Year 2020, Volume 33 , Issue 2, Pages 67 - 74 2020-05-31

Hand hygiene as an incomplete challenge for developing countries: discussions based on knowledge and perceptions of nurses in North Cyprus example and published studies

Mümtaz GÜRAN [1] , Nimet İlke AKÇAY [2]


Objective: In the contemporary nursing era, nurses play important roles in terms of patient care and the prevention of healthcare
associated infections. Here, we aimed to discuss recommendations for developing countries by describing the level of knowledge and
perceptions of hand hygiene among nurses in Northern Cyprus as an example to developing countries.
Materials and Methods: Adapted questionnaires of World Health Organization (WHO) were used for data collection and obtained
data were analyzed using biostatistical methods.
Results: Among the nurses, 5.6% had good hand hygiene knowledge. “Country of education” and “in-service education” factors were
found to affect the knowledge level significantly. Positive perception level was demonstrated by 83.2% of the participants. Availability
of alcohol-based hand-rub and promotion of hand hygiene by leaders were perceived as most useful actions.
Conclusion: Our study results highlighted the importance of hand hygiene education both in occupational and in-service education.
Improvements are suggested in the existing continuing education programs in countries where WHO-Multimodal hand hygiene
improvement strategy is not implemented.
Hand hygiene, Clean Hands, Clean Care is Safer Care, WHO
  • [1] World Health Organization. Health care-associated infections Fact sheet. World Heal Organ [Internet]. 2015;4. Available from: http://www.who.int/gpsc/country_work/gpsc_ccisc_ fact_sheet_en.pdf Accessed on: 11.10.2017.
  • [2] World Health Organization (Who). Report on the Burden of Endemic Health Care-Associated Infection Worldwide. WHO Libr Cat Data 2011;40.
  • [3] Shorter E. Ignaz Semmelweis: The etiology, concept, and prophylaxis of childbed fever. Med Hist 1984;28:334.
  • [4] Larson EL. APIC guideline for handwashing and hand antisepsis in health care settings. Am J Infect Control 1995;23:251-69.
  • [5] Garner JS, Favero MS. CDC Guideline for handwashing and hospital environmental control, 1985. Infect Control 1986;7:231-43.
  • [6] World Health Organisation (WHO). WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care Is Safer Care. World Health [Internet]. 2009;30:270. Available from: http://whqlibdoc.who.int/ publications/2009/978.924.1597906_eng.pdf Accessed on: 11.10.2017.
  • [7] Sullivan KM, Dean A, Soe MM. OpenEpi: a web-based epidemiologic and statistical calculator for public health. Public Health Rep [Internet]. Association of Schools of Public Health; 2009;124:471–4. Available from: https://www.ncbi. nlm.nih.gov/pubmed/19445426 Accessed on: 11.10.2017.
  • [8] Kilpatrick C, Tartari E, Gayet-Ageron A, et al. Global hand hygiene improvement progress: two surveys using the WHO Hand Hygiene Self-Assessment Framework. J Hosp Infect 2018;100:202-6.
  • [9] World Health Organisation (WHO). Clean Care is Safer Care- Tools for evaluation and feedback [Internet]. 2009 [cited 2008 Aug 20]. Available from: https://www.who.int/gpsc/5may/ tools/evaluation_feedback/en/ Accessed on 17.10.2017.
  • [10] Seyed Nematian SS, Palenik CJ, Mirmasoudi SK, Hatam N, Askarian M. Comparing knowledge and self-reported hand hygiene practices with direct observation among Iranian hospital nurses. Am J Infect Control 2017;45:e65-7. doi: 10.1016/j.ajic.2017.03.007.
  • [11] Nair SS, Hanumantappa R, Hiremath SG, Siraj MA, Raghunath P. Knowledge, attitude, and practice of hand hygiene among medical and nursing students at a tertiary health care centre in Raichur, India. ISRN Prev Med 2014;2014:608927. doi: 10.1155/2014/608927.
  • [12] Diwan V, Gustafsson C, Rosales Klintz S, et al. Understanding healthcare workers self-reported practices, knowledge and attitude about hand hygiene in a medical setting in rural India. PLoS One 2016;11:e0163347. doi: 10.1371/journal. pone.0163347.
  • [13] Zakeri H, Ahmadi F, Rafeemanesh E, Saleh LA. The knowledge of hand hygiene among the healthcare workers of two teaching hospitals in Mashhad. Electron Physician 2017;9:5159-65. doi: 10.19082/5159.
