A Hand hygiene in a pediatric unit

nurses' perception

Authors

DOI:

https://doi.org/10.29352/mill0216.24868

Keywords:

hand hygiene, paediatrics, nursing, health care associated infection

Abstract

Introduction: Hand hygiene is a simple and effective intervention in breaking the chain of infection transmission.

Objetive: To understand nurses’ perception on hand hygiene of nurses, children and their caregivers, in a pediatric unit.

Methods: A descriptive study, framed in the qualitative paradigm was conducted. The data were obtained by semi-structured interview and their analysis using the Bardin content analysis method. A sample of 15 nurses was recruited from a pediatric inpatient service. Participants were mostly female, with an average age of 37.5 years.

Results: Two categories emerged from the discourse analysis: conditioning factors of hand hygiene adherence, with subcategories related to nurses (four), children (four); and the caregivers (five); and strategies to improve hand hygiene adherence and its subcategories related to nurses (four); children and their caregivers (three).

Conclusion: It is cruicial to raise awareness and training the teams and users of health units for this problem and how to minimize it. The planning of multimodal interventions to promote hand hygiene in a paediatric context emerges as a determining factor to optimize this practice.

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References

Abed, N. T., & Eldesouky, R. S. (2020). Infection Control: Hand Hygiene Practices among Nurses in the Neonatal Intensive Care Unit at Benha University Hospital. Egypt. J. Hosp. Med., 80, 619–626. doi: 10.12816/ejhm.2020.92540

Bandura, A. (2001). Social cognitive theory: An agentic perspective. Annu. Rev. Psychol., 52 (1), 1-26. doi: 10.1146/annurev.psych.52.1.1

Bardin, L. (2009). Análise de conteúdo. (3ª ed.). Lisboa: Edições 70.

Belela-Anacleto, A. S. C., Kusahara, D. M., Peterlini, M. A. S., & Pedreira, M. L. G. (2019). Hand hygiene compliance and behavioural determinants in a paediatric intensive care unit: an observational study. Aust. Crit. Care, 32(1), 21–27. doi: 10.1016/j.aucc.2018.02.010

Cohen, B., Cohen, C. C., Løyland, B., & Larson, E. L. (2017). Transmission of health care-associated infections from roommates and prior room occupants: a systematic review. Clin. Epidemiol., 9, 297–310. doi: 10.2147/CLEP.S124382

Corrêa, I., & Nunes, I. M. (2011). Higienización de las manos: el cotidiano del profisional de la salud en una unidad de internación pediátrica. Invest. Educ. Enferm., 29(1), 54-60. https://www.redalyc.org/pdf/1052/105222398007.pdf

Direção-Geral da Saúde (2018). Infeções e Resistências aos Antimicrobianos: Relatório Anual do Programa Prioritário 2018. Lisboa: Direção-Geral da Saúde. https://www.dgs.pt/documentos-e-publicacoes/infecoes-e-resistencias-aos-antimicrobianos-2018-relatorio-anual-do-programa-prioritario.aspx

Direção-Geral da Saúde (2019). Norma nº 007/2019 de 16/10/2019 – Higiene das Mãos nas Unidades de Saúde. Lisboa: Direção-Geral da Saúde. https://www.dgs.pt/directrizes-da-dgs/normas-e-circulares-normativas/norma-n-0072019-de-16102019-pdf.aspx

Gonzaga, H., & Belentani, L. (2013). Infecção hospitalar por contato: atitudes realizadas por acompanhantes que favorecem a transmissão. Revista Uningá, 35(1). http://revista.uninga.br/index.php/uninga/article/view/1081

Gras-Valentí, P., Mora-Muriel, J. G., Fuster-Pérez, M., Benito-Miralles, C. M., Vela-Morales, M. C., González-Hernández, M., … Sánchez-Payá, J. (2020). Evolution and associated factors of hand hygiene compliance in a pediatric tertiary hospital. Am. J. Infect. Control. doi: 10.1016/j.ajic.2020.05.013

Graveto, J. M. G. N, Rebola, R. I. F., Fernandes, E. A., & Costa, P. J. S. (2018). Hand hygiene: nurses’ adherence after training. REBEn, 71(3), 1189-1193. doi: 10.1590/0034-7167-2017-0239

Grayson, M. L., Stewardson, A. J., Russo, P. L., Ryan, K. E., Olsen, K. L., Havers, S. M., … Cruickshank, M. (2018). Effects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes: a longitudinal study. The Lancet. Infect. Dis.,18(11), 1269–1277. doi: 10.1016/S1473-3099(18)30491-2.

