DOI QR코드

DOI QR Code

간호간병통합서비스 병동 간호사의 손위생 시점에 대한 완전지식 수준

Level of Complete Knowledge on Five Moments of Hand Hygiene among Nurses Working at Integrated Nursing Care Service Wards

  • 투고 : 2021.02.17
  • 심사 : 2021.05.18
  • 발행 : 2021.08.31

초록

Purpose: This study aimed to identify the level of complete knowledge about hand hygiene indications among nurses working at integrated nursing care service wards. Methods: A total of 127 nurses in eight integrated nursing care service wards completed structured sheets while observing a video based on six scenarios developed by the research team. Complete knowledge level was calculated as the percentage (%) of participants who responded correctly to all questions among participants. Complete knowledge levels according to the scenarios were calculated and compared according to general characteristics using the chi-squared test or Wilcoxon rank-sum test. Results: The complete knowledge level for each scenario ranged from 7.9% (scenario 6) to 42.5% (scenarios 4 and 5), and no one had complete knowledge of all scenarios. Only 3.1% of participants demonstrated complete knowledge in more than four scenarios, and 26.0% had complete knowledge of four or more hand hygiene moments. Complete knowledge level per scenario did not differ depending on work experience at hospitals and study wards, or prior hand hygiene training in the last year. Conclusion: As the complete knowledge level regarding hand hygiene moment is very low, it is suggested that regular hand hygiene training should be provided to nurses using video media that reflect real nursing tasks. Thus, they can acquire complete knowledge of when hand hygiene is needed or not during complex nursing work situations.

