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Hand washing compliance among Healthcare staff in Intensive Care Unit (ICU) of a Multispecialty Hospital of North India
Author(s) -
Raman Sharma,
Meenakshi Sharma,
Vipin Koushal
Publication year - 2012
Publication title -
journal of hospital administration
Language(s) - English
Resource type - Journals
eISSN - 1927-7008
pISSN - 1927-6990
DOI - 10.5430/jha.v1n2p27
Subject(s) - hygiene , hand washing , medicine , washing hands , intensive care unit , unavailability , health care , nursing , compliance (psychology) , medical emergency , intensive care medicine , psychology , social psychology , pathology , economic growth , economics , reliability engineering , engineering

Purpose:

Hand hygiene is the single most important strategy to prevent HAIs. The present cross sectional study was conducted in ICUs to provide insight into the prevailing practices of hand-hygiene.

Results:

During two week analysis, 2400 hand washing opportunities were observed. Hand washing adherence rate was 86.0%, with highest compliance among nurses (94.0%). Compliance was (95.0%) after patient contact than 72.5% before contact. In 96.04% opportunities alcohol rub was used for hand washing. More than 90.0% staff was aware about facts viz. diseases prevented by hand washing (96.2%), ideal duration of hand washing (92.6%), reduction of HAI with hand washing (98.0%) etc.

Reasons for non-adherence emerged as work pressure (94.2%) and unavailability of materials (82.4%).

Conclusion

The level of compliance (86%) is below the need to be there in ICU otherwise. Easy access to hand-rub solutions, adherence measurement and institutional commitment might contribute to staff sensitivity to hand hygiene practices.

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