Research Article
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Student Nurses’ Hand Hygiene Beliefs and Practices

Year 2019, Volume: 13 Issue: 3, 279 - 286, 20.09.2019
https://doi.org/10.21763/tjfmpc.609778

Abstract

Introduction: Hand hygiene is the most cost-effective and
easy implemented measure to prevent healthcare-associated infections.
Determining beliefs and practices regarding hand hygiene is highly important in
order to improve compliance. However, studies regarding Turkish student nurses’
beliefs and practices about hand hygiene are lacking. Thus, this study was
performed to determine hand hygiene belief and practices among student nurses. Method: The sample of this descriptive
study consisted of 462 student nurses from a faculty of nursing. Data were
collected via a self-reported hand hygiene questionnaire which determines hand
hygiene compliance, beliefs and practices. The hand hygiene beliefs, and
practices of student nurses’ were determined with the hand hygiene belief scale
and the hand hygiene practices inventory. Findings:
Of the 462 respondents, 108 (23.4%) enrolled the second year, 142 (30.7%)
enrolled the third year and 212 (45.9%) enrolled in the fourth year. The
average self-reported hand hygiene compliance rate was 84.42±12.64 among
student nurses. The student nurses’ average hand hygiene practice inventory and
hand hygiene belief scores were 65.90±5.54 and 85.04±8.20 respectively. The
student nurses reported the lowest compliance rates under the following conditions:
before patient contact (4.35±0.88), before entering an isolation room
(4.44±0.88) and before caring for a wound (4.55±0.74). Results: It was determined that the student nurses reported a high
hand hygiene compliance rate. In addition, they showed positive beliefs towards
hand hygiene and demonstrated good practices regarding hand hygiene.

 

Giriş: El hijyeni, sağlıkla ilişkili enfeksiyonları önlemek için
uygulanan en ucuz ve kolay yöntemdir. El hijyeni ile ilgili inanç ve
uygulamaların belirlenmesi, uyumu arttırmak için oldukça önemlidir. Ancak, Türk
öğrenci hemşirelerinin el hijyeni konusundaki inanç ve uygulamaları konusunda
araştırmalar oldukça sınırlıdır. Bu nedenle, bu çalışma öğrenci hemşirelerin el
hijyeni inanç ve uygulamalarını belirlemek amacıyla yapıldı. Yöntem: Tanımlayıcı tipteki bu
çalışmanın örneklemi bir hemşirelik fakültesinin 462 öğrencisinden oluştu.
Veriler, el hijyeni uyumunu, inançlarını ve uygulamalarını belirleyen soru
formu ile toplandı. Öğrenci hemşirelerin el hijyen inançları ve uygulamaları El
Hijyeni Inanç Ölçeği ve El Hijyeni Uygulamaları Envanteri ile belirlendi. Bulgular: Araştırmaya katılan 462
katılımcıdan 108’i (% 23.4) ikinci, 142’si (% 30,7) üçüncü ve 212’si (% 45.9)
dördüncü sınıf öğrencisidir. Öğrenci hemşirelerin ortalama el hijyeni uyum
oranları 84.42 ± 12.64 idi. Öğrenci hemşirelerin ortalama el hijyeni uygulama
envanteri ve el hijyeni inanç puanları sırasıyla 65.90 ± 5.54 ve 85.04 ± 8.20
idi. Öğrenci hemşireler hasta temasından önce (4.35 ± 0.88), izolasyon odasına
girmeden önce (4.44 ± 0.88) ve yara bakımı yapmadan önce (4.55 ± 0.74) en düşük
uyum oranlarını rapor etmişlerdir. Sonuç:
Öğrenci hemşirelerin el hijyeni uyum oranının yüksek olduğu belirlenmiştir.
Ayrıca, el hijyenine karşı olumlu inançlara sahip oldukları ve el hijyeni ile
ilgili uygulamalarının iyi olduğu belirlenmiştir. 

