The issue as to whether hospital ownership has an impact on the quality of care has long been a serious concern. Hand hygiene（HH） compliance is regarded as an important indicator of the quality of care in the contro...The issue as to whether hospital ownership has an impact on the quality of care has long been a serious concern. Hand hygiene（HH） compliance is regarded as an important indicator of the quality of care in the control of hospital-acquired infections. However, little information is available on whether hospital ownership influences HH compliance. In this study, of 229 hospitals selected from Hubei province in China, 152 were public and 77 were private hospitals. A total of 23 652 healthcare workers（HCWs） were surveyed, using a convenience sampling. HH compliance, the WHO＇s ＂My Five Moments for hand hygiene＂（5 MHH）, among HCWs, together with the factors of hospital ownership, training frequency, bed occupancy rates, etc. were collected. Univariate analysis and ordinal logistic regression analysis were used to analyze factors affecting HH compliance. Overall, HH compliance rates were 67% and 79% for public and private hospitals, respectively. The HH compliance rates of HCWs and 5 MHH were between 55% and 95%, and influenced by hospital ownership（P〈0.05）, excluding compliance rate at the moment after body fluid exposure, and other influence factors included training frequency and bed occupancy rate（P〈0.05）. HH compliance is better in private than in public hospitals. Hospital ownership is a significant factor affecting HH compliance, in addition to training frequency and bed occupancy rate.展开更多
Objective:During the COVID-19 epidemic,the hand hygiene of nursing workers in a third-grade a traditional Chinese medicine hospital was in vestigated to find out existing problems and put forward management countermea...Objective:During the COVID-19 epidemic,the hand hygiene of nursing workers in a third-grade a traditional Chinese medicine hospital was in vestigated to find out existing problems and put forward management countermeasures.Methods:A cross-sectional questionnaire survey was conducted to investigate the hand hygiene cognitive status and influencing factors of 78 nurses in the hospital.Result s:Through the early training,the nursing workers had a good grasp of the hand hygiene signs and related knowledge.Among the factors affecting hand hygiene,there are some problems in facilities and management factors.The cognitive factors of different categories of nursing workers have different influences on hand hygiene,especially the influence of length of service on hand hygiene is significantly different(P<0.05);Nursing workers should be trained on how to use hand washing.Conclusion:Hand hyg iene of nursing workers is of great significance for the prevention and control of hospital infection.Medical institutions at all levels and of various types should,in light of their own actual conditions,formulate operational and feasible hand hygiene management systems for various groups of people in hospitals,strengthen training and supervision,and improve compliance with hand hygiene,so as to prevent hospital infections and fight the battle against COVID-19.展开更多
Introduction: Hand hygiene (HH) is an effective way to fight infections in healthcare settings. The general purpose of our study was to explore the knowledge, attitudes and practices of health care providers on HH at ...Introduction: Hand hygiene (HH) is an effective way to fight infections in healthcare settings. The general purpose of our study was to explore the knowledge, attitudes and practices of health care providers on HH at Dapaong regional hospital (DRH). Methodology: This was a prospective, descriptive cross-sectional study conducted from March to June 2022 in the DRH wards. Data were collected using a questionnaire and observation grid. Results: 90 care providers were surveyed. Males and non-physician personnel predominated with 57.8%, and 94.4% respectively. The survey on staff’s knowledge reported: 31.1% of practitioners did not wash their hands on arrival and departure in services. 24% did not know the difference between simple hand washing (SHW) and hygienic hand washing (HHW). 