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Статті в журналах з теми "Care and hygiene"

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Автор: Grafiati
Опубліковано: 4 червня 2021
Оновлено: 3 березня 2023

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1

Park, Jason H., Lawrence Mwananyanda, Maria Servidone, Jean Sichone, Susan E. Coffin, and Davidson H. Hamer. "Hygiene practices of mothers of hospitalized neonates at a tertiary care neonatal intensive care unit in Zambia." Journal of Water, Sanitation and Hygiene for Development 9, no. 4 (October 3, 2019): 662–70. http://dx.doi.org/10.2166/washdev.2019.140.

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Abstract Risk of neonatal mortality secondary to infections such as pneumonia and diarrhoeal diseases can be influenced by maternal hygiene, but little information is known about current maternal hygiene practices in low- and middle-income countries. This study aimed to assess the hygiene practices of mothers of neonatal intensive care unit (NICU) patients in Lusaka, Zambia and associated epidemiological factors. A cross-sectional survey of the mothers of hospitalized neonates at the University Teaching Hospital (UTH) in Lusaka was conducted. Study nurses orally administered questionnaires to mothers in their local languages about their hygiene practices related to newborn care. Of the 201 mothers surveyed, self-reported hygiene practice was associated with literacy (p = 0.013) and income (p < 0.0001). In contrast, adherence to recommended hygienic newborn care was less common, with only 36% of mothers practising recommended cord care practices. Forgetfulness (32%) and lack of hygiene resources (13%) were the major barriers to hygienic behaviours. Surveyed Zambian women who delivered babies requiring NICU care self-reported adequate hygienic practices and apparently faced difficulty practising them due to forgetfulness and a lack of hygiene resources. Future efforts should focus on improving cord care education, reinforcement of the importance of hygienic behaviours, and the supply of affordable antiseptic tools.
2

Zalewska-Meler, Agnieszka. "Hygiene practices: reorientation and searching for new solutions in care and education." Problemy Opiekuńczo-Wychowawcze 608, no. 3 (March 31, 2022): 3–20. http://dx.doi.org/10.5604/01.3001.0015.8140.

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The problem presented in the article concerns the concept of hygienic care and the reasons for objectifying hygiene practices related to the body. The analysis of hygiene goals made based on a critical analysis of key publications and texts inscribed in the evolution of hygiene and educational activity was used to determine the methods of shaping hygienic body awareness in contemporary educational practice. The article attempts to define the common fields of influence of hygiene and pedagogy, draw attention to the reflective way of reading the canon of vital needs of children and adolescents to give them a pro-health meaning in the life cycle. The main conclusions resulting from the analyses carried out are: 1) departing in the education process from traditional thinking about hygiene, i.e. perceiving it as a set of norms and rules of purely medical origin (giving instructions, recommendations to guarantee hygiene safety, focusing awareness on prevention), 2) overcoming the model of preventive hygiene (negative, passive) for the release of hygiene care and education based on transgressive practices of caring for the body, 3) locating hygienic activity in the area of life skills, 4) inducing hygienic sensitivity based on the resources of the living environment and vital values.
3

Abuosi, Aaron Asibi, Samuel Kaba Akoriyea, Gloria Ntow-Kummi, Joseph Akanuwe, Patience Aseweh Abor, Anita Anima Daniels, and Robert Kaba Alhassan. "Hand hygiene compliance among healthcare workers in Ghana’s health care institutions: An observational study." Journal of Patient Safety and Risk Management 25, no. 5 (September 30, 2020): 177–86. http://dx.doi.org/10.1177/2516043520958579.

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Objective To assess hand hygiene compliance in selected primary hospitals in Ghana. Design A cross-sectional health facility-based observational study was conducted in primary health care facilities in five regions in Ghana. A total of 546 healthcare workers including doctors, nurses, midwives and laboratory personnel from 106 health facilities participated in the study. Main outcome measures The main outcome measures included availability of hand hygiene materials and alcohol job aids; compliance with moments of hand hygiene; and compliance with steps in hygienic hand washing. These were assessed using descriptive statistics. Results The mean availability of hand hygiene material and alcohol job aids was 75% and 71% respectively. This was described as moderately high, but less desirable. The mean hand hygiene compliance with moments of hand hygiene was 51%, which was also described asmoderately high, but less desirable. It was observed that, generally, hand hygiene was performed after procedures than before. However, the mean compliance with steps in hygienic hand washing was 86%, which was described as high and desirable. Conclusion Healthcare workers are generally competent in performance of hygienic hand washing. However, this does not seem to influence compliance with moments of hand hygiene. Efforts must therefore be made to translate the competence of healthcare workers in hygienic hand washing into willingness to comply with moments of hand hygiene, especially contact with patients.
4

Patil, Sharmila, Rupali Pawaskar, and Pushpa Gupte. "Vulvovaginal hygiene and care." Indian Journal of Sexually Transmitted Diseases and AIDS 30, no. 2 (2009): 130. http://dx.doi.org/10.4103/0253-7184.62778.

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5

Carling, Philip C. "Health Care Environmental Hygiene." Infectious Disease Clinics of North America 35, no. 3 (September 2021): 609–29. http://dx.doi.org/10.1016/j.idc.2021.04.005.

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6

Lekomtseva, O. V., and S. Yu Kosyuga. "Studying of level of hygienic knowledge and skills to care for the oral cavity at the high schoolchildren." Medical Council, no. 2 (February 16, 2019): 220–23. http://dx.doi.org/10.21518/2079-701x-2019-2-220-223.

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The article is devoted to the study of the level of dental knowledge and hygiene skills in adolescents studying at the school №176 in Nizhny Novgorod with use of individually designed questionnaire. The questionnaire included twenty-one questions: about individual hygiene of oral cavity, the choice of subjects and means of hygiene of oral cavity, the frequency of hygienic care for oral cavity at home, the presence of inflammatory diseases of oral cavity and dentition anomalies at the time of the survey, sources of hygiene knowledge and skills of students about psycho-emotional relation of children to the procedures for the hygienic care of oral hygiene and periodic visits to the dentist. Based on the survey of 14 year’s adolescents, it can be concluded that the level of knowledge of children’s choice of subjects and means for oral hygiene and the need for regular dental education for the prevention and early detection of risk factors for the development of periodontal diseases in schoolchildren.
7

Semwal, Richa, Shiv Kumar Yadav, A. R. Piyush, and Bhola Nath. "Assessment of hand hygiene practices among health care providers in a government tertiary care hospital." International Journal Of Community Medicine And Public Health 6, no. 10 (September 26, 2019): 4357. http://dx.doi.org/10.18203/2394-6040.ijcmph20194494.

