Evaluation of hand hygiene beliefs and compliance of primary care health care workers in Tuzla, Istanbul
Aim: The aim of this study was to determine the hand hygiene belief and hand hygiene practices in primary care health care workers in Tuzla, Istanbul. Method: The universe of this cross-sectional study was the primary health care workers in Tuzla, Istanbul. It was planned to reach the entire universe therefore a sample was not choosen. As a result of the study, 84% of the universe was reached. The study data were collected through the online questionnaire including hand hygiene practice inventory and the hand hygiene belief scale.P value below 0.05 was considered significant.
Results: A total of 210 particaants attend to the study. 77.6% (n=163) of the participants were female and 22.4% (n=47) were male. The mean age of the participants in the study was 37.6±8.8 years. Most of the participants participated in the study from the Family Health Center (FHC). Average work time was 13.4±9.3 years. Considering the occupational groups, the average scale score of the physicians was 84.6±6.9; the means core of the health workers was 81.9±8.9. Mean scale scores were calculated as 81.3±12.7 in cleaning personel and 78.0±9.6 in support personnel. Considering the occupational groups, there was a significant difference between physicians and support personnel in terms of the mean scale score (p<0.05). The mean total hand hygiene practice inventory (EHUE) score of the participants was 67.2±3.9. Considering the occupational groups, there is a significant difference between the groups in terms of the average score (p<0.05).
Conclusion: It is seen that hand hygiene belief and compliance averages are high in primary health care workers. However, there are differences in terms of belief and practice in hand hygiene in terms of occupational groups and working years. Forth is reason, it would be beneficial to provide training on hand hygiene to the groups in need.
References
- Artan Y, Sözeri İ, Durmaz AA. Yoğun bakımda çalışan yardımcı hizmet personelinin el hijyeni uyumunun değerlendirilmesi. Yoğun Bakım Hemşireliği Dergisi 2018;22 (1):10-18.
- Ahmed J, Malik F, Memon ZA, Arif TB, Ali A, Nasim S, et al. Compliance and knowledge of health care workers regarding hand hygiene and use of disinfectants: a study based in Karachi. Cureus 2020;12(2):e7036.
- UNICEF. The state of the world’s children 2008. https://www.unicef.org/reports/state-worlds-children-2008 adresinden 20.06.2022 tarihinde erişilmiştir.
- Dünya Sağlık Örgütü. Guidelines on Hand Hygiene in Health Care. apps.who.int/medicinedocs/documents/ s16320e/s16320e.pdf adresinden 20.06.2022 tarihinde erişilmiştir.
- Erasmus V, Daha TJ, Brug H, et al. Systematic review of studies on compliance with hand hygiene guidelines in hospital care. Infect Control 2010; 31(3): 283-94
- Smiddy MP, Connell RO, Creedon SA. Systematic qualitative literature review of health care workers’ compliance with hand hygiene guidelines. Am J Inf Contr 2015;43(3):269-74.
- van de Mortel TF. Development of a questionnaire to assess health care students’ hand hygiene knowledge, beliefs and practices. Australian Journal of Advanced Nursing 2009; 26(3): 9-16.
- Karadağ M, Yıldırım N, İşeri ÖP. El hijyeni inanç ölçeği ve el hijyeni uygulamaları envanterinin geçerlilik ve güvenirliliği. Çukurova Medical Journal 2016; 41(2): 271-84.
- Karahan E, Doğan E, Çelik S. Sağlık çalışanlarında el hijyeni inancı ve uygulamalarının değerlendirilmesi. Sağlık Akademisi Kastamonu 2020;5(2): 91-103.
- Gürlek Kısacık Ö, Sönmez M, Ciğerci Y. Hemşirelik öğrencilerinin el hijyenine ilişkin inanç ve uygulamalarının değerlendirilmesi: Tanımlayıcı bir çalışma. J High Edu&Sci 2020; 10(3):549-58.
- Karadag M, Pekin Iseri O, Yildirim N, Etikan I. Knowledge, beliefs and practices of nurses and nursing students for hand hygiene. Jundishapur J Health Science 2016;8(4): e36469.
- van de Mortel TF, Kermode S, Progano T, Sansoni J. A comparison of the hand hygiene knowledge, beliefs and practices of Italian nursing and medical students. Journal of Advanced Nursing 2012; 68(3): 569-79.
- Ng WK, Shaban RZ, van de Mortel TF. Healthcare professionals’ hand hygiene knowledge and beliefs in the United Arab Emirates. Journal of infection prevention 2017;18(3): 134-42.
- Uğurlu KY, Durgun H, Nemutlu E, Kurd O. COVID-19 salgını sırasında Türk toplumunun sosyal el yıkama bilgi ve tutumunun değerlendirilmesi. Journal of Contemporary Medicine 2020;10(4): 617-24.
- Tümtürk A, Erçen DÖ. Güler SB. Assessment of adherence to hand hygiene practices in a specialty hospital. Flora 2016;21(3): 111-5.
- Koşucu SN, Baltacı GS, Yıldız T. Sağlık personelinin el hijyeni uyum oranı. Marmara Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2015;5(2):105-8.