Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland; Department of Infection Control, Oulu University Hospital, Medical Research Center Oulu, Oulu, Finland.
Nursing Research Foundation, Finland.
Am J Infect Control. 2021 Jun;49(6):753-758. doi: 10.1016/j.ajic.2020.11.026. Epub 2020 Dec 5.
Hospital managers play an essential role in implementing strategies to promote good hand hygiene (HH) among health care workers. We investigated the managers' views on their roles, challenges and developmental ideas in promoting good HH practice.
A descriptive cross-sectional study with an online survey of both medical and nursing managers was conducted within a single tertiary care hospital in Finland. Three open-ended questions were analyzed using inductive content analysis.
A total of 78 managers out of 168 responded to the survey (response rate 46%). Managers helped promote HH practices by enabling the proper environment for adherence to good HH, visible commitment, and using various means to instruct staff about HH. Challenges included the acute hospital setting and practical problems related to the managers' numerous responsibilities. Developmental ideas included information communication technology applications for monitoring HH as an indicator of the quality of care, versatile responses to HH audits, and clarifying the roles of different management levels.
Managers are committed to and use various methods to promote HH. Managers would benefit from information communication technology applications to provide easy and targeted information regarding compliance with HH.
医院管理人员在实施策略以促进医护人员良好手部卫生（HH）方面发挥着重要作用。我们调查了管理人员在促进良好 HH 实践方面的角色、挑战和发展思路。
在芬兰的一家三级保健医院内，进行了一项描述性的横断面研究，对医疗和护理管理人员进行了在线调查。采用归纳内容分析法对 3 个开放式问题进行了分析。
在 168 名管理人员中，共有 78 名（回应率为 46%）管理人员对调查做出了回应。管理人员通过为遵守良好 HH 创造适当的环境、明确承诺和使用各种方法指导员工了解 HH，来促进 HH 实践。挑战包括急性医院环境以及与管理人员众多职责相关的实际问题。发展思路包括将信息技术应用于 HH 监测作为护理质量的指标、对 HH 审核做出灵活反应，以及明确不同管理级别的角色。
管理人员致力于并采用各种方法来促进 HH。管理人员将受益于信息技术应用，以便提供有关 HH 遵守情况的简便和有针对性的信息。
