A Quasi-experimental Intervention Study on Handwashing Behavior of Healthcare Workers in the Emergency Department

Öz

Objective: In this study, it was aimed to determine the attitudes, behaviors and knowledge of healthcare workers working in the emergency department of a hospital and to ensure correct handwashing with an intervention related to handwashing behavior. Material and Method: The research was a quasi-experimental intervention study (retrospective pre-test/post-test design). The number of participants was 131 (research participation rate 86.7%). A data collection form comprising 37 questions was used. As a training intervention, a text was read to the participants under observation. Data were summarized with mean±standard deviation, median (min-max), frequency distributions, and percentages. The chi-square and Mc-Nemar tests were applied to investigate the relationships between data. p<0.05 was considered significant. Results: The mean age of the participants was 32.04±6.52, 51.5% were women and 74.8% were nurses. Those who thought that they washed their hands adequately during an 8-hour work period were 67.2%. 69.5% of the healthcare workers answered correctly to 70% and more of the knowledge questions and got a score of 9 and above. A significant difference was found in 10 of the 14 intervention questions regarding handwashing (p<0.05). Conclusion: In the research, it is found that the rate of those who think that they wash their hands enough during an 8-hour work period is more than two-thirds, found that more than two-thirds of the participants gave correct answers to the knowledge level questions related to handwashing and found that the training intervention performed is effective.

Anahtar Kelimeler

• Handwashing
• Healthcare worker
• Emergency service
• Training
• El yıkama
• Sağlık çalışanı
• Acil servis
• Eğitim

Acil Serviste Görev Yapan Sağlık Çalışanlarında El Yıkama Davranışı Hakkında Yarı Deneysel Bir Çalışma

Öz

Amaç: Bu çalışmada bir hastanenin acil servisinde görev yapan sağlık çalışanlarının el yıkama ile ilgili tutum, davranış ve bilgilerini değerlendirmek ve el yıkama davranışıyla ilgili bir müdahaleyle doğru el yıkamalarını sağlamak amaçlanmıştır. Gereç ve Yöntem: Araştırma yarı deneysel bir müdahale çalışmasıdır (retrospektif ön-test/son-test tasarımı). Katılımcı sayısı 131’dir (araştırmaya katılma oranı %86,7). Araştırmada 37 sorudan oluşan bir veri toplama formu kullanılmıştır. Eğitim müdahalesi olarak katılımcılara gözlem altında bir metin okutulmuştur. Veriler ortalama±standart sapma, ortanca (min-maks), frekans dağılımları ve yüzdelikler ile özetlenmiştir. Veriler arası ilişkilerin araştırılmasında ki-kare ve Mc-Nemar testleri uygulanmıştır. p<0,05 anlamlı kabul edilmiştir. Bulgular: Katılımcıların yaş ortalaması 32,04±6,52, %51,5’i kadın ve %74,8’i hemşireydi. Sekiz saatlik bir iş periyodunda ellerini yeterli sayıda yıkadığını düşünenler katılımcıların %67,2’siydi. Sağlık çalışanlarının %69,5’i bilgi sorularının %70’ine ve daha fazlasına doğru yanıt vererek 9 ve üzerinde bir puan aldı. El yıkamaya ilişkin 14 müdahale sorusundan 10’unda istatistiksel açıdan anlamlı fark bulundu (p<0,05). Sonuç: Araştırma sonucunda sekiz saatlik bir iş periyodunda ellerini yeterli sayıda yıkadığını düşünenlerin oranının katılımcıların üçte ikisinden fazla olduğu, el yıkamayla ilişkili bilgi düzeyi sorularına katılımcıların üçte ikisinden fazlasının doğru yanıt verdiği ve yapılan eğitim müdahalesinin etkili olduğu bulunmuştur.