  • [14] Nabavi M, Alavi-Moghaddam M, Gachkar L, Moeinian M. Knowledge, Attitudes, and practices study on hand hygiene among Imam Hossein Hospital’s residents in 2013. Iran Red Crescent Med J [Internet]. 2015;17. Available from: http:// www.ircmj.com/?page=article&article_id=19606 Accessed on: 14.12.2018.
  • [15] Maheshwari V, Kaore NCM, Ramnani VK, Gupta SK, Borle A, Rituja K. A study to assess knowledge and attitude regarding hand hygiene amongst residents and nursing staff in a tertiary health care setting of Bhopal city. J Clin Diagnostic Res 2014;8:4-7. doi: 10.7860/JCDR/2014/8510.4696.
  • [16] Aktug Demir N, Kölgelier S, Küçük A, et al. Level of knowledge and compliance to hand hygiene among health care workers. Nobel Med 2013; 9: 104-9.
  • [17] Tarakcioglu Celik GH, Korkmaz F. Nurses’ knowledge and care practices for infection prevention in neutropenic patients. Contemp Nurse 2017;53:143-55. doi: 10.1080/10376.178.2016.1254566.
  • [18] Akyol AD. Hand hygiene among nurses in Turkey: Opinions and practices. J Clin Nurs 2007;16:431-7. doi: 10.1111/j.1365- 2702.2005.01543.x.
  • [19] Çelik S, Koçaşli S. Hygienic hand washing among nursing students in Turkey. Appl Nurs Res 2008;21:207-11. doi: 10.1016/j.apnr.2006.12.001.
  • [20] Sastry AS, Deepashree R, Bhat P. Impact of a hand hygiene audit on hand hygiene compliance in a tertiary care public sector teaching hospital in South India. Am J Infect Control 2017;45:498-501. doi: 10.1016/j.ajic.2016.12.013.
  • [21] Oh E, Mohd Hamzah HB, Chain Yan C, Ang E. Enhancing hand hygiene in a polyclinic in Singapore. Int J Evid Based Healthc 2012;10:204-10. doi: 10.1111/j.1744-1609.2012.00277.x.
  • [22] Huang TT, Wu SC. Evaluation of a training programme on knowledge and compliance of nurse assistants’ hand hygiene in nursing homes. J Hosp Infect 2008;68:164-70. doi: 10.1016/j. jhin.2007.11.020.
  • [23] Erichsen Andersson A, Frodin M, Dellenborg L, et al. Iterative co-creation for improved hand hygiene and aseptic techniques in the operating room: experiences from the safe hands study. BMC Health Serv Res 2018;18:2. doi: 10.1186/ s12913.017.2783-1.
  • [24] Ariyaratne M, Gunasekara T, Weerasekara M, Kottahachchi J, Kudavidanage, BP, Fernando1 S. Knowledge , attitudes and practices of hand hygiene among final year medical and nursing students at the University of Sri Jayewardenepura. Sri Lankan J Infect 2013;3:15-25. doi: 10.4038/sljid.v3i1.4761.
  • [25] Santosaningsih D, Erikawati D, Santoso S, et al. Intervening with healthcare workers’ hand hygiene compliance, knowledge, and perception in a limited-resource hospital in Indonesia: a randomized controlled trial study. Antimicrob Resist Infect Control 2017;6:23. doi: 10.1186/s13756.017.0179-y.
  • [26] Kim E, Joo M, Baik S, Hong S. P161: Knowledge and perception toward hand hygiene among health – care workers in teaching hospital, Korea. Antimicrob Resist Infect Control [Internet]. 2013;2:P161. Available from: https://aricjournal. biomedcentral.com/articles/10.1186/2047-2994-2-S1-P161 Accessed on: 17.11.2018.
  • [27] Lee SS, Park SJ, Chung MJ, et al. Improved hand hygiene compliance is associated with the change of perception toward hand hygiene among medical personnel. Infect Chemother 2014;46:165-71. doi: 10.3947/ic.2014.46.3.165.
  • [28] Saito H, Inoue K, Ditai J, Wanume B, et al. Alcohol-based hand rub and incidence of healthcare associated infections in a rural regional referral and teaching hospital in Uganda (“WardGel” study). Antimicrob Resist Infect Control 2017;6:129. doi: 10.1186/s13756.017.0287-8.
  • [29] Severinsson E, Holm AL. Patients ’ Role in their own safety — A systematic review of patient involvement in safety. Open Journal of Nursing 2015;5:642-53. doi: 10.4236/ ojn.2015.57068.
  • [30] Alzyood M, Jackson D, Brooke D, Aveyard H. An integrative review exploring the perceptions of patients and healthcare professionals towards patient involvement in promoting hand hygiene compliance in the hospital setting. J Clin Nurs 2018;44:0-3. doi: 10.1111/jocn.14305.
Primary Language en
Subjects Medicine
Journal Section Original Research
Authors

