Journal articles on the topic 'Hospitals Staff Health and hygiene'
To see the other types of publications on this topic, follow the link: Hospitals Staff Health and hygiene.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Hospitals Staff Health and hygiene.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Tantum, Lucy K., John R. Gilstad, Fatorma K. Bolay, Lily M. Horng, Alpha D. Simpson, Andrew G. Letizia, Ashley R. Styczynski, Stephen P. Luby, and Ronan F. Arthur. "Barriers and Opportunities for Sustainable Hand Hygiene Interventions in Rural Liberian Hospitals." International Journal of Environmental Research and Public Health 18, no. 16 (August 14, 2021): 8588. http://dx.doi.org/10.3390/ijerph18168588.
Full textAbstract:
Hand hygiene is central to hospital infection control. During the 2014–2016 West Africa Ebola virus disease epidemic in Liberia, gaps in hand hygiene infrastructure and health worker training contributed to hospital-based Ebola transmission. Hand hygiene interventions were undertaken post-Ebola, but many improvements were not sustainable. This study characterizes barriers to, and facilitators of, hand hygiene in rural Liberian hospitals and evaluates readiness for sustainable, locally derived interventions to improve hand hygiene. Research enumerators collected data at all hospitals in Bong and Lofa counties, Liberia, in the period March–May 2020. Enumerators performed standardized spot checks of hand hygiene infrastructure and supplies, structured observations of hand hygiene behavior, and semi-structured key informant interviews for thematic analysis. During spot checks, hospital staff reported that handwashing container water was always available in 89% (n = 42) of hospital wards, piped running water in 23% (n = 11), and soap in 62% (n = 29). Enumerators observed 5% of wall-mounted hand sanitizer dispensers (n = 8) and 95% of pocket-size dispensers (n = 53) to be working. In interviews, hospital staff described willingness to purchase personal hand sanitizer dispensers when hospital-provided supplies were unavailable. Low-cost, sustainable interventions should address supply and infrastructure-related obstacles to hospital hand hygiene improvement.
2
Umulisa, Solange, Angele Musabyimana, Rex Wong, Eva Adomako, April Budd, and Theoneste Ntakirutimana. "Improvement of hand hygiene compliance among health professional staff of Neonatology Department in Nyamata Hospital." On the Horizon 24, no. 4 (September 12, 2016): 349–56. http://dx.doi.org/10.1108/oth-07-2016-0038.
Full textAbstract:
Purpose The purpose of this study is to improve the hand hygiene compliance in a hospital in Rwanda. Hand hygiene is a fundamental routine practice that can greatly reduce risk of hospital-acquired infections; however, hand hygiene compliance in the hospital was low. Design/methodology/approach A multiple-strategy intervention was implemented with a focus on ensuring stable water supply was available through installing mobile hand hygiene facilities. Findings The intervention significantly increased the overall hand hygiene compliance rate by 35 per cent. The compliance for all of the five hand hygiene moments and all professions also significantly increased. Practical implications By implementing an intervention that involved multiple strategies to address the root causes of the problem, this quality improvement project successfully created an enabling environment to increase hand hygiene compliance. The hospital should encourage using the strategic problem-solving method to conduct more quality improvement projects in other departments. Originality/value Findings from this study may be useful for hospitals in similar settings seeking to improve hand hygiene compliance.
3
Waheed, Mehwish Saba, Naeem Ullah, Nadia Qazi, Bushra Ijaz, Zahid Khan, Nizam Muhammad Darwesh, and Muhammad Ishtiaq. "Assessment of Hygiene Status of Medical and Surgical Units Among Hospitals of Nowshera Swat & Peshawar Districts of Khyber Pakhtunkhwa Pakistan." Pakistan Journal of Medical and Health Sciences 16, no. 4 (April 30, 2022): 984–87. http://dx.doi.org/10.53350/pjmhs22164984.
Full textAbstract:
Objectives: Hygiene practices helps a lot in the prevention of infection among the admitted patients and an important component of infection prevention and patient safety. The aim of this study was to assess the hygiene status of medical and surgical units of selected hospitals in District Nowshera, Swat and Peshawar Districts, Pakistan. Material and Methods: It was a cross-sectional descriptive study, carried out in hospitals of Nowshera, Swat and Peshawar Districts, from August 2021 to February 2022. Data was collected from 60 medical and surgical units. A structured questionnaire was used to collect data, and face-to- face interviews were conducted with healthcare workers and patients. Finally results were presented in form of tables. Results: 64.66% of health care staff practice hand hygiene measures; and most of the surgeons (81.67%) were not satisfied with provided scrubbing materials. 46.67% of patients were satisfied with the prevailing hygiene status; 96.67% with health services. Moreover, 56.67% of patients wash hands before eating; 31.67% of sweepers satisfied with provision of materials, and surgical site infection rate was 13.33%. Furthermore, 63.33% of units collect waste daily; whereas only 18.33% had waste separation. 68.33% had isolation chamber for infectious cases; 36.67% screened patients for HIV/AIDS; and only 11.67% didn’t change fomites on daily basis. Conclusion: It was concluded that the hygiene status of selected hospitals was satisfactory. Moreover, the hygienic status showed strong relationship with type of unit; number of sweepers; waste collection frequency and frequency of fomites change and thus needs strategies to increase awareness and motivation of health care staff with an aim to reduce the incidence of hospital infections. Keywords: Hygiene Status, Infection, Medical, Surgical, Hospital
4
Pham, Ba, and Thi Tuyet Tran. "Thực trạng tuân thủ vệ sinh tay thường quy của nhân viên y tế trung tâm y tế Cư Jút, Đắk Nông và một số yếu tố ảnh hưởng năm 2020." Journal of Health and Development Studies 05, no. 01 (February 20, 2021): 37–46. http://dx.doi.org/10.38148/jhds.0501skpt20-118.
Full textAbstract:
Background: Hand hygiene is a great way to ensure safety for health staff and prevent infections in hospital. Objective: The study aimed to determine the rate of compliance with routine hand hygiene and to analyze some factors affecting hand hygiene compliance routine of medical staff. Method: A study that describes a cross-sectional study, a study that combines both quantitative and qualitative methods through the observation by a checklist of 92 health-care workers who perform a procedure on 368 hand-hygiene opportunities and gather information through burns. interviewed 92 medical staff, conducted 04 in-depth interviews and 02 group discussions, and collected from March to the end of June 2020. Research Using Epidata 3.1 software to input data and manage data; Stata 14.0 software for data analysis. Results show that the percentage of health staffs who complied with routine hand hygiene was 14.13%, and the knowledge and attitudes of hospital staffs were related to routine hand hygiene compliance, with p<0.05. Inspection and supervision, regulations on emulation and commendation; training and accessibility solutions were related withhand hygiene of health staffs. Conclusion: Hospital staffs' hand hygiene compliance rate was relatively low, which was related to knowledge and attitudes. Keywords: Routine hand hygiene, medical staff, influencing factors.
5
Neumark, Yehuda, Adina Bar-Lev, David Barashi, and Shmuel Benenson. "A feasibility study of the use of medical clowns as hand-hygiene promoters in hospitals." PLOS ONE 17, no. 12 (December 22, 2022): e0279361. http://dx.doi.org/10.1371/journal.pone.0279361.
Full textAbstract:
Healthcare-acquired infections (HAI) pose vast health and economic burdens. Proper hand-hygiene is effective for reducing healthcare-acquired infections (HAI) incidence, yet staff compliance is generally low. This study assessed the feasibility, acceptability and preliminary effect of employing medical clowns to enhance hand-hygiene among physicians and nurses. Staff perception of the intervention and its impact on hand-hygiene was assessed via self-report questionnaires. Nearly 1,500 hand-hygiene compliance observations were conducted in accordance with WHO guidelines before, during and after the intervention. In each of three hospitals in Israel, two departments were selected—one in which medical clowns routinely operate and one clown-naive department. Professional medical clowns acted as hand-hygiene promoters employing humorous tactics to encourage hand-sanitizing based on the WHO "5 Moments" model. The clown appeared in each department seven times during the 2-week intervention phase. Pre-intervention hand-hygiene compliance ranged from just over 50% to 80% across hospitals and departments. Overall, about 70% of nurses (N = 132) and 80% of physicians (N = 49) felt the intervention improved personal and departmental hand-hygiene, with large inter-department variation. Pre- to post-intervention hand-hygiene compliance increased by 4% -25% (3.5–14.8 percentage points) in four departments, three of which had low baseline compliance levels. Results of this feasibility study suggest that employing medical clowns as hand-hygiene promoters as a novel approach toward HAI prevention is feasible and welcome by hospital staff.
6
Sritharan, Tishani. "Hand hygiene." Health Science Inquiry 11, no. 1 (August 10, 2020): 136–39. http://dx.doi.org/10.29173/hsi301.
Full textAbstract:
Abstract: The World Health Organization (WHO) defines Health Care-Associated Infection (HCAI) as an infection a patient acquired in health care settings. In Canada, more than 220,000 patients are infected by HCAIs annually, with 8,500 to 12,000 of these patients resulting in death, thus becoming the fourth leading cause of death for Canadians. Hand hygiene practice is the most critical measure to prevent HCAIs, however, research indicates that in hospitals worldwide, just 40% of health care workers abide by the advised hand hygiene guidelines. A new effective HCAI control and prevention program is needed to sustain benefits, building on prior interventions such as including hand hygiene education that stresses the necessity of this practice in the protocol, providing factual proof of the effectiveness of hand hygiene, the acknowledgment by senior staff of their responsibility as role models for all staff, innovative technological methods, and regular auditing/feedback. With the current outbreak of coronavirus disease (COVID-19) that has infected millions around the world, a new HCAI control and prevention program can increase the compliance rate of handwashing with alcohol-based hand rub/sanitizer amongst healthcare professionals thus aiding in prevention and control of spread within the community.
7
Seyedin, Hesam, Rafat Bagherzadeh, and Mohsen Dowlati. "Hospital Management in Infectious Disease Outbreak: Lessons Learned From COVID-19 Epidemic." Health in Emergencies & Disasters Quarterly 7, no. 3 (April 1, 2022): 161–66. http://dx.doi.org/10.32598/hdq.7.3.167.5.
