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Knowledge and Behaviors Related to Hand Hygiene Among Al-Assad University Hospital Nurses

معلومات و سلوكيات ممرضي مشفى الأسد الجامعي المتعلقة بتقنية غسيل الأيدي

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 Publication date 2015
and research's language is العربية
 Created by Shamra Editor




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Compliance of health care workers to adhere to correct hand hygiene is reported to be poor in many countries although the techniques involved in hand hygiene are simple. This study yielded interesting findings regarding knowledge and behavior among a sample of 30 nurses in Al-assad university hospital in Lattakia. Nurses received a self administered paper questionnaire on knowledge and practices of hand hygiene at their workplace and were observed during their work. Only (14 %) of participants had very good knowledge about hand hygiene, with a significant difference in the level of knowledge according to the level of education as respondents with university degree were more likely to correctly identify the proper way of hand hygiene compared to those nurses who have a lower level of education. On the other hand, the overall hand hygiene compliance among nurses is 30%. Some of the key parameters associated with noncompliance have been clearly identified. Hand washing hygiene is a cheap and primary infection control procedure. Therefore, the study suggests some improvement by continuous education during shifts, seminars and posters, ensuring the availability of adequate hand washing utilities like soap, water taps, drying tissues and reducing work load to improve nurse to patient ratio.


Artificial intelligence review:
Research summary
تتناول هذه الدراسة التي أجرتها الدكتورة سوسن غزال في مشفى الأسد الجامعي في اللاذقية موضوع معرفة وسلوكيات الممرضين المتعلقة بتقنية غسيل الأيدي. تم توزيع استبيان ورقي ذاتي على عينة من 30 ممرضًا وممرضة لتقييم معرفتهم وممارساتهم في هذا المجال، وتمت ملاحظتهم أثناء العمل. أظهرت النتائج أن 14% فقط من المشاركين لديهم معرفة جيدة جدًا بتقنية غسيل الأيدي، مع وجود فروقات دالة إحصائيًا حسب مستوى التعليم، حيث كان خريجو الجامعات أكثر معرفة بالطريقة الصحيحة مقارنة بزملائهم ذوي التعليم الأدنى. بلغت نسبة الالتزام العام بتقنية غسيل الأيدي بين الممرضين 30%. حددت الدراسة بعض العوامل المرتبطة بعدم الالتزام، مثل نقص الموارد اللازمة كالصابون والماء والمناشف الورقية، وزيادة عبء العمل. اقترحت الدراسة تحسينات من خلال التعليم المستمر أثناء الورديات، الندوات، والملصقات، وضمان توفر الموارد الكافية، وتقليل عبء العمل لتحسين نسبة الممرضين إلى المرضى.
Critical review
دراسة نقدية: على الرغم من أهمية الدراسة في تسليط الضوء على مشكلة حيوية في مجال الرعاية الصحية، إلا أن هناك بعض النقاط التي يمكن تحسينها. أولاً، حجم العينة صغير جدًا (30 ممرضًا فقط)، مما قد يؤثر على تعميم النتائج. ثانيًا، الدراسة اعتمدت على استبيان ذاتي، مما قد يؤدي إلى تحيز في الإجابات. كان من الأفضل استخدام طرق متعددة لجمع البيانات مثل المقابلات الشخصية أو الملاحظات المباشرة لفترات أطول. ثالثًا، لم تتطرق الدراسة بشكل كافٍ إلى العوامل النفسية والاجتماعية التي قد تؤثر على سلوكيات الممرضين. وأخيرًا، كان من المفيد تضمين توصيات أكثر تفصيلًا حول كيفية تنفيذ التحسينات المقترحة بشكل عملي وفعال في بيئة العمل.
Questions related to the research
  1. ما هي نسبة الممرضين الذين لديهم معرفة جيدة جدًا بتقنية غسيل الأيدي؟

    14% فقط من المشاركين لديهم معرفة جيدة جدًا بتقنية غسيل الأيدي.

  2. ما هي العوامل الرئيسية التي تؤثر على عدم الالتزام بتقنية غسيل الأيدي؟

    العوامل الرئيسية تشمل نقص الموارد اللازمة كالصابون والماء والمناشف الورقية، وزيادة عبء العمل.

  3. ما هي الاقتراحات التي قدمتها الدراسة لتحسين الالتزام بتقنية غسيل الأيدي؟

    اقترحت الدراسة تحسينات من خلال التعليم المستمر أثناء الورديات، الندوات، والملصقات، وضمان توفر الموارد الكافية، وتقليل عبء العمل لتحسين نسبة الممرضين إلى المرضى.

  4. هل هناك فروقات دالة إحصائيًا في مستوى معرفة الممرضين بتقنية غسيل الأيدي حسب مستوى التعليم؟

    نعم، هناك فروقات دالة إحصائيًا حيث كان خريجو الجامعات أكثر معرفة بالطريقة الصحيحة مقارنة بزملائهم ذوي التعليم الأدنى.


References used
DEFEZ C, FABBRO P, CAZABAN M, BOUDEMAGHE T, SOTTO A, DAURES JP: Additional direct medical costs of nosocomial infections: an estimation from a cohort of patients in a French university hospital.J Hosp Infect (2008) 68:130-136
MAULDIN D, SALGADO D, HANSEN S, DURUP T, BOSSO A.Attributable hospital cost and length of stay associated with health care-associated infections caused by antibiotic-resistant gram-negative bacteria. Antimicrob Agents Chemother (2010) 54:109- 115
JARVIS WR. Selected Aspects of the Socioeconomic Impact of nosocomial infections: Morbidity, Mortality, Cost and Prevention. Ifect Control Hosp Epidemiol (1996) 17:552-7
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