Anahtar Kelimeler

• El yıkama
• Sağlık çalışanı
• Acil servis
• Eğitim

Kaynakça

1. 1. Tyagi U, Barwal KC. Ignac Semmelweis-Father of hand hygiene. Indian Journal of Surgery 2020; 82(3): 276-277. DOI: 10.1007/s12262-020-02386-6
2. 2. Karaoglu MK, Akın S. Hand hygiene compliance in the prevention of hospital infections and improvement of hand hygiene compliance. Health and Community (Saglık ve Toplum) 2018; 28: 3-10. DOI: 10.1016/j.jhin.2021.09.016
3. 3. WHO Hand Hygiene-The Evidence For Clean Hands. Available at https://www.who.int/teams/integrated-health-services/infection-prevention-control/hand-hygiene (Access date: 08.08.2022)
4. 4. WHO Team-Infection Prevention and Control. Report on the Burden of Endemic Health Care-Associated Infection Worldwide: A systematic review of the literature. Geneva, Switzerland. 2011.
5. 5. CDC Hand Hygiene in Healthcare Settings. Available at https://www.cdc.gov/handhygiene/index.html (Acess date: 09.08.2022)
6. 6. WHO Guidelines on Hand Hygiene in Health Care. First Global Patient Safety Challenge Clean Care is Safer Care. 2009. Available at https://www.who.int/publications/i/item/9789241597906 (Access date: 09.08.2022)
7. 7. Clancy C, Delungahawatta T, Dunne CP. Hand-hygiene-related clinical trials reported between 2014 and 2020: a comprehensive systematic review. J Hosp Infect 2021; 111: 6-26. DOI: 10.1016/j.jhin.2021.03.007
8. 8. Little TD, Chang R, Gorrall BK, Waggenspack L, Fukuda E, Allen PJ, Noam GG. The retrospective pretest–posttest design redux: On its validity as an alternative to traditional pretest–posttest measurement. International Journal of Behavioral Development 2020; 44(2), 175–183. DOI: 10.1177/0165025419877973

9. 9. Yurttas A, Kaya A, Engin R. Examination of hospital infection and hand hygiene compliance in intensive care unit of a university hospital. Journal of Health Sciences and Professions 2017; 4: 1-7. DOI: 10.17681/hsp.115490
10. 10. Dikis D, Simsek S, Kepeli N, et al. Evaluation of hygiene compliance rates among healthcare workers in a university hospital: a prospective study. Ege Journal of Medicine 2020; 59: 91-96. DOI: 10.19161/etd.756226
11. 11. Kosucu SN, Baltacı Goktas S, Yıldız T. Hand hygiene compliance rate of health professionals. Journal of Marmara University Institute of Health Sciences 2015; 5: 105-108. DOI: 10.5455/musbed.20150327042901
12. 12. Gon G, de Barra M, Dansero L, Nash S, Campbell OMR. Birth attendants' hand hygiene compliance in healthcare facilities in low and middle-income countries: a systematic review. BMC Health Serv Res 2020; 20(1): 1116. DOI: 10.1186/s12913-020-05925-9
13. 13. Phan HT, Tran HTT, Tran HTM, et al. An educational intervention to improve hand hygiene compliance in Vietnam. BMC Infect Dis 2018; 18: 116. DOI: 10.1186/s12879-018-3029-5
14. 14. Tyagi M, Hanson C, Schellenberg J, Chamarty S, Singh S. Hand hygiene in hospitals: an observational study in hospitals from two southern states of India. BMC Public Health 2018; 18: 1299. DOI: 10.1186/s12889-018-6219-6
15. 15. Aktug Demir N, Sumer S, Demir LS, Ural O. Knowledge levels of students, trainees and faculty members about hand hygiene at a university hospital. Klimik Journal 2018; 31: 106-109. DOI: 10.55517/mrr.1125453
16. 16. Aktug Demir N, Kolgelier S, Kucuk A, et al. Level of knowledge and compliance to hand hygiene among health care workers. Nobel Med 2013; 9: 104-109.
17. 17. Toraman AR, Battal F, Caskurlu H, Gurel A, Korkmaz F. Handwashing habit of health care workers in a intensive care unit. The New Journal of Medicine 2009; 26: 85-89.
18. 18. Ozturk R, Cesur S, Simsek Meltem E, Sen S, Sanal L. Assessment of knowledge levels of health care professionals working at intensive care units about infection control measures. Ortadogu Medical Journal 2018; 10: 289-296. DOI: 0.21601/ortadogutipdergisi.333462
19. 19. Wisniewski MF, Kim S, Trick WE, Welbel SF, Weinstein RA, Chicago Antimicrobial Resistance Project. Effect of education on hand hygiene beliefs and practices: A 5-year program. Infect Control Hosp Epidemiol 2007; 28: 88-91. DOI: 10.1086/510792 20. Karaoglu MK, Akin S. Effectiveness of hygienic hand washing training on hand washing practices and knowledge: a nonrandomized quasi-experimental design. J Contin Educ Nurs 2018; 49(8): 360-371. DOI: 10.3928/00220124-20180718-07