Graveto João Manuel, Santos Cristina, Costa Paulo Santos, Fernandes Elisabete, Alarico Susana, Osório Nádia, Albano Helena, Oliveira Vânia
Escola Superior de Enfermagem de Coimbra. Coimbra, Portugal.
Universidade de Coimbra. Coimbra, Portugal.
Rev Bras Enferm. 2018;71(suppl 1):562-567. doi: 10.1590/0034-7167-2017-0538.
To describe the determining factors in hand hygiene management among nurses and identify associated collective health challenges.
Cross-sectional descriptive study. Data were collected using a questionnaire that was applied in four internal medicine units of a hospital of reference in Portugal.
The sample was composed of 50 nurses aged 26 to 55 years (mean age of 34.88 years); 80% were women, 58% had a Bachelor's degree, and had 5-30 years of nursing practice (X̄ =11.94;±5.92). The vast majority of nurses (90%) reported complying with the existing recommendations on hand hygiene in pre-established moments. However, none of the nurses were able to identify all the moments for hand hygiene using water and soap or alcohol-based handrub.
This study shows that continuous training, adequate materials/structures in the units, and redesigned administration/supervision practices are determining factors to achieve higher levels of adherence to hand hygiene among nurses, as well as increased quality and safety in care delivery, which is a current collective health challenge.
描述护士手部卫生管理的决定因素，并确定相关的集体健康挑战。
横断面描述性研究。通过问卷调查收集数据，该问卷应用于葡萄牙一家参考医院的四个内科病房。
样本由50名年龄在26至55岁之间的护士组成（平均年龄34.88岁）；80%为女性，58%拥有学士学位，有5至30年的护理工作经验（X̄ =11.94；±5.92）。绝大多数护士（90%）报告在既定时刻遵守现有的手部卫生建议。然而，没有一名护士能够识别出水洗或使用含酒精洗手液进行手部卫生的所有时刻。
本研究表明，持续培训、病房内充足的物资/设施以及重新设计的管理/监督措施是提高护士手部卫生依从性以及提升护理服务质量和安全性的决定因素，而这是当前的一项集体健康挑战。
