Browse > Article

A Survey of Nurses' Hand Hygiene Knowledge, Perception and Hand Hygiene Performance Rate  

Cha, Kyeong-Sook (Department of Nursing Science, Sun Moon University)
Ko, Ji Woon (Department of Nursing Science, Sun Moon University)
Han, Si-Hyeon (Infection Control Department, Dankook University Hospital)
Jung, Kyung-Hee (Infection Control Department, Dankook University Hospital)
Publication Information
Journal of Korean Critical Care Nursing / v.11, no.1, 2018 , pp. 101-109 More about this Journal
Abstract
Purpose : The purpose of this study was to identify the knowledge, perception and hand hygiene performance rate of hospital nurses and to identify any correlation between them. Method : Data were collected from 205 nurses working in a university hospital in Chungcheong-do. A self-report survey method was utilized. Participants completed the hand hygiene knowledge questionnaire. Results : The average knowledge of hand hygiene was 11.76 (out of 18 points), and the average perception of hand hygiene was 35.55 (out of 96). The hand hygiene performance rate was 85.62%. Knowledge of hand hygiene showed significant differences according to age (F = 75.821, p < .001), gender (t = 25.049, p < .001) and working period (F = 24.843, p < .001). The most important explanatory factor in hand hygiene performance was hand hygiene perception (${\beta}=.26$), followed by working period (${\beta}=.14$). These variables accounted for 10.0% of subjects' hand hygiene performance. Conclusion : The results of this study suggest that continuous and effective education is needed to strengthen knowledge and perception of the importance of hand hygiene practice for nurses to prevent healthcare-associated infections.
Keywords
Hand hygiene; Nurse; Healthcare associated infection; Knowledge; Perception;
Citations & Related Records
Times Cited By KSCI : 6  (Citation Analysis)
연도 인용수 순위
1 Ahn, M. (2002). Handwashing related factors of handwashing practice by nursing personal in crictical care unit. Unpublished master's thesis, Yonsei University, Seoul.
2 Allegranzi, B., & Pittet, D. (2009). Role of hand hygiene in healthcare-associated infection prevention. Journal of Hospital Infection, 73, 305-315.   DOI
3 Boyce, J. M., & Pittet, D. (2002). Guideline for hand hygiene in health-care settings. Recommendations of the healthcare infection control practice advisory committee and the HICPAC/SHEA/APIC/IDSA hand hygiene task force. MMWR. Recommendations and reports, 51. 1-45.
4 De Wandel, D., Maes, L., Labeau, S., Vereecken, C., & Blot, S. (2010). Behavioral determinants of hand hygiene compliance in intensive care units. American Association of Critical-Care Nurses, 19 (3), 230-239.
5 Erasmus, V., Daha, T. J., Brug, H., Richardus, J. H., Behrendt, M. D., Vos, M. C., & van Beeck, E. F. (2010). Systematic review of studies on compliance with hand hygiene guidelines in hospital care. Infection Control and Hospital Epidemiology, 31(3), 283-294.   DOI
6 Gould, D. J., Drey, N. S., Moralejo, D. Grimshaw, J., & Chudleigh, J. (2008). Interventions to improve hand hygiene compliance in patient care. Journal of Hospital Infection, 68, 193-202.   DOI
7 Haley, R. W., Quade, D., Freeman, H. E., & Bennett, J. V. (1980). The SENIC project study on the efficacy of nosocomial infection contorol (SENIC project): Summary of study design. American Journal of Epidemiology, 111 (5), 472-485.   DOI
8 Her, S., Kim, I. S., & Kim, K. H. (2008). Factors affecting on the level of practice on nosocomial infection management among operating room nurses. The Journal of Korean Academic Society of Adult Nursing, 20 (3), 375-385.
