Patient hand hygiene practices in surgical patients Journal Article


Authors: Ardizzone, L. L.; Smolowitz, J.; Kline, N.; Thom, B.; Larson, E. L.
Article Title: Patient hand hygiene practices in surgical patients
Abstract: Background: Little is known about the hand hygiene practices of surgical patients. Most of the research has been directed at the health care worker, and this may discount the role that hand hygiene of the surgical patient might play in surgical site infections. Methods: A quasiexperimental, pretest/post-test study was conducted in which patients (n = 72) and nurses (n = 42) were interviewed to examine perceptions and knowledge about patient hand hygiene. Concurrently, observations were conducted to determine whether surgical patients were offered assistance by the nursing staff. Following an initial observation period, nursing staff received an educational session regarding general hand hygiene information and observation results. One month after the education session, patient/nurse dyads were observed for an additional 6 weeks to determine the impact of the educational intervention. Results: Eighty observations, 72 patient interviews, and 42 nurse interviews were completed preintervention, and 83 observations were completed postintervention. In response to the survey, more than half of patients (n = 41, 55%) reported that they were not offered the opportunity to clean their hands, but a majority of the nursing staff reported (n = 25, 60%) that they offered patients the opportunity to clean their hands. Prior to the educational intervention, nursing staff assisted patients in 14 of 81 hand hygiene opportunities. Following the intervention, nursing staff assisted patients 37 out of 83 opportunities (17.3% vs 44.6%, respectively, [χ2 1 = 13.008, P = .0003]). Conclusion: This study suggests that efforts to increase hand hygiene should be directed toward patients as well as health care workers. © Copyright 2013 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
Keywords: adult; controlled study; aged; aged, 80 and over; middle aged; major clinical study; cohort studies; patient education; health survey; patients; surgical infection; educational intervention; health promotion; health knowledge, attitudes, practice; guideline adherence; postoperative; nurse's role; clinical observation; perception; semi structured interview; professional knowledge; surgical patient; hand washing; nursing staff; nurse; pretest posttest design; quasi experimental study; inpatient; patient hand washing; hand hygiene
Journal Title: American Journal of Infection Control
Volume: 41
Issue: 6
ISSN: 0196-6553
Publisher: Mosby Elsevier  
Date Published: 2013-06-01
Start Page: 487
End Page: 491
Language: English
DOI: 10.1016/j.ajic.2012.05.029
PROVIDER: scopus
PUBMED: 23200260
DOI/URL:
Notes: --- - "Export Date: 1 July 2013" - "CODEN: AJICD" - "Source: Scopus"
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  1. Bridgette Helen Claire Thom
    47 Thom