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논문 기본 정보

자료유형
학술저널
저자정보
저널정보
대한감염학회 Infection and Chemotherapy Infection and Chemotherapy 제46권 제3호
발행연도
2014.1
수록면
165 - 171 (7page)

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Background: Hand hygiene compliance has improved significantly through hand hygiene promotion programs that have includedposter campaign, monitoring and performance feedback, and education with special attentions to perceived subjective norms. Weinvestigated factors associated with improved hand hygiene compliance, focusing on whether the improvement of hand hygienecompliance is associated with changed perception toward hand hygiene among medical personnel. Materials and Methods: Hand hygiene compliance and perceptions toward hand hygiene among medical personnel were comparedbetween the second quarter of 2009 (before the start of a hand hygiene promotion program) and the second quarter of 2012. Weassessed adherence to hand hygiene among medical personnel quarterly according to the WHO recommended method for directobservation. Also, we used a modified self-report questionnaire to collect perception data. Results: Hand hygiene compliance among physicians and nurses improved significantly from 19.0% in 2009 to 74.5% in 2012 (P <0001), and from 52.3% to 91.2% (P < 0.001), respectively. These improvements were observed in all professional status or all medicalspecialties that were compared between two periods, regardless of the level of the risk for cross-transmission. Hand hygienecompliance among the medical personnel continued to improve, with a slight decline in 2013. Perceptions toward hand hygieneimproved significantly between 2009 and 2012. Specifically, improvements were evident in intention to adhere to hand hygiene,knowledge about hand hygiene methods, knowledge about hand hygiene indications including care of a dirty and a clean body siteon the same patient, perceived behavioral and subjective norms, positive attitude toward hand hygiene promotion campaign, perceptionof difficulty in adhering to hand hygiene, and motivation to improve adherence to hand hygiene. Conclusions: The examined hand hygiene promotion program resulted in improved hand hygiene compliance and perceptiontoward hand hygiene among medical personnel. The improved perception increased hand hygiene compliance. Especially, theperception of being a role model for other colleagues is very important to improve hand hygiene compliance among clinicians.
#Hand Hygiene #Health personnel #Quality Improvement

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참고문헌 (12)

참고문헌 신청
Boyce JM / 2002 / Society for Healthcare Epidemiology of America. Association for Professionals in Infection Control. Infectious Diseases Society of America. Hand Hygiene Tas google schola Hugonnet S / 2002 / Alcohol-based handrub improves compliance with hand hygiene in intensive care units / Arch Intern Med 162 : 1037 ~ 1043 google schola Kim YC / 2013 / Trend of methicillin-resistant Staphylococcus aureus (MRSA) bacteremia in an institution with a high rate of MRSA after the reinforcement of antibiotic stewar google schola Lankford MG / 2003 / Influence of role models and hospital design on hand hygiene of healthcare workers / Emerg Infect Dis 9 : 217 ~ 223 google schola Lee SS / 2009 / Analysis of factors associated with poor hand hygiene adherence among doctors and nurses in a Korean hospital / Infect Chemother 41 (Suppl 2) : S176 ~ google schola

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