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High nursing workload is a main associated factor of poor hand hygiene adherence in Beijing, China: An observational
Shan Zhang1, Xiangping Kong2, Karen V Lamb3
1School of Nursing, Capital Medical University, Beijing, China.
Aim:
The aim of the study was to explore the impact of nurse workloads on adherence to hand hygiene.
Background:
Adherence to hand hygiene and nursing workloads have been linked to quality of patient care. Therefore, it was important to understand the relationship to safe patient care.
Design:
This cross-sectional study was performed from January 2016 to June 2016.
Methods:
Workloads and adherence to hand hygiene for nurses on 3-day shifts in a tertiary hospital were investigated in 2016. Actual hours worked per shift were timed using a stopwatch to assess nursing workloads. Descriptive and inferential statistics and multiple variable regression analysis were used to analyse the data.
Results:
Sixty-four nurses from four wards were observed. The average adherence rate of hand hygiene was 26.6% and the average nursing workload per shift was 6.7 hours. Multiple regression revealed that nursing workload was negatively related to adherence rate of hand hygiene.
Conclusion:
Nurses in this study that had a low rate of adherence with hand hygiene frequently had high workloads. Adherence to hand hygiene was independently associated with actual hours worked per shift.
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