References

  • 1. World Health Organization. WHO guidelines on hand hygiene in health care. First global patient safety challenge: Clean care is safer care.
  • http://apps.who.int/iris/bitstream/handle/10665/44102/9789241597906_eng.pdf;jsessionid=4E34901A88C77A07BDBF3FCF088979A4?sequence=1. Published 2009. Accessed March 2018.
  • 2. Benson S, Powers J. Your role in infection prevention. Nursing Made Incredibly Easy. 2011; 9(3): 36-41.
  • 3. Muller MP, Carter E, Siddiqui N, Larson E. Hand hygiene compliance in an emergency department: the effect of crowding. Acad Emerg Med. 2015; 22(10): 1218-1221.
  • 4. Darawad MW, Al-Hussami M, Almhairat II, Al-Sutari M. Investigating Jordanian nurses’ handwashing beliefs, attitudes, and compliance. Am J Infect Control. 2012; 40: 643-647.
  • 5. Hung SYM, Wong YYI, Yam WSS, Li KA, Ngai CYC. Knowledge, practices, compliance and beliefs of university nursing students’ toward hand hygiene: A cross-sectional survey. GSTF Journal of Nursing and Health Care (JNHC). 2017; 5(1): 1-7.
  • 6. Labrague LJ, McEnroe-Petitte DM, van de Mortel T, Nasirudeen AMA. A systematic review on hand hygiene knowledge and compliance in student nurses. Int Nurs Rev.2017.
  • 7. Al-Hussami MO, Darawad MW, Almhairat I. Predictors of compliance hand hygiene practice among healthcare professionals. Healthcare Infect. 2011; 16: 79-84.
  • 8. Karadag M, Pekin Iseri O, Yildirim N, Etikan I. Knowledge, beliefs and practices of nurses and nursing students for hand hygiene. Jundishapur J Health Sci. 2016; 8(4): e36469.
  • 9. Karadağ M, Yıldırım N, Pekin İşeri Ö. El hijyeni inanç ölçeği ve el hijyeni uygulamalari envanterinin geçerlilik ve güvenirliliği. Cukurova Med J. 2016; 41(2): 271-284.
  • 10. van de Mortel TF. Development of a questionnaire to assess health care students’ hand hygiene knowledge, beliefs and practices. Australian Journal of Advanced Nursing. 2009; 26(3): 9-16.
  • 11. Al Khawaldeh OA, Al-Hussami M, Darawad M. Influence of nursing students handwashing knowledge, beliefs, and attitudes on their handwashing compliance. Health. 2015; 7 (5): 572–579.
  • 12. Foote A, El-Masri M. Self-perceived hand hygiene practices among undergraduate nursing students. Journal of Research in Nursing. 2016; 21 (1), 8–19.
  • 13. Sundal JS, Aune AG, Storvig E, Aasland JK, Fjeldsæter KL, Torjuul K. The hand hygiene compliance of student nurses during clinical placements. J Clin Nurs. 2017; 26 (23-24): 4646-4653.
  • 14. Nasirudeen AM, Koh JW, Lau AL, Li W, Lim LS, Ow CY. Hand hygiene knowledge and practices of nursing students in Singapore. Am J Infect Control. 2012; 40 (8), e241–e243.
  • 15. Hernandez-Garcia I, Cardoso A. Hand hygiene compliance and determining factors among Spanish nursing students. Am J Infect Control. 2013; 41(10): 943–944.
  • 16. Jeong SY, Kim KM. Influencing factors on hand hygiene behavior of nursing students based on theory of planned behavior: a descriptive survey study. Nurse Educ Today. 2016; 36, 159–164
  • 17. Paudel IS, Ghosh V, Adhikari P. Knowledge, attitude and practice of nursing students on hospital acquired infections in western region of Nepal. Journal of College of Medical Sciences-Nepal. 2016; 12 (3), 103–107.
  • 18. Nematian SSS, Palenik CJ, Mirmasoudi SK, Hatam N, Askarian M. Comparing knowledge and self-repoarted hand hygine practices with direct observation among Iranian hospital nurses. Am J Infect Control. 2017; 45(6): e65-e67.
  • 19. van de Mortel TF, Kermode S, Progano T, Sansoni J. A comprasion of the hand hygiene knowledge, beliefs and practices of Italian nursing and medical students. J Adv Nurs. 2012; 68(3): 569-579.
  • 20. van de Mortel TF, Apostolopoulou EA, Petrikkos GL. A comparison of the hand hygiene knowledge, beliefs, and practices of Greek nursing and medical students. Am J Infect Control. 2010; 38(1): 75-77.
Year 2019, Volume: 13 Issue: 3, 279 - 286, 20.09.2019
https://doi.org/10.21763/tjfmpc.609778