Full textAbstract:
Background: Biological events, including epidemics, pandemics, and emerging and reemerging infectious diseases, have significant adverse consequences on human health. Hospitals have a major role in the management of outbreaks and mitigation of their consequences. During pandemics, health systems, especially hospitals, are affected. The current study aims to collect and analyze hospital lessons learned during the COVID-19 epidemic in Iran. Materials and Methods: The study data were collected through document analysis, direct observation, and taking the opinions of an expert panel (including hospital chiefs, hospital managers, disaster committee managers, matrons, and other hospital staff) at hospitals involved with coronavirus patients. Results: The practical measures performed in Iran hospitals included the development of the hospital incident command system, screening and triage, establishing a call center, patient and family management, personnel management, volunteers management, education, planning, safety, environmental health, dead patients management, sampling, food hygiene of staff and patients, coordination and cooperation, sharing information, home treatment and care, infection prevention, and control and isolation. Conclusion: COVID-19 pandemic has significant adverse consequences on human health, hospital, and medical staff. During COVID-19, hospitals will face a high surge in suspected and confirmed patients. Therefore, hospitals should perform the proper measures to manage an emergency.
8
Zoutman, Dick E., and B. Douglas Ford. "Quality improvement in hospitals: barriers and facilitators." International Journal of Health Care Quality Assurance 30, no. 1 (February 13, 2017): 16–24. http://dx.doi.org/10.1108/ijhcqa-12-2015-0144.
Full textAbstract:
Purpose The purpose of this paper is to examine quality improvement (QI) initiatives in acute care hospitals, the factors associated with success, and the impacts on patient care and safety. Design/methodology/approach An extensive online survey was completed by senior managers responsible for QI. The survey assessed QI project types, QI methods, staff engagement, and barriers and factors in the success of QI initiatives. Findings The response rate was 37 percent, 46 surveys were completed from 125 acute care hospitals. QI initiatives had positive impacts on patient safety and care. Staff in all hospitals reported conducting past or present hand-hygiene QI projects and C. difficile and surgical site infection were the next most frequent foci. Hospital staff not having time and problems with staff prioritizing QI with other duties were identified as important QI barriers. All respondents reported hospital leadership support, data utilization and internal champions as important QI facilitators. Multiple regression models identified nurses’ active involvement and medical staff engagement in QI with improved patient care and physicians’ active involvement and medical staff engagement with greater patient safety. Practical implications There is the need to study how best to support and encourage physicians and nurses to become more engaged in QI. Originality/value QI initiatives were shown to have positive impacts on patient safety and patient care and barriers and facilitating factors were identified. The results indicated patient care and safety would benefit from increased physician and nurse engagement in QI initiatives.
9
Maina, Michuki, Olga Tosas-Auguet, Mike English, Constance Schultsz, and Jacob McKnight. "Infection prevention and control during the COVID-19 pandemic: challenges and opportunities for Kenyan public hospitals." Wellcome Open Research 5 (September 10, 2020): 211. http://dx.doi.org/10.12688/wellcomeopenres.16222.1.
Full textAbstract:
Background: Infection prevention and control, and water sanitation and hygiene have an essential role in ensuring the quality of care and patient outcomes in hospitals. Using a modification of the World Health Organization’s water sanitation and hygiene facility improvement tool, we undertook assessments in 14 public hospitals in Kenya in 2018. The hospitals received written feedback on areas where they could make improvements. Following the first confirmed cases of COVID-19 in Kenya, we were drawn to ask whether the results of our pre-pandemic survey had led to action, and whether or not the threat of COVID-19 had focused more attention on infection prevention and control and water sanitation and hygiene. Methods: Using a semi-structured interview guide, we carried out phone interviews with key hospital leaders in 11 of the 14 hospitals. The data were transcribed and coded into thematic areas. We draw on these interviews to describe the status and awareness of infection prevention and control. Results: The infection prevention and control committee members are training health workers on infection prevention and control procedures and proper use of personal protective equipment and in addition, providing technical support to hospital managers. While some hospitals have also accessed additional funds to improve infection prevention and control, they tended to be small amounts of money. Long-standing challenges with supplies of infection prevention and control materials and low staff morale persist. Crucially, the reduced supply of personal protective equipment has led to fear and anxiety among health care personnel. Conclusions: As funds are mobilised to support care for COVID-19, we ask that funds prioritise infection prevention and control measures. This would have a profoundly positive effect on within hospital virus transmission, patient and staff safety but also lasting benefits beyond the COVID-19 pandemic.
10
Alwatifi, Mohammed Hindi, and Wafaa Abd Ali Hattab. "Attitudes to Hand Hygiene Performance among Nursing Staff during Covid-19 Pandemic." Pakistan Journal of Medical and Health Sciences 16, no. 3 (March 31, 2022): 909–11. http://dx.doi.org/10.53350/pjmhs22163909.
Full textAbstract:
Background: Proper hand hygiene was identified as one of the simplest most cost-effective Covid-19 prevention measures. However, there is no available evidence indicating that hand hygiene is fully practiced by health care workers Objectives: This study aimed to fill this gap by assessing the attitudes regarding hand hygiene practice among nursing staff during the Covid-19 pandemic Methodology: A descriptive cross-sectional design was carried out in three hospitals' Intensive Care Units from the period (20th December 2021 to 30th January 2022). A non-probability sampling method consists of (130) nurses who were selected purposively based on the study criteria Results: The majority of the study participants (73.1%) had negative attitudes towards hand hygiene. Conclusion: There were an overall high proportion of participants with negative attitudes level toward hand hygiene. Keyword: Attitudes, Hand Hygiene, Nurse, Covid-19
11
Gupta, Shakti Kumar, Sanjay Arya, Sheetal Singh, Vijay Aggarwal, and T. Thuilephy. "Hand Hygiene Policy for a Tertiary Care Hospital." International Journal of Research Foundation of Hospital and Healthcare Administration 3, no. 2 (2015): 103–9. http://dx.doi.org/10.5005/jp-journals-10035-1045.
Full textAbstract:
ABSTRACT Hand hygiene diminishes the carriage of potential pathogens on the hands. It results in reduction in patient morbidity and mortality from nosocomial infection. Eighty percent of nosocomial disease transmission is thought to be via hands. The purpose of this study is to provide policy with regard to hand hygiene which can be followed in tertiary care hospitals. It was a descriptive cross-sectional study carried out between April and August 2013. The study population included doctors, nursing personnel, paramedical staff and quality managers of tertiary care hospital from public and private hospitals. Checklist was made after an exhaustive review of literature which was then improvised. Validation of the checklist was done by experts in infection control in various private and public hospitals. Subsequently, interaction was done with study population against the back drop of the checklist and hand hygiene policy was formulated. How to cite this article Singh S, Gupta SK, Arya S, Aggarwal V, Thuilephy T. Hand Hygiene Policy for a Tertiary Care Hospital. Int J Res Foundation Hosp Healthc Adm 2015;3(2):103-109.
12
Rajendra, Bhavanam Sai. "Hand Hygiene Guidelines for Front Line Health Care Workers." Volume 5 - 2020, Issue 9 - September 5, no. 9 (September 11, 2020): 35–36. http://dx.doi.org/10.38124/ijisrt20sep086.
Full textAbstract:
Hand hygiene competence is one of the critical outcomes for health care workers who are working for covid patients.. Ensuring health care workers to reduce the risk of infections among nurses and health care workers. Adequate hand hygiene(HH) awareness for hospital staff like Nurses, ward technicians, health care workers should be implemented so as to reduce risks of facing infections. To assess the knowledge and awareness programmes to the front line warriors who are in direct contact with covid patients. A systematic review of studies published on January 1, 2009 based on, an online survey done in Canada where FIVE leading hospitals are actively involved and participated for Hand hygiene care. An online Data collection with simple and sample survey was conducted for Nurses, ward technicians, covid health care workers and Gram volunteers according to Guidelines given by World Health Organization’s SEVEN ( 7) hand washing steps. The Data collection was taken from 50 Nurses and 50 covid health care workers particularly working in rural areas of Parchur Mandal of Prakasam District in Andhra Pradesh state
13
Ndatimana, Dieudonne, Caste Habiyakare, Francois Niragire, Amedee Ndibaza, Olive Ntakirutimana, Onesime Manishimwe, Josue Mutabazi, and Erigene Rutayisire. "Predictors of Compliance to Hand Hygiene among Health Care Workers in Rwanda." Rwanda Journal of Medicine and Health Sciences 5, no. 2 (June 8, 2022): 170–79. http://dx.doi.org/10.4314/rjmhs.v5i2.6.
Full textAbstract:
BackgroundHand hygiene is critical to the prevention of Healthcare Acquired Infections. Compliance of health care workers to hand hygiene in developing countries is reportedly low.ObjectiveThe aim of this study was to assess predictors of hand hygiene compliance among healthcare workers in RwandaMethodsThis cross-sectional study was conducted in 26 selected hospitals. Trained hospital IPC focal points anonymously observed 1380 hand hygiene opportunities from 341 healthcare workers. Logistic regression analysis was used to identify predictors of compliance to hand hygiene among health care workers using Stata.ResultsThe overall compliance to HH was 72.4%. It was respectively 70%, 77% and 60% less likely in labor (AOR=0.30, 95% CI: 0.19-0.49), maternity (AOR= 0.27, 95% CI: 0.17-0.43), and neonatology (AOR= 0.40 95% CI: 0.25-0.65) departments than in theater. Other clinical staff than nurses/midwives were 35% less likely to comply than did medical doctors. The availability of water source and soap at hand washing station was associated with 2.5 times higher odds of compliance (AOR=2.46, 95% CI: 1.27-4.77).ConclusionThe compliance to HH is associated with the availability of hand hygiene facilities. Well-maintained water sources and soap at hand washing stations should be a priority in health care settings.
Rwanda J Med Health Sci 2022;5(2):170-179
14
Chorna, V. V., V. M. Makhniuk, S. S. Khliestova, N. I. Gumeniuk, and H. V. Chaika. "Attitude of health care workers in the field of mental health to their health." Medicni perspektivi (Medical perspectives) 26, no. 2 (June 18, 2021): 188–96. http://dx.doi.org/10.26641/2307-0404.2021.2.234733.
