J. Infect. Public Health, vol. 15, no. 3, pp. 324–330, Mar. 2022, doi: 10.1016/j.jiph.2022.01.017.
Elies, “Penerapan Hand Hygiene Perawat di Ruang Rawat Inap Rumah Sakit,” J. Kedokt. Brawijaya, vol. 28, no. 1, 2014.
Y. Maryanti, “Kepatuhan Tenaga Kesehatan Dalam Menjalankan Kesehatan Tangan Di Unit Perawatan Intensif Anak Rumah Sakit DR. Cipto Mangukusumo,” Universitas Indonesia, 2014.
E. P. Ritonga, “Pelaksanaan Lima Moment Kebersihan di Ruang Rawat Inap Rumah Sakit Swasta Kota Medan,” J. Ilmiyah Keperawatan Imelda, vol. 3, no. 2, pp. 342–347, 2017.
Rikayati and Arta, “Hubungan Tingkat Perilaku Cuci Tangan Dengan Perilaku Lima Momen Kebersihan Cuci Tangan Pada Perawat di Puskesmas Longat,” J. Keperawatan Indones., vol. 3, no. 1, pp. 57–68, 2017.
D. Guzek, D. Skolmowska, and D. Głąbska, “Analysis of Gender-Dependent Personal Protective Behaviors in a National Sample: Polish Adolescents’ COVID-19 Experience (PLACE-19) Study,” Int. J. Environ. Res. Public Health, vol. 17, no. 16, p. 5770, Aug. 2020, doi: 10.3390/ijerph17165770.
R. Omari, F. Zotor, S. Baah-Tuahene, and W. Arthur, “Handwashing knowledge, attitudes, and practices in Ghana,” J. Prev. Med. Hyg., vol. 63, no. 1, pp. E59–E68, 2022, doi: https://doi.org/10.15167/2421-4248/jpmh2022.63.1.2271.
N. Didenko and K. Kunze, “Role of nurses in prevention from hospital infections.,” Glob. J. Adv. Pure Appl. Sci., vol. 5, no. 5, pp. 54–59, 2015