23.3% did not know the type of soap to use for HHW. The caregivers did not know the type of hand washing (HW) required after a septic and non-septic procedure in respectively 41.6%, and 37.8%. They did not know that there are two types of hand antiseptics (45.4%), nor the amount of antiseptic for HW (78.9%). The survey on staff’s attitude regarding HW found that: 70% did not remove all jewels prior HW, and 51.1% did not know that wearing gloves cannot replace the HW. For HW Staff Practice: 62.2% did not wash their hands before treatment. 91.1% did not spread the soap on their hands and forearms after wetting them. 65.55% did not rinse hands from nails to elbows. Conclusion: The HH was poorly known, the attitude of the staff was dangerous in relation to the HH and the practice of HH was very inadequate at the RHC-Dapaong. As a result, there is a need to retrain staff to increase their capacity to prevent care-related infections and enhance patient safety in the hospital.展开更多
目的调查医护人员手卫生干预、医院感染管理中戴明环(Plan Do Check Action,PDCA)的应用价值。方法选择2022年1—10月淄博市博山区计划生育服务中心区妇幼保健院医院60名医护人员,实施常规管理,设为对照组,选取2023年1—10月本院60名医...目的调查医护人员手卫生干预、医院感染管理中戴明环(Plan Do Check Action,PDCA)的应用价值。方法选择2022年1—10月淄博市博山区计划生育服务中心区妇幼保健院医院60名医护人员,实施常规管理,设为对照组,选取2023年1—10月本院60名医护人员,实施PDCA循环管理,设为观察组。比较两组管理效果。结果观察组医护人员手卫生依从率、洗手正确率、手卫生执行率均高于对照组,差异有统计学意义(P均<0.05)。观察组医院感染率低于对照组,管理质量评分高于对照组,差异有统计学意义(P均<0.05)。结论PDCA管理能维持医护人员较高手卫生依从性,可提升管理质量。展开更多
This survey was designed to assess the sanitation status of hospitals and the compliance of hospital staff to disinfection strategies within the past 11 years.A total of 199 provincial affiliated tertiary or secondary...This survey was designed to assess the sanitation status of hospitals and the compliance of hospital staff to disinfection strategies within the past 11 years.A total of 199 provincial affiliated tertiary or secondary public hospitals from 2007 to 2017 were investigated and seven critical categories,namely indoor air,work surface,hand hygiene,ultraviolet(UV) irradiation intensity,use of disinfectants,sterilization of medical items,and effects of steam sterilizer,were monitored.The average qualified rates were(94.74±3.54)%(810/855),(97.25±1.65)%(1 876/1 929),(87.57±4.60)%(2 508/2 864),(95.00±4.50)%(1 196/1 259),and(98.76±1.14)%(1 599/1 619) for indoor air,work surface,hand hygiene,UV irradiation intensity,and sterilization of medical items,respectively.In terms of other categories,a few samples were not qualified:3/1 575 for use of disinfectants and 1/243 for effects of steam sterilizer.The hospital disinfection monitoring and supervision program effectively improved the effectiveness of disinfection.Routine monitoring and supervision must be conducted to ensure a safe hospital treatment environment.展开更多
基金supported by the National Natural Science Foundation of China(No.71473098)
文摘The issue as to whether hospital ownership has an impact on the quality of care has long been a serious concern. Hand hygiene（HH） compliance is regarded as an important indicator of the quality of care in the control of hospital-acquired infections. However, little information is available on whether hospital ownership influences HH compliance. In this study, of 229 hospitals selected from Hubei province in China, 152 were public and 77 were private hospitals. A total of 23 652 healthcare workers（HCWs） were surveyed, using a convenience sampling. HH compliance, the WHO＇s ＂My Five Moments for hand hygiene＂（5 MHH）, among HCWs, together with the factors of hospital ownership, training frequency, bed occupancy rates, etc. were collected. Univariate analysis and ordinal logistic regression analysis were used to analyze factors affecting HH compliance. Overall, HH compliance rates were 67% and 79% for public and private hospitals, respectively. The HH compliance rates of HCWs and 5 MHH were between 55% and 95%, and influenced by hospital ownership（P〈0.05）, excluding compliance rate at the moment after body fluid exposure, and other influence factors included training frequency and bed occupancy rate（P〈0.05）. HH compliance is better in private than in public hospitals. Hospital ownership is a significant factor affecting HH compliance, in addition to training frequency and bed occupancy rate.
