A Survey of Knowledge of Hand Hygiene among Nurses_Chinese Journal of Evidence-Based Medicine

Authors：

WANG Yanhong ¹ , LIU Suzhen ¹ , ZHONG Huiyi ² , LI Jiping ¹

1. School of Nursing, West China Center of Medical Sciences of Sichuan University, Chengdu 610041, China 2. School of Nursing, Hong Kong Polytechnic University, Kowloon Hong Kong, China;

Corresponding author：

Keywords：

Nurses; Hand hygiene; Survey

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Objective 　To survey the knowledge of hand hygiene among nurses and to identify factors influencing the performance of hand hygiene.
Methods 　A questionnaire of hand hygiene developed according to the Guideline for Hand Hygiene in Health Care Settings was used to investigate nurses’ knowledge about hand hygiene.
Results 　The average score for nurses’ knowledge about hand hygiene was 18.59±2.19 out of a possible maximum score of 21. Knowledge about hand hygiene among nurses varied significantly in different departments (P=0.004). The main self-reported factors influencing the performance of hand hygiene were irritation and dryness caused by hand-washing agents (73.44%) and busy workload (65.53%).
Conclusions 　Nurses generally have good knowledge about hand hygiene but are less aware of some hand hygiene indications. Effective measures are needed to improve compliance with hand hygiene among nurses.

Citation： WANG Yanhong,LIU Suzhen,ZHONG Huiyi,LI Jiping. A Survey of Knowledge of Hand Hygiene among Nurses. Chinese Journal of Evidence-Based Medicine, 2006, 06(9): 641-645. doi: Copy

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1. 朱士俊. 现代医院感染学. 第2版. 北京: 人民军医出版社; 1998. 212.
2. 关于下发《医院感染管理规范（试行）》的通知. http://www.moh.gov.cn/news/search_index.aspx.
3. 《消毒技术规范》. http://www.moh.gov.cn/news/search_index.aspx.
4. 《医院预防与控制传染性非典型肺炎（SARS）医院感染的技术指南》. http://www.moh.gov.cn/public/open.aspx?n_id.
5. 张晓春, 林树德, 吴建明. 200名护士洗手的调查. 中华医院感染学杂志, 2001, 11(4): 261.
6. 施雁, 高秋韵, 毛雅芬, 等. 护理人力资源与护理质量相关性分析. 中国医院, 2005; 9(5): 61–63.
7. Zhu SJ. Modern Hospital Infection. 2nd ed. Beijing: People’s Military Medical Press; 1998. 212.
8. Boyce JM, Pittet D, et al. Guideline for Hand Hygiene in Health-Care Settings Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Morbidity and Mortality Weekly Report, 2002; 51(RR16): 1–45.
9. Notice For Publishing "The Standard of Hospital Infection management". http://www.moh.gov.cn/news/search_index.aspx.
10. Technical Standard for Disinfection. http://www.moh.gov.cn/news/search_index.aspx.
11. Technical Guideline for Prevention and Control of Severe Acute Respiratory Syndrome, SARS. http://www.moh.gov.cn/public/open.aspx?n_id.
12. Zimakoff J, Kjelsberg AB, Larsen SO, et al. A multicenter questionnaire investigation of attitudes toward hand hygiene, assessed by the staff in fifteen hospitals in Denmark and Norway. Am J Infect Control, 1992; 20(2): 58–64.
13. Zhang XC, Lin SD, Wu JM. Survey on the hand washing in 200 nurses. Chinese Journal of Nosocomiology, 2001; 11(4): 261.
14. Harbarth S, Sudre P, Dharan S, et al. Outbreak of Enterobacter cloacae related to understaffing, overcrowding, and poor hygiene practices. Infect Control Hosp Epidemiol, 1999; 20(9): 598–603.
15. Shi Y, Gao QF, Mao YF, et al. The correlation analysis of nursing manpower resource and nursing quality. Chinese Hospitals, 2005; 9(5): 61–63.

Chinese Journal of Evidence-Based Medicine

A Survey of Knowledge of Hand Hygiene among Nurses

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