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Background: Hand hygiene practices either by hand rub by disinfectant or hand washing by soap and water are very important for preventing Health care-associated infections (HCAIs). WHO have devised guidelines for hand rub and hand wash and advocated “My five moments for hand hygiene” as the approach for appropriate performance, teaching and evaluation of hand hygiene. The objective of this study is to observe hand hygiene practices, among health care providers in a tertiary care govt. hospital and document facilities available at the point of patient care for hand hygiene practices.Methods: A cross sectional observation study was conducted in 8 departments of a Government Tertiary care Hospital for observation of hand hygiene practices as Per WHO Guideline on “5 Moment of Care”. Total of 600 observations were made and one Health care provider was observed once at a point of time. Data Entry was done in MS excel and was analysed in Open Epi software.Results: Among 600 moments observed, 354 (59%) moments were those where hand hygiene practices were missed by HCPs. Among various HCPs 63% Doctors, 62% Nurses, 52% Medical students and 59% nursing students missed the hand hygiene practices. Lack of antimicrobial soap, alcohol based agents, sterile towel and hand drier were perceived barriers for hand hygiene Practices.Conclusions: There lies a huge gap in practice of hand hygiene among all cadres of health care providers. The study is able to identify the lack of infrastructure which can be improved to promote hand hygiene in wards.
8

Lee, Jee Hye. "An Investigation of Factors that Influence Hygiene Practices at a Small Day Care Center." Journal of Food Protection 81, no. 1 (December 28, 2017): 158–64. http://dx.doi.org/10.4315/0362-028x.jfp-17-163.

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ABSTRACT The aim of this study was to explore factors that influence hygiene practices at small day care centers. It examines the effect of food hygiene training on hygiene practices and investigates the correlations between the hygienic status of food handlers' hands and that of kitchen utensils. Furthermore, it determines the influences of demographic and facility-related factors on hygiene practices in small day care centers. A total of 56 food handlers at 49 day care centers in the Gyeongnam area of South Korea participated in hygiene training. The results of the study showed that after two training sessions, the ATP bioluminescence levels of knives (P < 0.01), cutting boards (P < 0.01), food handlers' hands (P < 0.001), and UV disinfection cabinets (P < 0.01) decreased. After training, the total scores on the inspection checklist were significantly improved (P < 0.05). Strong associations between the microbial quality of hands and kitchen utensils were seen. Classification and regression tree analysis identified important factors that influence hygiene practices at small food service kitchens, such as status of registration with the government certification authority, length of food handlers' working experience and their age, and maximum number of people served. This study helps to broaden our knowledge of food hygiene issues in small day care centers.
9

Fadel, Daddi, and Mindy Toabe. "Scleral Lens Hygiene and Care." Journal of Contact lens Research and Science 2, no. 1 (April 24, 2018): e30-e37. http://dx.doi.org/10.22374/jclrs.v2i1.20.

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Scleral lenses (ScCLs) are developed using the same material as rigid gas permeable corneal lenses yet the care of scleral lenses differs from corneal lenses. These large diameter rigid gas permeable lenses necessitate hygiene, care and compliance protocol that is more complex compared with corneal lenses. Cleaning, disinfection, storing, rinsing and applying ScCL will be discussed. Practitioners will gain confidence in ScCL care which will provide patients with a better understanding of the steps involved in ScCL disinfection leading to increased patient compliance and increased success rates. In turn, patient education will lower the risk for infection and other complications associated with ScCL.
10

KAMPF, GÜNTER. "HAND HYGIENE IN PATIENT CARE." Fundamental and Clinical Medicine 3, no. 4 (December 2018): 60–72. http://dx.doi.org/10.23946/2500-0764-2018-3-4-60-72.

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11

Way, Susan. "Post-delivery personal hygiene care." British Journal of Midwifery 4, no. 12 (December 1996): 633–36. http://dx.doi.org/10.12968/bjom.1996.4.12.633.

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12

Carling, Philip C. "Optimizing Health Care Environmental Hygiene." Infectious Disease Clinics of North America 30, no. 3 (September 2016): 639–60. http://dx.doi.org/10.1016/j.idc.2016.04.010.

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13

Savage, Renee M., and Diane Steverman. "Hand Hygiene — Before Patient Care." American Journal of Infection Control 39, no. 5 (June 2011): E83—E84. http://dx.doi.org/10.1016/j.ajic.2011.04.155.

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14

Ignatenko, Iryna. "Women’s Hygiene: Body, Hair and Face Skin Care in Traditional Ukrainian Culture In Late 19th – Early 20th Centuries." Ethnic History of European Nations, no. 66 (2022): 16–25. http://dx.doi.org/10.17721/2518-1270.2022.66.02.

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This article presents an approach to analysis of women’s hygiene and beauty practices in the traditional Ukrainian society. As a key message, the article discusses female hygiene and body care as a historically determined, complex process, affected by popular beliefs stemming from people’s living, natural and, more specifically, climatic conditions. The author presents the rules of society, especially taboos, which influenced women’s hygiene as a special practice. Hence hygiene, body care and beauty standards are recognized as a function of specific social and cultural norms established for woman’s body. In addition, the notion of bodily health, hygiene and beauty was most closely tied to the popular view of «proper» and «improper» days for body care. For instance, ritualistic washing of the body was mandatory on the eve of major calendar holidays, especially Christmas and Easter, however, bathing, washing or sprinkling, practiced during these periods, had as its object rather some sacred than any hygienic purpose. Accordingly, on the days of traditional Christian fasting (Wednesdays and Fridays), it was forbidden to bathe, the same goes for Sundays and the time during certain calendar periods: on the eve of Whit Sunday festivities, Midsummer Night, also after Elijah’s Day or the Feast of Transfiguration. The emphasis was put on hygiene, standards of beauty, care, etc. as a construct of cultural and social norms, where the age and marital status of women would be of great importance. As woman grew older, she had to become more inconspicuous: excessive primping, self-care, and adorning were strongly condemned by the society of that time. Thus, it appears that all hygienic procedures of body and hair care were under the scrutiny of society, with imposition of a significant number of taboos, restrictions and precautions. Women had to follow all those precepts because otherwise they would be accused of violating sacred traditions.
15

Sritharan, Tishani. "Hand hygiene." Health Science Inquiry 11, no. 1 (August 10, 2020): 136–39. http://dx.doi.org/10.29173/hsi301.

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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.
16

Levit, Alexander, and Denise Darmawikarta. "Surgical hygiene." University of Western Ontario Medical Journal 83, no. 2 (December 23, 2014): 8–9. http://dx.doi.org/10.5206/uwomj.v83i2.4422.

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Overwhelming rates of postsurgical adverse outcomes have been recognized to be preventable. As a means of minimizing the incidence of iatrogenesis, in 2005 the World Health Organization (WHO) launched the Clean Care is Safer Care campaign, which focused on the importance of hand hygiene. Following its success, the WHO hoped to utilize similar strategies in their Safe Surgery Saves Lives campaign, which began in 2007. Despite active efforts to implement the associated 19-step surgical checklist, resource limitations restrict the full potential of such harm reduction strategies. Here, we discuss current evidence evaluating the effectiveness of the WHO’s surgical checklist and address challenges with respect to its application in the real world.
17

Gurung, G., and K. Pratibha. "Hand hygiene in the intensive care unit." Journal of Chitwan Medical College 5, no. 1 (March 31, 2015): 6–10. http://dx.doi.org/10.3126/jcmc.v5i1.12559.

