Assessment of Hand Hygiene Practice and Factor Affecting Compliance Among Nurses in Black Lion Specialized Referral Hospital, Addis Ababa, Ethiopia
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Date
2017-06
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Addis Ababa University
Abstract
Background:Hand hygiene is an important measure to prevent and control infection
particularly in developing countries, the identification of several risk factors associated with poor
hand hygiene compliance is extreme importance. Alcohol based hand rube (ABHR) is simple
measure to prevent the transmission of infection.
This institutional based cross- sectional study focus on describing hand hygiene practice of
nurses and provides base line information on the area.
Objective:To assess hand hygiene practices among Nurses in Black Lion Specialized Referral
Hospital, Addis Ababa Ethiopia.
Methods: Institution based quantitative cross sectional study design was used to assess hand
hygiene practice and factoraffecting compliance among Nurses in Black Lion Specialized
Referral Hospital. A total of 288Nurses were included and selected by simple random sampling.
Data collection was made by using self-administered structured questionnaire.The collected data
was checked visually for its completeness and the response were coded and entered into the
computer using EPI info version 3.5.1. Statistical package, and the 10% of the response was
randomly selected and check for the consistency of data entry. Then data were exported to
windows of Statistical Package for Social Science (SPSS) version 20 for data
analysis.Descriptive statistics, bivariate logistic and multivariate logistic regression analysis was
done to see association between factors and hand hygiene practice.
Result: A Total of 288 study participants filled the questionnaires with a response rate of 100%.
Hand hygiene compliance of nurses was found 79% having knowledge about hand hygiene
compliance(AOR[95%CI]= 2.873[1.258, 6.56]),availability of soap and water(AOR[95%CI]=
0.324[0.155, 0.678]), availability of ABHR(AOR[95%CI]= 0.293[0.125, 0.686]), availability of
towel/tissue paper(AOR[95%CI]= 3.314[1.587, 6.918]), were significantly associated with hand
hygiene compliance.
Conclusions: Nurses good hand hygiene compliance was indicated ‘after’ caring for a
patient whereas poor hand hygiene compliance was reported ‘before’ having direct
contact with a patient.
Nurses hand hygiene practice was influenced by the knowledge they have for hand
hygiene indications as per hand hygiene guideline.
There was no statistical significant variations on hand hygiene practice score across
nurses in different wards
Key word:hand hygiene practice; Knowledge; Nurses
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Keywords
Hand hygiene practice, Knowledge, Nurses