紧急情况下的手部卫生:来自德国的一项基于混合方法的在线调查的多专业认知
Stefan Bushuven1,2,3, Michael Bentele4,5, Stefanie Bentele4,6
1Department of Anesthesiology and Critical Care, Medical Center - University of Freiburg, Freiburg, Germany.
International journal of nursing studies advances
|May 24, 2024
概括
医疗保健提供者在紧急情况下不优先考虑手部消毒,尽管知道感染风险,但经常以情况为理由. 障碍适当的手部卫生,包括手套使用,需要教育干预.
科学领域:
- 与医疗保健相关的感染
- 感染控制实践的做法.
- 医学教育 医学教育
背景情况:
- 在紧急情况下,手部消毒的遵守率极低,医疗保健提供者通常优先考虑一次性手套而不是消毒.
- 这种做法经常被生命支持程序的感知延迟所证明是合理的,尽管模拟研究表明可以实现更高的合规性.
研究的目的:
- 调查医疗保健提供者在紧急情况下对手部消毒和手套使用的态度.
- 识别影响在重症监护环境中遵守手部卫生协议的障碍.
主要方法:
- 在德国进行了一项匿名在线调查,评估人们对手部卫生五个时刻的态度和自我报告的行为.
- 统计分析包括配对的t测试,并使用单个编码器方法分析定性数据.
主要成果:
- 低优先级被分配给手部卫生时刻WHO-1 (在患者接触之前) 和WHO-2 (在无菌程序之前),即使意识到相关风险.
- 对手部卫生实践的自我评估明显高于同事的评估 (p < 0.001).
- 在紧急情况下,为WHO-3 (暴露体液后) 优先使用手套而不是裸手消毒.
结论:
- 紧急情况发生前的手部消毒被紧急情况的背景降低了优先级,并被合理化,而不考虑客观可行性.
- 确定了实施基本手部卫生时刻 (WHO-1,WHO-2) 的主观和客观障碍,强调了有针对性的教育计划的必要性.
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