Nurses' Knowledge and Practice Assessment Regarding Hand Hygiene and Its Opportunities Application in Hemodialysis Units
Journal Title: IOSR Journal of Nursing and health Science - Year 2019, Vol 7, Issue 1
Abstract
Hemodialysis patients are high risk to the development of healthcare-associated infections because of various predisposing factors, as they under invasive procedures, depressed their immune system, they not have physical barriers between patients in the outpatient Hemodialysis environment, and recurrent contact with healthcare workers during procedures and care. Performance of proper hand hygiene technique before and after contact with dialysis catheter site or during the dressing reduces the possibility of infection. Proper hand hygiene performed by nurses lead to remove most of harmful microorganisms; and break the chain of infection. If Hemodialysis nurses have knowledge about correct hand hygiene technique, and its opportunities; these influence their good practices in infection control measures. Aim of the study: To assess nurses' knowledge and practice regarding hand hygiene and its opportunities application in hemodialysis units. Methodology: A descriptive comparative design was used. Subjects & Setting: 50 nurses divided into two groups each group 25 nurse who works at Hemodialysis unit in Menoufia university hospital and Shibin El-kom teaching hospital. Tools: three tools; Tool I: Structured interview questionnaire; which included nurses' knowledge about hand hygiene and its opportunities. Tool II: Observational guide for hand hygiene opportunities. Tool III: Observational checklist for hand hygiene technique. The results: Most of nurses from both setting had Diploma degree in nursing, their experience years were more than 5 years, and they aged between 26-30 years old. A majority from nurses working in Hemodialysis unit of Menoufia university hospital (setting 1) had good level of knowledge and practices about hand hygiene technique and its opportunities, presence of positive relationship among some socio-demographic characteristics of nurses and their knowledge and practices for hand hygiene technique and its opportunities. Conclusion: A proper Hand hygiene technique provides a hospital safety atmosphere for patients and nurses' knowledge about hand hygiene technique and its opportunities very essential for sound practice. Recommendation: Hemodialysis (HD) nurses need to basic training and periodic retraining to reinforce nurses' knowledge and practice about it. Establishment of hand care program for staff should be a key component of improving effective and safe hand hygiene practices to protect staff and clients/patients/visitors from infections.
Authors and Affiliations
Abeer El-Said, Hassane El-sol
Keywords
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- EP ID EP435265
- DOI 10.9790/1959-0701056171.
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