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Aim: This descriptive and observational study was conducted to identify the opinions of nurses regarding hand washing habits and to assess their hand hygiene compliance rates. Methods: The nurses (n=63) were asked about their views regarding their hand hygiene habits. Nurses' hand hygiene compliance and hand washing behaviors were observed. Nurses were not aware that their hand washing behaviors were observed. Hand washing behaviors were assessed using the Hand-washing Observation Tool. Results: Nurses reported that they washed their hands frequently ("often" or "always") during routine patient caregiving in the hospital setting. Researchers observed a total of 703 hand-washing indications. Unlike the nurses' self-reports on hand-washing behaviors, the hand hygiene compliance rates were poor (ranging from 0% to 2.3%). Hand washing was performed using soap and water (54.7%) or alcohol disinfectant (45.3%). The majority of hand washing behaviors were not performed using the proper techniques or were only performed using partly proper techniques (97.8%). Only 2.2% of cases washed their hands using proper techniques. Of the nurses, 21% washed their hands for less than five seconds, 73.2% for five to fifteen seconds, and 5.8% for longer than fifteen seconds. Conclusion: The research found that self-reported hand washing habits of the nurses were good in general. However, the observations showed that hand hygiene compliance rates among nurses were extremely poor. The results revealed that there was a need to improve the nurses' attitudes towards hand washing and proper hand washing techniques as well as a need for hand hygiene education.

Evaluation of Nurses’ Views about Hand Washing Habits and Hand Hygiene Compliance Rates