Full textAbstract:
The article presents the results of theoretical and experimental studies of the degrees of value-motivational, cognitive, emotional, and behavioral components in health care workers of psychiatric health care facilities concerning their health. The degree of risk and value of the personal hygiene of health care workers is determined. The main components and factors that affect the attitude to personal health are revealed. The awareness of the own emotional and cognitive experiences by the medical staff of psychiatric hospitals regarding the preservation and strengthening of their hygiene is analyzed. According to research on the value-motivational component of the medical staff of psychiatric health care concerning the place of personal health in the hierarchy of values in life, it was found that own health is on the second place – 15.2% males, nursing staff (NS), 15.1% females, are psychiatrists and women NS, 14.8% are men psychiatrists. In case of a deterioration of own health both women (35,6%), and men (35,5%) psychiatrists are engaged in self-treatment, the similar tendency is among NS – women NS – 31,3%, men NS – 31, 5%), in 25.8% of cases female psychiatrists and in 23.1% of men NS do not pay attention to the disease at all, which leads to occupational diseases and chronic diseases. At the same time, occupational diseases among doctors and NS do not exceed 10% of the total number of occupational diseases in Ukraine due to self-medication and early treatment. Therefore, the statistics of occupational diseases of health workers in that field are underestimated compared to the actual ones.
15
Poulose, Vijo, A. Punithavathi, Marlini Ali, Faridah Mohamad Assalam, Khine Khine Phyo, Amanda Soh, Shi Hua Tan, Jie Li, Woo Boon Ang, and Alvin Chew. "Improving hand hygiene in a medical ward: a multifaceted approach." BMJ Open Quality 11, no. 2 (April 2022): e001659. http://dx.doi.org/10.1136/bmjoq-2021-001659.
Full textAbstract:
BackgroundHand hygiene is a fundamental action which is simple, inexpensive and an effective tool in reducing hospital-acquired infections, yet compliance remains low in healthcare settings. In 2014, Changi General Hospital embarked on a pilot project to improve hand hygiene compliance in a pilot ward with the intention to eventually spread a multifaceted set of interventions hospital wide.MethodsA before and after interventional study of a pilot project. Hand hygiene data collection was through direct observations by auditors using WHO monitoring standards and techniques based on the five-moment model.SettingA medical ward in an acute hospital in Singapore.ResultsOverall hand hygiene compliance improved from a median of 53% in 2015 to 80% by end of 2017. Hand hygiene compliance of doctors increased from 43% to 60% (p=0.00), nurses from 62% to 89% (p=0.014) and allied health staff from 67% to 83% (p=0.002).ConclusionsA multifaceted set of interventions developed by the project team was effective in improving hand hygiene compliance of doctors, nurses and allied health staff.
16
B., Pavithra M., Amrita N. Shamanewadi, and Suwarna Madhukumar. "Knowledge and attitude study among the nursing staff working in a tertiary care hospital in Southern India." International Journal Of Community Medicine And Public Health 6, no. 9 (August 27, 2019): 3993. http://dx.doi.org/10.18203/2394-6040.ijcmph20194007.
Full textAbstract:
Background: Hand hygiene is recognised as one of the leading measure to prevent cross transmission of micro-organisms. Inadequate hand hygiene practices are common cause of nosocomial infections. Nurses are considered as the “nucleus of health care system” Because of the time they spend with patients than any other health care workers. Hence their compliance with hand washing guidelines seems to be more vital in preventing the disease transmission among patients.Methods: Despite the simplicity of the procedure, compliance with hand hygiene among health care providers in particular nurses is as low as 40%. This study aims at assessing knowledge, attitude and practice of hand hygiene of the nursing staff working in a tertiary care hospital.Results: Among the 140 study participants 74% were female nurses. Majority of the study participants (78%) had average knowledge of hand hygiene in the pre-test session The health education and training session on correct hand hygiene methods significantly(p<0.001) improved the knowledge and attitude of the nursing staff, during the post-test session 87% of the nurses had good knowledge and 100% had positive attitude.Conclusions: Our study shows the importance of improving the current training programmes targeting the hand hygiene practices among nursing staff. Hand hygiene training sessions need to be conducted more frequently with continuous monitoring and performance feedback to encourage them and their fellow nurses to follow correct hand hygiene practices.
17
Lien, La, Eva Johansson, Pham Lan, Nguyen Chuc, Nguyen Thoa, Nguyen Hoa, Ho Phuc, Ashok Tamhankar, and Cecilia Lundborg. "A Potential Way to Decrease the Know-Do Gap in Hospital Infection Control in Vietnam: “Providing Specific Figures on Healthcare-Associated Infections to the Hospital Staff Can ‘Wake Them Up’ to Change Their Behaviour”." International Journal of Environmental Research and Public Health 15, no. 7 (July 22, 2018): 1549. http://dx.doi.org/10.3390/ijerph15071549.
Full textAbstract:
Adequate infection control plays a key role in preventing healthcare-associated infections (HAIs). This study aimed to explore staff perceptions of hospital infection control in a rural and an urban hospital in Vietnam. Individual interviews were conducted with hospital managers, and focus group discussions were conducted with doctors, nurses and cleaning workers separately. Content analysis was applied. An interview guide including discussion points on HAIs, hand hygiene and healthcare waste management was used. Generally, the staff were knowledgeable of hospital infection control, but they were not aware of the situation in their own hospital, and infection control practices in the hospitals remained poor. Reported difficulties in infection control included lack of resources, poor awareness and patient overload. A main theme emerged: ‘Making data on HAIs available for health workers can improve their awareness and motivate them to put their existing knowledge into practice, thus decreasing the know-do gap in infection control’. This could be a feasible intervention to improve infection control practice in the hospitals with limited resources, high workload and patient overload.
18
John, Susan, Suremya A. Subrahmanian, and Rina T. Xavier. "Pattern of hygiene practices among health care workers during the COVID-19 pandemic: a tertiary health care experience from Central Kerala." International Journal Of Community Medicine And Public Health 8, no. 6 (May 25, 2021): 2952. http://dx.doi.org/10.18203/2394-6040.ijcmph20211999.
Full textAbstract:
Background: The recent COVID-19 pandemic has highlighted the relevance of following hygiene practices across all sectors of healthcare workers. Disparities in the correct practices among clinical and para clinical cadres of HCWs predispose to increased risk of infection. A survey was conducted to assess the hand and respiratory hygiene practices across the hospital.Methods: A cross sectional survey was conducted through a self-administered questionnaire across an online platform with questions on hand hygiene, mask and surface contamination related practices. Staff were grouped as clinical and para clinical for comparison of these practices.Results: Among the 501 respondents, 83.4% were females with a mean age of 30.78±8.48 years. Nursing staff were the majority (57.88%) followed by nonclinical and para clinical staff (20.77%). Of the study population, 96.6% performed hand wash and 97.2% refrained from giving handshakes in the previous hour. Over 60% maintained proper face mask practices. Undoing the lower tie of the mask first, was answered by 76.67% while 7.2% felt the sequence was irrelevant. Touching common surfaces were avoided by 46.3% of them, while 95% immersed their hospital attire in soap and water for 15 minutes. It was seen that a greater proportion of clinical staff had better practices when compared to para clinical and the difference statistically significant. There was no significant variation of practices with age.Conclusions: Focussed monitoring and motivation can help in improving hygiene practices among all cadres of HCWs.
19
Pawar, Satyajeet K., Rajvardhan R. Patil, R. V. Shinde, and G. S. Karande. "Knowledge, attitude, practice of hand hygiene among nursing staff in medicine ICU in a tertiary health care centre in Western India." International Journal of Biomedical Research 9, no. 5 (May 29, 2018): 184. http://dx.doi.org/10.7439/ijbr.v9i5.4772.
Full textAbstract:
Background: Hospital infection is one of the leading cause of public health related issue throughout the world. Hand hygiene is one of the leading measure used to prevent cross-transmission and thus to reduce health care associated infections.Aims & Objectives: To assess knowledge, attitude and practice about hand hygiene in nursing staff in medicine ICU in a tertiary health care centre.Methodology: Total 48 medicine ICU nursing staff were given open ended questionnaire on knowledge, attitude and practice of hand hygiene. Score were given for correct option and data was filled and analyzed in MS Excel softwareResults: Compliance in knowledge (62 %) and attitude (81 %) for hand hygiene was good. Performance in practice of hand hygiene was 54 % which was comparatively lower.Conclusion: Compliance of hand hygiene practice was lower compared to knowledge and attitude and needs to be addressed in the form of continued medical education.
20
Erickson, Lindsey Lesher, Toben Nelson, and J. Michael Oakes. "Hospital Policies Related to Transmission of Methicillin-Resistant Staphylococcus aureus (MRSA)." Infection Control & Hospital Epidemiology 41, S1 (October 2020): s252—s253. http://dx.doi.org/10.1017/ice.2020.813.