키워드

참고문헌

  1. World Health Organization. Transmission of pathogens by hands. In: World Health Organization, editor. WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care is Safer Care. Geneva: World Health Organization Press; 2009. p. 12-21.
  2. Ragusa R, Giorgianni G, Lupo L, Sciacca A, Rametta S, La Verde M, et al. Healthcare-associated Clostridium difficile infection: Role of correct hand hygiene in cross-infection control. Journal of Preventive Medicine and Hygiene. 2018;59(2):E145-E152. https://doi.org/10.15167/2421-4248/jpmh2018.59.2.923
  3. Ministry of Health & Welfare, Korea Institute for Healthcare Accreditation. The 3rd long-term care hospitals accreditation criteria. Sejong, Seoul: Ministry of Health & Welfare, Korea Institute for Healthcare Accreditation; 2019. p. 23-24.
  4. Ministry of Health & Welfare, Korea Institute for Healthcare Accreditation. The 3rd acute care hospitals accreditation criteria. Sejong, Seoul: Ministry of Health & Welfare, Korea Institute for Healthcare Accreditation; 2018. p. 30.
  5. Health Partners Consulting Group (HPCG). Hand hygiene evaluation: Report prepared for the Health Quality and Safety Commission [Internet]. Auckland: HPCG; c2014 [cited 2021 Jan 26]. Available from: https://www.hqsc.govt.nz/assets/Infection-Prevention/Hand-Hygiene/HHNZ-evaluation-report-Jan-2015.pdf.
  6. Winnipeg Regional Health Authority (WRHA). Hand hygiene compliance [Internet]. Winnipeg: WRHA; c2021 [cited 2021 Apr 5]. Available from: https://wrha.mb.ca/infection-prevention-control/hand-hygiene/.
  7. Australian Commission on Safety and Quality in Health Care. National hand hygiene audit data [Internet]. Sydney: Australian Commission on Safety and Quality in Health Care; c2020 [cited 2021 Apr 5]. Available from: https://www.safetyandquality.gov.au/our-work/infection-prevention-and-control/national-hand-hygiene-initiative-nhhi/national-audits-and-hhcapp/national-hand-hygiene-audit-data-audit-3-2020.
  8. HSE Health Protection Surveillance Centre (HSE HPSC). Annual epidemiological report: Hand hygiene in Ireland, 2018 [Internet]. Dublin: HSE HPSC; c2019 [cited 2021 Apr 5]. Available from: https://www.hpsc.ie/a-z/microbiologyantimicrobialresistance/infectioncontrolandhai/handhygiene/surveillance/.
  9. World Health Organization (WHO). Hand hygiene self-assessment framework 2010: Introduction and user instructions [Internet]. Geneva: WHO; c2010 [cited 2021 Apr 5]. Available from: https://www.who.int/gpsc/country_work/hhsa_framework_October_2010.pdf.
  10. Lee EJ, Kim S, Bahk HJ, Lee HM. Results of the Korean National Healthcare-Associated Infections Surveillance System (KONIS) -hand hygiene surveillance-. Public Health Weekly Report. 2019;12(42):1757-1765.
  11. Neo JR, Sagha-Zadeh R, Vielemeyer O, Franklin E. Evidence-based practices to increase hand hygiene compliance in health care facilities: An integrated review. American Journal of Infection Control. 2016;44(6):691-704. https://doi.org/10.1016/j.ajic.2015.11.034
  12. World Health Organization. The WHO multimodal hand hygiene improvement strategy. In: World Health Organization, editor. WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care is Safer Care. Geneva: World Health Organization Press; 2009. p. 99-123.
  13. Luangasanatip N, Hongsuwan M, Limmathurotsakul D, Lubell Y, Lee AS, Harbarth S, et al. Comparative efficacy of interventions to promote hand hygiene in hospital: Systematic review and network meta-analysis. BMJ. 2015;351:h3728. https://doi.org/10.1136/bmj.h3728
  14. Alshehari AA, Park S, Rashid H. Strategies to improve hand hygiene compliance among healthcare workers in adult intensive care units: A mini systematic review. Journal of Hospital Infection. 2018;100(2):152-158. https://doi.org/10.1016/j.jhin.2018.03.013
  15. Park JA, Yang NY. Knowledge and compliance on hand hygiene moments of nursing care workers in geriatric hospitals. Journal of Korean Academic Society of Home Health Care Nursing. 2018;25(2):165-174. https://doi.org/10.22705/jkashcn.2018.25.2.165
  16. Sax H, Allegranzi B, Uckay I, Larson E, Boyce J, Pittet D. 'My five moments for hand hygiene': A user-centred design approach to understand, train, monitor and report hand hygiene. Journal of Hospital Infection. 2007;67(1):9-21. https://doi.org/10.1016/j.jhin.2007.06.004
  17. Salmon S, Pittet D, Sax H, McLaws ML. The 'My five moments for hand hygiene' concept for the overcrowded setting in resource-limited healthcare systems. Journal of Hospital Infection. 2015;91(2):95-99. https://doi.org/10.1016/j.jhin.2015.04.011
  18. Lambe KA, Lydon S, Madden C, Vellinga A, Hehir A, Walsh M, et al. Hand hygiene compliance in the ICU: A systematic review. Critical Care Medicine. 2019;47(9):1251-1257. https://doi.org/10.1097/CCM.0000000000003868
  19. Lary D, Calvert A, Nerlich B, Segal J, Vaughan N, Randle J, et al. Improving children's and their visitors' hand hygiene compliance. Journal of Infection Prevention. 2020;21(2):60-67. https://doi.org/10.1177/1757177419892065
