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Identifier 000423751
Title Συμμόρφωση του προσωπικού του ΠαΓΝ Ηρακλείου με τα μέτρα υγιεινής και τις προφυλάξεις για την πρόληψη μετάδοσης λοιμώξεων
Alternative Title Compliance and knowledge of nursing staff on hygiene measures and hand hygiene in University hospital of heraklion
Author Λυδάκη, Χαρίκλεια
Thesis advisor Γαλανάκης, Εμμανουήλ
Ηλία, Σταυρούλα
Παυλοπούλου, Ιωάννα
Abstract Introduction: Health-Care Associated Infections (HCAIs) are a serious problem for health services. Proper hand hygiene contributes to reducing transmission of pathogens and has been recognized as the most important measure to prevent the transmission of health care associated infections. However, it has been demonstrated a strong association between low compliance of health workers with hand hygiene and high prevalence of HCAIs. Knowledge evaluation regarding hand hygiene among nursing staff is an important step in promoting new cultural practices and guidelines and thus their proper implementation. Aim: To evaluate the compliance and knowledge of hand hygiene at the Nursing Staff of the University Hospital of Heraklion, using a questionnaire. The ultimate goal of this study was to enhance hand hygiene practices and design implementable strategies to reduce transmission of pathogenic microorganisms served by HCWs’ hands. Material and Methods: A cross-sectional survey was conducted among employees of the Nursing Office of the Hospital, of which 288 were registered nurses, 129 auxiliary nurses and 35 midwives. The 83.7% were women. The method used for employee knowledge assessment was based on an anonymous, self-completed questionnaire based on WHO’s questionnaire “Hand Hygiene Knowledge Questionnaire for Health-Care Workers”. The questions were based on its guidelines evaluating all five key points of hand hygiene. Results: The percentage of knowledge about hand hygiene was 52%. Although the majority uses the ABHR as a routine (91.7%), only 50.3% knew the minimum time required for its application. The level of knowledge for the most frequent source of pathogens responsible for healthcare-associated infections was very low (26.3%), while for the main route of cross-transmission of potentially harmful bacteria was good (78.4%). A very high percentage was aware of the hand hygiene actions that prevent transmission of germs to the patient (95.9% before touching a patient and 83.9% before an aseptic procedure) and the hand hygiene actions that prevent transmission of germs to HCWs (92% after touching a patient and 93.6% after a risk of body fluid exposure). 54.9% considered hand rubbing causes skin dryness, 66.8% that it is not more effective than hand washing and only 20.3% knew that the two methods are not recommended to be performed in sequence. Most of the respondents (>90%) knew that jewellery, damaged skin and artificial nails are factors associated with an increased likehood of colonization of hands with pathogens. Conclusions: Health care workers' knowledge of hand hygiene is considered as moderate. Our findings are similar to these in other studies. It is important to emphasize on continuing training and education of health workers on new guidelines on hand hygiene and its relation to HCAIs, as well as on the quality of nursing schools education.
Language Greek
Subject Health -care associated infections
Health care workers
Γνώση υγιεινής των χεριών
Εργαζόμενοι στο χώρο της φροντίδας υγείας
Λοιμώξεις σχετιζόμενος με την φροντίδα υγείας
Issue date 2019-07-17
Collection   Faculty/Department--School of Medicine--Department of Medicine--Post-graduate theses
  Type of Work--Post-graduate theses
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