Investigation and reflection on the hand hygiene status of nursing staff in coronavirus disease 2019 isolation ward_West China Medical Journal

Authors：

WANG Xia ¹ , LIU Chenxia ² , LIU Juyuan ³ , MA Hongqiu ⁴ , FU Xin ⁵ ,  CAI Meng ³

1. Nursing Department, Beijing Hospital; National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences; Beijing 100730, P. R. China;
2. Surgical Department, Beijing Hospital; National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences; Beijing 100730, P. R. China;
3. Infection Control Department, Beijing Hospital; National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences; Beijing 100730, P. R. China;
4. Department of Medical Management, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, P. R. China;
5. Nursing Department, China-Japan Union Hospital, Jilin University, Changchun, Jilin 130033, P. R. China;

Corresponding?author：

CAI Meng, Email: caimeng1125@sina.com

Keywords：

Coronavirus disease 2019; Isolation ward; Nursing staff; Hand hygiene

DOI：

10.7507/1002-0179.202101309

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the hand hygiene status of nursing staff in coronavirus disease 2019 (COVID-19) isolation ward, find out the difficulties and problems in hand hygiene implementation, and then put forward scientific and feasible suggestions to improve the compliance of hand hygiene.Methods Self-designed Questionnaire on Hand Hygiene Status of Nursing Staff in COVID-19 Isolation Ward was distributed through the Wenjuanxing, a platform to collect data. The questionnaire, which included general information, knowledge related to hand hygiene, and the status of hand hygiene in isolation ward, was distributed to the nurses working in isolation wards in Wuhan, Hubei Province from March 15th, 2020 to March 22nd, 2020.Results Valid questionnaires were collected from 492 nurses. The difficulty in performing hand hygiene in the isolation ward was ranked ≥level 3 by 248 nurses (50.41%), the degree of which was divided into 10 levels (level 1 was no difficulty, level 10 was the most difficult). A total of 369 participants (75.00%) thought that wearing gloves for hand disinfection would damage the gloves. There were 161 participants who thought that gloves should be changed every 2 hours, accounting for the largest proportion (32.72%); while 226 participants actually changed gloves every 4 hours, accounting for the largest proportion (45.93%).Conclusions The difficulty of performing hand hygiene in isolation ward should be paid attention to. It is recommended to carry out further research on the replacement time of gloves.

Citation： WANG Xia, LIU Chenxia, LIU Juyuan, MA Hongqiu, FU Xin, CAI Meng. Investigation and reflection on the hand hygiene status of nursing staff in coronavirus disease 2019 isolation ward. West China Medical Journal, 2021, 36(3): 316-321. doi: 10.7507/1002-0179.202101309 Copy

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1. World Health Organization. Interim guidance. COVID-19 and food safety: guidance for food businesses. (2020-04-07)[2021-01-20]. https://www.who.int/publications/i/item/covid-19-and-food-safety-guidance-for-food-businesses.
2. 國家衛生健康委辦公廳. 關于印發醫療機構內新型冠狀病毒感染預防與控制技術指南（第一版）的通知: 國衛辦醫函〔2020〕65號. (2020-01-23)[2020-12-20]. http://www.nhc.gov.cn/yzygj/s7659/202001/b91fdab7c304431eb082d67847d27e14.shtml.
3. 李六億, 吳安華. 新型冠狀病毒醫院感染防控常見困惑探討. 中國感染控制雜志, 2020, 19(2): 105-108.
4. 國家衛生健康委辦公廳. 國家衛生健康委辦公廳關于新冠肺炎疫情期間醫務人員防護技術指南（試行）的通知: 國衛辦醫函〔2020〕155號. (2020-02-21)[2021-01-16]. http://www.henanyz.com/uploadAttach/20200224/20200224095242_338.pdf.
5. 張璇, 張翠玲, 姜玫, 等. 新冠肺炎疫情期間臨床一線護士的手衛生依從性調查. 齊魯護理雜志, 2020, 26(9): 56-58.
6. Scheithauer S, Batzer B, Dangel M, et al. Workload even affects hand hygiene in a highly trained and well-staffed setting: a prospective 365/7/24 observational study. J Hosp Infect, 2017, 97(1): 11-16.
7. White KM, Jimmieson NL, Obst PL, et al. Using a theory of planned behaviour framework to explore hand hygiene beliefs at the “5 critical moments” among Australian hospital-based nurses. BMC Health Serv Res, 2015, 15: 59.
8. White KM, Starfelt LC, Jimmieson NL, et al. Understanding the determinants of Australian hospital nurses’ hand hygiene decisions following the implementation of a national hand hygiene initiative. Health Educ Res, 2015, 30(6): 959-970.
9. Huis A, Holleman G, van Achterberg T, et al. Explaining the effects of two different strategies for promoting hand hygiene in hospital nurses: a process evaluation alongside a cluster randomised controlled trial. Implement Sci, 2013, 8: 41.
10. World Health Organization, the United Nations Children’s Fund. WASH in health care facilities: global baseline report 2019. Geneva: WHO and UNICEF, 2019.
11. Loveday HP, Lynam S, Singleton J, et al. Clinical glove use: healthcare workers’ actions and perceptions. J Hosp Infect, 2014, 86(2): 110-116.
12. Chau JP, Thompson DR, Twinn S, et al. An evaluation of hospital hand hygiene practice and glove use in Hong Kong. J Clin Nurs, 2011, 20(9/10): 1319-1328.
13. Olsen RJ, Lynch P, Coyle MB, et al. Examination gloves as barriers to hand contamination in clinical practice. JAMA, 1993, 270(3): 350-353.
14. 王燕, 楊菊蘭, 蔡玲. 使用時間對一次性無菌橡膠手套通透性的影響及其表面污染狀況研究. 中國消毒學雜志, 2017, 34(5): 434-436.
15. 李春輝, 黃勛, 蔡虻, 等. 新冠肺炎疫情期間醫療機構不同區域工作崗位個人防護專家共識. 中國感染控制雜志, 2020, 19(3): 199-213.
16. 國家衛生健康委辦公廳. 國家衛生健康委辦公廳關于印發新型冠狀病毒感染的肺炎防控中常見醫用防護用品使用范圍指引（試行）. (2020-01-27)[2020-02-06]. http://www.nhc.gov.cn/xcs/zhengcwj/202001/e71c5de925a64eafbe1ce790debab5c6.shtml.
17. 彭雪兒, 徐丹慧, 侯鐵英, 等. 全國多中心醫院病區手衛生設施現況. 中國感染控制雜志, 2018, 17(9): 753-758.
18. Arntz PR, Hopman J, Nillesen M, et al. Effectiveness of a multimodal hand hygiene improvement strategy in the emergency department. Am J Infect Control, 2016, 44(11): 1203-1207.

West China Medical Journal

Investigation and reflection on the hand hygiene status of nursing staff in coronavirus disease 2019 isolation ward

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