Abstract

References

  • 1. World Health Organization. WHO guidelines on hand hygiene in health care. First global patient safety challenge: Clean care is safer care.
  • http://apps.who.int/iris/bitstream/handle/10665/44102/9789241597906_eng.pdf;jsessionid=4E34901A88C77A07BDBF3FCF088979A4?sequence=1. Published 2009. Accessed March 2018.
  • 2. Benson S, Powers J. Your role in infection prevention. Nursing Made Incredibly Easy. 2011; 9(3): 36-41.
  • 3. Muller MP, Carter E, Siddiqui N, Larson E. Hand hygiene compliance in an emergency department: the effect of crowding. Acad Emerg Med. 2015; 22(10): 1218-1221.
  • 4. Darawad MW, Al-Hussami M, Almhairat II, Al-Sutari M. Investigating Jordanian nurses’ handwashing beliefs, attitudes, and compliance. Am J Infect Control. 2012; 40: 643-647.
  • 5. Hung SYM, Wong YYI, Yam WSS, Li KA, Ngai CYC. Knowledge, practices, compliance and beliefs of university nursing students’ toward hand hygiene: A cross-sectional survey. GSTF Journal of Nursing and Health Care (JNHC). 2017; 5(1): 1-7.
  • 6. Labrague LJ, McEnroe-Petitte DM, van de Mortel T, Nasirudeen AMA. A systematic review on hand hygiene knowledge and compliance in student nurses. Int Nurs Rev.2017.
  • 7. Al-Hussami MO, Darawad MW, Almhairat I. Predictors of compliance hand hygiene practice among healthcare professionals. Healthcare Infect. 2011; 16: 79-84.
  • 8. Karadag M, Pekin Iseri O, Yildirim N, Etikan I. Knowledge, beliefs and practices of nurses and nursing students for hand hygiene. Jundishapur J Health Sci. 2016; 8(4): e36469.
  • 9. Karadağ M, Yıldırım N, Pekin İşeri Ö. El hijyeni inanç ölçeği ve el hijyeni uygulamalari envanterinin geçerlilik ve güvenirliliği. Cukurova Med J. 2016; 41(2): 271-284.
  • 10. van de Mortel TF. Development of a questionnaire to assess health care students’ hand hygiene knowledge, beliefs and practices. Australian Journal of Advanced Nursing. 2009; 26(3): 9-16.
  • 11. Al Khawaldeh OA, Al-Hussami M, Darawad M. Influence of nursing students handwashing knowledge, beliefs, and attitudes on their handwashing compliance. Health. 2015; 7 (5): 572–579.
  • 12. Foote A, El-Masri M. Self-perceived hand hygiene practices among undergraduate nursing students. Journal of Research in Nursing. 2016; 21 (1), 8–19.
  • 13. Sundal JS, Aune AG, Storvig E, Aasland JK, Fjeldsæter KL, Torjuul K. The hand hygiene compliance of student nurses during clinical placements. J Clin Nurs. 2017; 26 (23-24): 4646-4653.
  • 14. Nasirudeen AM, Koh JW, Lau AL, Li W, Lim LS, Ow CY. Hand hygiene knowledge and practices of nursing students in Singapore. Am J Infect Control. 2012; 40 (8), e241–e243.
  • 15. Hernandez-Garcia I, Cardoso A. Hand hygiene compliance and determining factors among Spanish nursing students. Am J Infect Control. 2013; 41(10): 943–944.
  • 16. Jeong SY, Kim KM. Influencing factors on hand hygiene behavior of nursing students based on theory of planned behavior: a descriptive survey study. Nurse Educ Today. 2016; 36, 159–164
  • 17. Paudel IS, Ghosh V, Adhikari P. Knowledge, attitude and practice of nursing students on hospital acquired infections in western region of Nepal. Journal of College of Medical Sciences-Nepal. 2016; 12 (3), 103–107.
  • 18. Nematian SSS, Palenik CJ, Mirmasoudi SK, Hatam N, Askarian M. Comparing knowledge and self-repoarted hand hygine practices with direct observation among Iranian hospital nurses. Am J Infect Control. 2017; 45(6): e65-e67.
  • 19. van de Mortel TF, Kermode S, Progano T, Sansoni J. A comprasion of the hand hygiene knowledge, beliefs and practices of Italian nursing and medical students. J Adv Nurs. 2012; 68(3): 569-579.
  • 20. van de Mortel TF, Apostolopoulou EA, Petrikkos GL. A comparison of the hand hygiene knowledge, beliefs, and practices of Greek nursing and medical students. Am J Infect Control. 2010; 38(1): 75-77.
There are 21 citations in total.

Details

Primary Language English
Subjects Public Health, Environmental Health
Journal Section Orijinal Articles
Authors

Aliye Okgün Alcan This is me

Eda Dolgun

Publication Date September 20, 2019
Submission Date December 18, 2018
Published in Issue Year 2019 Volume: 13 Issue: 3

Cite

Vancouver Okgün Alcan A, Dolgun E. Student Nurses’ Hand Hygiene Beliefs and Practices. TJFMPC. 2019;13(3):279-86.

English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.