9 Hwang, E. S., & Park, J. H. (2016). The effect of a scenario based hand hygiene education program on hand hygiene knowledge, hand hygiene perception, hand hygiene compliance and hand hygiene method in nursing students. Journal of the Korean Academy of Fundamentals of Nursing, 23 (2), 194-203.   DOI
10 Jang, J., Moore, C., Rotondo, J., & Green, K. (2010). Focus group study of hand hygiene practice among healthcare workers in a teaching hospital in Toronto, Canada. Infection Control and Hospital Epidemiology, 31 (2), 144-150.   DOI
11 Jeoung, S. Y., & Kim, O. (2013). Knowledge and beliefs about hand hygiene among hospital nurses. Korean Journal of Occupational Health Nursing, 22 (3), 198-207.   DOI
12 Kim, G. R. (2015). Effects of hand washing education of primary school children. Korean Journal of Health Education, 1 (1), 1-23.
13 Kim, M. K. (2015). Factors associated with healthcare workers' hand hygiene compliance: Focusing on intention and identification. Unpublished master's thesis, Seoul National University, Seoul.
14 Kim, H., & Kim, N. (2017). A study of the knowledge, awareness and performance of the infection control among nurses in long-term care hospital. Asiapacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 7 (11), 457-471.
15 Kweon, O. M., Park, E., Lee, D., Lee, J. H., Ha, E, J., Yong, D.,...Lee, K. (2017). A three-year study of the effectiveness of hand-hygiene protocol implementation at a university hospital. Korean Journal of Nosocomial Infection Control, 17(2), 53-60.
16 Lee, Y., & Shin, H. (2017). A feasibility study of hand hygiene status in Korea hospital. Korea Institute of Healthcare Architecture, 23 (3), 9-17.
17 Lee, M. H., & Kang, H. S. (2007). A comparative study on professional-specific handwashing practices of ICU health care providers. Journal of Korean Academy of Fundamentals of Nursing, 14 (3), 297-305.
18 Lee, S. S., Park, S. J., Chung, M. J., Lee, J. H., Kang, H. J., Lee, J., & Kim, Y. K. (2014). Improved hand hygiene compliance is associated with the change of perception toward hand hygiene among medical personnel. Infection & Chemotherapy, 46 (3), 165-171.   DOI
19 Lee, M. R., So, H. Y., & Cho, M. K. (2005). Determinants of nurses handwashing practice. The Journal of Korean Academic Society of Adult Nursing, 17(2), 268-275.
20 Moret, L., Tequi, B., & Lombrail, P. (2004). Should self-assessment methods be used to measure compliance with handwashing recommendations? A study carried out in a French university hospital. American journal of infection control. 32 (7), 384-390.   DOI
21 Pittet, D. (2000). Improving compliance with hand hygiene in hospital. Infection Control of Hospital Epidemiology, 58 (1), 1-13.
22 Ryu, S. M. (2013). Knowledge, attitude, and performance on the hand washing of health care related student. Journal of the Korea Academia-Industrial cooperation Society, 14 (8), 3916-3924.   DOI
23 Sax, H., Uckay, I., Richer, H., Allegranzi, B., & Pittet, D. (2007). Determinants of good adherence to hand hygiene among healthcare workers who have extensive exposure to hand hygiene campaigns. Infections Control Hospital Epidemiology, 28 (11), 1267-1274.   DOI
24 Song, J. Y., & Jung, I. S. (2015). The hawthorne effect on the adherence to hand hygiene. Perspectives in Nursing Science, 12 (1), 7-13.   DOI
25 World Health Organization. (2009c). Hand hygiene perception survey for health-care workers. Retrieved from http://www.who.int/infection-prevention/tools/hand-hygiene /evaluation_feedback/en/
26 Yang, N. Y., & Choi, J. S. (2009). Influenza A (H1N1) regional hospital nurse's knowledge, awareness and practice of infection control. The Journal of Korean Academic Society of Adult Nursing, 21(6), 593-602.
27 World Health Organization. (2009a). A guide to the implementation of the WHO multimodal hand hygiene improvement strategy. Retrieved from http://www.who.int/gpsc/5may/Guide_to_Implementation.pdf
28 World Health Organization. (2009b). Hand hygiene knowledge questionnaire for health-care workers. Retrieved from http://www.who.int/infection-prevention/tools/hand-hygiene/evaluation_feedback/en/