Creedon Sile A
School of Nursing and Midwifery, University College Cork, Ireland.
Nurs Times. 2008;104(49):32-5.
The issue of 'centre' or 'hospital' as an independent variable has not been studied extensively in healthcare workers' hand-hygiene practices.
To investigate healthcare workers' compliance with hand-hygiene guidelines in four acute-care hospitals in Ireland and to examine factors that contributed to non-compliance.
Data collectors observed healthcare workers in four hospitals.
Data (n = 1,737 observations) was drawn from a random sample of nurses, doctors, physiotherapists and HCAs (n = 280 staff). Findings revealed that the individual hospital has a significant impact. Multivariate logistic regression analysis showed healthcare workers in centre 4 had a significantly higher likelihood of non-compliance than those in all other centres (p = 0.003), irrespective of gender, discipline or area of work.
The findings make an important contribution to the study of healthcare workers' hand-hygiene behaviour and control of healthcare-associated infections. A possible explanation of the results may be related to variations in organisational support and hospital culture.
在医护人员的手卫生实践中，“中心”或“医院”作为一个独立变量的问题尚未得到广泛研究。
调查爱尔兰四家急症医院医护人员对手卫生指南的依从性，并检查导致不依从的因素。
数据收集者观察了四家医院的医护人员。
数据（n = 1737次观察）来自护士、医生、物理治疗师和医疗护理助理（n = 280名工作人员）的随机样本。研究结果显示，各个医院有显著影响。多变量逻辑回归分析表明，与所有其他中心的医护人员相比，中心4的医护人员不依从的可能性显著更高（p = 0.003），无论性别、学科或工作领域如何。
这些研究结果对医护人员的手卫生行为研究以及医疗相关感染的控制做出了重要贡献。结果的一个可能解释可能与组织支持和医院文化的差异有关。
