Hand hygiene compliance of healthcare professionals in an emergency department

Zottele, Caroline; Magnago, Tania Solange Bosi de Souza; Dullius, Angela Isabel dos Santos; Kolankiewicz, Adriane Cristina Bernat; Ongaro, Juliana Dal

doi:10.1590/S1980-220X2016027303242

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Original Article • Rev. esc. enferm. USP 51 • 2017 • https://doi.org/10.1590/S1980-220X2016027303242 copy

Hand hygiene compliance of healthcare professionals in an emergency department^* * Extracted from the dissertation “Higienização das mãos: conhecimento e adesão de profissionais da saúde em unidade de pronto-socorro”, Programa de Pós-Graduação em Enfermagem, Universidade Federal de Santa Maria, 2016.

Adhesión de los profesionales sanitarios a la higienización de las manos en servicio de urgencias

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

OBJECTIVE

To analyze compliance with hand hygiene by healthcare professionals in an emergency department unit.

METHOD

This is a longitudinal quantitative study developed in 2015 with healthcare professionals from a university hospital in the state of Rio Grande do Sul. Each professional was monitored three times by direct non-participant observation at WHO’s five recommended moments in hand hygiene, taking the concepts of opportunity, indication and action into account. Descriptive and analytical statistics were used.

RESULTS

Fifty-nine healthcare professionals participated in the study. The compliance rate was 54.2%. Nurses and physiotherapists showed a compliance rate of 66.6% and resident physicians, 41.3%. When compliance was compared among professional categories, nurses showed greater compliance than resident physicians (OR = 2.83, CI = 95%: 1.09-7.34).

CONCLUSION

Hand hygiene compliance was low. Multidisciplinary approaches could be important strategies for forming partnerships to develop learning and implementation of hand hygiene practices.

Descriptors
Hand Hygiene; Patient Safety; Cross Infection; Emergency Nursing; Advance Directive Adherence; Emergency Medical Services

Opportunities for Hand Hygiene
Monitoring Sessions	Indications^* * Notes: Before Contact: before contact with the patient; Before the Proced.: before the performance of aseptic procedure; After Fluids: after risk of exposure to body fluids; After Contact: after contact with the patient; After Superf.: after contact with areas near the patient; (N=166).										Total
	Before contact		Before Proced.		After Fluids		After Contact		After Superf.		Total
	N	%	N	%	N	%	N	%	N	%	N	%
Session 1	14	23.7	3	5.1	12	20.3	14	23.7	16	27.1	59	35.5
Session 2	10	18.2	5	9.1	12	21.8	14	25.5	14	25.5	55	33.1
Session 3	9	17.3	5	9.6	11	21.2	17	32.7	10	19.2	52	31.3
Total	33	19.8	13	7.8	35	21.0	45	27.0	40	24.9	166	100

Monitoring Session	No. of Opportunities Observed	HH Performed	Compliance Rate (%)
Session 1	59	30	50.8
Session 2	55	29	52.7
Session 3	52	31	59.6
Total	166	90	54.2

Professional category	Compliance per professional category
Professional category	No. of Opportunities Observed	HH Performed	Compliance Rate (%)
Nurses	48	32	66.6
Nursing Technicians	83	42	50.6
Physiotherapists	6	4	66.6
Resident Physicians	29	12	41.3
Total	166	90	54.2

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author
: Tania Solange Bosi de Souza Magnago Universidade Federal de Santa Maria, Centro de Ciências da Saúde, Campus Universitário Av. Roraima, 1000, Prédio 26. CEP 97105-900 - Santa Maria, Rio Grande do Sul, Brazil tmagnago@terra.com.br