Full textAbstract:
Background: MRSA continues to spread in hospitals, despite modest recent success. Gaps exist regarding how hospital policies impact MRSA transmission in hospitals. Characterization of the policy environment has been useful in approaching other public health issues including control of alcohol, firearms, tobacco, and traffic safety. Objective: Our goal was to describe measurable and modifiable policy components designed to prevent MRSA in hospital settings. Methods: We examined 4 types of hospital policies from 5 metropolitan hospitals in Minnesota: hand hygiene, multidrug-resistant organism (MDRO) and isolation, healthcare personnel influenza vaccination, and whistleblower (corporate compliance). We developed a tool to systematically evaluate policies for each topic that included 19–23 instructional and implementation elements guided by regulatory and clinical practice guidelines: purpose, expectations, education and training, monitoring, enforcement, corrective actions, responsibilities, and corrective actions. Each policy element was evaluated for its presence (yes or no) and thoroughness (nonexistent = 0, cursory = 1, thorough = 2). Results: All hospitals had hand hygiene and MDRO and isolation policies; 3 of 5 had influenza and whistleblower policies. The policies varied in comprehensiveness and thoroughness across hospitals and topics. Most policies included purpose and policy statements with a statement of organizational rules (14 of 16 and 16 of 16, respectively) with mean thoroughness scores of 1.04 and 1.20, respectively. Most policies lacked consequences for noncompliance (6 of 16), accountability (6 of 16), and monitoring and enforcement of policy expectations (5 of 16). When included, the policy components scored low for thoroughness, and 50% of policies (8 of 16; range, 20% for hand hygiene and 100% for influenza vaccination) specified expectations for educating staff about the policy topic, with a mean thoroughness score of 0.75. Responsibilities for policy expectations were lacking: responsibilities for product needs and availability (3 of 13), training and education (1 of 16); and monitoring compliance with skills and techniques (4 of 16). Of the 4 policy types, influenza vaccination was the most complete. All influenza policies had 50% of categories completed versus hand hygiene (26%), MDRO (17%), and whistleblower (26%). The hand hygiene policies scored highest for thoroughness; 48% of policy elements scored >1.0 versus MDRO (22%), influenza (25%), and whistleblower (11%). Conclusions: We developed a systematic method to quantitatively evaluate hospital policies. Our review of hospital policies most commonly contained thorough instructional elements such as organizational requirements and protocols and procedures. Policies often lacked implementation elements such as expectations for monitoring, enforcement, responsibilities, accountabilities, and staff training and education. As we begin to characterize policy, endogenous in nature, as a potential exposure, it is important that we develop rigorous measurement. We have provided a first step in developing such an approach.Funding: NoneDisclosures: None
21
Resmi Dinanti, Mira Suryani, Lilik Pranata, Bangun Dwi Hardika, and M. K. Fitriani Fruitasari. "Penerapan Hand Hygiene Petugas di Ruang Perawatan Stroke." INSOLOGI: Jurnal Sains dan Teknologi 1, no. 2 (April 28, 2022): 109–16. http://dx.doi.org/10.55123/insologi.v1i2.238.
Full textAbstract:
Hand hygiene is one of the breakers of the chain of disease transmission in hospitals, so hand hygiene is very important in room management, especially if it is carried out correctly by officers, especially in special rooms where there are patients who are bedres or partial care to total care such as in stroke care. The purpose of the study was to photograph the Application of Hand Hygiene Officers in the Stroke Treatment Room. The research method is descriptive quantitative research design to see the description of the application of hand hygiene. The sample is an officer who provides services in the stroke care room, the study was conducted in a private hospital in Palembang City, primary data collection was carried out on November 1-03 2021, with a sample of 18 people, the instrument used was an observation sheet, and the sample criteria were in accordance with with the inclusion criteria of officers on duty in the stroke care room. The results showed that there were still officers who had not applied the five moments and 6 steps of washing hands properly. Suggestions for hospital institutions gave policies to room staff in getting used to doing hand hygiene. Meanwhile, health workers must realize the importance of hand hygiene for the patient's recovery process and improve hospital services.
22
Harrabi, Imed, Saad Al-Ghamdi, and Paolo Cubelo. "Effectiveness of an Intervention Program to Improve Compliance with Hand Hygiene among Health Staff in NAFH." Journal of Health and Allied Sciences NU 07, no. 01 (March 2017): 016–20. http://dx.doi.org/10.1055/s-0040-1708689.
Full textAbstract:
Abstract Background: Hand Hygiene, either by hand washing or hand disinfection, remains the single most important measure to prevent nosocomal infections. Objective: To increase Hand Hygiene compliance to at least 10% among health care staffs in female and medical wards after six months of a pilot intervention program. Methods: It was a pre-post intervention study in Najran Armed forces Hospital during the year 2015. knowledge was assessed using WHO's hand hygiene questionnaire Measurement of attitude was done on the basis of 13 questions where the subjects had to give their opinion on a 1 to 5 point Liker Scale ranging from strongly disagree to strongly agree. Compliance was measured and directly observed by experienced infection control linkers. Results: the results of our study showed a positive effect of the pilot intervention program on knowledge, attitude and compliance on hand hygiene. An increase in compliance of 6.44% and 7.56% were observed in Female Ward and Male Ward respectively in post-intervention. Conclusions: All should be done to maintain the positive trend of hand hygiene compliance. The infection control team should be encouraged to maintain a continuous monitoring of hand hygiene compliance and have a positive interaction with the health staff.
23
Lakoh, Sulaiman, Emmanuel Firima, Christine Ellen Elleanor Williams, Sarah K. Conteh, Mohamed Boie Jalloh, Mohamed Gbeshay Sheku, Olukemi Adekanmbi, et al. "An Intra-COVID-19 Assessment of Hand Hygiene Facility, Policy and Staff Compliance in Two Hospitals in Sierra Leone: Is There a Difference between Regional and Capital City Hospitals?" Tropical Medicine and Infectious Disease 6, no. 4 (November 29, 2021): 204. http://dx.doi.org/10.3390/tropicalmed6040204.
Full textAbstract:
Although hand hygiene (HH) is the most effective intervention to reduce the spread of infections, there are limited data on HH facilities, policy, and compliance in sub-Saharan Africa. This cross-sectional study is aimed at assessing HH using the WHO HH self-assessment framework, HH technical reference manual, and a modified infection control self-assessment tool in two hospitals in Sierra Leone. Only 10% and 9% of regional and capital city hospitals had running tap water, respectively. Veronica buckets were the resources for HH in 89% of units in the regional hospital and 92% of units in capital city hospital. Constant supply of soap and alcohol-based hand rub was available in 82% and 68%; and 74% and 79% of units in the capital city and regional hospitals, respectively. Only 10% of the units in both hospitals had hand-drying facilities and functional sinks. Overall HH compliance for the two hospitals was 18.6% and was higher in the regional (20.8%) than the capital city (17.0%) hospitals. The HH levels for the capital city and regional hospitals were 277.5 and 262.5 respectively. Despite the COVID-19 pandemic, there are still challenges with HH compliance in Sierra Leone. It is, therefore, necessary to strengthen the HH multi-modal strategy.
24
Chong, Chia Yin, Marionette A. Catahan, Siok Hong Lim, Thuraiya Jais, Gian Kaur, Shanqing Yin, Dirk de Korne, Koh Cheng Thoon, and Kee Chong Ng. "Patient, staff empowerment and hand hygiene bundle improved and sustained hand hygiene in hospital wards." Journal of Paediatrics and Child Health 57, no. 9 (April 28, 2021): 1460–66. http://dx.doi.org/10.1111/jpc.15526.
Full text
25
Teesing, Gwen R., Vicki Erasmus, Mariska Petrignani, Marion P. G. Koopmans, Miranda de Graaf, Margreet C. Vos, Corné H. W. Klaassen, et al. "Improving Hand Hygiene Compliance in Nursing Homes: Protocol for a Cluster Randomized Controlled Trial (HANDSOME Study)." JMIR Research Protocols 9, no. 5 (May 1, 2020): e17419. http://dx.doi.org/10.2196/17419.
Full textAbstract:
Background Hand hygiene compliance is considered the most (cost-)effective measure for preventing health care–associated infections. While hand hygiene interventions have frequently been implemented and assessed in hospitals, there is limited knowledge about hand hygiene compliance in other health care settings and which interventions and implementation methods are effective. Objective This study aims to evaluate the effect of a multimodal intervention to increase hand hygiene compliance of nurses in nursing homes through a cluster randomized controlled trial (HANDSOME study). Methods Nursing homes were randomly allocated to 1 of 3 trial arms: receiving the intervention at a predetermined date, receiving the identical intervention after an infectious disease outbreak, or serving as a control arm. Hand hygiene was evaluated in nursing homes by direct observation at 4 timepoints. We documented compliance with the World Health Organization’s 5 moments of hand hygiene, specifically before touching a patient, before a clean/aseptic procedure, after body fluid exposure risk, after touching a patient, and after touching patient surroundings. The primary outcome is hand hygiene compliance of the nurses to the standards of the World Health Organization. The secondary outcome is infectious disease incidence among residents. Infectious disease incidence was documented by a staff member at each nursing home unit. Outcomes will be compared with the presence of norovirus, rhinovirus, and Escherichia coli on surfaces in the nursing homes, as measured using quantitative polymerase chain reaction. Results The study was funded in September 2015. Data collection started in October 2016 and was completed in October 2017. Data analysis will be completed in 2020. Conclusions HANDSOME studies the effectiveness of a hand hygiene intervention specifically for the nursing home environment. Nurses were taught the World Health Organization’s 5 moments of hand hygiene guidelines using the slogan “Room In, Room Out, Before Clean, After Dirty,” which was developed for nursing staff to better understand and remember the hygiene guidelines. HANDSOME should contribute to improved hand hygiene practice and a reduction in infectious disease rates and related mortality. Trial Registration Netherlands Trial Register (NTR6188) NL6049; https://www.trialregister.nl/trial/6049 International Registered Report Identifier (IRRID) DERR1-10.2196/17419
26
Jonker, Cornelis, and Maha Othman. "Hand Hygiene among Hospital Staff: A Survey of Knowledge, Attitude, and Practice in A General Hospital in Syria." Jurnal Keperawatan Indonesia 21, no. 3 (November 27, 2018): 139–49. http://dx.doi.org/10.7454/jki.v21i3.513.