文摘Objective:During the COVID-19 epidemic,the hand hygiene of nursing workers in a third-grade a traditional Chinese medicine hospital was in vestigated to find out existing problems and put forward management countermeasures.Methods:A cross-sectional questionnaire survey was conducted to investigate the hand hygiene cognitive status and influencing factors of 78 nurses in the hospital.Result s:Through the early training,the nursing workers had a good grasp of the hand hygiene signs and related knowledge.Among the factors affecting hand hygiene,there are some problems in facilities and management factors.The cognitive factors of different categories of nursing workers have different influences on hand hygiene,especially the influence of length of service on hand hygiene is significantly different(P<0.05);Nursing workers should be trained on how to use hand washing.Conclusion:Hand hyg iene of nursing workers is of great significance for the prevention and control of hospital infection.Medical institutions at all levels and of various types should,in light of their own actual conditions,formulate operational and feasible hand hygiene management systems for various groups of people in hospitals,strengthen training and supervision,and improve compliance with hand hygiene,so as to prevent hospital infections and fight the battle against COVID-19.
文摘Introduction: Hand hygiene (HH) is an effective way to fight infections in healthcare settings. The general purpose of our study was to explore the knowledge, attitudes and practices of health care providers on HH at Dapaong regional hospital (DRH). Methodology: This was a prospective, descriptive cross-sectional study conducted from March to June 2022 in the DRH wards. Data were collected using a questionnaire and observation grid. Results: 90 care providers were surveyed. Males and non-physician personnel predominated with 57.8%, and 94.4% respectively. The survey on staff’s knowledge reported: 31.1% of practitioners did not wash their hands on arrival and departure in services. 24% did not know the difference between simple hand washing (SHW) and hygienic hand washing (HHW). 23.3% did not know the type of soap to use for HHW. The caregivers did not know the type of hand washing (HW) required after a septic and non-septic procedure in respectively 41.6%, and 37.8%. They did not know that there are two types of hand antiseptics (45.4%), nor the amount of antiseptic for HW (78.9%). The survey on staff’s attitude regarding HW found that: 70% did not remove all jewels prior HW, and 51.1% did not know that wearing gloves cannot replace the HW. For HW Staff Practice: 62.2% did not wash their hands before treatment. 91.1% did not spread the soap on their hands and forearms after wetting them. 65.55% did not rinse hands from nails to elbows. Conclusion: The HH was poorly known, the attitude of the staff was dangerous in relation to the HH and the practice of HH was very inadequate at the RHC-Dapaong. As a result, there is a need to retrain staff to increase their capacity to prevent care-related infections and enhance patient safety in the hospital.
文摘目的调查医护人员手卫生干预、医院感染管理中戴明环(Plan Do Check Action,PDCA)的应用价值。方法选择2022年1—10月淄博市博山区计划生育服务中心区妇幼保健院医院60名医护人员,实施常规管理,设为对照组,选取2023年1—10月本院60名医护人员,实施PDCA循环管理,设为观察组。比较两组管理效果。结果观察组医护人员手卫生依从率、洗手正确率、手卫生执行率均高于对照组,差异有统计学意义(P均<0.05)。观察组医院感染率低于对照组,管理质量评分高于对照组,差异有统计学意义(P均<0.05)。结论PDCA管理能维持医护人员较高手卫生依从性,可提升管理质量。
文摘This survey was designed to assess the sanitation status of hospitals and the compliance of hospital staff to disinfection strategies within the past 11 years.A total of 199 provincial affiliated tertiary or secondary public hospitals from 2007 to 2017 were investigated and seven critical categories,namely indoor air,work surface,hand hygiene,ultraviolet(UV) irradiation intensity,use of disinfectants,sterilization of medical items,and effects of steam sterilizer,were monitored.The average qualified rates were(94.74±3.54)%(810/855),(97.25±1.65)%(1 876/1 929),(87.57±4.60)%(2 508/2 864),(95.00±4.50)%(1 196/1 259),and(98.76±1.14)%(1 599/1 619) for indoor air,work surface,hand hygiene,UV irradiation intensity,and sterilization of medical items,respectively.In terms of other categories,a few samples were not qualified:3/1 575 for use of disinfectants and 1/243 for effects of steam sterilizer.The hospital disinfection monitoring and supervision program effectively improved the effectiveness of disinfection.Routine monitoring and supervision must be conducted to ensure a safe hospital treatment environment.
