Haas Janet P, Larson Elaine L
Westchester Medical Center in Valhalla, NY, USA.
Am J Nurs. 2008 Aug;108(8):40-4; quiz 45. doi: 10.1097/01.NAJ.0000330260.76229.71.
It has long been known that hand hygiene among health care workers plays a central role in preventing the transmission of infectious agents. But despite a Joint Commission requirement that Centers for Disease Control and Prevention hand hygiene guidelines be implemented in hospitals, compliance among health care workers remains low. The authors argue that hospitals may best improve compliance by assessing the barriers to it, measuring the rates of compliance, educating staff on the importance of hand hygiene, making sanitizing products more available for staff use, and holding staff accountable. The authors emphasize as well that lasting improvement in hand hygiene is a collaborative effort that depends on the committed support of hospital administrators.
长期以来，人们都知道医护人员的手部卫生在预防传染源传播方面起着核心作用。但是，尽管联合委员会要求医院实施疾病控制与预防中心的手部卫生指南，医护人员的依从性仍然很低。作者认为，医院可以通过评估依从性的障碍、测量依从率、对员工进行手部卫生重要性的教育、为员工提供更多的消毒产品以及让员工负责等方式来最好地提高依从性。作者还强调，手部卫生的持久改善是一项需要医院管理人员坚定支持的合作努力。
