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Awoke N, Geda B, Arba A, et al. Nurses Practice of Hand Hygiene in Hiwot Fana Specialized University Hospital, Harari Regional State, Eastern Ethiopia: Observational Study. Nurs Res Pract. 2018;2018:2654947doi: 10.1155/2018/2654947.
Awoke, N., Geda, B., Arba, A., Tekalign, T., & Paulos, K. (2018). Nurses Practice of Hand Hygiene in Hiwot Fana Specialized University Hospital, Harari Regional State, Eastern Ethiopia: Observational Study. Nursing research and practice, 20182654947. https://doi.org/10.1155/2018/2654947
Awoke, Nefsu, et al. "Nurses Practice of Hand Hygiene in Hiwot Fana Specialized University Hospital, Harari Regional State, Eastern Ethiopia: Observational Study." Nursing research and practice vol. 2018 (2018): 2654947. doi: https://doi.org/10.1155/2018/2654947
Awoke N, Geda B, Arba A, Tekalign T, Paulos K. Nurses Practice of Hand Hygiene in Hiwot Fana Specialized University Hospital, Harari Regional State, Eastern Ethiopia: Observational Study. Nurs Res Pract. 2018 Apr 16;2018:2654947. doi: 10.1155/2018/2654947. eCollection 2018. PMID: 29850239; PMCID: PMC5926477.
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Nurs Res Pract. 2018 Apr 16;2018:2654947. doi: 10.1155/2018/2654947. eCollection 2018.

Nurses Practice of Hand Hygiene in Hiwot Fana Specialized University Hospital, Harari Regional State, Eastern Ethiopia: Observational Study.

Nursing research and practice

Nefsu Awoke, Biftu Geda, Aseb Arba, Tiwabwork Tekalign, Kebreab Paulos

Affiliations

  1. Department of Nursing, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
  2. School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
  3. Department of Midwifery, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.

PMID: 29850239 PMCID: PMC5926477 DOI: 10.1155/2018/2654947

Abstract

BACKGROUND: Nurses, who are the majority, can contaminate their hands with different types of microorganism during "clean" activities (e.g., lifting a patient; taking a patient's pulse, blood pressure, or oral temperature; or touching a patient's hand, shoulder, or groin). Yet good hand hygiene, the simple task of cleaning hands at the right time and in the right way, can reduce HCAIs that are transmitted by healthcare workers' hands.

METHOD: Observational study conducted among nurses by observational tool which was adopted from WHO observational tool. And finally compliance was calculated as a percentage (i.e., compliance% = (observed hand hygiene action (HHA) ÷ hand hygiene opportunity (O)) × 100). The data were first coded, entered, and cleaned using EpiData statistical software version 3.1 and then exported into SPSS statistical software version 22 for analysis. Data were presented using descriptive statistics.

RESULT: A total of 110 study participants were observed who gave a response rate of 94.8%. Total of 3902 opportunities and 732 hand hygiene actions were observed with overall compliance of 18.7%. The highest 22.9% hand hygiene practice was observed "before clean∖aseptic procedure." Highest 19.6% compliance was recorded at night shift and 22.7% in ICU ward of the hospital. Alcohol based hand rub was a major means of method used to clean hands.

CONCLUSION AND RECOMMENDATION: Observed practice of hand hygiene was poor. Lack of training, conveniently located sink, hand washing agents, and lack of time were major reasons for not practicing hand hygiene. Successful promotion of hand hygiene through instituting system change (e.g., making hand hygiene products available at the point of care) should be considered.

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