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Related Concept Videos

Hand hygiene01:23

Hand hygiene

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Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
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Healthcare Associated Infections II: Preventive Measures01:22

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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Handwashing III: During the Procedure and Post-Procedure Steps01:15

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To wash hands properly, follow these steps:
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Standard Precaution01:26

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Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
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Handwashing II: Pre-procedure and Initial Procedure Steps01:19

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The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury.  The nails must be short and clean, without nail...
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Handwashing I: Introduction and Types of Equipment01:18

Handwashing I: Introduction and Types of Equipment

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Handwashing is hand hygiene with plain or antimicrobial soap and water to physically remove dirt, organic material, and microorganisms. However, it may not kill all microorganisms. The handwashing procedure requires a hand wash basin, liquid soap, paper towels, a domestic waste bin, and disposable nail cleaner as optional equipment.
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated....
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A Method to Test the Efficacy of Handwashing for the Removal of Emerging Infectious Pathogens
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Hand hygiene behavior: translating behavioral research into infection control practice.

Thanee Eiamsitrakoon1, Anucha Apisarnthanarak, Winitra Nuallaong

  • 1Thammasat University Hospital, Pathumthani, Thailand.

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Summary

Healthcare worker hand hygiene compliance with the WHO

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Area of Science:

  • Infection Control
  • Public Health
  • Healthcare Quality Improvement

Background:

  • The World Health Organization (WHO) introduced "My Five Moments for Hand Hygiene" (5MHH) in 2009 to standardize hand hygiene (HH) practices.
  • Uncertainty exists regarding the actual uptake and adherence to these critical HH recommendations among healthcare workers (HCWs).

Purpose of the Study:

  • To prospectively assess healthcare worker (HCW) compliance with the WHO's "My Five Moments for Hand Hygiene" (5MHH) guidelines.
  • To investigate factors influencing HCW hand hygiene compliance using behavioral theories.
  • To compare self-reported HH compliance with observed behaviors.

Main Methods:

  • Prospective observation of 123 HCWs (968 observations) performing "My Five Moments for Hand Hygiene" (5MHH).
  • Post-observation surveys administered to consenting HCWs, utilizing constructs from the transtheoretical model (TTM) and theory of planned behavior (TPB).
  • Comparison of observed HH compliance rates with self-reported data and theoretical behavioral measures.

Main Results:

  • Observed mean HH compliance was 23.2%, significantly lower than the self-reported 82.4%.
  • Compliance varied by hospital unit, patient type (immunocompromised), and provider-patient interactions.
  • Self-reported adherence to TTM stages and TPB scores correlated with observed and self-reported HH compliance.

Conclusions:

  • Observed adherence to "My Five Moments for Hand Hygiene" (5MHH) is influenced by hospital unit and patient encounter type.
  • Behavioral measures derived from TTM and TPB show a correlation with hand hygiene commitment.
  • Significant discrepancies exist between observed and self-reported hand hygiene compliance among HCWs.