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Adherence to hand hygiene recommendations in the intensive care unit (ICU) is variable and moderate, at the best. This observational study aimed to measure adherence to hand hygiene recommendations among ICU clinicians in 4 multidisciplinary ICUs at Chitwan Medical College Teaching Hospital, Chitwan. Researchers observed 100 clinicians (79 nurses, 13 medical officers and 8 physicians and pediatricians) during patient encounter. Clinicians were unaware that they were under observation. We documented use of gloves, soap and alcohol solution before and after patient encounters for purposes of physical examination or patient care. 80% of clinicians used some form of hand hygiene without fully adhering to recommendations, whereas 20% did not appear to attend to hand hygiene at all during observation. Among 80 clinicians who used some form of hand hygiene, 30% of clinicians adhering to recommendations used gloves followed by washing with soap or alcohol solution. Hence, Multidisciplinary approaches to improving hand hygiene is necessary to improve the modest adherence to hand hygiene that researchers observed.DOI: http://dx.doi.org/10.3126/jcmc.v5i1.12559
18

Kosyuga, S. Yu, and D. I. Botova. "EVALUATION OF DENTAL EDUCATION AND ORAL HYGIENE OF PATIENTS UNDERGOING ORTHODONTIC TREATMENT." Russian Journal of Dentistry 21, no. 2 (April 15, 2017): 82–84. http://dx.doi.org/10.18821/1728-28022017;21(2):82-84.

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During long-term orthodontic treatment there are various complications associated with a reduction in the level of hygiene. The article is devoted to the study of the hygienic condition of the oral cavity and the level of dental education in dynamics in patients undergoing orthodontic treatment. The examination and questioning of 40 patients aged from 18 to 35 years with fixed orthodontic appliances. In patients after 12 months of use braces deteriorating hygienic condition of the oral cavity. Care should be taken to inform patients about the care products and hygiene items, and their rational use, depending on the timing of orthodontic treatment and dental status.
19

Park, Ran-Jeong, Yeun-Kyung Lee, Hwa-Kyung Son, and Min-Hee Hong. "Comparison of oral hygiene status by clinical dental hygiene care performance." Journal of Korean society of Dental Hygiene 14, no. 1 (February 28, 2014): 25–32. http://dx.doi.org/10.13065/jksdh.2014.14.01.25.

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20

LUBIS, FITHRI HANDAYANI, and Hengki Frengki Manullang. "FAKTOR-FAKTOR YANG MEMPENGARUHI PERSONAL HYGIENE PADA SISWA DALAM MANAJEMEN LAYANAN USAHA KESEHATAN SEKOLAH (UKS) SMK GANDA HUSADA TEBING TINGGI TAHUN 2022." Jurnal Penelitian Kesmasy 5, no. 1 (October 31, 2022): 68–72. http://dx.doi.org/10.36656/jpksy.v5i1.1115.

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Personal hygiene comes from the Greek words meaning individual, and cleanliness, meaning health. Personal hygiene is taking care of your body to improve your physical and mental health. Clean and healthy living behavior is behavior done by the community to take care of their own health and play an active role in maintaining the cleanliness and health of the environment. Poor personal hygiene can cause various diseases such as diarrhea, tooth decay, and asthma. The purpose of this study is to find out the effect of personal hygiene on school health services. The research design used is descriptive observation with a qualitative approach. Sampling is done using the probability sampling method. The survey method is a questionnaire. This data was analyzed using chi-square statistical analysis. The results of this study indicate that there is an influence between knowledge and personal hygiene with a P value of 0.004. There is an Influence of Attitude with Personal Hygiee at SMK Ganda Husada Tebing Tinggi with a P value of 0.001. There is an influence of Educator Support with Personal Hygiene with P value of 0.003. There is an influence of family support with personal hygiene with a P value of 0.003. There is an influence of PHBS Facilities with Personal Hygiene with a P value of 0.004. In schools, it is recommended that personal hygiene education be taught more in accordance with the school curriculum. Schools can collaborate with local start-ups through the UKS program and conduct regular personal hygiene sessions
21

Saini, Rajiv, Ameet Mani, and AM Shubangi. "Hand hygiene among health care workers." Indian Journal of Dental Research 21, no. 1 (2010): 115. http://dx.doi.org/10.4103/0970-9290.62810.

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22

Ling, Moi Lin. "Better Hand Hygiene Means Safer Care." Annals of the Academy of Medicine, Singapore 42, no. 6 (June 15, 2013): 267–68. http://dx.doi.org/10.47102/annals-acadmedsg.v42n6p267.

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23

Kambhu, Peter P., and Steven M. Levy. "Oral hygiene care levels in Iowa intermediate care facilities." Special Care in Dentistry 13, no. 5 (September 1993): 209–14. http://dx.doi.org/10.1111/j.1754-4505.1993.tb01498.x.

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24

McKenzie, Alison. "Hand hygiene and hand care for dental care professionals." Dental Nursing 8, no. 8 (August 2012): 488–92. http://dx.doi.org/10.12968/denn.2012.8.8.488.

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25

Tadesse, Muluken, Alebachew Shimelash, and Eniyew Tegegne. "Level of Hand Hygiene Compliance and Its Associated Factors Among Health Care Workers at Eka Kotebe General Hospital, Addis Ababa, Ethiopia." Environmental Health Insights 16 (January 2022): 117863022211136. http://dx.doi.org/10.1177/11786302221113673.

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Background: Poor hand hygiene is an important source of infection, but maintaining hand hygiene is the most important measure to prevent infections. Hand hygiene compliance and its associated factors are not well recognized in Ethiopia. Therefore, this study was intended to determine hand hygiene compliance and its associated factors among health care workers in Eka Kotebe General Hospital. Methods: A cross-sectional study was conducted among health care workers at Eka Kotebe General Hospital. A self-administered questionnaire supplemented by a World Health Organization Hand Hygiene Technical Reference Manual was used to collect data. Data was entered using Epi Info 7.2.0.1 and exported to SPSS 23 for analysis. The data were analyzed using descriptive and inferential statistics. Statistical significance was determined using a P-value of ⩽.05 with a 95% confidence interval. Results: Hand hygiene compliance among healthcare workers was 22.2%. Hand hygiene training (AOR = 2.9, 95% CI: 1.13-7.52), presence of hand hygiene indication poster (AOR = 3.38, 95% CI: 1.18-9.66), hand hygiene promotion by IPC team (AOR = 4.2, 95% CI: 2.53-8.58)), working experience ⩾5 years of a health care providers (AOR = 3.96, 95% CI: 1.12-13.9), being midwife (AOR = 17.1, 95% CI: 2.8-10), being nurse (AOR = 5.3, 95% CI: 2.09-7.8) by profession, and presence of water (AOR = 2.50, 95% CI: 2.20-11.78) were significantly associated factors to hand hygiene compliance. Conclusion: The level of hand hygiene compliance among health care providers was found to be low. Training about hand hygiene, the presence of hand hygiene indication posters, hand hygiene promotion by the IPC team, working experience of health care providers, being a nurse and midwife, and the presence of water were independent predictors of hand hygiene compliance. Health care workers need to be given training on hand hygiene as well as hand hygiene facilities shall be installed and supplied by the hospital in a sustained manner.
26

De Sena, Francisca Fatima, Bedjo Santoso, Diyah Fatmasari, Lanny Sunarjo, and Waljuni Astu Rahman. "Influence of Cadre Training in Increasing Toothbrushing Action in Pregnant Women." Journal of Applied Health Management and Technology 2, no. 4 (November 4, 2020): 123–27. http://dx.doi.org/10.31983/jahmt.v2i4.5924.

