School of Healthcare Sciences, City, University of London, London, United Kingdom.
Open Clean Technologies, Oxford, United Kingdom.
Am J Infect Control. 2020 May;48(5):480-484. doi: 10.1016/j.ajic.2020.02.005.
Frontline managers promote hand hygiene standards and adherence to hand hygiene protocols. Little is known about this aspect of their role.
Qualitative interview study with frontline managers on 2 acute admission wards in a large National Health Service Trust in the United Kingdom.
Managers reported that hand hygiene standards and audit were modeled on World Health Organization guidelines. Hand hygiene outside the immediate patient zone was not documented but managers could identify when additional indications for hand hygiene presented. They considered that audit was worthwhile to remind staff that hand hygiene is important but did not regard audit findings as a valid indicator of practice. Managers identified differences in the working patterns of nurses and doctors that affect the number and types of hand hygiene opportunities and barriers to hand hygiene. Ward managers were accepted as the custodians of hand-hygiene standards.
Frontline managers identified many of the issues currently emerging as important in contemporary infection prevention practice and research and could apply them locally. Their views should be represented when hand hygiene guidelines are reviewed and updated.
一线经理促进手部卫生标准和遵守手部卫生协议。对于他们在这方面的角色，人们知之甚少。
对英国一家大型国民保健信托基金会的 2 个急症住院病房的一线经理进行了定性访谈研究。
经理们报告说，手部卫生标准和审计是按照世界卫生组织的指导方针进行的。在直接病人区外的手部卫生情况没有记录，但经理们可以识别何时出现额外的手部卫生指征。他们认为审计是值得的，可以提醒员工手部卫生很重要，但并不认为审计结果是实践的有效指标。经理们发现，护士和医生的工作模式存在差异，这影响了手部卫生机会的数量和类型，以及手部卫生的障碍。病房经理被认为是手部卫生标准的监护人。
一线经理确定了许多目前在当代感染预防实践和研究中出现的重要问题，并能够在当地应用。在审查和更新手部卫生指南时，应代表他们的观点。
