Rickard Norman A S
University of Central England, Faculty of Health and Community Care, School of Post Registration Studies, Birmingham.
Br J Nurs. 2004;13(7):404-10. doi: 10.12968/bjon.2004.13.7.12686.
Around 10% of hospital patients acquire a healthcare-associated infection and it has been estimated that around one-third of these could be prevented. This article discusses the causal link between hand hygiene and infection and the reasons why healthcare workers (HCW) fail to comply with hand-hygiene policies. The action of hand hygiene is discussed in terms of the removal of transient micro-organisms and the agents used. Reasons for non-compliance and some measures for achieving compliance, such as education and patient empowerment, are discussed alongside the difficulties that these present. In order to move forward, it is suggested that the problem has to be managed through cultural change, making it easier for HCWs to comply by improving hand-cleansing facilities and materials and providing feedback to personnel on local infection rates so that high-priority areas can be targeted. This may be facilitated by locally based action research.
约10%的住院患者会发生医疗保健相关感染，据估计其中约三分之一是可以预防的。本文讨论了手卫生与感染之间的因果联系，以及医护人员不遵守手卫生政策的原因。从去除暂居微生物和所使用的制剂方面讨论了手卫生的作用。同时讨论了不遵守规定的原因以及实现遵守规定的一些措施，如教育和患者赋权，以及这些措施所带来的困难。为了取得进展，建议通过文化变革来管理这一问题，通过改善手清洁设施和材料，以及向工作人员提供当地感染率的反馈，以便能够针对高风险区域，使医护人员更容易遵守规定。基于当地的行动研究可能会推动这一进程。