Full textAbstract:
Poor hand-hygiene adherence endangers the safety of both healthcare workers and patients. A cross-sectional Knowledge Attitudes Practicing (KAP) survey (n= 268) and an observation of hand-hygiene compliance (n= 36) were conducted among staff in a general hospital in Syria. The aim of this study was to investigate the degree of compliance with hand hygiene protocols by general health care workers including their knowledge, attitude and practice. The mean overall observed hand-hygiene compliance rate was 45.7% (95% CI 37.1 – 54.3). Nurses were observed to have better compliance than physicians. Staff were observed to be more concerned in performing hand-hygiene after than before patient contact (before mean= 32.0%, after mean= 51.2%, p< 0.05). The questionnaire showed that there was a significant correlation between knowledge, attitude, and facilities on the one hand and poor self-reported adherence on the other. Multivariate analysis showed that poor adherence was statistically significantly associated with males (63.5%), untrained staff (58.5%) and unavailability of washing basins (60.4%). Poor adherence was high in ICU, among younger and unaware participants. Keywords: compliance, hand hygiene, hospital acquired infection, healthcare workers, Knowledge-Attituded-Practice (KAP), patient safetyAbstrak Kepatuhan pada kebersihan tangan yang buruk membahayakan keselamatan tenaga kesehatan dan pasien. Survei potong lintang Pengetahuan Sikap Praktek (n= 268) dan observasi kepatuhan kebersihan tangan (n= 36) dilakukan di antara staf di rumah sakit umum di Suriah. Tujuan dari penelitian ini adalah untuk mengidentifikasi tingkat kepatuhan dengan protokol kebersihan tangan oleh tenaga kesehatan termasuk pengetahuan, sikap dan praktik mereka. Rerata tingkat kepatuhan kebersihan tangan yang diamati secara keseluruhan adalah 45,7% (95% CI 37,1-54,3). Perawat diamati memiliki kepatuhan yang lebih baik daripada dokter. Staf yang diamati tampak lebih peduli melakukan kebersihan tangan setelah kontak dengan pasien dibanding sebelum kontak (rerata sebelum= 32,0%, rerata setelah= 51,2%, p< 0,05). Hasil kuesioner menunjukkan bahwa ada korelasi yang signifikan antara pengetahuan, sikap, dan fasilitas, namun disisi lain kepatuhan dilaporkan buruk. Analisis multivariat menunjukkan bahwa kepatuhan yang buruk secara statistik terkait secara signifikan dengan jenis kelamin laki-laki (63,5%), staf tidak terlatih (58,5%) dan tidak tersedianya tempat cuci tangan (60,4%). Tingkat kepatuhan yang rendah angkanya ditemukan cukup tinggi di ICU, di antara responden yang lebih muda dan tidak sadar. Kata Kunci: kebersihan tangan, kepatuhan, hospital acquired infection, tenaga kesehatan, keselamatan pasien, Pengetahuan-Sikap-Praktik
27
Assidiq, Amalia Safitri, Made Darawati, AASP Chandradewi, and Ni Luh Suranadi. "Pengetahuan, Sikap Dan Personal Hygiene Tenaga Penjamah Makanan Di Ruang Pengolahan Makanan." Jurnal Gizi Prima (Prime Nutrition Journal) 4, no. 2 (October 30, 2019): 81. http://dx.doi.org/10.32807/jgp.v4i2.135.
Full textAbstract:
Background. According to Fatmawati, et al. (2013), one of the basic principles of organizing institutional food is the organization of foods that implement hygiene and sanitation in accordance with applicable regulations. One of the factors that support the principle of hygiene and sanitation in the provision of food is the factor of personal food hand hygiene. Personal hygiene is a clean, safe and healthy behavior of food handlers to prevent food contamination from food preparation to food serving. Some important procedures for food handlers, namely washing hands before and after handling food, using complete personal protective equipment and personal hygiene and health. This study aims to determine the description of knowledge, attitudes and personal hygiene of food handlers in the food processing room of the Tabanan General Hospital. Research Methods. This type of research is observational descriptive and in terms of time, including the type of cross-sectional study. Data collection methods used were questionnaire and observation. Research Result. The sample used was all food processing staff at the Nutrition Installation of the Tabanan General Hospital as many as 14 people. Most of the food processing staff were female (64%), were in the age range between 30-49 years (79%), the last education was secondary education (86%) and had worked for more than 3 years (100%). The average overall knowledge, attitude and application of personal hygiene of food handlers are included in both categories. Knowledge and attitudes of all food processing staff are included in the good category because ISO 9001: 2015 has been applied. Likewise, the application of personal hygiene before and after ISO 9001: 2015 shows that all food processing personnel apply personal hygiene well.
28
Smith, Charles. "Behavioural science and design thinking: re-framing the hospital medication chart to improve hand hygiene compliance in nurses." British Journal of Healthcare Management 26, no. 2 (February 2, 2020): 1–4. http://dx.doi.org/10.12968/bjhc.2019.0120.
Full textAbstract:
Given the economic and human cost related to healthcare-associated infections, any intervention that results in an improvement in hospital hygiene at a system level is worthwhile. Broadly, behavioural science and design thinking may be useful approaches to encourage staff compliance with hygiene policies. It is proposed that making a seemingly minor change to the hospital medication chart—specifically, by inserting a ‘hand hygiene’ tick box—could improve nurses' hand hygiene compliance, thus increasing the safety of administering and dispensing medication.
29
Owusu-Ofori, Alex, Rebecca Jennings, Jennifer Burgess, Priya A. Prasad, Faustina Acheampong, and Susan E. Coffin. "Assessing Hand Hygiene Resources and Practices at a Large African Teaching Hospital." Infection Control & Hospital Epidemiology 31, no. 8 (August 2010): 802–8. http://dx.doi.org/10.1086/654005.
Full textAbstract:
Objective.To gather baseline data on hand hygiene (HH) practices in an African hospital with a newly established infection prevention and control team.Design.Cross-sectional, observational study.Setting.Komfo Anokye Teaching Hospital, a large teaching hospital in Ghana with approximately 1,000 beds.Participants.All hospital staff with patient contact were eligible for assessment of HH practices.Interventions.HH observations were conducted using a standardized data collection tool and method based on the World Health Organization's “5 Moments of Hand Hygiene.” Small-group interviews were conducted to gather additional information on perceptions of HH and barriers to its use. HH resource needs were also assessed using a standardized tool.Results.HH was attempted in 12% of the opportunities and was performed appropriately in 4% of the opportunities. Most main wards (89%) had at least 1 functional HH station. The most commonly identified barriers to HH were limited resources and lack of knowledge on appropriate times to perform HH.Conclusion.We developed and applied tools to evaluate HH resources and practices in a large African hospital. These assessments were undertaken to guide future efforts to improve HH at this hospital but can also serve as a model of the way to perform a systematic assessment at acute care hospitals in developing countries.
30
Haverstick, Stacy, Cara Goodrich, Regi Freeman, Shandra James, Rajkiran Kullar, and Melissa Ahrens. "Patients’ Hand Washing and Reducing Hospital-Acquired Infection." Critical Care Nurse 37, no. 3 (June 1, 2017): e1-e8. http://dx.doi.org/10.4037/ccn2017694.
Full textAbstract:
BACKGROUND Hand hygiene is important to prevent hospital-acquired infections. Patients’ hand hygiene is just as important as hospital workers’ hand hygiene. Hospital-acquired infection rates remain a concern across health centers. OBJECTIVES To improve patients’ hand hygiene through the promotion and use of hand washing with soap and water, hand sanitizer, or both and improve patients’ education to reduce hospital-acquired infections. METHODS In August 2013, patients in a cardiothoracic postsurgical step-down unit were provided with individual bottles of hand sanitizer. Nurses and nursing technicians provided hand hygiene education to each patient. Patients completed a 6-question survey before the intervention, at hospital discharge and 1, 2, and 3 months after the intervention. Hospital-acquired infection data were tracked monthly by infection prevention staff. RESULTS Significant correlations were found between hand hygiene and rates of infection with vancomycin-resistant enterococci (P = .003) and methicillin-resistant Staphylococcus aureus (P = .01) after the intervention. After the implementation of hand hygiene interventions, rates of both infections declined significantly and patients reported more staff offering opportunities for and encouraging hand hygiene. CONCLUSION This quality improvement project demonstrates that increased hand hygiene compliance by patients can influence infection rates in an adult cardiothoracic step-down unit. The decreased infection rates and increased compliance with hand hygiene among the patients may be attributed to the implementation of patient education and the increased accessibility and use of hand sanitizer.
31
Hilwa Hamid Bajin Salam. "The effect of training of food handlers in hospitals kitchen in Khartoum State, Sudan." Magna Scientia Advanced Biology and Pharmacy 3, no. 1 (July 30, 2021): 001–12. http://dx.doi.org/10.30574/msabp.2021.3.1.0028.
Full textAbstract:
An interventional research was conducted in the kitchens of Khartoum state hospitals 2021 on the impact of training of food handlers in (12) hospitals with (56) food handlers to identify food hygiene requirement. Training was done before and interventions training after. Questionnaires were filled out with food handlers and interview with nutrition supervisor about kitchens. The data was statistically analyzed by using the Statistic Package for Social Sciences (SPSS) program version 25; the Paired Samples T Test and Chi-Square Test was used and there is an improvement at the level of indication 0.000 at the level (0.05). The results showed that the majority of food handlers were females (75%), the lack of quality of kitchens in buildings, equipment, utensils, hand facilities, no periodic inspection for raw materials and no any training about food safety and hygiene for all food services staff. The study concluded that training has an effective impact on kitchen quality. The study recommended that the ministry of health and hospitals to design kitchens with standardization and provide training to all workers periodically.
32
Stancill, Lisa, Emily Sickbert-Bennett Vavalle, and Lauren DiBiase. "Building on the Foundation of a Sustainable Hand Hygiene Program During the COVID-19 Pandemic." Antimicrobial Stewardship & Healthcare Epidemiology 1, S1 (July 2021): s63—s64. http://dx.doi.org/10.1017/ash.2021.124.
Full textAbstract:
Background: Hand hygiene is essential to preventing the spread of disease in hospitals. Renewed emphasis has been placed on hand hygiene during the COVID-19 pandemic. We investigated whether UNC Medical Center’s well-established Clean-In Clean-Out (CICO) program for hand hygiene observations was sustainable throughout a public health and healthcare crisis and whether the COVID-19 pandemic had an effect on hand hygiene compliance. Methods: UNC Medical Center utilizes a crowd-sourced hand-hygiene audit application, CICO, to track hand-hygiene observations, compliance, and feedback. This application encourages participation from all staff and promotes providing real-time feedback in the form of a compliment or reminder when performing hand hygiene observations. During this evaluation, hand hygiene data were queried from the CICO application on the number of observations performed, hand hygiene compliance percentage, and feedback compliance percentage from July 2019 to December 2020. Hand hygiene data were compared to patient volumes in different care settings and the number of hospitalized patients being treated for COVID-19. Results: Initial increases in hand hygiene observations, compliance, and feedback were detected in the months leading up to UNC Medical Center receiving its first SARS-CoV-2–positive patient. Observations were highest when patient volumes were low due to closed clinics and restrictions on elective surgeries (Figure 1). When patient volumes returned to pre–COVID-19 levels coupled with treating more COVID-19 patients, the number of observations and compliance rate metrics declined. Feedback compliance percentage remained relatively stable through the entire period (Figure 2). Conclusions: Despite the additional strain on healthcare staff during COVID-19, the CICO model was a sustainable method to track hand hygiene observations and compliance. Notably, however, engagement was highest when patient census was lower, demonstrating that operating at a high capacity is not beneficial for patient safety. Due to the success and sustainment of the CICO program, UNC Medical Center used this model to create a Mask-On Mask-Up campaign to engage staff to submit observations, track compliance, and encourage feedback to promote the appropriate use of masks during COVID-19.Funding: NoDisclosures: None
33
Kampan, Somphorn. "Air Quality and Employee Hygiene-related Behavior in a Post Anesthesia Care Unit in Thailand." Open Nursing Journal 13, no. 1 (April 30, 2019): 100–107. http://dx.doi.org/10.2174/1874434601913010100.
