Nwaokenye Jude, Lakoh Sulaiman, Morgan Julia
University College Hospital, Ibadan, Nigeria.
College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
Pan Afr Med J. 2020 Jul 22;36:204. doi: 10.11604/pamj.2020.36.204.19869. eCollection 2020.
hand hygiene (HH) is an effective measure to reduce healthcare-associated infections and the growing burden of antimicrobial resistance. There is a need to understand the perceptions of healthcare workers towards its practice and the use of alcohol-based hand rubs (ABHR) to make recommendations to promote HH. Our study aimed to explore the perceptions of Nigerian healthcare workers towards HH and the use and availability of ABHR to suggest potential interventions to improve its practice as qualitative evidence in this field is limited in Nigeria.
a qualitative study design was utilized to understand the perceptions of healthcare workers towards HH and the use of ABHR at Adeoyo Maternity Hospital, Ibadan, Nigeria. Purposive sampling was used to recruit nineteen healthcare workers who were interviewed. Thematic content analysis was used to analyze the data generated.
five themes emerged including discrepancies in what constitutes HH practice as participants, motivation for HH practice, a good knowledge of timing as regards practice, barriers to good practice and evidence of poor practice.
while many healthcare workers know about HH and self-reported compliance towards it seems to be high, knowledge gaps, lack of resources, absence of regulations and poor working conditions were impediments to the successful implementation of HH practices. We recommend that hospitals institute well-articulated HH regulations, continuous education and training of healthcare workers. Hospitals should also ensure adequate provision of resources for hand hygiene and institute a continuous monitoring and feedback program to evaluate compliance with regulations.
手部卫生（HH）是减少医疗保健相关感染以及日益加重的抗菌药物耐药负担的一项有效措施。有必要了解医护人员对其实施情况以及对酒精基洗手液（ABHR）使用情况的看法，以便提出促进手部卫生的建议。我们的研究旨在探讨尼日利亚医护人员对手部卫生以及酒精基洗手液的使用和可得性的看法，从而提出潜在干预措施以改善手部卫生的实施情况，因为在尼日利亚该领域的定性证据有限。
采用定性研究设计，以了解尼日利亚伊巴丹阿迪奥约妇产医院医护人员对手部卫生以及酒精基洗手液使用情况的看法。采用目的抽样法招募了19名接受访谈的医护人员。使用主题内容分析法对所产生的数据进行分析。
出现了五个主题，包括参与者对构成手部卫生实践的认知差异、手部卫生实践的动机、对手部卫生实践时间的充分了解、良好实践的障碍以及不良实践的证据。
虽然许多医护人员了解手部卫生，而且自我报告的依从性似乎很高，但知识差距、资源匮乏、缺乏规定以及恶劣的工作条件阻碍了手部卫生实践的成功实施。我们建议医院制定明确的手部卫生规定，对医护人员进行持续教育和培训。医院还应确保为手部卫生提供充足资源，并建立持续监测和反馈计划以评估对规定的遵守情况。
