College of Nursing, Sultan Qaboos University, Muscat, Oman.
Kent State University Tuscarawas, New Philadelphia, OH, USA.
Int Nurs Rev. 2018 Sep;65(3):336-348. doi: 10.1111/inr.12410. Epub 2017 Oct 27.
Hand hygiene competence is one of the critical outcomes in nursing education. Ensuring nursing students recognize the what, when and how of hand hygiene is critical in the light of the increasing rates of healthcare-associated infections.
To systematically appraise and synthesize articles on hand hygiene knowledge and compliance among nursing students.
This is a systematic review of scientific articles published from 2006 to 2016. The primary databases used were as follows: PubMed, Embase, Cumulative Index to Nursing & Allied Health Literature, Proquest and PsychINFO. Key search terms utilized were as follows: 'handwashing', 'hand hygiene', 'compliance', 'knowledge', 'practice' and 'nursing students'.
Nineteen studies met the review criteria. The findings revealed a low-to-moderate knowledge of and compliance with hand hygiene among nursing students. In addition, there were significantly higher rates of hand hygiene compliance in nursing students when compared to medical students. Relatively few studies attempted to identify predictors of hand hygiene knowledge and compliance.
This review demonstrated suboptimal knowledge and compliance to hand hygiene among student nurses. In addition, this review also highlighted the paucity of studies that examined individual and organizational factors, which influence nursing students hand hygiene knowledge and compliance.
The findings of this review emphasized the role of nurse educators in enhancing hand hygiene competence in nursing students. Implementation of empirically tested strategies such as utilizing multidimensional interventions, scenario-based hand hygiene simulation activities and hand hygiene education programmes that would enhance nursing students' hand hygiene knowledge and compliance is an asset. Hospital and nursing administrators should ensure continuous support and monitoring to guarantee that hand hygiene programmes are institutionalized in every healthcare setting by every healthcare worker.
手部卫生能力是护理教育的关键成果之一。鉴于医疗保健相关感染率的不断上升，确保护理学生了解手部卫生的内容、时间和方法至关重要。
系统评价和综合护理学生手部卫生知识和依从性的文章。
这是对 2006 年至 2016 年期间发表的科学文章进行的系统评价。主要使用的数据库如下：PubMed、Embase、Cumulative Index to Nursing & Allied Health Literature、Proquest 和 PsychINFO。使用的主要搜索词如下：“洗手”、“手部卫生”、“依从性”、“知识”、“实践”和“护理学生”。
有 19 项研究符合审查标准。研究结果表明，护理学生对手部卫生的知识和依从性较低至中等。此外，与医学生相比，护理学生的手部卫生依从率明显更高。相对较少的研究试图确定影响护理学生手部卫生知识和依从性的预测因素。
本综述表明，学生护士的手部卫生知识和依从性不理想。此外，本综述还强调了研究个体和组织因素对护理学生手部卫生知识和依从性影响的研究较少。
本综述的结果强调了护士教育者在提高护理学生手部卫生能力方面的作用。实施经过实证检验的策略，如利用多维干预、基于情景的手部卫生模拟活动和手部卫生教育计划，将增强护理学生的手部卫生知识和依从性，这是有益的。医院和护理管理人员应确保持续支持和监测，以确保在每个医疗保健环境中由每个医疗保健工作者实施手部卫生计划。