Full textAbstract:
Background: Airborne contaminants in Postanesthesia Care Units (PACUs) such as bacteria, fungi, and waste anesthetic gases pose serious, and sometimes fatal, risks to both patients and PACU workers. Numerous studies have linked long-term exposure to nitrous oxide and halogenated agents to, among other things, reproductive problems in PACU nurses and anesthesiologists. Microorganism contamination can result in a post-surgical complication, to which patients with diabetes and other respiratory diseases are especially vulnerable. Various researchers and governmental agencies have recommended hospitals take steps to reduce levels of airborne contaminants in PACUs. In particular, hazard communication programs are recommended to inform and train staff on relevant occupational health and safety procedures. Additionally, and perhaps more importantly, experts recommend hospitals install specialized ventilation systems to maintain low levels of airborne pollutants. Objective: This study has two main parts: (1) measurement of airborne contaminants in the PACU at Rajavithi Hospital in Bangkok, Thailand; and (2) assessment of PACU workers’ perceived level of importance regarding occupational health and safety protocols, via self-reporting survey. The study also has two main objectives: (1) to determine whether, and to what extent, a new ventilation system helps reduce airborne contaminants in the PACU; and (2) to discover whether an informational campaign increases perceived importance of health and safety procedures among PACU workers (i.e. handwashing, changing shoes, wearing proper facemasks). Methods: Surveys and air quality measurements were collected two times – in July 2016 and April 2017 – before and after Rajavithi Hospital implemented a hazard communication program consisting of training, posters, brochures, and informational media. Survey participants included all 64 PACU workers – 61 nurses and 3 anesthetists. Air sampling measured levels of bacteria, fungi, nitrous oxide, and desflurane. Results: Initial levels of airborne microorganisms were very high (1307CFU/m3 for bacteria and 70.4 CFU/m3 for fungi) and on the high end of normal for nitrous oxide (21.86ppm). Following the informational campaign and installation of the ventilation system, levels of bacterial contamination fell to 182 CFU/m3, and fungi fell to 35.8 CFU/m3. Simultaneously, workers’ levels of perceived importance for health and safety procedures increased. Conclusion: Both aspects of the study were successful, however, concentration of airborne microorganisms still exceeded recommended limits at the end of the study. Hospital administration and staff are encouraged to continue training and informing workers while assessing ventilation system until contamination levels fall to within internationally acceptable ranges.
34
Malick, Diarra Yah, and Tra Fulbert. "Hygiene Hospitaliere et Prevention des Infections Nosocomiales en Côte d’Ivore: Cas de l’Hôpital General de Dabou." European Scientific Journal, ESJ 18, no. 33 (October 31, 2022): 281. http://dx.doi.org/10.19044/esj.2022.v18n33p281.
Full textAbstract:
L'hygiène hospitalière est l'ensemble des mesures de prévention et de protection des malades, du personnel des établissements sanitaires et des visiteurs, mises en œuvre dans un hôpital ou un établissement de soins . Cela explique la nécessité de la présente recherche sur hygiène hospitalière et prévention des infections nosocomiales en Côte d’Ivoire : cas de l’Hôpital Général de Dabou. L’objectif assigné à cette recherche est d’étudier la mise en œuvre des mécanismes d’hygiène hospitalière au sein de l’Hôpital Général de Dabou. Pour mener à bien cette recherche, nous avons eu recours à la recherche documentaire, à l’entretien semi directif, à l’observation direct. Pour rendre les résultats objectifs, la méthode d’analyse de contenu et l’approche systémique nous ont été d’une grande utilité. Il ressort de l’étude que plusieurs actions pour promouvoir l’hygiène hospitalière en vue de la prévention des infections nosocomiales sont menées, à savoir : les sensibilisations, la formation des agents en hygiène hospitalière, la gestion des déchets et l’entretien des locaux.
Hospital hygiene is the set of measures for the prevention and protection of patients, staff of health establishments, and visitors, implemented in a hospital or a health care establishment". This explains the need for this research on hospital hygiene and prevention of nosocomial infections in Côte d'Ivoire: the case of the General Hospital of Dabou. The objective of this research is to study the implementation of hospital hygiene mechanisms in the General Hospital of Dabou. To carry out this research, we used documentary research, semi-directive interviews, and direct observation. To make the results objective, the content analysis method and the systemic approach were very useful. The study shows that several actions to promote hospital hygiene in order to prevent nosocomial infections are carried out, namely: awareness raising, training of hospital hygiene agents, waste management, and maintenance of premises.
35
Alba, Cristiano Regis, Crhis Netto de Brum, Rafaela Lasta, Michele Gassen Kellermann, Vanessa da Silva Corralo, Otávio Pereira D'Ávila, Clodoaldo Antônio de Sá, and Sinval Adalberto Rodrigues-Junior. "Oral health care of hospitalized elderly in a Southern Brazilian public hospital." Research, Society and Development 11, no. 3 (February 28, 2022): e38711326565. http://dx.doi.org/10.33448/rsd-v11i3.26565.
Full textAbstract:
Oral health care plays a part in the integral recovery of hospitalized older people. Based on that, this study characterized the oral health care of hospitalized older people in a Brazilian public hospital. Through application of questionnaires, this cross-sectional study assessed oral health care practice by hospital nursing staff (n=31), companions (n=134) and hospitalized older people (n=200) of a public hospital in Southern Brazil. Clinical examination was conducted by two previously calibrated examiners to screen the oral health condition of the patients, considering the presence of cavitated lesions, residual roots, visible biofilm, calculus, gum inflammation and bleeding. Data were analysed descriptively. Nursing staff limits oral health assessment to surgical procedures; 55% of nurses and 58% of companions do not supervise the oral hygiene, but 81% and 96%, respectively, claim to perform oral hygiene of elderly with difficulties to do so. The elderly (51%) claimed to brush their teeth 3x/day or more; yet, their oral health was characterized by the presence of visible biofilm, calculus, gingival inflammation and bleeding and decayed teeth. Oral health advisory or assessment is not part of the hospital routine. Companions and hospital nursing staff are willing to receive oral health care information. Poor oral health was observed in hospitalized older people, which would probably be enhanced by an interdisciplinary educational approach towards oral health care to older patients.
36
Scalco, Jéssica De Mello, Marina Rechi, Marcelo Lupion Poleti, and Thais Maria Freire Fernandes. "Evaluation of Knowledge of the Oral Hygiene Protocol by the Nursing Team of the Intensive Care Unit of Two Hospitals In Londrina/PR." Journal of Health Sciences 20, no. 2 (July 27, 2018): 122. http://dx.doi.org/10.17921/2447-8938.2018v20n2p122-124.
Full textAbstract:
AbstractOral hygiene in the Intensive Care Unit - ICU is considered a basic and indispensable procedure whose goal is to maintain the patients’ healthy oral conditions, reducing complications and contributing to their recovery. The objective of this study was to evaluate the knowledge on the oral hygiene protocol by the ICU nursing team of two hospitals in Londrina/PR. The sample of this study was composed by the nursing and nursing technicians team of the Intensive Care Unit of the Hospital A and Hospital B, regardless of gender or age, and considering who had worked at the ICU for at least three months. A self-administered, unidentified questionnaire was used to collect data. The analyzed variables were: profession, age, sex, working time and oral hygiene. More than 80% of the professionals were Nursing Technicians, with average age above 30, female and working in the ICU of the hospital for over 3.5 years. The results of this study demonstrate the lack of knowledge of the oral hygiene protocol by more than 30% of the Nursing staff in both hospitals. Based on the methodology and the results analysis, it can be concluded that the oral hygiene protocol is unknown by more than a third of the ICU Nursing team of both surveyed hospitals. Keywords: Intensive Care Units. Disease Prevention. Oral Hygiene.ResumoA higiene bucal em Unidade de Terapia Intensiva - UTI é considerada um procedimento básico e indispensável cujo objetivo é manter saudáveis as condições bucais dos pacientes, reduzindo agravos e contribuindo para sua recuperação. O objetivo deste estudo foi avaliar o conhecimento do protocolo de higiene bucal pela equipe de enfermagem da UTI de dois hospitais em Londrina/PR. A amostra deste estudo foi composta pela equipe de Enfermagem (Enfermeiros e Técnicos em Enfermagem) da Unidade de Terapia Intensiva do Hospital A e do Hospital B, independente do sexo e idade, e que trabalhavam na UTI, no mínimo, há três meses. Para a coleta de dados foi utilizado um questionário autoaplicável, não identificado. As variáveis analisadas foram: profissão, idade, sexo, tempo de trabalho e higiene bucal. Mais de 80% dos profissionais eram Técnicos em Enfermagem, com idade média acima dos 30 anos de idade, do sexo feminino e atuando na UTI do hospital, em média, acima de 3,5 anos. Os resultados deste estudo demonstram a falta de conhecimento do protocolo de higiene bucal, por mais de 30% da equipe de Enfermagem, em ambos os hospitais. Com base na metodologia e análise dos resultados, pode-se concluir que o protocolo de higiene bucal é desconhecido por mais de um terço da equipe de Enfermagem da UTI de ambos os hospitais pesquisados.Palavras-chave: Unidades de Terapia Intensiva. Prevenção de doenças. Higiene Bucal.