  20. Shobowale EO, Adegunle B, Onyedibe K. An assessment of hand hygiene practices of healthcare workers of a semi-urban teaching hospital using the five moments of hand hygiene. Nigerian Medical Journal. 2016;57(3):150-154. https://doi.org/10.4103/0300-1652.184058
  21. Nguyen HV, Tran HT, Khuong LQ, Nguyen TV, Ho NTN, Dao ATM, et al. Healthcare workers' knowledge and attitudes regarding the World Health Organization's "My 5 Moments for Hand Hygiene": Evidence from a Vietnamese central general hospital. Journal of Preventive Medicine and Public Health. 2020;53(4):236-244. https://doi.org/10.3961/jpmph.19.319
  22. Fernandez PG, Loftus RW, Dodds TM, Koff MD, Reddy S, Heard SO, et al. Hand hygiene knowledge and perceptions among anesthesia providers. Anesthesia and Analgesia. 2015;120(4):837-843. https://doi.org/10.1213/ANE.0000000000000408
  23. Sahai V, Eden K, Glustein S. Hand hygiene knowledge, attitudes and self-reported behaviour in family medicine residents. Canadian Journal of Infection Control. 2016;31(1):11-17.
  24. Jung E, Ha Y, Park N, Kim HH. Survey of ICU nurses' knowledge of the specific moments of hand hygiene. Journal of Korean Critical Care Nursing. 2017;10(2):56-70.
  25. Pittet D, Simon A, Hugonnet S, Pessoa-Silva CL, Sauvan V, Perneger TV. Hand hygiene among physicians: Performance, beliefs, and perceptions. Annals of Internal Medicine. 2004;141(1):1-8. https://doi.org/10.7326/0003-4819-141-1-200407060-00008
  26. Ministry of Health & Welfare (MOHW), National Health Insurance Service. Standard operating manual for integrated nursing and caring services. Sejong, Wonju: Ministry of Health & Welfare, NHIS; 2020. p. 9-10, 87-90.
  27. Kwon MK, Choi EH, Lee KS, Hwang TY, Kim MK, Kim CY. Tool development of job analysis on integrated nursing and caring services. Korean Public Health Research. 2019;45(3):105-115. https://doi.org/10.22900/kphr.2019.45.3.010
  28. Ahn SH, Jung SH, You JH, Lee MA. Nursing tasks and practice environment for nursing work perceived by nurses working on comprehensive wards versus general wards. Journal of Korean Academy of Nursing Administration. 2018;24(1):10-20. https://doi.org/10.11111/jkana.2018.24.1.10
  29. Ministry of Health & Welfare (MOHW). The 1st National health insurance plan<2019-2023>. Sejong: Ministry of Health & Welfare; 2019. p. 19.
  30. Jewell A. Supporting the novice nurse to fly: A literature review. Nurse Education in Practice. 2013;13(4):323-327. https://doi.org/10.1016/j.nepr.2013.04.006
  31. Dean AG, Sullivan KM, Soe MM. OpenEpi [computer Program]. Version. 3.01. 2013. Available from: http://www.openepi.com.
  32. Kang YJ. Knowledge on the moment of hand hygiene among nurses in acute care hospitals [master's thesis]. Ulsan: University of Ulsan; 2014. p. 1-41.
  33. 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. Journal of Infection in Developing Countries. 2019;13(8):744-747. https://doi.org/10.3855/jidc.10916
  34. Park HJ. Development of educational video program on women's urinary incontinence: Pelvic floor muscle exercise [master's thesis]. Seoul: Ewha Womans University; 2001. p. 1-104.
  35. Tartari E, Fankhauser C, Masson-Roy S, Marquez-Villarreal H, Fernandez Moreno I, Rodriguez Navas ML, et al. Train-the-Trainers in hand hygiene: A standardized approach to guide education in infection prevention and control. Antimicrobial Resistance and Infection Control. 2019;8(1):206. https://doi.org/10.1186/s13756-019-0666-4
  36. Nakamura I, Fujita H, Tsukimori A, Kobayashi T, Sato A, Fukushima S, et al. Scenario-based simulation health care education for performance of hand hygiene. American Journal of Infection Control. 2019;47(2):144-148. https://doi.org/10.1016/j.ajic.2018.07.024
  37. Sim KH. Tips for creating effective health education materials. Journal of Korean Diabetes. 2011;12(2):99-103. https://doi.org/10.4093/jkd.2011.12.2.99
  38. Hoffmann M, Sendlhofer G, Gombotz V, Pregartner G, Zierler R, Schwarz C, et al. Hand hygiene compliance in intensive care units: An observational study. International Journal of Nursing Practice. 2020;26(2):e12789. https://doi.org/10.1111/ijn.12789
  39. Lau T, Tang G, Mak KL, Leung G. Moment-specific compliance with hand hygiene. The Clinical Teacher. 2014;11(3):159-164. https://doi.org/10.1111/tct.12088
  40. Felembam O, John WS, Shaban RZ. Hand hygiene practices of home visiting community nurses: Perceptions, compliance, techniques, and contextual factors of practice using the World Health Organization's "five moments for hand hygiene". Home Healthcare Nurse. 2012;30(3):152-160. https://doi.org/10.1097/NHH.0b013e318246d5f4
  41. Mostafazadeh-Bora M, Bahrami M, Hosseini A. A survey of nurses' compliance with hand hygiene guidelines in caring for patients with cancer in a selected center of Isfahan, Iran, in 2016. Iranian Journal of Nursing and Midwifery Research. 2018;23(2):119-124.