IMPLEMENTATION OF WORLD HEALTH ORGANIZATION HAND HYGENE GUIDELINES AMONG NURSES WORKING A REFERRAL HOSPITAL IN KENYA

Delvin A Adero, Catherine Syombua Mutunga-Mwenda, Everlyn Ogugu, Sallie Otenyo, Alice Maranga

Abstract


Introduction: Hand hygiene (HH) is any action of hand cleaning while maintaining good skin integrity. Proper HH prevents more than 50 % of hospital acquired infections. This study was carried out in May 2015. The aim of this study was to assess the level of implementation of WHO HH guidelines (moments of hand hygiene and hospital facilitation) among nurses working at Thika level five hospital.

 

Methodology: A descriptive cross sectional study was carried out among nurses working at Thika level five hospital in May 2015. 145 respondents were selected using systematic random sampling. Data collection tool was self-administered structured questionnaire and a standard HH checklist based on WHO guidelines. Data was analyzed using SPSS version 20 and Microsoft excel.

 

Results: All the basic hand hygiene materials were adequately provided except for single use towels. Generally, the practice of hand hygiene was well understood by 92.4% of all the respondents, however,  they were poor (37.9%) at following hand washing guidelines as per WHO hand hygiene guidelines and there were few (17.1%) of the nurses who were using single use towels. The P < .000 implies that we accept Ho. This implies that at 95% level of significance, there is no effective hand hygiene practices by nurses.

Conclusions: The results of the study suggest that the TPB (Theory of Planned Behaviour) provides a useful framework for conceptualizing HH among nurses.Nurses were poor at following WHO guidelines. They however reported hand hygiene more their actual performance. At 95% CI, the practice of hand hygiene was therefore not effective with Ho0.000.

Recommendations

The infection control department should avail single use towels, alcohol hand rubs and hand cleaning steps postures should be availed at every hand cleaning site to promote adequate following of the hand cleaning steps. In this study there were inadequate single use towels, alcohol hand rubs and hand cleaning posters at care points.


Keywords


hand hygiene, WHO Hand hygiene guidelines, moments of hand hygiene and hospital facilitation

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References


Ajzen, I. (1985). A theory of planned behavior. In J. Kuhl & J.Beckmann (Eds.), Actioncontrol: from cognition to behavior. Heidelberg: Springer-Verlag.

Ajzen, I. (1988). Attitudes, personality, and behaviour: A review of its application to health related. Buckingham, UK.

Allegranzi B, Sax H, Bengaly L, Richet H, Minta D, Chraiti M (2010) Successful Implementation of the World Health Organization Hand Hygiene Improvement Strategy in a Referral Hospital in Mali, Africa. Infection Control and Hospital Epidemiolog 31 2: 133-141.

Grayson ML, Jarvie LJ, Martin R, Johnson PD, Jodoin ME, McMullan C, et.al.,. Significant reductions in methicillin-resistant Staphylococcus aureus bacteraemia and clinical isolates associated with a multisite, hand hygiene culture-change program and subsequent successful statewide roll-out. Med J Aust. 2008 Jun 2;188(11):633-40.

Korniewicz, D. M., & El-Masri, M. (2010). Exploring the factors associated with hand hygiene compliance of nurses during routine clinical practice. Applied Nursing Research, 23(2), 86-90.

Ontario Agency for Health Protection and Promotion (Public Health Ontario), Provincial Infectious Diseases Advisory Committee (2014). Best Practice for Hand Hygiene in all Health care Setting. 4th ed. Toronto, Queen’s printers for Ontario

Ontario Agency for Health Protection and Promotion (Public Health Ontario), Provincial Infectious Diseases Advisory Committee (2014). Best Practices for Hand Hygiene in All Health Care Settings. 4th ed. Toronto, Queen’s Printer for Ontario

Provincial Infectious Diseases Advisory Committee (PIDAC) (2014), Best Practices for Hand Hygiene in All Health Care Settings, Queen’s Printer for Ontario.

Provincial Infectious Diseases Advisory Committee (PIDAC)( 2012), Best Practices for Infection Prevention and Control Programs in Ontario in All Health Care Settings: Queen’s Printer for Ontario.

Public Health Agency of Canada (2012). Hand Hygiene Practices in Healthcare Settings Ottawa: Centre for Communicable Diseases and Infection Control.

Public Health Ontario (2008). Just Clean Your Hands. Ontario's evidence-based hand hygiene program.

Ryan, Candace, (2012). Determinants of Hand Hygiene among Registered Nurses Caring for Critically Ill Infants in the Neonatal Intensive Care Unit,

Study of hand hygiene practice among healthcare workers in a teaching hospital in Toronto, Canada. Infection Control and Hospital Epidemiology 31(20, 144-150).

World Health Alliance for patient safety (2009), WHO guidelines on hand hygiene in health care. Geneva, Switzerland: World Health Organization.

World Health Organization (2006), World health Alliance for Patient Safety. Manual for observers. WHO Multimodal Hand Hygiene Improvement Strategy. Geneva, Switzerland.

World Health Organization (2012). Hand Hygiene in Outpatient and Home-based Care and Long-term Care Facilities. Geneva Switzerland.

Yawson E. Alfred and Hesse J. Afua (2013), Hand hygiene practices and resources Accra, Ghana


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