37
González, Roxana Trejo, Miguel Ángel García Salcido, Diana Palami Antunez, and Reyna Yacaman Handal. "Hand Hygiene In and Out: Compliance and Sustainability Are Possible: 90/90 Program in a Mexican Tertiary-Care Center." Infection Control & Hospital Epidemiology 41, S1 (October 2020): s241—s242. http://dx.doi.org/10.1017/ice.2020.798.
Full textAbstract:
Background: The American British Cowdray Medical Center I.A.P., also known as ABC Medical Center, is a highly specialized hospital and private assistance institution located in Mexico City. The ABC Medical Center implemented hand hygiene policies since around 2009, when Mexico committed to patient security. However, hand hygiene compliance remained low. Methods: The objective of the Hand Hygiene 90/90 program was to increase hand hygiene compliance through an integral strategy including a multidisciplinary team with leaders from different areas (nursing, physicians, human resources, quality, and educators). It was named 90/90 because it aimed to accomplish a 90% hand hygiene compliance among all health providers and hospital staff in 90 days (October 1–December 29) upon entering and exiting patient rooms (ie, In & Out). The Hand Hygiene 90/90 program led by the epidemiology area consisted of 5 specific components: management, supplies, education, monitoring, and social marketing (Fig. 1). For a period of 90 days, several permanent actions were implemented; they had a positive influence on the expected outcome (Fig. 2). Results: The starting point at the ABC Medical Center upon launching the program was 70% compliance. With the Hand Hygiene 90/90 program, the first steady change was observed at the end of November 2012 (ie, the sixth measurement point). An 88% compliance was achieved, all compliance was >50% from this point on. The highest compliance was achieved among health providers (doctors and nurses), followed by administrative staff. At the end of December 2012, 91% compliance was achieved by all health providers and hospital staff. Sustainability has been possible over the years through ongoing hand hygiene campaigns. In the 5 years following the implementation of the program, hand hygiene compliance remained mostly below the 90% standard (Fig. 3). Conclusions: An intervention for continuous improvement and hand hygiene compliance using the WHO 5 Moments was implemented throughout 2018, (in addition to the In & Out program). This intervention also incorporated elements of the WHO Multimodal Strategy 1 to develop a comprehensive hand hygiene program together with new indicators. The ABC Medical Center, with the support and leadership of the Ministry of Health, aims to become an example of institutions that achieve national and international benchmarks in the implementation of patient safety programs that are not only successful but also sustainable.Funding: NoneDisclosures: None
38
Trejo, Roxana, and Solange G. Koretzky. "1190. Hygiene of the Hands 90/90: A Program of Continuous Improvement for the Compliance of the Hygiene of the Hands." Open Forum Infectious Diseases 6, Supplement_2 (October 2019): S427. http://dx.doi.org/10.1093/ofid/ofz360.1053.
Full textAbstract:
Abstract Background Healthcare-associated infections (HAIs) are associated with high rates of morbidity and mortality, which translates into an increase in the days of hospitalization and costs of care. The research of hand hygiene in health workers demonstrate that this action decreases the spread of pathogens; however, the compliance of hand hygiene remains low among health workers. Hand hygiene is a cheap method to prevent infections. It has been estimated that the total cost of hand hygiene promotion represents <1% of the costs associated with the HAIs. Our goal is to strengthen the culture of hand hygiene (In and Out) in all health professionals in a period of 90 days, achieving a 90% compliance. Methods The ABC Medical Center is a high specialty hospital, on average it has 465 beds. The program led by the Epidemiology Unit was formed by a multidisciplinary team with the patriation of leaders of different areas (Epidemiology, Nursing, Physicians, Human resources, Quality and Teaching). We used the “WHO Guidelines on Hand Hygiene in Health Care” consisting of: (1) system change, (2) training for employees, (3) evaluation and feedback, (4) a reminder at the workplace, (5) institutional security climate, (6) monitoring of the compliance to hand hygiene: The monitoring of the evaluation personnel was carried out in two stages, when entering and leaving the patient’s room. Results A total of 9,732 observations were made, of which 55.32% went to the nursing staff, 22.80% to doctors and 21.87% to the hospital staff. The compliance of the hand hygiene at the beginning of the program was 70%, by the and the 91% was reached. Sustainability has been maintained through continuous campaigns of the importance of hand hygiene reaching a 98% adherence to hands hygiene in 2018. The behavior of HAIs is notorious since at the beginning of the program there was a rate of 0.95 and by 2018, with the increase in compliance to hand hygiene, it decreased to 0.56. Conclusion The 90/90 Hand Hygiene program is a pioneer in its modality for the implementation of the program in a short period of time and excellence in its scope. It is confirmed that leadership is essential and strategic to ensure quality and safety in patient care. Through the incentive to the staff a clear sense of participation and belonging to the institution is achieved Disclosures All authors: No reported disclosures.
39
El Morhit, Amina, Mohamed El Morhit, Nadira Mourabit, and Mimoun Zouhdi. "Biomedical Waste Management (BMW) Assessment at the RHC Regional Hospital in Tangier, Morocco." E3S Web of Conferences 240 (2021): 02001. http://dx.doi.org/10.1051/e3sconf/202124002001.
Full textAbstract:
Biomedical waste is a real danger to public health and the environment. The quantity of this waste, mainly from hospitals, is constantly increasing, leading to various forms of pollution. This is a cross-sectional, observational study that took place in 2017. A questionnaire was submitted to nurses, doctors and those responsible for hospital hygiene and the operation of waste incinerators to assess the mechanisms and knowledge of medical staff in terms of biomedical waste management. It was confirmed that the hospital wastes are still poorly managed due to the absence of a plan or program for MPSD in all the structures studied, which attests to the non-application of the regulations in force and an inadequate internal management system in most laboratories. Due to the non-availability of health technicians and the lack of material resources in quality and quantity, a staff that is poorly informed about the regulations that apply to BMW, and a poorly recognized and disrespected BMW process that breaks even the clearest instructions regarding incineration and landfill disposal. It has become very urgent to adopt new strategies to be planned for an adequate training to be included for better medical waste management.
40
Rapiasih, Ni Wayan, Yeni Prawiningdyah, and Lily Arsanti Lestari. "Pelatihan hygiene sanitasi dan poster berpengaruh terhadap pengetahuan, perilaku penjamah makanan, dan kelaiakan hygiene sanitasi di instalasi gizi RSUP Sanglah Denpasar." Jurnal Gizi Klinik Indonesia 7, no. 2 (November 1, 2010): 64. http://dx.doi.org/10.22146/ijcn.17738.
Full textAbstract:
Background: The problem of food hygiene sanitation in hospital is closely related to the incidence of nosocomial infection which is estimated to be high considering that the condition of hospitals and health in general is still relatively not very good. A way to transmit nosocomial infection is through food. Staff hygiene is a factor requiring attention in order that the product of nutrition installation is of quality and safe to consume.Objective: To identify the effect of training and posting of food hygiene sanitation to knowledge, healthy behavior of food handlers in efforts to improve food safety and sanitation hygiene appropriateness.Method: This was a time series quasi experiment with one group pre test and post test design. Samples consisted of 44 people of senior level education in charge of food service to patient in class I, II, and III. Every subject was given training using lecture, discussion and demonstration method for one day. Poster was posted a month after training. Data obtained consisted of sex, age, marital status, duration of occupation, place of work, knowledge, behavior, food safety in food serving utensil for inpatients and sanitation hygiene appropriateness. Assessment was made before, one month and two months after training. Data analysis used paired Sample t-test and chi-square.Results: There was signifcant improvement in knowledge and healthy behavior before and after training plus poster showed with p<0.001. There was signifcant difference in sex and behavior before training with p=0.045 and a month after training with p<0.001. There was signifcant association between place of work and behavior a month after training with p=0.021. There was signifcant difference in total plate count one month and two months after training with p=0.049. In addition, there was an increased quality of sanitation hygiene appropriateness before and after training plus poster showed.Conclusion: There was an increasing of knowledge, behavior of food handlers, sanitation hygiene appropriateness, before and after training plus poster. There was an improvement in quality food safety one and two months after training.
41
Jayanthi, P., and Umadevi A K. "Impact of Structured Teaching Programme on Knowledge of Staff Nurses Regarding Sleep Hygiene among the Patients Admitted in a Hospital." International Journal of Health Sciences and Research 12, no. 3 (March 19, 2022): 415–20. http://dx.doi.org/10.52403/ijhsr.20220355.
Full textAbstract:
Background of the Study: Sleep is a basic human need. It is a universal biological process common to all people. Human spend about one-third of their lives asleep. Sleep plays an important role in maintaining good physical and mental health throughout the life. Sleep hygiene practice is one of the important variables that reduce sleep related disorders, inappropriate sleep behaviours and improves the quality of sleep. Objectives: The study aimed to assess the effectiveness of structured teaching programme on knowledge of staff nurses regarding sleep hygiene of the patients in a selected hospital. Methods and Materials: A pre experimental one group pre test post test design was adopted for the study. Non probability purposive sampling technique was used to select 60 staff nurses from the selected hospital. Data were collected by using a structured knowledge questionnaire. Results: On comparison of pre test and post test knowledge scores, 86.7% of staff nurses had inadequate knowledge in pre test where as in posttest 83.3% of staff nurses had gained adequate knowledge and the improvement was statistically found to be significant (p<0.005). There was a significant association was found between knowledge score and selected demographic variables such as clinical experience and type of family. Conclusion: In pretest 86.7% of the subjects had an inadequate knowledge where as in the posttest 83.3% of subjects had gained adequate knowledge and 16.7% had acquired moderate knowledge. The overall findings of the study clearly showed that the STP was significantly effective in improving the knowledge of staff nurses regarding sleep hygiene of the patients. Key words: Effectiveness, sleep, structured teaching programme, knowledge of staff nurses and sleep hygiene protocol.
42
Ojanperä, Helena, Outi I. Kanste, and Hannu Syrjala. "Hand-hygiene compliance by hospital staff and incidence of health-care-associated infections, Finland." Bulletin of the World Health Organization 98, no. 7 (May 26, 2020): 475–83. http://dx.doi.org/10.2471/blt.19.247494.
Full text
43
Mukta, Sharma, and Sindu Anandveer Singh. "Protection Measures for Staff Handling the Biomedical Waste - An Overview." International Journal of Zoological Investigations 08, no. 02 (2022): 505–11. http://dx.doi.org/10.33745/ijzi.2022.v08i02.063.
