THE LEVEL OF COMPLIANCE OF HEALTHCARE WORKERS IN PERFORMING HAND HYGIENE: A LITERATURE REVIEW

Selvia Rahayu; F Sri Susilaningsih; Maria Komariah

doi:10.24198/jnc.v4i1.24478

THE LEVEL OF COMPLIANCE OF HEALTHCARE WORKERS IN PERFORMING HAND HYGIENE: A LITERATURE REVIEW

Selvia Rahayu, F Sri Susilaningsih, Maria Komariah

Abstract

Compliance level of healthcare workers in performing hand hygiene is a significant aspect of patient safety goals. However, it is still not optimal and is one of the critical problems of many hospitals globally, including in Indonesia. The non-optimal consequence of hand hygiene compliance is hospital-associated infections since hands are an intermediary medium for transmitting infection. This literature aims to determine the level of compliance of health workers in performing hand hygiene and find out several matters that can be done so that the health worker's compliance can be optimal or increased. Review of articles through several electronic databases including PubMed and ProQuest, with the keywords "Compliance", "Hand Hygiene", "Health Workers", and "Hospital". Inclusion criteria include articles published between 2005 and 2019, health worker respondents, English language, full text and observation, or interview data collection techniques. The literature search found 212 articles, and after manual review, ten articles were identified and assessed using the JBI form (Joanna Briggs Institute). The literature review findings suggest that, following the intervention, the level of compliance of health workers in performing hand hygiene is still lacking and growing. The conclusion is that more significant support from the hospital (e.g., role models, audits, adequate infrastructure, education and repeated training), the greater the compliance of health workers in performing hand hygiene.

Keywords

Compliance, Hand Hygiene, Health Workers, Hospital

Full Text:

PDF

References

Abdella, N. M., Tefera, M. A., Eredie, A. E., Landers, T. F., Malefia, Y. D., & Alene, K. A. (2014). Hand hygiene compliance and associated factors among health care providers in Gondar University Hospital, Gondar, North West Ethiopia. BMC Public Health, 14(1), 1–7. https://doi.org/10.1186/1471-2458-14-96

Abdo, N. M., & Al-Fadhli, M. (2018). Improving hand hygiene compliance among healthcare workers in intensive care unit: an interventional study. International Journal Of Community Medicine And Public Health, 5(9), 3747. https://doi.org/10.18203/2394-6040.ijcmph20183558

Anwar, M. M., & Elareed, H. R. (2019). Improvement of hand hygiene compliance among health care workers in intensive care units. Journal of Preventive Medicine and Hygiene, 60(1), E1–E5. https://doi.org/10.15167/2421-4248/jpmh2019.60.1.918

Demirel, A. (2019). Improvement of hand hygiene compliance in a private hospital using the Plan-Do-Check-Act (PDCA) method. Pakistan Journal of Medical Sciences, 35(3), 721–725. https://doi.org/10.12669/pjms.35.3.6

Erasmus, V., Brouwer, W., van Beeck, E. F., Oenema, A., Daha, T. J., Richardus, J. H., … Brug, J. (2009). A Qualitative Exploration of Reasons for Poor Hand Hygiene Among Hospital Workers Lack of Positive Role Models and of Convincing Evidence That Hand Hygiene Prevents Cross-Infection. Infection Control & Hospital Epidemiology, 30(5), 415–419. https://doi.org/10.1086/596773

Haque, M., Sartelli, M., McKimm, J., & Bakar, M. A. (2018). Health care-associated infections – An overview. Infection and Drug Resistance, 11, 2321–2333. https://doi.org/10.2147/IDR.S177247

Hoffmann, M., Sendlhofer, G., Pregartner, G., Gombotz, V., Tax, C., Zierler, R., & Brunner, G. (2019). Interventions to increase hand hygiene compliance in a tertiary university hospital over a period of 5 years: An iterative process of information, training and feedback. Journal of Clinical Nursing, 28(5–6), 912–919. https://doi.org/10.1111/jocn.14703

Kementrian Kesehatan Republik Indonesia. (2011). Pedoman pencegahan dan pengendalian infeksi di rumah sakit dan fasilitas pelayanan kesehatan lainnya. Jakarta : Kementerian Kesehatan RI. Di akses dari https://www.depkes.go.id/article/view/1710/program-pencegahan-dan-pengendalian-infeksi-nosokomial-merupakan-unsur-patient-safety.html

Kementrian Kesehatan Republik Indonesia. (2018). Pencegahan Dan Pengendalian Infeksi Di Rsjs Magelang. Jakarta : Kementerian Kesehatan RI. Diakses dari http://yankes.kemkes.go.id/read-persiapan-menuju-akreditasi-internsional---1381.html

Kolola, T., & Gezahegn, T. (2017). A twenty-four-hour observational study of hand hygiene compliance among health-care workers in Debre Berhan referral hospital, Ethiopia. Antimicrobial Resistance and Infection Control, 6(1), 1–5. https://doi.org/10.1186/s13756-017-0268-y

Mahfouz, A. A., El Gamal, M. N., & Al-Azraqi, T. A. (2013). Hand hygiene non-compliance among intensive care unit health care workers in aseer central hospital, South-Western Saudi Arabia. International Journal of Infectious Diseases, 17(9), e729–e732. https://doi.org/10.1016/j.ijid.2013.02.025

Mani, A., Shubangi, A. M., & Saini, R. (2010). Hand hygiene among health care workers. Indian Journal of Dental Research, 21(1), 115–118. https://doi.org/10.4103/0970-9290.62810

Ningsih, S. S. R., Noprianty, R., & Somantri, I. (2017). Gambaran Pelaksanaan Kegiatan Kebersihan Tangan Oleh Petugas Kesehatan Di Rumah Sakit Dustira Cimahi. Jurnal Pendidikan Keperawatan Indonesia, 3(1), 57. https://doi.org/10.17509/jpki.v3i1.7486

Pittet, D., & Boyce, J. M. (2001). Reviews Hand hygiene and patient care : pursuing the Semmelweis legacy. The Lancet Infectious Diseases, 1(April), 9–20. https://doi.org/10.1016/S1473-3099(09)70295-6

Sastry, A. S., Deepashree, R., & Bhat, P. (2017). Impact of a hand hygiene audit on hand hygiene compliance in a tertiary care public sector teaching hospital in South India. American Journal of Infection Control, 45(5), 498–501. https://doi.org/10.1016/j.ajic.2016.12.013

WHO. (2009). WHO Guidelines on Hand Hygiene in Health Care: a Summary. World Health Organization.

DOI: https://doi.org/10.24198/jnc.v4i1.24478