Post Doctorate from the University of New York. Associate Professor of the Federal University of Minas Gerais (UFMG) School of Nursing, Basic Nursing Department, 190 Av. Prof. Alfredo Balena - Santa Efigênia, 30130-100, Belo Horizonte, Minas Gerais, Brazil.
Doctoral student in Federal University of Minas Gerais (UFMG) School of Nursing, Belo Horizonte, Brazil.
J Public Health (Oxf). 2018 Mar 1;40(1):163-168. doi: 10.1093/pubmed/fdx035.
Hand hygiene (HH) has a low rate of adherence worldwide. This study aimed to estimate the HH adherence rate before and after the implementation of the multimodal strategy and to perform a self-assessment of an institution for promotion and practice of HH.
Before and after study, conducted in a university hospital. Professionals of the medical and nursing staff were included. Data collection was from October 2013 to July 2015, through observations of the HH opportunities and application of the HH self-assessment instrument for the institution. Descriptive and univariate analysis were performed.
A total of 9500 HH opportunities were observed. The rate of adherence to HH in pre-intervention period was 20.8%, compared to 16.2% and 15.7% in post-intervention. Regarding the evaluation of the institution, it did not have an established ongoing program of training of professionals, no feedback of HH rates to professionals.
The low rate of HH adherence reflected the evaluation of the institution in relation to its investment in the practice and promotion of HH, showing that the investment policy for HH adherence needs to be reviewed, considering that before the study the hospital has not been trained in the 'My Five Moments for HH'.
全球范围内，手部卫生（HH）的依从率较低。本研究旨在评估实施多模式策略前后 HH 的依从率，并对促进和实践 HH 的机构进行自我评估。
在一所大学医院进行了前后对照研究。纳入了医护人员中的专业人员。数据收集时间为 2013 年 10 月至 2015 年 7 月，通过观察 HH 机会和应用 HH 自我评估工具对机构进行评估。进行了描述性和单变量分析。
共观察到 9500 次 HH 机会。干预前 HH 依从率为 20.8%，干预后分别为 16.2%和 15.7%。关于机构的评估，它没有建立专业人员培训的持续计划，也没有将 HH 率的反馈提供给专业人员。
HH 依从率较低反映了机构在 HH 实践和推广方面的投入情况，表明需要审查 HH 依从性的投资政策，因为在研究之前，该医院还没有接受过“我的五个 HH 时刻”的培训。
