A Study among Health Care Workers for Handhygiene Safety in Tertiary Care Hospital, Bundelkhand Region.
DOI:
https://doi.org/10.37506/j2fv6r32Keywords:
Hand Hygiene, Health care worker,WHO observation formAbstract
Background: Hand hygiene is crucial for preventing healthcare-associated infections and ensuring patient safety. Developed countries and developing countries have 5-10% and 40% respectively acquired infection, according to WHO. This study evaluates hand hygiene practices among healthcare workers in a tertiary care hospital in the Bundelkhand region of India.
Aim & Objective:To observe and evaluate the hand hygiene practices among doctors, nurses, and other healthcare staff in various departments of the hospital.
Settings and Design:Cross sectional study.
Methods and Material:A cross-sectional study was conducted over seven months, involving doctors, nurses, and ward boys across clinical departments. The World Health Organization (WHO) Hand Hygiene Observation Form was used for data collection. The study focused on hand hygiene practices before and after specific patient interactions.
Statistical analysis used: MS words excel sheet
Results: Of 521 healthcare workers observed, hand hygiene practices varied by department and professional category. The Medicine department exhibited the highest hand hygiene practices at 91%, while the TB and Chest department showed the lowest at 68.8%. Among professionals, nurses had a 74.8% hand hygiene actions, compared to 88.1% for consultants, 91.3% for senior residents, and 90.5% for junior residents. Non-PG junior residents and emergency medical officers achieved 100% hand hygiene practices. Hand hygiene was performed 82.6% of the time before touching patients and 92.1% before aseptic procedures. Hand hygiene was highest after body fluid exposure (95.1%) but lower after touching patients (82.8%) and their surroundings (81.3%).
Conclusions: Ensuring consistent hand hygiene practices across all departments and professional categories is essential for enhancing patient safety and infection control. Regular training according to WHO guidelines are important for improving hand hygiene practices.
References
World Health Organization. WHO guidelines on hand hygiene in health care. WHO/IER/PSP/2009/01. Geneva: World Health Organization; 2009.
Rajalatchumi A, Ravikumar TS, Muruganandham K, Thulasingam M, Selvaraj K, Reddy MM, Jayaraman B. Perception of patient safety culture among health-care providers in a tertiary care hospital, South India. J Nat Sci Biol Med. 2018 Jan-Jun;9(1):14-8. doi: 10.4103/jnsbm.JNSBM_86_17. PMID: 29456386; PMCID: PMC5812066.
Kilpatrick C, Allegranzi B, Pittet D. WHO First Global Patient Safety Challenge: Clean Care is Safer Care, contributing to the training of health-care workers around the globe. Int J Infect Control [Internet]. 2011 [cited 2023 Dec 24];7(2). Available from: https://ijic.info/article/view/6515
World Health Organization. Improved hand hygiene to prevent health care associated infections.Availablefrom:http://www.who.int/gpsc/tools/faqs/evidence_hand_hygiene/en/2014
Fox C, Wavra T, Drake DA, Mulligan D, Bennett YP, Nelson C, Bader MK. Use of a patient hand hygiene protocol to reduce hospital-acquired infections and improve nurses’ hand washing. Am J Crit Care. 2015;24:216-24.
Colet PC, Cruz JP, Cruz CP, Al-Otaibi J, Qubeilat H, Alquwez N. Patient safety competence of nursing students in Saudi Arabia: A self-reported survey. Int J Health Sci (Qassim). 2015;9(4):418-26.
Lee Y-C, Huang C-H, Wu C-F, Hsueh H-W, Wu H-H. A longitudinal study of identifying critical variables influencing patient safety culture from nurses’ viewpoints in Taiwan. J Test Eval. 2019;47(5):20180060-20180098. doi: 10.1520/JTE20180060.
Rizalar S, Topcu SY. The patient safety culture perception of Turkish nurses who work in operating room and intensive care unit. Pak J Med Sci. 2017;33:374-9. doi: 10.12669/pjms.332.11727.
Silva PL, Gouveia MT, Magalhães RL, Borges BV, Rocha RC, Guimarães TMM. Patient safety culture from the perspective of the nursing team in a public maternity hospital. Enfermería Global. 2020;60:452-62.
Krishnamoorthy Y, M K, Kuberan D, Krishnan M, Tondare D. Compliance with hand hygiene practices and its appropriateness among healthcare workers during COVID-19 pandemic in public health facilities of Tamil Nadu, India. Heliyon. 2023 Apr;9(4)
. doi: 10.1016/j.heliyon.2023.e15410. Epub 2023 Apr 14. PMID: 37089396; PMCID: PMC10104598.
Patil RM, Raval G, Chavan G. Knowledge and practices of health care professionals to prevent surgical site infection in a tertiary health care centre. Int Surg J. 2018;5(11):3632-3637. Available from: https://doi.org/10.18203/2349-2902.isj20182231.
Prabhu Deepthi J, Munish PalliyalilKakkolil, Divya V Gladston, Rachel Cherian Koshy, Jagathnath KM Krishna, Ashish Mathew. Quality assessment of hand hygiene and effectiveness of WHO 6 step training among healthcare personnel in a tertiary care cancer hospital in Trivandrum, India: A cross-sectional study. J Clin Diagn Res. 2023 Jun;17(6)
Abd Elaziz KM, Bakr IM. Assessment of knowledge, attitude and practice of hand washing among health care workers in Ain Shams University hospitals in Cairo. J Prev Med Hyg. 2009 Mar;50(1):19-25. PMID: 19771756.
Anguraj S, Ketan P, Sivaradjy M, Shanmugam L, Jamir I, Cherian A, Sastry AS. The effect of hand hygiene audit in COVID intensive care units in a tertiary care hospital in South India. Am J Infect Control. 2021;49(7):929-34. doi: 10.1016/j.ajic.2021.07.008.
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