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ABSTRACTProblems on dental and oral hygiene are caused by poor dental and oral care. A viable strategy in changing the behavior of pregnant women is through dental hygiene counseling. We present solution for counseling with material which could be heeded by pregnant women. The aim of the research is to improve knowledge, attitude and action to take care of dental and oral hygiene, so that the target can do self-care to dental and oral hygiene. We implemented Research and Development (RD) method comprising 5 stages, namely, information collection, design and build, expert validation and revision, model test and final model results. This was done with the subject in as much as 50 pregnant women. The sample used a purposive sampling technique. Data were tested using intraclass correlation coefficient and paired sample test. The results show that Primary Health Center cadre training is effective in improving the dental and oral hygiene action in pregnant women.
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Choudhury, Jasashree, and Anuspandana Mahapatra. "Knowledge of Hand Hygiene Practices among Healthcare workers in Neonatal and Paediatric Intensive Care Unit of a tertiary care hospital of Odisha." Asian Journal of Pharmaceutical and Clinical Research 10, no. 4 (April 1, 2017): 272. http://dx.doi.org/10.22159/ajpcr.2017.v10i4.16716.

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BackgroundThe objective of this study was to assess the knowledge of hand hygiene of healthcare workers in the neonatal and paediatric intensive care unit in a tertiary care hospital.Methods : Study was conducted to assess the knowledge of hand hygiene for the five moments of hand hygiene of WHO. Healthcare workers were given a questionnaire during routine patient care on random basis and the data was collected. Data analysis was performed using SPSS software version 13.Results : A total of 50 health care workers were questioned during the observation period. Answers differed by role: nurses (25) and doctors (10).15 nurses have no knowledge of moments of hand hygiene and were excluded from study. Nurses were more likely to use soap and water compared to waterless-alcohol-based hand hygiene practices. Doctors were most likely to use alcoholic hand rub.Conclusion : Though knowledge of hand hygiene practice is high ,use of alcohol-based disinfectant was found to be very low compared to soap and water. Keywords: Hand hygiene, Health care, Soap and water, Alcohol hand rub.
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Paramita, Windya Kartika. "Systematic Review: Affecting Behaviour of Hygiene and Health Care of the Eldery." Jurnal PROMKES 9, no. 1 (March 30, 2021): 69. http://dx.doi.org/10.20473/jpk.v9.i1.2021.69-78.

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Background: The Elderly is an age group that has decreased organ function which is susceptible to various diseases. The elderly also experience physical decline which can affect personal hygiene and health care behavior. Objective: To determine the factors that affect the personal hygiene and health care of the elderly. Method: Personal hygiene referred to in this study was hygiene to care for the whole body including skin, feet, teeth, nails, and hair. This study was a systematic review of studies with primary data related to factors affecting personal hygiene and health care for the elderly. The study was conducted on 35 international journals. Results: Personal hygiene of the elderly are feet. Factors that influence their hygiene on demographic factors include residence, education, source of income, gender, age, and knowledge. Factors affecting elderly hygiene on personal characteristic factors include need assistance, perceived benefits, disease, frequency of cleansing, self-efficacy, physical change, degree of independence, mobility, and self-motivation. Factors affecting them on facilities and infrastructure factors supporters include equipment, care services facilities, equipment, distance to care service facilities, social support, and practical conditions. Factors affecting on healthy program factors include training, education caregiver, motivation caregiver, health promotion, health information seeking, satisfaction, informal care, behavioral programs, utilization, and functional health literacy. Conclusion: Factors affecting personal hygiene and health care for the elderly include demographics, characteristics of the elderly, supporting facilities, and infrastructure and health programs. Dominant factor affecting personal hygiene and health care for elderly are educational, residence, and income source.
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Hannan, Mujib, and Dian Ika Puspitasari. "HUBUNGAN PERAWATAN KELUARGA DENGAN PERSONAL HYGIENE PADA LANSIA DI DUSUN ASEM NUNGGAL DESA KALIANGET BARAT KECAMATAN KALIANGET." WIRARAJA MEDIKA 7, no. 2 (May 25, 2018): 45–51. http://dx.doi.org/10.24929/fik.v7i2.433.

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Family care affects personal hygiene on the elderly this indicates that care family is the family indicator in performing the function of health while the personal hygiene is a parameter that used to improve the care of the family. The aims of this research are to know relationship between the treatment of families with personal hygiene on the elderly in Dusun Asem Nunggal Desa Kalianget Barat Kecamatan Kalianget. This research is quantitative with cross sectional approach. Population are all elderly in Dusun Asem Nunggal Desa Kalianget Barat Kecamatan Kalianget are 56 people. The number of samples are 49 people with simple random sampling. Data analysis using the Spearman Rho to test (α = 0.05 ). Data collection using observation and family care questionnaires and personal hygiene. The results of research on family care shows most (57,1%) do good family care. While the results of research about personal hygiene showed the majority of respondents (61,2%) do personal hygiene well. The results of the test using the corelation of spearman rho indicates p value= 0.000 which means there is a significant relationship between family care with personal hygiene on the elderly. Families can improve the care of the family and understand more about health problems in the elderly. The elderly must maintain personal hygiene on him. The better care the family performed on the elderly then personal hygiene on the elderly is also getting better.
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Setianingsih, Setianingsih, Febi Riandhyanita, and Ahmad Asyrofi. "GAMBARAN PELAKSANAAN TINDAKAN ORAL HYGIENE PADA PASIEN DI RUANG INTENSIVE CARE UNIT (ICU)." Jurnal Perawat Indonesia 1, no. 2 (November 9, 2017): 48. http://dx.doi.org/10.32584/jpi.v1i2.45.