Hockenberry, M., & Wilson, D. W. (2014). Wong Enfermagem da Criança e do Adolescente. (9ª Edition, vol. II). Loures: Lusociência.

Knepper, B., Miller, A., & Young, H. (2020). Impact of an automated hand hygiene monitoring system combined with a performance improvement intervention on hospital-acquired infections. Infection Control & Hospital Epidemiology, 41 (8), 931-937. doi: 10.1017 / ice.2020.182.

Lary, D., Calvert, A., Nerlich, B., Segal, J., Vaughan, N., Randle, J., & Hardie, K. R. (2020). Improving children’s and their visitors’ hand hygiene compliance. J. Infect. Prev., 21(2), 60–67. DOI: 10.1177/1757177419892065

Müller, S. A., Diallo, A. O. K., Wood, R., Bayo, M., Eckmanns, T., Tounkara, O., … Borchert, M. (2020). Implementation of the WHO hand hygiene strategy in Faranah regional hospital, Guinea. Antimicrob Resist In, 9(1), 1–9. DOI: 10.1186/s13756-020-00723-8.

Oliveira, S., Galvão, E., & Gomes-Santos, L. (2020). Prevenção e controle de infecção relacionada à assistência à saúde: um estudo com responsáveis de crianças internadas no setor pediátrico. Journal of Epidemiology and Infection Control, 10(1). doi: 10.17058/jeic.v1i1.13688.

Rabelo, A. H. S, & Souza, T. V. (2009). O conhecimento do familiar/acompanhante acerca da precaução de contato: contribuições para a enfermagem pediátrica. Escola Anna Nery, 13(2), 271-278. doi: 10.1590/S1414-81452009000200006.

Raimondi, D. C., Bernal, S. C. Z., Souza, V. S., Oliveira, J. L. C., & Matsuda, L. M. (2017). Higienização das mãos: adesão da equipe de enfermagem de unidades de terapia intensiva pediátricas. Revista Cuidarte, 8(3), 1839-1848. doi: 10.15649/cuidarte.v8i3.437.

Santos, P. M. D., Silva, L. F. D., Depianti, J. R. B., Cursino, E. G., & Ribeiro, C. A. (2016). Os cuidados de enfermagem na percepção da criança hospitalizada. REBEn, 69(4), 646-653. doi: 10.1590/0034-7167.2016690405i

Silva, A. C., & de Menezes, C. V. A. (2019). Humanização da saúde e promoção do lúdico: uma proposta de brinquedoteca hospitalar. Caderno PAIC, 20(1), 423-436. https://cadernopaic.fae.emnuvens.com.br/cadernopaic/article/view/359

White, K. M., Jimmieson, N. L., Obst, P. L., Graves, N., Barnett, A., Cockshaw, W., Gee, P., Haneman, L., Page, K., Campbell, M., Martin, E., & Paterson, D. (2015). Using a theory of planned behaviour framework to explore hand hygiene beliefs at the “5 critical moments” among Australian hospital-based nurses. BMC Health Services Research, 15(1), 1–9. https://doi.org/10.1186/s12913-015-0718-2

Wong, M. W. H., Xu, Y. Z., Bone, J., & Srigley, J. A. (2020). Impact of patient and visitor hand hygiene interventions at a pediatric hospital: A stepped wedge cluster randomized controlled trial. Am. J. Infect. Control, 48(5), 511–516. doi: 10.1016/j.ajic.2019.09.026

World Health Organization (2016). Guidelines on Core Components of Infection Prevention and Control Programmes at the National and Acute Health Care Facility Level. https://www.who.int/gpsc/core-components.pdf

Published

2021-09-14

How to Cite

Andrade, L., Campos, P., Mendes, F., & Bastos, C. (2021). A Hand hygiene in a pediatric unit : nurses’ perception . Millenium - Journal of Education, Technologies, and Health, 2(16), 73–81. https://doi.org/10.29352/mill0216.24868

Issue

Section

Life and Healthcare Sciences