Full textAbstract:
Effective confinement of Biomedical waste (BMW) and safe handling measures provide significant health protection. The handling of waste entails health risks for staff throughout the chain. The protective measures reduce the risks of accident/exposure or the consequences. This review focuses on protection measures for staff handling the BMW with respect to: (1) personal protective equipment (PPE); (2) personal hygiene; (3) vaccination; (4) measures taken in accidental exposure to blood (AEB); (5) emergency measures in the event of spills/contamination of surfaces and contamination of persons; and (6) training of hospital staff.
44
Carling, Philip, Lyndsay O'Hara, Anthony Harris, and Russell Olmsted. "Mitigating Hospital-Onset Clostridioides difficile: Evaluation of a Standardized Environmental Hygiene Program in Eight Hospitals." Infection Control & Hospital Epidemiology 41, S1 (October 2020): s43. http://dx.doi.org/10.1017/ice.2020.525.
Full textAbstract:
Background: Despite ongoing efforts over the past 3 decades, hospital-onset Clostridioides difficile infection (HO-CDI) continues to challenge interventions aimed at its prevention and control. We describe the impact of a model environmental services (EVS) program on the incidence of HO-CDI across 8 hospitals that are part of a nationwide integrated health system. Methods: Eight acute-care hospitals with 44–532 beds (mean, 263 beds) in 6 states with stable endemic HO-CDI incidence densities independently implemented identical sporicidal environmental hygiene interventions in 2017. The program combined the use of a hydrogen peroxide/peroxyacetic acid surface disinfectant for all patient-zone hygienic cleaning combined with a structured model EVS cleaning program that included optimized cleaning and disinfection technique, staff training, and auditing with objective performance feedback, which aligned with 2008 HICPAC/CDC categories I and II as well as 2010 CDC Guidance Level II monitoring program recommendations. After a 3-month phase-in, we compared NHSN-reported LabID HO-CDI SIRs for 18 months before and 12 months after implementation of the program. Results were not shared between sites and data were not collated by the authors until a year after the postintervention results were initially available. Multiple possible confounding factors were evaluated and determined not to have identifiably affected the outcome. Results: Mean preintervention HO-CDI SIRs over the 18 months measured ranged from 0.5 to 1.4 (mean, 1.0 for the group). Following the wash-in period, SIRs decreased precipitously in all sites to a mean of 0.42 for the group by the end of 12 months of the intervention. (P < .0001) (Fig. 1). Individual site improvement ranged from 20% to 92% (mean, 57%) (Fig. 2.) Conclusions: Overall, HO-CDI SIRs decreased almost 60% in the study hospitals following daily sporicidal disinfection cleaning of all patient-zone surfaces in association with ongoing programmatic optimization of cleaning practice. As predicted by earlier single-site studies reporting a favorable impact of sporicidal disinfectant cleaning in outbreak settings, this multisite quasi-experimental study has illustrated the substantial potential impact of hospital-wide sporicidal disinfection integrated with objectively sustained optimized thoroughness of cleaning to decrease the incidence of HO-CDI.Funding: NoneDisclosures: None
45
Zimakoff, Jette, Anne-Britt Bye Kjelsberg, Severin Olesen Larsen, and Bjørn Holstein. "A multicenter questionnaire investigation of attitudes toward hand hygiene, assessed by the staff in fifteen hospitals in Denmark and Norway." American Journal of Infection Control 20, no. 2 (April 1992): 58–64. http://dx.doi.org/10.1016/s0196-6553(05)80002-1.
Full text
46
McCall, Bradley, Joseph G. McCormack, Russell Stafford, and Christopher Towner. "An Outbreak of Salmonella typhimurium at a Teaching Hospital." Infection Control & Hospital Epidemiology 20, no. 01 (January 1999): 55–56. http://dx.doi.org/10.1086/501551.
Full textAbstract:
Abstract An outbreak of Salmonella typhimurium infection in December 1996 affected 52 patients, relatives, and staff of a large teaching hospital in southeast Queensland. Assorted sandwiches were identified as the vehicle of transmission. This article describes the outbreak investigation and demonstrates the importance of food hygiene and timely public health interventions.
47
Payne, Drew, and Martin Peache. "The challenge of infection control in patients' homes." British Journal of Community Nursing 26, no. 4 (April 2, 2021): 168–74. http://dx.doi.org/10.12968/bjcn.2021.26.4.168.
Full textAbstract:
Infection control is the responsibility of all nurses, but, traditionally, it has been seen as a priority only in hospitals. Infection control does not stop when a patient is discharged home, but should be practiced wherever clinical care takes place. Community nurses face a unique challenge as they work in patients' homes, and they must manage infection control in that unique environment. This article looks at practical ways to maintain infection control in patients' homes. It covers hand hygiene and personal protective equipment (PPE), including the five moments of hand hygiene, appropriate hand hygiene, the use of all PPE and when gloves are required and when they are not. It also discusses managing clinical equipment, both that taken into the home and that left with a patient, including decontamination, safe storage of sharps and waste management. It touches upon what can be done in a patient's home to reduce the risk of contamination, as well as infectious disease management, including specimens and wound infection management. Lastly, it talks about cross-infection and why staff health is also important.
48
Kotelevets, Elena P., V. A. Kiryushin, N. I. Prohorov, and P. I. Melnichenko. "ADAPTIVE ABILITIES OF THE MEDICAL STAFF OF MATERNITY HOSPITALS." Hygiene and sanitation 99, no. 1 (January 15, 2020): 56–62. http://dx.doi.org/10.33029/0016-9900-2020-99-1-56-62.
Full textAbstract:
Introduction. The aim is scientific planning of preventive measures based on the assessment of adaptive capabilities of the organism of medical personnel of maternity institutions in the dynamics of the work shift. Material and methods. With cardiointervalogram variation of the studied indices of the cardiovascular and autonomous nervous system in obstetricians-gynecologists, neonatologists, nurses - midwives, nurses - anesthetists, ward nurses of perinatal centers and maternity hospitals in cities of Ryazan, Smolensk, Lipetsk, and Kolomna at the beginning and at the end of the work shifts. Results. The analysis of heart rate variability revealed significant statistical differences in a number of indices of the spectral region (the decline in values of sympatho-parasympathetic balance (LF/HF), the amplitude of very low-frequency waves (LFW), increase in the total power (TP), as well as an increase in the index of activity of regulatory systems (IARS) (p<0.05), established the relationship between the IARS at the end of the shift and the intensity of the labor process of obstetricians-gynecologists of perinatal centers, nurses-anesthetists, and midwives of perinatal centers. Conclusion. The revealed direct correlation between the IARS at the end of the work shift and the intensity of the labor process of obstetricians-gynecologists of perinatal centers, medical nurses-anesthetists, and midwives of perinatal centers confirms the results of hygienic studies of the labor process intensity and allows planning preventive measures.
49
LAGES, Vinícius Aguiar, Thaís Torres Barros DUTRA, Alessandra Noleto de Almeida Nunes LIMA, Regina Ferraz MENDES, and Raimundo Rosendo PRADO JÚNIOR. "The impact of hospitalization on periodontal health status: an observational study." RGO - Revista Gaúcha de Odontologia 65, no. 3 (September 2017): 216–22. http://dx.doi.org/10.1590/1981-863720170002000053165.
Full textAbstract:
ABSTRACT Objective To evaluate the impact of hospitalization on the periodontal status of patients admitted to a private hospital. Methods A sample of 41 patients answered a questionnaire on oral hygiene habits before and after hospitalization. An examiner measured the Periodontal Screening and Recording ratio (PSR) within 24 hours after hospitalization (T0), after five (T1) and after ten days of hospital admission (T2). Results 47 patients were examined at T0, 37 at T1 and 21 at T2. Between T0 and T1, the periodontal condition of 32.4% of patients worsened (p = 0.001). The score of ten patients changed from PSR = 0 to PSR = 1 and the score of two changed from PSR = 1 to PSR = 2, after 5 days of hospitalization. At T2, 38% of patients had deteriorated (p = 0.005) with 4 developing gingival bleeding and 4 presenting calculus. 19% of patients (p=0.046) declined between T1 and T2, and 4 patients presented calculus. None of the patients received any guidance on oral hygiene by hospital staff. Conclusion The periodontal condition of hospitalized patients deteriorated over the course of the stay in hospital and, consequently, there was an increased need for treatment. This draws attention to the importance of oral hygiene care in hospital.
50
Tobigo, Reslin, and Ellyani Abadi. "The Effect of Socialization Implementation of Hazard Analysis And Critical Control Points (HACCP) on Food Processing in Bahteramas General Hospital and Kendari City General Hospital, Southeast Sulawesi Province." KLASICS 2, no. 02 (July 30, 2022): 07–10. http://dx.doi.org/10.46233/klasics.v2i02.736.
Full textAbstract:
Food is a basic need for humans, food that is not safe for consumption can cause disease in humans, nosocomial infections, and food poisoning. The results of observations at the Bahteramas General Hospital and hospitals. The city of Kendari has not yet implemented the HACCP system, so innovation is needed so that the HACCP program can be implemented. The purpose of this study was to determine the effect of socialization on the application of food processing at Bahteramas General Hospital and hospitals. Kendari City. This type of research is quantitative, Quasy experiment design. The research was conducted at Bahteramas General Hospital, Southeast Sulawesi Province and in hospitals. Kendari City on January 28 - March 4, 2022. The sample is part of the nutrition staff, hosts and waiters at Bahteramas General Hospital and in hospitals. Kendari City in 2022. The intervention sample was given socialization about HACCP as many as 25 people obtained by simple random sampling and the control sample was not given socialization as many as 19 people obtained from the total sampling. Data collection techniques with questionnaires and observation. Data were analyzed using Mc.Neymar test. The results of research at the Bahteramas General Hospital obtained p value 0.031 < 0.05 for food processing obtained, and p value 0.031 < 0.05 for food presentation The conclusion is that there is an effect of socializing the application of HACCP on food processing and serving in hospitals. Kendari City. Suggestions for hospitals to implement the HACCP system. For health workers, food handlers and food servicers, to improve food management efforts based on the principles of food hygiene and sanitation.