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AbstrakOral hygiene merupakan salah satu tindakan keperawatan yang dilakukan agar kondisi rongga mulut tetap bersih dan segar sehingga terhindar dari infeksi. Oral hygiene juga mampu mengurangi jumlah mikroorganisme dan pengumpulan organisme yang mengalami translokasi serta kolonisasi di dalam mulut. Pasien di ruang ICU sangat berisiko terkena infeksi. Tujuan penelitian ini untuk mengetahui gambaran pelaksanaan tindakan perawatan oral hygiene pada pasien di ruang Intensive Care Unit (ICU). Desain penelitian ini menggunakan deskriptif sejumlah 35 responden yaitu perawat yang bekerja diruang Intensive Care Unit (ICU) menggunakan teknik total sampling. Pelaksanaan tindakan perawatan oral hygiene dalam kategori kurang sebanyak 21 responden (60,0%). Hal tersebut dipengaruhi oleh ketidakseimbangan antara rasio perawat dengan pasien, fasilitas dalam pelaksanaan oral hygiene masih belum memadai, dan perawat juga belum memahami sepenuhnya bagaimana pelaksanaan oral hygiene yang sesuai dengan standar operasional prosedur. Hasil penelitian ini menyarankan, sebaiknya memberikan reward/penghargaan kepada perawat untuk meningkatkan motivasinya dalam tindakan oral hygiene di ICU. Kata kunci : Oral Hygiene, Intensive Care Unit, Perawat AbstractDescription of Implementation Oral Hygiene in Patients in the ICU room.Oral hygiene is one of the nursing actions carried out so that the condition of the oral cavity remains clean and fresh so as to avoid infection. Oral hygiene is also able to reduce the number of microorganisms and the collection of organisms that experience translocation and colonization in the mouth. Patients in the ICU room are very at risk for infection. The purpose of this study was to determine the description of the implementation of oral hygiene in patients in the Intensive Care Unit (ICU). This study design using descriptive analytical 35 respondents, a number of respondents is 35 nurses working at Intensive Care Unit (ICU) room using total sampling technique. The implementation of oral hygiene care measures in the less category as many as 21 respondents (60.0%). This is influenced by the imbalance between the ratio of nurses and patients, facilities in the implementation of oral hygiene are still inadequate, and nurses also do not fully understand how the implementation of oral hygiene is in accordance with standard operating procedures. The results of this study suggest, should give rewards / awards to nurses to improve oral hygiene motivation to act in the ICU. Keywords: Oral Hygiene, Intensive Care Unit, Nurses
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Smith, Joan R. "Hand Hygiene." Journal of Perinatal & Neonatal Nursing 31, no. 3 (2017): 198–99. http://dx.doi.org/10.1097/jpn.0000000000000278.

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Makeeva, I. M., A. Yu Turkina, Zagidat Sirazhutdinovna Budaychieva, and E. G. Margaryan. "ORAL HYGIENE AND DENTAL HEALTH OF FIRST MOSCOW STATE MEDICAL UNIVERSITY STUDENTS." Russian Journal of Dentistry 21, no. 6 (December 15, 2017): 337–39. http://dx.doi.org/10.18821/1728-2802-2017-21-6-337-339.

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In the prevention oforal diseases, dental hygienic status, proper oral hygiene, the proper choice ofmeans and methodsfor performing hygienic dental activities are essential. However, even among future doctors, the hygienic state of the oral cavity leaves much to be desired. Basic knowledge of oral hygiene and the principles ofprevention ofdental diseases are necessary for physicians of various specialties, since there is often a relationship between dental diseases and diseases of other organs and systems of the body. The article gives an assessment of the hygienic status of students of different courses and identifies the sources that they use to gain knowledge on oral care.
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Simorangkir, Lindawati, and Endang Sinaga. "SELF-CARE AGENCY IMPROVES PERSONAL HYGIENE OF ELDERLY IN A NURSING HOME IN BINJAI [SELF-CARE AGENCY MENINGKATKAN PERSONAL HYGIENE PADA LANSIA DI PANTI WERDA BINJAI]." Nursing Current Jurnal Keperawatan 7, no. 1 (December 19, 2019): 60. http://dx.doi.org/10.19166/nc.v7i1.2225.

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<p>The Self-Care Agency role is to increase knowledge with changing attitudes in driving the elderly to be more aware of the importance of personal hygiene in their daily lives. One attempt in the prevention of disease in the elderly is by doing personal hygiene so that the elderly can better feel comfort, safety and well-being. This study aimed to determine the effect of Self-Care Agency to the personal hygiene of the elderly in nursing home Binjai. The design study is Quasi-Experimental Design Time Series, with the approach of One Group Pre Post Test Design. Sampling was done by purposive sampling with a sample of 30 respondents. Research results pre intervention personal hygiene less category as much as 73%, and post intervention personal hygiene category of "good" as much as 53.3%. Based on the results of the Wilcoxon test showed that the self-care agency signifikat to improving the personal hygiene of the elderly in Panti Werda Binjai, with p value = 0.001. Low personal hygiene of the elderly in nursing home Binjai due to lack of awareness of the importance of self care. It is necessary innovations in providing nursing interventions, assistance, support and cooperation with the nursing home attendant in improving personal hygiene of the elderly.</p><p><strong>BAHASA INDONESIA </strong>Self-Care Agency berperan untuk meningkatkan pengetahuan dengan mengubah sikap dalam mengarahkan lansia untuk lebih menyadari pentingnya melakukan personal hygiene didalam kehidupan sehari-harinya. Salah satu usaha pencegahan penyakit pada lansia dengan melakukan personal hygiene sehingga lansia dapat merasakan kenyamanan, keamanan dan kesejahteraan yang lebih baik. Penelitian ini bertujuan untuk mengetahui pengaruh Self-Care Agency terhadap personal hygiene lansia di Panti Werda Binjai. Desain penelitian yang digunakan Quasi Experimental Time Series Design, dengan pendekatan One Group Pre Post Test Design. Pengambilan sampel dilakukan dengan dengan purposive sampling dengan besar sampel 30 responden. Hasil penelitan pre intervensi personal hygiene kategori kurang sebanyak 73%, dan post intervensi personal hygiene kategori “baik” sebanyak 53,3%. Berdasarkan hasil uji Wilcoxon memperlihatkan bahwa Self-care agency signifikan terhadap peningkatan personal hygiene lansia di Panti Werda Binjai, dengan nilai p value = 0,001. Personal hygiene yang rendah pada lansia di Panti werda Binjai disebabkan kurangnya kesadaran pentingnya perawatan diri. Maka perlu inovasi dalam memberikan intervensi keperawatan, pendampingan, dukungan dan kerjasama dengan petugas panti werda dalam meningkatkan personal hygiene lansia.</p>
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Mills, John P., Ziwei Zhu, Julia Mantey, Savannah Hatt, Payal Patel, Keith S. Kaye, Kristen Gibson, Marco Cassone, Bonnie Lansing, and Lona Mody. "The devil is in the details: Factors influencing hand hygiene adherence and contamination with antibiotic-resistant organisms among healthcare providers in nursing facilities." Infection Control & Hospital Epidemiology 40, no. 12 (October 24, 2019): 1394–99. http://dx.doi.org/10.1017/ice.2019.292.

