Flawed self-assessment in hand hygiene: A major contributor to infections in clinical practice?

Journal of Clinical Nursing
Simona KelcíkovaLenka Filova

Abstract

To assess the quality of self-assessment and the attitude of healthcare workers (HCWs) to hand hygiene (HH) as possible factors of unsatisfactory HH compliance in clinical practice. Noncompliance of HH causes healthcare-acquired infections (HAI) in patients. It is assumed that HH-related infections make up approximately 80% of all infections in clinical practice. Our observations suggest that self-assessment and attitude might be surprisingly important factors. The cross-sectional approach using questionnaire and direct observation was applied. We followed STROBE guidelines. In total, questionnaires of 639 HCWs of surgical departments were included in the study, and 127 HCWs had been also directly observed. High self-assessment regarding HH compliance and its knowledge was reported by 74% and 83% of HCWs, respectively. At the same time, only 51% of HCWs positively evaluated their colleagues with respect to HH. Similar to previous studies, we have found significant differences between physicians and nurses regarding the level of self-assessment, attitude and perception of HH. Physicians were more critical in self-assessment and considered HH less important compared to nurses. The observations revealed drawbacks in HH practices. ...Continue Reading

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Citations

Apr 4, 2021·International Journal of Environmental Research and Public Health·Agnieszka GniadekAgnieszka Micek
Mar 20, 2021·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Romain MartischangStephan Harbarth
Jul 11, 2021·Central European Journal of Public Health·Simona KelčíkováIngrid Tonhajzerová

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