Knowledge About Hand Hygiene among Medical Students and Nursing Students in Masaka Regional Referral Hospital

Yıl 2021, Cilt: 11 Sayı: 3, 377 - 381, 20.09.2021

Aisha Nazziwa Kamada Lwere Seyit Ankaralı Handan Ankaralı

https://doi.org/10.33631/duzcesbed.887338

Öz

Aim: The pathogenic bacterium on the hands of healthcare workers (HCWs) is considered as the main route of spread of hospital-acquired infections. This study determines the knowledge regarding hand hygiene among medical and nursing students in a Regional Referral Hospital.
Material and Methods: 100 students participated in the study. Data was collected using the World Health Organization hand hygiene knowledge questionnaire (revised 2009). The questionnaire contains questions on the participant’s demographics, formal training in hand hygiene and questions to assess hand hygiene knowledge. Descriptive statistics of the variables were computed as Mean±SD and frequencies (n, %). The relationships between the categorical variables were investigated by using Pearson Chi-Square test. Also independent-samples t-test were used to investigate the difference between groups with regard to numerical variables. In all calculations, P< 0.05 is considered as the level of statistical significance. Statistical analysis was performed using SPSS 20 (IBM SPSS statistics, Somers, NY).
Results: 90.8% of the students reported receiving formal training in hand hygiene. However only 2% of the students had good knowledge, 74% moderate knowledge and 24% low knowledge about hand hygiene. The study did not find any significant difference in the knowledge level between the students who had received formal training in hand hygiene and those who had not (p=0.392). Also, the mean knowledge score was not associated with gender (p=0.82), or profession (p=0.179).
Conclusion: It is of importance to devise effective teaching methods that will help the students retain the knowledge on hand hygiene.

Anahtar Kelimeler

hand hygiene, medical students, nursing students, health students, Uganda

Destekleyen Kurum

Islamic development bank, islamic univeristy in uganda

Teşekkür

The authors highly appreciate the Islamic development bank through islamic university in Uganda for the grant that enabled this work to be successful

Masaka Bölge Sevk Hastanesindeki Tıp Öğrencileri ve Hemşirelik Öğrencileri Arasındaki El Hijyeni Hakkında Bilgi

Öz

Amaç: Sağlık çalışanlarının elindeki patojenik bakteri, hastane kaynaklı enfeksiyonların ana yayılma yolu olarak kabul edilmektedir. Bu çalışma, bir Bölge Sevk Hastanesindeki tıp ve hemşirelik öğrencilerinin el hijyenine ilişkin bilgilerini belirlemektedir.
Gereç ve Yöntemler: Araştırmaya 44'ü tıp öğrencisi, 56'sı hemşirelik öğrencisi olan 100 öğrenci katılmıştır. Anket, katılımcının demografik bilgilerini, el hijyeni konusundaki resmi eğitimi ve el hijyeni bilgisini değerlendirmek için sorular içermektedir. Değişkenlerin tanımlayıcı istatistikleri Ortalama±SD ve frekanslar (n, %) olarak hesaplandı. Kategorik değişkenler arasındaki ilişkiler Pearson Ki-Kare testi kullanılarak araştırıldı. Ayrıca, sayısal değişkenler açısından gruplar arasındaki farkı araştırmak için independent-samples t-testi kullanıldı. Tüm hesaplamalarda, istatistiksel anlamlılık düzeyi olarak p<0,05 kabul edildi. İstatistiksel analiz, SPSS 20 (IBM SPSS istatistikleri, Somers, NY) kullanılarak yapıldı.
Bulgular: El hijyeni konusunda öğrencilerin % 2'si iyi, % 74'ü orta düzeyde ve % 24'ü düşük bilgiye sahipti. Araştırmada el hijyeni konusunda örgün eğitim almış öğrenciler ile almayanlar arasında bilgi düzeyinde anlamlı bir fark bulunmamıştır (p=0,392). Ayrıca ortalama bilgi puanı cinsiyet (p=0,82) veya meslek (p=0,179) ile ilişkili değildi.
Sonuç: Öğrencilerin el hijyeni konusundaki bilgilerini korumalarına yardımcı olacak etkili öğretim yöntemlerinin geliştirilmesi önemlidir.

