Madden C, Lydon S, Lambe K, O’Connor P
Department of General Practice, School of Medicine, National University of Ireland, Galway, Ireland
Irish Centre for Applied Patient Safety, National University of Ireland, Galway, Ireland
Ir Med J. 2019 Apr 11;112(4):914.
Aim To examine the barriers to, and facilitators of, hand hygiene (HH) practices as perceived by national and hospital-level HH policy-makers in Ireland; and identify the extent to which the issues identified are addressed in national HH guidelines. Methods Semi-structured interviews were conducted with 12 national-and hospital-level Irish HH policy-makers. Four national Irish HH policy documents were reviewed. Results The policy-makers identified a range of barriers and facilitators of HH compliance. These were found to fit into six themes, with a number of suggestions for how to improve HH compliance. All of the policy documents referenced the World Health Organization’s five moments, but lacked guidance on how to improve HH compliance beyond recommending audit and feedback. Conclusion Policy-makers identified potential areas for targeting in future interventions. The varied extent to which the issues identified in the interviews were addressed in the guidelines, policies, and standards suggest that revision of such documents is required.
目的 探讨爱尔兰国家和医院层面的手部卫生（HH）政策制定者所认为的手部卫生实践的障碍和促进因素；并确定国家手部卫生指南中对所确定问题的解决程度。方法 对12名爱尔兰国家和医院层面的手部卫生政策制定者进行了半结构化访谈。审查了四份爱尔兰国家手部卫生政策文件。结果 政策制定者确定了一系列手部卫生合规的障碍和促进因素。这些因素被归纳为六个主题，并提出了一些关于如何提高手部卫生合规性的建议。所有政策文件都提及了世界卫生组织的五个时刻，但除了建议审核和反馈外，缺乏关于如何提高手部卫生合规性的指导。结论 政策制定者确定了未来干预措施的潜在目标领域。访谈中确定的问题在指南、政策和标准中的解决程度各不相同，这表明需要修订这些文件。
