Behavioural intention of hand hygiene compliance in an average Ecuadorian hospital

This study aimed to characterize hand hygiene behavioural intention by hospital services clusters in a medium-sized hospital in an Ecuadorian city. This is a cross-sectional study based on the World Health Organization Hand Hygiene Knowledge Questionnaire for Health-Care Workers. The responses on ha...

Descripción completa

Detalles Bibliográficos
Autores: Escudero, Pía|||0000-0001-5414-5107, Urrea Ayala, Mireia|||0000-0002-9271-7468, Romero Sandoval, Natalia|||0000-0001-6881-6581, Pullas, Cintia|||0000-0001-6126-8412, Reina, Domenica|||0000-0002-3756-653X, Miranda Brazales, Edison Daniel|||0000-0003-3956-0198, Ayora Pérez, María José|||0000-0002-9217-7238, Peñaherrera Suárez, Ignacio|||0000-0001-5300-5313, Granadillo, Emily|||0000-0002-4877-8167, Martin Mateo, Miguel Luis|||0000-0003-2053-1039
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:267035
Acceso en línea:https://ddd.uab.cat/record/267035
https://dx.doi.org/urn:doi:10.1590/1806-9282.20211092
Access Level:acceso abierto
Palabra clave:Hand hygiene
Hospital medicine
Health education
Descripción
Sumario:This study aimed to characterize hand hygiene behavioural intention by hospital services clusters in a medium-sized hospital in an Ecuadorian city. This is a cross-sectional study based on the World Health Organization Hand Hygiene Knowledge Questionnaire for Health-Care Workers. The responses on hand hygiene behavioural intention for the Five Moments for hand hygiene according to the World Health Organization were recorded in three categories: before patient contact, before and after sterile technique and management of body fluids, and after contact with the environment of the patient. The variables were the knowledge regarding the source of germs causing nosocomial infections, the optimal time to achieve disinfection with alcohol, hospital services clusters (clinical medicine, surgery, and therapeutic services), and history of previous formal hand hygiene training. The variables in each moment were analysed using a saturated log-linear model. The average age of participants was 34 years (Q 32.1-Q 36.4). Of them, 62% belonged to the clinic cluster and 87.6% had previous formal hand hygiene training. The incorrect response rates for before and after sterile technique and management of body fluids, before patient contact, and after contact with the environment of the patient were 30.2, 88.4, and 99.2%, respectively. In before patient contact, the incorrect responses for optimal time depended on the department (worse surgery cluster situation), and in before and after sterile technique and management of body fluids and after contact with the environment of the patient, the incorrect responses for source of germs depended on the previous formal hand hygiene training and the department (worse surgery and clinic clusters). The incorrect answer related to hand hygiene behavioural intention was high compared to other reports, and the worse situation was found in after contact with the environment of the patient and before patient contact. These data suggest the need of strengthening permanently the hand hygiene programme.