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Nurses perceptions of factors affecting hand hygiene practices in level II hospitals in Manila city
25th World Congress on Nursing & Healthcare
De Jose Eiryll Kathreen C, Banares, Jill Olivia E, Bayhonan Samantha Yzobelle S, Bunal Benedict Mark M, Conejar Charlotte Kyne M, Lagrimas Faye Margaret S, Padilla Lykee Angelique P, Santos Maria Alexandra D and Siapno Patricia Therese T
Aim: This study aims to identify the perceptions of nurses in hospitals located in the City of Manila regarding factors affecting
hand hygiene practices among intensive care units and non-intensive care units.
Method: This study utilized a survey research design with multi-stage stratified cluster sampling by means of the WHO
perception survey for healthcare workers (Cronbach鈥檚 alpha=0.81) and one question from Larson鈥榮 attitudes regarding practice
guidelines questionnaire (Cronbach鈥檚 alpha=0.83) to gather data. Chi-square test of independence and t-test for independent
samples were utilized for data analysis.
Result: Factors affecting hand hygiene are categorized into three, namely, predisposing, enabling and reinforcing. Tolerance
of the hands to using alcohol based hand rub is not statistically significant between ICU and non-ICU nurses among the
predisposing factors affecting hand hygiene. Among the enabling factors, there is no significant association between being
an ICU or non-ICU nurse in formal training in hand hygiene practice and routine alcohol based hand rub use. Lastly, all
reinforcing factors affecting hand hygiene are reported to be statistically significant between ICU and non-ICU nurses except
the importance of hand hygiene to colleagues.
Conclusion: The results of the study necessitates implementation of hand hygiene campaigns, focusing mainly on provision of
formal training to all nurses regardless of area of assignment, regular feedback regarding hand hygiene performance from unit
managers and being a good example to colleagues as a positive reinforcement and patient-initiated reminders.