3
Metas de Enfermería

Metas de Enfermería

ABRIL 2017 N° 3 Volumen 20

Good practices in hand hygiene among nurses with accredited professional competence

Section: Originals

How to quote

Brea Rivero P, Rojas de Mora Figueroa A, Julián Carrión J, Salguero Cabalgante R, Herrera Usagre M. Buenas prácticas en higiene de manos de las enfermeras que han acreditado su competencia profesional. Metas Enferm abr 2017; 20(3): 20-28.

Authors

Pilar Brea Rivero1, Ana Rojas de Mora-Figueroa2, José Julián Carrión3, Rocío Salguero Cabalgante4, Manuel Herrera Usagre5

Position

1Doctora por la Universidad de Málaga. Responsable del programa de acreditación de competencias profesionales. Agencia de Calidad Sanitaria de Andalucía2Enfermera. Agencia de Calidad Sanitaria de Andalucía3Doctor por la Universidad de Sevilla. Agencia de Calidad Sanitaria de Andalucía4Especialista en Enfermería Obstétrico-Ginecológica. Agencia de Calidad Sanitaria de Andalucía5Doctor en Sociología. Agencia de Calidad Sanitaria de Andalucía

Contact address

Pilar Brea Rivero. Agencia de Calidad de Andalucía. C/ Seda, 5 (Polígono Hytasa). 41006 Sevilla.

Contact email: brea@juntadeandalucia.es

Abstract

Objective: to analyze the knowledge about hand hygiene demonstrated by nurses with their competence accredited through the Accreditation Program by the Agency for Healthcare Quality from Andalusia (ACSA), and to determine if there are differences according to the individual characteristics of said professionals.
Method: a descriptive transversal study based on the Hand Hygiene Knowledge Questionnaire for Health-Care Workers by the WHO (translated and validated for the Spanish setting), conducted on 2,136 tests provided by nurses during their accreditation processes, from July, 2011 to January, 2016. Data collection was conducted through the computer application ME_jora P. The SPSS v.13 software and R Package were used for analysis.
Results: nurses showed a high level of knowledge regarding hand hygiene; there were significant differences in terms of correct answers according to gender, age, position, and the level of accreditation achieved.
Conclusions: there was a remarkable level of knowledge on essential aspects of hand hygiene among the nurses tested. Those nurses with the highest level of accreditation (Expert and Excellent) presented the highest mean level of correct answers, and had more probabilities to become leaders in terms of hand hygiene.

Keywords:

Hand hygiene; hospital infection; accreditation; professionals; competence; good practice; researchdescriptive study

Versión en Español

Título:

Buenas prácticas en higiene de manos de las enfermeras que han acreditado su competencia profesional

Artículo completo no disponible en este idioma / Full article is not available in this language