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AbstractBackground:Antibiotic-resistant organism (ARO) colonization rates in skilled nursing facilities (NFs) are high; hand hygiene is crucial to interrupt transmission. We aimed to determine factors associated with hand hygiene adherence in NFs and to assess rates of ARO acquisition among healthcare personnel (HCP).Methods:HCP were observed during routine care at 6 NFs. We recorded hand hygiene adherence, glove use, activities, and time in room. HCP hands were cultured before and after patient care; patients and high-touch surfaces were cultured. HCP activities were categorized as high-versus low-risk for self-contamination. Multivariable regression was performed to identify predictors of hand hygiene adherence.Results:We recorded 385 HCP observations and paired them with cultures performed before and after patient care. Hand hygiene adherence occurred in 96 of 352 observations (27.3%) before patient care and 165 of 358 observations (46.1%) after patient care. Gloves were worn in 169 of 376 observations (44.9%). Higher adherence was associated with glove use before patient care (odds ratio [OR], 2.55; 95% confidence interval [CI], 1.44–4.54) and after patient care (OR, 3.11; 95% CI, 1.77–5.48). Compared with nurses, certified nurse assistants had lower hand hygiene adherence (OR, 0.31; 95% CI, 0.15–0.67) before patient care and physical/occupational therapists (OR, 0.22; 95% CI, 0.11–0.44) after patient care. Hand hygiene varied by activity performed and time in the room. HCP hands were contaminated with AROs in 35 of 385 cultures of hands before patient care (0.9%) and 22 of 350 cultures of hands after patient care (6.3%).Conclusions:Hand hygiene adherence in NFs remain low; it is influenced by job title, type of care activity, and glove use. Hand hygiene programs should incorporate these unique care and staffing factors to reduce ARO transmission.
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Yakovlev, Alexei G., Vitalii A. Maydan, Sergey M. Kuznetsov, and Ivan V. Baranov. "Hygienic assessment of the hospital environment and methods of providing medical care to patients at the stages of health care development in Russia in the XVIIIth–XIXth centuries." Bulletin of the Russian Military Medical Academy 24, no. 2 (July 13, 2022): 401–10. http://dx.doi.org/10.17816/brmma100931.

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The article analyzes the problem of hygienic assessment of the conditions of the hospital environment and health-improving methods of treatment of patients of medical institutions at the stages of formation and development of healthcare in Russia in the XVIIIth and XIXth centuries. It has been established that in various historical periods, the problem of patient safety in medical organizations has always been the leading one in the management of people's health and the organization of healthcare as an agency that has been forming for several centuries. Organizational, legal, administrative, economic, and hygienic measures have been developed purposefully in the system of public health protection in Russia. This made it possible to improve the system of medical care on the basis of compliance with the provisions of hospital hygiene, such as the placement of patients in hospitals and compliance with the anti-epidemic regime. The systematization and analysis of the data from the Russian literature on the studied scientific problem were performed. Three leading directions of hospital hygiene development were established: organization of medical care, architectural and planning solutions, and therapeutic nutrition. The importance of developing the legislative framework of the listed areas at the state and departmental levels is shown. The results of the analysis of the application of sanitary and hygienic measures and scientific solutions of the XVIIIth to XIXth centuries confirm the need to use scientific, practical, and organizational experience in the introduction of new solutions to the modern system of medical care, including elements of hospital hygiene and patient safety. Proposals have been developed on the legality and prospects of using the historical experience of the development of preventive medicine and hygienic education of the XVIIIth and XIXth centuries, as well as the achievements of predecessors in the field of monitoring and accounting for the peculiarities of patient care and ensuring an anti-epidemic regime.
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Jayan, Rintu, Riya Paul, Riyamol Abraham, Riyamol Roy, Roniya Dominic, Roselin Abraham, Renita Priya D’souza, and Priya Reshma Aranha. "Attitude of health care professional students towards hand hygiene." International Journal Of Community Medicine And Public Health 6, no. 9 (August 27, 2019): 3969. http://dx.doi.org/10.18203/2394-6040.ijcmph20194003.

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Background: Hands are the principal route of nosocomial infections or hospital acquired infections or health associated infections. Hand hygiene is effective in reducing infection rates. Hand hygiene among the health care professionals play a pivotal role in preventing the transmission of hospital acquired infections. The aim of the study was to assess the attitude regarding hand hygiene among students of healthcare professions.Methods: Quantitative research approach and descriptive survey design were used for the study. The purposive sampling technique was adopted to select 100 samples, 25 each from MBBS, BDS, B.Sc. Nursing and BPT. A structured attitude scale was used to collect the data. The collected data was analyzed using descriptive and inferential statistics.Results: The study results showed that majorities (55%) of sample were in the age of 22 years, majorities (90%) were females, and majority (98%) of sample had previous information regarding hand hygiene. The entire study sample had favorable attitudes towards hand hygiene. The study showed a significant association between attitude scores and receiving previous information on hand hygiene.Conclusions: The study concluded that health professional students have favorable attitude towards hand hygiene.
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Riessen, R., and K. Schröppel. "Infektionsprävention, Hygiene, Epidemiologie." Medizinische Klinik - Intensivmedizin und Notfallmedizin 108, no. 2 (February 22, 2013): 106. http://dx.doi.org/10.1007/s00063-012-0144-8.

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Wu, Shang-Jung, Chun-Chieh Wang, Shu-Chen Kuo, Shwn-Huey Shieh, and Yueh-Juen Hwu. "Evaluation of an Oral Hygiene Education Program for Staff Providing Long-Term Care Services: A Mixed Methods Study." International Journal of Environmental Research and Public Health 17, no. 12 (June 19, 2020): 4429. http://dx.doi.org/10.3390/ijerph17124429.

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Background: Oral hygiene is often neglected in clients receiving long-term care, suggesting that long-term care workers require formal oral hygiene education. Thus, the aim of this study was to investigate the effects of oral hygiene education on long-term care workers. Methods: This study utilized a mixed methods design. Eighty long-term care workers were recruited for participation in the oral hygiene education program, which employed three teaching methods: narration with multimedia presentation, demonstration, and teach-back. The effect of the education program on the participants’ level of oral hygiene knowledge, attitudes, and skills was measured using a structured questionnaire that was administered both pre- and post-delivery of the education program. Three months later, all participants submitted a self-report of their oral hygiene skills, and six participants completed a telephone interview. Quantitative data were analyzed using paired t-tests, and qualitative data were manually analyzed and coded. Results: Scores of oral hygiene knowledge (p < 0.001), attitudes (p = 0.001), and oral cleaning daily frequency for clients (p < 0.001), were significantly higher three months after undertaking the educational program. Conclusions: This preliminary study suggests that oral hygiene education may be effective in improving oral hygiene knowledge, attitudes, and skills among long-term care staff.
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Wichsová, Jana, Andrea Horáková, and Magda Taliánová. "Compliance with hand hygiene rules in perioperative care." Hygiena 65, no. 3 (August 21, 2020): 93–98. http://dx.doi.org/10.21101/hygiena.a1758.

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K., Manasa, Chandrakumar S. G., and Prashantha B. "Assessment of hand hygiene knowledge among medical and nursing students of Mysore medical college and research institute, Mysore." International Journal Of Community Medicine And Public Health 5, no. 3 (February 24, 2018): 1133. http://dx.doi.org/10.18203/2394-6040.ijcmph20180773.

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Background: Improper hand hygiene among health care workers is the main cause for many nosocomial infections. Lack of knowledge and lack of recognition of hand hygiene opportunities during patient care are mainly responsible for poor hand hygiene among health care workers.Methods: Knowledge on hand hygiene was assessed using WHO hand hygiene questionnaire among medical and nursing students of Mysore medical college and research institute.Results: Among 276 medical and 225 nursing students who participated in the study, 26% of medical and 33% of nursing students had received formal training in hand hygiene in the last three years. Less than 50% of students had knowledge on source, routes of transmission of germs and minimal time needed for hand rubbing in hospital setting.Conclusions: The knowledge is limited on hand hygiene actions which shows the importance of inclusion of hand hygiene topic in curriculum.
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HEUVELINK, A. E., S. M. VALKENBURGH, J. J. H. C. TILBURG, C. VAN HEERWAARDEN, J. T. M. ZWARTKRUIS-NAHUIS, and E. DE BOER. "Public farms: hygiene and zoonotic agents." Epidemiology and Infection 135, no. 7 (February 21, 2007): 1174–83. http://dx.doi.org/10.1017/s0950268807008072.

