Title

Exploring the factors associated with hand hygiene compliance of nurses during routine clinical practice

Document Type

Article

Publication Date

2010

Publication Title

Applied Nursing Research

Volume

23

Issue

2

First Page

86

Last Page

90

DOI

10.1016/j.apnr.2008.06.002

Keywords

adult, article, Attitude of Health Personnel, attitude to health, Cancer Care Facilities, cancer center, clinical competence, education, Education, Nursing, Continuing, female, Florida, Guideline Adherence, hand washing, Handwashing, Health Knowledge, Attitudes, Practice, health personnel attitude, health service, Health Services Needs and Demand, Hospitals, University, human, Humans, in service training, Inservice Training, male, nursing, Nursing Audit, nursing education, nursing evaluation research, nursing staff, Nursing Staff, Hospital, practice guideline, Practice Guidelines as Topic, psychological aspect, questionnaire, Questionnaires, regression analysis, standard, statistics, United States, university hospital

Abstract

Background: Nurses and other health care providers (HCPs) continue to be noncompliant with the guidelines of proper hand hygiene practices. Purpose: The purpose of this study was to explore the factors associated with hand hygiene compliance among HCPs during routine clinical. Methods: An observational study was conducted at an oncology hospital to examine hand hygiene practices observed during 612 procedures that were performed by 67 HCPs. Results: Hand hygiene compliance was 41.7% (n = 255) before procedure and 72.1% (n = 441) after the procedure. The overall compliance was only 34.3% (n = 210). Compliance with the standards of hand hygiene was higher in high-risk procedures (odds ratio [OR] = 1.77; 95% confidence interval [CI], 1.18-2.65) and when HCPs were exposed to blood (OR = 1.40; 95% CI, 1.07-1.73). Conclusion: The findings highlight the need to continue to push compliance with hand hygiene using innovative approaches that go beyond teaching and in-service training. © 2010 Elsevier Inc. All rights reserved.