Bibliography

  1. World Health Organization. Report on the burden of endemic health care-associated infection worldwide: A systematic review of the literature. World Health Organization: Patient Safety- a world alliance for safer health care; 2011.
  2. Pérez Pérez P, Herrera Usagre M, Bueno Cavanillas A, Alonso Humada MS, Buiza Camacho B, Vázquez Vázquez M. Higiene de las manos: conocimientos de los profesionales y áreas de mejora. Cad. Saúde Pública 2015; 31(1):149-60.
  3.  Maingi SM. Factors influencing compliance with hand hygiene guidelines among healthcare providers in kenya: A case of Embu level five hospital, Embu county. [Internet]. Nairobi, Kenya: University of Nairobi; 2016 [citado 16 mar 2017]. Available from: http://erepository.uonbi.ac.ke/handle/11295/92963
  4. World Alliance for Patient Safety. WHO Guidelines on hand hygiene in health care (advanced draft): A summary. Report No.: WHO/EIP/SPO/QPS/05.2. Geneva: World Health Organization; 2005.
  5. Pi-Sunyer Cañellas T, Banqué Navarro M, Freixas Sala N, Barcenilla Gaite F. Higiene de las manos: evidencia científica y sentido común. Med Clin Monogr. 2008; 131(Supl 3):56-9.
  6. Sánchez J, Rodríguez P. Podemos y debemos mejorar la higiene de manos. Tú decides. “Clean care is safer care”. Enferm Infecc Microbiol Clin 2011; 29(1):1-3.
  7. Ndegwa L, Woodard T, Katz M, Katama J, Koima E, Achieng D, et al. Assessment of Hand Hygiene Practices And Usage of Alcohol-Based hand Sanitizer in Three Kenyan Hospitals, 2011-12. [Internet] 2004 [cited 16 mar 2017]. Available from: https://www.researchgate.net/publication/267885569_Assessment_of_Hand_Hygiene_Practices_And_Usage_of_Alcohol-Based_hand_Sanitizer_in_Three_Kenyan_Hospitals_2011-12
  8. Brea Rivero P. Tesis Doctoral Competencias de las enfermeras acreditadas relacionadas con la reducción del dolor: la experiencia de Andalucía. Málaga: Facultad de Ciencias de la Salud, Universidad de Málaga; 2013.
    09.    Brea Rivero P, Sánchez Sánchez FJ, Almuedo Paz A, Salguero Cabalgante R, Torres Olivera A. Acreditación de competencias profesionales en el Sistema Sanitario Público Andaluz. Metas Enferm 2009; 12(8):55-60.
    10.    Brea Rivero P, Salguero Cabalgante R, Almuedo Paz A, Rojas De Mora Figueroa A, Torres Olivera A. Buenas prácticas profesionales en la atención a las personas con dolor. Rev Soc Esp Dolor. 2011; 18(5):297-302.
    11.    Almuedo Paz A, Núñez García D, Reyes Alcázar V, Torres Olivera A. The ACSA Accreditation Model: self-
    assessment as a quality improvement tool [Internet]. En: Savsar M. Croatia: Intech-Open Access Publisher; 2012. p. 289-314. [cited 16 mar 2017]. Available from: http://cdn.intechopen.com/pdfs-wm/33274.pdf
    12.    Ministerio de Sanidad, de Sanidad, Política Social e Igualdad. Cuestionario acerca de los conocimientos sobre la higiene de las manos destinado a los profesionales sanitarios [Internet]. Madrid: Centro de Publicaciones del Ministerio de Sanidad, Política Social e Igualdad; 2011 [citado 16 mar 2017]. Disponible en: http://www.msssi.gob.es/organizacion/sns/planCalidadSNS/docs/cuestionario_conocimientos_prof_oms.pdf
    13.    Amin T, Al Wehedy A. Healthcare providers’ knowledge of standard precautions at the primary healthcare level in Saudi Arabia. Healthc Infect. 2009; 14(2):65-72.
    14.    Herrera Usagre M, Pérez Pérez P, Vázquez Vázquez M, Santana López V. Profesionales de salud ante la mejora de la higiene de las manos: estrategias clásicas versus estrategias avanzadas. Rev Chil Infectol. 2014; 31(5):534-41.
    15.    Martín Madrazo C, Salinero Fort MA, Cañada Dorado A, Carrillo De Santa Pau E, Soto Díaz S, Abánades Herranz JC. Evaluación del cumplimiento de higiene de las manos en un área de atención primaria de Madrid. Enferm Infecc Microbiol Clin. 2011; 29(1):32-5.
    16.    Erasmus V, Daha TJ, Brug H, Richardus JH, Behrendt MD, Vos MC, et al. Systematic Review of Studies on Compliance with Hand Hygiene Guidelines in Hospital Care. Infection Control & Hospital Epidemiology. Mar 2010; 31(3):283-94.
    17.    Erasmus V, Huis A, Oenema A, van Empelen P, Boog MC, van Beeck EHE, et al. The ACCOMPLISH study. A cluster randomised trial on the cost-effectiveness of a multicomponent intervention to improve hand hygiene compliance and reduce healthcare associated infections. BMC Public Health. 2011; 11:721.
    18.    Smith SMS. A review of hand-washing techniques in primary care and community settings. J Clin Nurs. Mar 2009; 18(6):786-90.
    19.    Lam BCC, Lee J, Lau YL. Hand hygiene practices in a neonatal intensive care unit: a multimodal intervention and impact on nosocomial infection. Pediatrics. nov 2004; 114(5):e565-71.
    20.    Chudleigh J, Drey N, Moralejo D, Gould DJ. Systematic reviews of hand hygiene in patient care post 2010. Journal of Hospital Infection. Sep 2016; 94(1):110-1.
    21.    Helder OK, Brug J, Looman CWN, van Goudoever JB, Kornelisse RF. The impact of an education program on hand hygiene compliance and nosocomial infection incidence in an urban neonatal intensive care unit: an intervention study with before and after comparison. Int J Nurs Stud. Oct 2010; 47(10):1245-52.
    22.    Randle J, Firth J, Vaughan N. An observational study of hand hygiene compliance in paediatric wards. Journal of Clinical Nursing sep 2013; 22(17-18):2586-92.
    23.    Almuedo Paz A, Herrera Usagre M, Buiza Camacho B, Julián Carrión J, Carrascosa Salmoral MDP, Martín García SM, et al. Inter-rater reliability of healthcare professional skills’ portfolio assessments: The Andalusian Agency for Healthcare Quality model. Medwave. 2014; 14(6):e5998.
    24.    Gannon FT, Draper PR, Watson R, Proctor S, Norman IJ. Putting portfolios in their place. Nurse Education Today oct 2001; 21(7):534-40.
    25.    Brea Rivero P, Salguero Cabalgante R. Intervenciones enfermeras encaminadas a reducir la ansiedad en los niños y su relación con el nivel de competencia profesional. Metas Enferm jul 2015;12:51-2.