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SUMMARYIn three successive years, we visited petting farms (n=132), care farms (n=91), and farmyard campsites (n=84), respectively, and completed a standard questionnaire with the objective of determining the hygienic status of these farms and describing hygiene measures implemented to reduce the risk of transmission of zoonotic agents from the animals to humans. For at least 85% of the farms, the overall impression of hygiene was recorded as good. However, more attention must be paid to: informing visitors on hygiene and handwashing, provision of handwashing facilities, and a footwear cleaning facility. Examination of samples of freshly voided faeces resulted in the detection of Shiga toxin-producingEscherichia coliO157 and/orSalmonellaspp. and/orCampylobacterspp. at almost two-thirds (64·9%) of the petting farms, and around half of the care farms (56·0%) and farmyard campsites (45·2%). These data reinforce the need for control measures for both public and private farms to reduce human exposure to livestock faeces and thus the risk of transmission of zoonotic diseases. Public awareness of the risk associated with handling animals or faecal material should be increased.
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Ab.Malik, N., S. M.Yatim, O. L. T. Lam, L. Jin, and C. McGrath. "Oral Health Care Guidelines, Training, and Resources among Stroke Care Providers." JDR Clinical & Translational Research 2, no. 3 (February 16, 2017): 312–19. http://dx.doi.org/10.1177/2380084417693784.

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During a stroke, the mouth tends to become an unhealthy place and may give rise to various life-threatening conditions. To this end, there have been repeated calls to incorporate oral hygiene guidelines and practices for hospitalized stroke patients to prevent aspiration pneumonia and improve patients’ oral health. The objective of the study was to determine health care providers’ practices of oral health care among patients hospitalized after an occurrence of stroke and to determine health care providers’ background and work environment effect on these practices. A cross-sectional study was conducted among stroke care providers in 13 public hospitals in Malaysia. The questionnaires distributed were self-administered, where nursing staff provided details of their oral health care practices for stroke patients. Information on the background of health care providers and work environment was also collected. Overall, a total of 780 responses from the registered nurses were obtained. Almost half of the respondents (48.1%) reported that they recommended toothbrushing twice or more per day to stroke patients. Two-thirds (64.7%) reported that they performed daily mouthwashing on their patient, while less than half (38.8%) reported daily oral hygiene assistance. Result of the analysis revealed that oral hygiene practices were significantly associated with having working wards ( P < 0.05), level of qualification ( P < 0.05), having oral health care guidelines ( P < 0.001), specific resources ( P < 0.05), and attending previous training in oral care ( P < 0.001). Provision of oral hygiene practices for hospitalized stroke patients is important. A lack of oral health care guidelines, support from dental professionals, specific resources, training, and assistance in daily oral care for patients is evident and detrimental to oral hygiene practices. The current findings have significant implications for new initiatives to support health care providers, particularly the registered nurses performing oral health care for hospitalized stroke patients. Knowledge Transfer Statement: This study may provide a basis of information for improving the delivery of oral health care to stroke patients. Enhancement in the training and improvement in the existing guidelines and resources is pivotal for the provision of better oral health care for the potential benefits to these patients, including their improved quality of life and disease prevention.
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Kiyoshi-Teo, Hiroko, and Mary Blegen. "Influence of Institutional Guidelines on Oral Hygiene Practices in Intensive Care Units." American Journal of Critical Care 24, no. 4 (July 1, 2015): 309–18. http://dx.doi.org/10.4037/ajcc2015920.

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BackgroundMaintaining oral hygiene is a key component of preventing ventilator-associated pneumonia; however, practices are inconsistent.ObjectivesTo explore how characteristics of institutional guidelines for oral hygiene influence nurses’ oral hygiene practices and perceptions of that practice.MethodsOral hygiene section of a larger survey study on prevention of ventilator-associated pneumonia. Critical care nurses at 8 hospitals in Northern California that had more than 1000 ventilator days in 2009 were recruited to participate in the survey. Twenty-one questions addressed oral hygiene practices and practice perceptions. Descriptive statistics, analysis of variance, and Spearman correlations were used for analyses.ResultsA total of 576 critical care nurses (45% response rate) responded to the survey. Three types of institutional oral hygiene guidelines existed: nursing policy, order set, and information bulletin. Nursing policy provided the most detail about the oral hygiene care; however, adherence, awareness, and priority level were higher with order sets (P &lt; .05). The content and method of disseminating these guidelines varied, and nursing practices were affected by these differences. Nurses assessed the oral cavity and used oral swabs more often when those practices were included in institutional guidelines.ConclusionsThe content and dissemination method of institutional guidelines on oral hygiene do influence the oral hygiene practices of critical care nurses. Future studies examining how institutional guidelines could best be incorporated into routine workflow are needed.
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Goodliffe, Laura, Kelsey Ragan, Michael Larocque, Emily Borgundvaag, Sophia Khan, Christine Moore, Liz McCreight, Brenda L. Coleman, and Allison J. McGeer. "Rate of Healthcare Worker–Patient Interaction and Hand Hygiene Opportunities in an Acute Care Setting." Infection Control & Hospital Epidemiology 35, no. 3 (March 2014): 225–30. http://dx.doi.org/10.1086/675286.

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Objective.Identify factors affecting the rate of hand hygiene opportunities in an acute care hospital.Design.Prospective observational study.Setting.Medical and surgical in-patient units, medical-surgical intensive care unit (MSICU), neonatal intensive care unit (NICU), and emergency department (ED) of an academic acute care hospital from May to August, 2012.Participants.Healthcare workers.Methods.One-hour patient-based observations measured patient interactions and hand hygiene opportunities as defined by the “Four Moments for Hand Hygiene.” Rates of patient interactions and hand hygiene opportunities per patient-hour were calculated, examining variation by room type, healthcare worker type, and time of day.Results.During 257 hours of observation, 948 healthcare worker-patient interactions and 1,605 hand hygiene opportunities were identified. Moments 1, 2, 3, and 4 comprised 42%, 10%, 9%, and 39% of hand hygiene opportunities. Nurses contributed 77% of opportunities, physicians contributed 8%, other healthcare workers contributed 11%, and housekeeping contributed 4%. The mean rate of hand hygiene opportunities per patient-hour was 4.2 for surgical units, 4.5 for medical units, 5.2 for ED, 10.4 for NICU, and 13.2 for MSICU (P < .001). In non-ICU settings, rates of hand hygiene opportunities decreased over the course of the day. Patients with transmission-based precautions had approximately half as many interactions (rate ratio [RR], 0.55 [95% confidence interval (CI), 0.37-0.80]) and hand hygiene opportunities per hour (RR, 0.47 [95% CI, 0.29-0.77]) as did patients without precautions.Conclusions.Measuring hand hygiene opportunities across clinical settings lays the groundwork for product use-based hand hygiene measurement. Additional work is needed to assess factors affecting rates in other hospitals and health care settings.
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Chiu, Gloria C. S., Regina F. Y. Chan, Conita H. S. Lam, Annie F. Y. Leung, Isadora L. C. Wong, Queenie W. L. Chan, Christina W. Y. Cheung, et al. "Hand hygiene: Dreams come true “Clean care is safer care”." Journal of Microbiology, Immunology and Infection 48, no. 2 (April 2015): S102—S103. http://dx.doi.org/10.1016/j.jmii.2015.02.364.

