Miret C, González C, Prats-Uribe A, Banqué M, Hidalgo C, Castells X, Sala M
Unidad Docente de Medicina Preventiva y Salud Pública, Parc de Salut Mar, Universidad Pompeu Fabra, -Agencia de Salud Pública de Barcelona, Barcelona, España; Servicio de Epidemiología y Evaluación, Parc de Salut Mar, Barcelona, España.
Programa de Control de Infecciones, Parc de Salut Mar, Barcelona, España.
J Healthc Qual Res. 2020 Mar-Apr;35(2):103-112. doi: 10.1016/j.jhqr.2019.09.003. Epub 2020 Mar 13.
To identify factors that may influence hand hygiene compliance by professional category and clinical department.
Use was made of concept mapping methodology, a tool that combines a qualitative analysis with a quantitative statistical analysis, in order to identify the most influential and important factors for the fulfilment of hand hygiene in 2 clinical departments (Infectious and General Surgery) of the Hospital del Mar.
The study included a total of 42 volunteer professionals from General Surgery (6 doctors and 10 nurses) and from Infectious Diseases (11 doctors and 10 nurses) clinical departments, as well as 5 hospital porters. High correlations of influential and important factors for hand hygiene compliance were observed between nurses and doctors in the Infectious Diseases Department (r=0.93 vs. r=0.69, respectively). In contrast, the correlation was lower among surgical professionals (r=-0.17 for influence and r=0.51 for importance). Professionals identified the most influential factors in compliance as training and adequate resources, taking into account professional category and clinical department.
The design of interventions to improve compliance with hand hygiene should take into account the perceptions of different professionals in order to adapt actions to each professional group.
确定可能按专业类别和临床科室影响手卫生依从性的因素。
采用概念图方法，这是一种将定性分析与定量统计分析相结合的工具，以确定在德尔马医院的2个临床科室（感染科和普通外科）中，对手卫生落实影响最大且最重要的因素。
该研究共纳入了来自普通外科（6名医生和10名护士）、传染病科（11名医生和10名护士）临床科室的42名志愿专业人员，以及5名医院搬运工。在传染病科，护士和医生之间在手卫生依从性的影响因素和重要因素方面观察到高度相关性（分别为r = 0.93和r = 0.69）。相比之下，外科专业人员之间的相关性较低（影响因素r = -0.17，重要因素r = 0.51）。专业人员认为，考虑到专业类别和临床科室，依从性方面最具影响力的因素是培训和充足的资源。
为提高手卫生依从性而设计的干预措施应考虑不同专业人员的看法，以便使行动适应每个专业群体。