Anahtar Kelimeler

El hijyeni, Tıp öğrencisi, hemşirelik öğrencileri, sağlık öğrencileri, Uganda

Kaynakça

• Loftus MJ, Guitart C, Tartari E, Stewardson AJ, Amer F, Bellissimo-Rodrigues F, et al. Hand hygiene in low- and middle-income countries. Int J Infect Dis. 2019 Sep; 86:25-30
• Wohrley JD, Bartlett AH. The Role of the Environment and Colonization in Healthcare-Associated Infections. In: Healthcare-Associated Infections in Children. Springer International Publishing; 2019. p. 17–36.
• Bezerra TB, Valim MD, Bortolini J, Ribeiro RP, Marcon SR, Moura MEB. Adherence to hand hygiene in critical sectors: Can we go on like this? Journal of Clinical Nursing. 2020 Jul 11;29(13–14):2691–8.
• Vikke HS, Vittinghus S, Giebner M, Kolmos HJ, Smith K, Castrén M, et al. Compliance with hand hygiene in emergency medical services: An international observational study. Emergency Medicine Journal. 2019 Mar 1;36(3):171–5.
• Ogwang M, Paramatti D, Molteni T, Ochola E, Okello TR, Ortiz Salgado JC, et al. Prevalence of hospital-associated infections can be decreased effectively in developing countries. Journal of Hospital Infection. 2013 Jun 1;84(2):138–42.
• Abuosi AA, Akoriyea SK, Ntow-Kummi G, Akanuwe J, Abor PA, Daniels AA, et al. Hand hygiene compliance among healthcare workers in Ghana’s health care institutions: An observational study. Journal of Patient Safety and Risk Management. 2020 Oct 30;25(5):177–86.
• Kato H, Takeda R, Ideno Y, Suzuki T, Sano K, Nakamura K. Physicians’ compliance for hand hygiene in medical outpatient clinics: automated hand-hygiene monitoring with touch sensor and wireless internet. American Journal of Infection Control. 2020 Jun 5;
• Kashyap B, Gupta K, Gomber S, Gupta N, Bhardwaj A, Singh N, et al. Hand hygiene compliance among health care workers in pediatric oncology ward of a tertiary care hospital: A cross sectional observational study. Indian Journal of Medical Specialities. 2017 Oct 1;8(4):197–9.
• Pittet D. Improving adherence to hand hygiene practice: A multidisciplinary approach. In: Emerging Infectious Diseases [Internet]. Centers for Disease Control and Prevention (CDC); 2001. p. 234–40.
• Sands M, Aunger R. Determinants of hand hygiene compliance among nurses in US hospitals: A formative research study. Chughtai AA, editor. PLOS ONE. 2020 Apr 7 ;15(4)
• Ahmed J, Malik F, Memon ZA, bin Arif T, Ali A, Nasim S, et al. Compliance and Knowledge of Healthcare Workers Regarding Hand Hygiene and Use of Disinfectants: A Study Based in Karachi. Cureus. 2020 Feb 19;12(2).
• Sili U, Ay P, Bilgin H, Hidiroglu S, Korten V. Hand hygiene knowledge, perception and practice of healthcare workers in a Turkish university hospital intensive care unit. J Infect Dev Ctries. 2019; 13(8): 744-7.
• WHO | Tools for evaluation and feedback.
• IBM Corp. Released 2011. IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY: IBM Corp.
• Goyal A, Narula H, Gupta PK, Sharma A, Bhadoria AS, Gupta P. Evaluation of existing knowledge, attitude, perception and compliance of hand hygiene among health care workers in a Tertiary care centre in Uttarakhand. J Family Med Prim Care. 2020; 9(3): 1620-7.
• Zakeri H, Ahmadi F, Rafeemanesh E, Afshari Saleh L. The knowledge of hand hygiene among the healthcare workers of two teaching hospitals in Mashhad. Electronic Physician. 2017 Aug 25;9(8):5159–65.
• Calabro K, Bright K, Kouzekanani K. Long-term Effectiveness of Infection Control Training among Fourth-year Medical Students. Medical Education Online. 2000 Dec;5(1):5850.
• Baier C, Albrecht U-V, Ebadi E, Vonberg R-P, Schilke R. Knowledge about hand hygiene in the Generation Z: A questionnaire-based survey among dental students, trainee nurses and medical technical assistants in training. AJIC: American Journal of Infection Control. 2020;48:708–12.
• 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). http://dx.doi.org/10.17795/jjhs-36469.