Author: Mümtaz GÜRAN (Primary Author)
Institution: EASTERN MEDITARRANEAN UNIVERSITY
Country: Turkey


Author: Nimet İlke AKÇAY
Institution: EASTERN MEDITARRANEAN UNIVERSITY
Country: Turkey


Dates

Publication Date : May 31, 2020

Bibtex @research article { marumj737740, journal = {Marmara Medical Journal}, issn = {1019-1941}, eissn = {1309-9469}, address = {}, publisher = {Marmara University}, year = {2020}, volume = {33}, pages = {67 - 74}, doi = {10.5472/marumj.737740}, title = {Hand hygiene as an incomplete challenge for developing countries: discussions based on knowledge and perceptions of nurses in North Cyprus example and published studies}, key = {cite}, author = {Güran, Mümtaz and Akçay, Nimet İlke} }
APA Güran, M , Akçay, N . (2020). Hand hygiene as an incomplete challenge for developing countries: discussions based on knowledge and perceptions of nurses in North Cyprus example and published studies . Marmara Medical Journal , 33 (2) , 67-74 . DOI: 10.5472/marumj.737740
MLA Güran, M , Akçay, N . "Hand hygiene as an incomplete challenge for developing countries: discussions based on knowledge and perceptions of nurses in North Cyprus example and published studies" . Marmara Medical Journal 33 (2020 ): 67-74 <https://dergipark.org.tr/en/pub/marumj/issue/54613/737740>
Chicago Güran, M , Akçay, N . "Hand hygiene as an incomplete challenge for developing countries: discussions based on knowledge and perceptions of nurses in North Cyprus example and published studies". Marmara Medical Journal 33 (2020 ): 67-74
RIS TY - JOUR T1 - Hand hygiene as an incomplete challenge for developing countries: discussions based on knowledge and perceptions of nurses in North Cyprus example and published studies AU - Mümtaz Güran , Nimet İlke Akçay Y1 - 2020 PY - 2020 N1 - doi: 10.5472/marumj.737740 DO - 10.5472/marumj.737740 T2 - Marmara Medical Journal JF - Journal JO - JOR SP - 67 EP - 74 VL - 33 IS - 2 SN - 1019-1941-1309-9469 M3 - doi: 10.5472/marumj.737740 UR - https://doi.org/10.5472/marumj.737740 Y2 - 2020 ER -
EndNote %0 Marmara Medical Journal Hand hygiene as an incomplete challenge for developing countries: discussions based on knowledge and perceptions of nurses in North Cyprus example and published studies %A Mümtaz Güran , Nimet İlke Akçay %T Hand hygiene as an incomplete challenge for developing countries: discussions based on knowledge and perceptions of nurses in North Cyprus example and published studies %D 2020 %J Marmara Medical Journal %P 1019-1941-1309-9469 %V 33 %N 2 %R doi: 10.5472/marumj.737740 %U 10.5472/marumj.737740
ISNAD Güran, Mümtaz , Akçay, Nimet İlke . "Hand hygiene as an incomplete challenge for developing countries: discussions based on knowledge and perceptions of nurses in North Cyprus example and published studies". Marmara Medical Journal 33 / 2 (May 2020): 67-74 . https://doi.org/10.5472/marumj.737740
AMA Güran M , Akçay N . Hand hygiene as an incomplete challenge for developing countries: discussions based on knowledge and perceptions of nurses in North Cyprus example and published studies. Marmara Med J. 2020; 33(2): 67-74.
Vancouver Güran M , Akçay N . Hand hygiene as an incomplete challenge for developing countries: discussions based on knowledge and perceptions of nurses in North Cyprus example and published studies. Marmara Medical Journal. 2020; 33(2): 67-74.