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Gibbens, Kimberly, Susy Hota, Peter Seidelin, Carly Rebelo, Kathleen Ross, and Alon Vaisman. "Point of Care Stations: A Novel Way to Improve Stethoscope Hygiene." Infection Control & Hospital Epidemiology 41, S1 (October 2020): s493—s494. http://dx.doi.org/10.1017/ice.2020.1170.

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Background: Stethoscopes are known to be highly contaminated by a multitude of bacteria and therefore carry the potential to transmit pathogens within hospitals. North American infection prevention groups recommend low-level disinfection of stethoscopes for bioburden reduction between patients; however, adherence remains low in inpatient settings. Given that the lack of access to disinfection materials is the most commonly reported barrier to stethoscope hygiene, we studied an intervention using a point-of-care approach to increase stethoscope hygiene compliance among healthcare workers in critical care units. Methods: This quality improvement study was conducted in 2 critical-care units of a quaternary-care, academic, health sciences center in Toronto, Canada. We designed novel stethoscope hygiene stations consisting of a wall-mounted board with alcohol wipes, hooks for drying, and hand sanitizer dispensers to combine stethoscope and hand hygiene. Observations of stethoscope disinfection events per opportunity were collected by trained human auditors before and after the multimodal intervention, which consisted of the installation of 14 stations at the entrances of single-patient ICU rooms, accompanied by educational lectures and infographic dissemination. Anonymous feedback forms were used to gather information on healthcare workers’ stethoscope hygiene knowledge and behavior before and after the intervention. Results: In total, 124 observations were collected using convenience sampling between February and July 2019. Overall stethoscope hygiene compliance increased significantly from a baseline of 38% to 62% (P = .0316) (Fig. 1). Physician adherence to stethoscope disinfection increased by 22%. During the study period, hand hygiene compliance remained unchanged at 75%. Also, 74 healthcare providers completed feedback forms; they revealed an increase in awareness of stethoscope hygiene policies and/or recommendations (9% to 41%) and self reports of stethoscope hygiene compliance (28% to 44%). Conclusions: The implementation of stethoscope hygiene stations, coupled with an educational initiative, lead to a significant increase in overall stethoscope hygiene compliance among healthcare workers. Future quality improvement initiatives can adapt this strategy to promote disinfection and reduce pathogen burden of other personal and multiuse medical equipment.Funding: NoneDisclosures: Susy Hota reports contract research for Finch Therapeutics.
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Ay, Pinar, Ayse Gulsen Teker, Seyhan Hidiroglu, Pinar Tepe, Aysen Surmen, Uluhan Sili, Volkan Korten, and Melda Karavus. "A qualitative study of hand hygiene compliance among health care workers in intensive care units." Journal of Infection in Developing Countries 13, no. 02 (February 28, 2019): 111–17. http://dx.doi.org/10.3855/jidc.10926.

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Introduction: Studies indicate that adherence to hand hygiene guidelines is at suboptimal levels. We aimed to explore the reasons for poor hand hygiene compliance. Methodology: A qualitative study based on the Theory of Planned Behavior as a framework in explaining compliance, consisting four focus group discussions and six in-depth interviews. Results: Participants mostly practiced hand hygiene depending on the sense of "dirtiness" and "cleanliness". Some of the participants indicated that on-job training delivered by the infection control team changed their perception of "emotionally" based hand hygiene to "indication" based. Direct observations and individual feedback on one-to-one basis were the core of this training. There was low social cohesiveness and a deep polarization between the professional groups that led one group accusing the other for not being compliant. Conclusions: The infection control team should continue delivering one-to-one trainings based on observation and immediate feedback. But there is need to base this training model on a structured behavioral modification program and test its efficacy through a quasi-experimental design. Increasing social cohesiveness and transforming the blaming culture to a collaborative safety culture is also crucial to improve compliance. High workload, problems related to work-flow and turnover should be addressed.
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Kemp, Gina, Melissa Hallbourg, Diane Altounji, and Rita Secola. "Back to Basics: CLABSI Reduction Through Implementation of an Oral Care and Hygiene Bundle." Journal of Pediatric Oncology Nursing 36, no. 5 (May 17, 2019): 321–26. http://dx.doi.org/10.1177/1043454219849583.

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Children with cancer often undergo treatments that render them severely immunocompromised. Side effects of treatment place them at risk for developing oral mucositis (OM), which can potentially lead to infection and bacteremia. Staff nurses on an inpatient pediatric oncology unit noted inconsistent daily oral hygiene practices despite assessing OM consistently. Basic oral hygiene can reduce the severity of OM, and evidence-based bundled care has shown to increase consistency of practice. Based on findings and recommendations from the literature, an oral care and hygiene bundle was developed. The oral care bundle included a soft bristled toothbrush, fluoride toothpaste, twice-daily brushing and sodium bicarbonate rinses, lip balm, and oral moisturizer. The hygiene component consisted of a daily bath or shower and daily linen changes. Education on the rationale and purpose for the use of an oral care and hygiene bundle was provided to the inpatient direct care staff prior to implementation on two inpatient oncology units. Audits were performed to measure the adherence of the oral care and hygiene bundle. Central line–associated bloodstream infections were measured in collaboration with the quality and infection prevention departments. Since the oral care and hygiene bundle was implemented, laboratory-confirmed bloodstream infection rates decreased from 1.05 to 0.54 per 1,000 catheter days, while mucosal barrier injury rates decreased from 2.98 to 1.27 per 1,000 catheter days.
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George, Jomin, and Aroma Emmanuel. "Cyber Hygiene in Health Care Data Breaches." International Journal of Privacy and Health Information Management 6, no. 1 (January 2018): 37–48. http://dx.doi.org/10.4018/ijphim.2018010103.

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This article describes how data breaches have become the norm, as highlighted by the significant number of breaches experienced by healthcare providers. These breaches have led to the scrutiny of cybersecurity technologies, protocols and strategies applied in the health care sector. As such, this article will explore the cyber security available in health care that is used and can be used to deter data breaches. Health care sectors are currently looking on different technologies and strategies to prevent and secure the patient information from data hackers. But some of these techniques have been effective, and some have not.
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Stein, Pamela S., and Robert G. Henry. "Poor Oral Hygiene in Long-Term Care." AJN, American Journal of Nursing 109, no. 6 (June 2009): 44–50. http://dx.doi.org/10.1097/00000446-200906000-00034.

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