Research Article
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Knowledge, Attitudes And Behaviors About Hand Hygiene Among Students Training in Health Departments Of Two Universities

Year 2022, Volume 13, Issue 1, 150 - 156, 01.01.2022
https://doi.org/10.31067/acusaglik.990306

Abstract

ABSTRACT Objective: The aim of this study was to evaluate the knowledge, attitudes and behaviors about hand hygiene among students training in health departments of two universities. Methods: This descriptive study was conducted between January-February 2018. A total of 480 students training in nursing and elderly care/anesthesia departments were included in the sampling. Data were analyzed by SPSS 17.0 package program with using percentage, mean, chi-square test. In analysis p<0.05 value was considered statistically significant. Results: Of the study group, 71,2% were female, 65,6% were in nursing department and the mean age was 20,80±1,90 years. In our study, 73,5% of the students knew that dirty hands of health workers was the main road for crossing the harmful microorganisms and it was significantly higher in nursing department (p<0.05). The knowledge of both practices was higher in nursing department than in elderly care/ anesthesia (p<0.05). Only a quarter of all students knew that the minimum time required for alcohol-based handrubbing effects on microorganisms and it was significantly higher in nursing department (p<0.05). Conclusions: There was a big gap on hand hygiene knowledge, attitude and behaviors in both two departments. Gender and residence region were effective on hand hygiene behaviors. Key words: Hand hygiene, knowledge, attitudes, behaviors, university students

References

  • 1. World Health Organization. World Health Organization guidelines on hand hygiene in health care, 2009. Available at http://apps.who.int/iris/ bitstream/10665/44102/ 1/9789241597906_eng.pdf.
  • 2. WHO. Report on the burden of endemic health care-associated infection worldwide, 2011. http://whqlibdoc.who.int/publications/2011/9789241501507_eng.pdf.
  • 3. Allegranzi B, Nejad SB, Combescure C, et al. Burden of endemic health care-associated infection in developing countries: systematic review and meta-analysis. Lancet 2011; 377: 228–41.
  • 4. European Centre for Disease Prevention and Control (ECDC). https://ecdc.europa.eu/en/home.
  • 5. Centers for Disease Control and Prevention (CDC). https://www.cdc.gov/handhygiene/science/index.html
  • 6. Dumpis U, Balode A, Vīgante D, Narbute I, Valinteliene R, Pïrags V, et al. Prevalence of nosocomial infections in two Latvian hospitals. Eurosurveillance 2003, 8:73–78.
  • 7. Azzam R, Dramaix M. A one-day prevalence survey of hospital-acquired infections in Lebanon. Journal of Hospital Infection 2001;49:74–78.
  • 8. Metintas S, Akgun Y, Durmaz G, Kalyoncu C. Prevalence and characteristics of nosocomial infections in a Turkish university hospital. American Journal of Infection Control 2004; 32: 409–413.
  • 9. Hughes AJ, Ariffin N, Huat TL, Abdul Molok H, Hashim S, Sarijo J, et al. Prevalence of nosocomial infection and antibiotic use at a university medical center in Malaysia. Infection Control and Hospital Epidemiology 2005; 26:100–104.
  • 10. Gosling R1, Mbatia R, Savage A, Mulligan JA, Reyburn H. Prevalence of hospital-acquired infections in a tertiary referral hospital in northern Tanzania. Annals of Tropical Medicine and Parasitology 2003; 97:69–73.
  • 11. Kallel H, Bahoul M, Ksibi H, Dammak H, Chelly H, Hamida CB, et al. Prevalence of hospital-acquired infection in a Tunisian hospital. Journal of Hospital Infection 2005; 59:343–347.
  • 12. Jroundi I, Khoudri I, Azzouzi A, Zeggwagh AA, Benbrahim NF, Hassouni F, et al. Prevalence of hospital-acquired infection in a Moroccan university hospital. American Journal of Infection Control 2007; 35:412–416.
  • 13. Faria S, Sodano L, Gjata A, Dauri M, Sabato AF, Bilaj A, et al. The first prevalence survey of nosocomial infections in the University Hospital Centre ‘Mother Teresa’ of Tirana, Albania. Journal of Hospital Infection 2007; 65:244–250.
  • 14. T.C. Sağlık Bakanlığı. https://www.saglik.gov.tr/TR,50623/saglik-hizmeti-iliskili-enfeksiyonlarin-onlenmesi-sozlesmesi-imzalandi.html.
  • 15. Pittet D, Allegranzi B, Sax H, Dharan S, Pessoa-Silva CL, Donaldson L, et al. Evidence-based model for hand transmission during patient care and the role of improved practices. Lancet Infect Dis 2006; 6: 641–52;
  • 16. Pincock T, Bernstein P, Warthman S, Holst E. Bundling hand hygiene interventions and measurement to decrease health care-associated infections. Am J Infect Control 2012; 40 (suppl 1): S18–27;
  • 17. Allegranzi B, Pittet D. The role of hand hygiene in healthcare-associated infection prevention. J Hosp Infect 2009; 73: 305–15.
  • 18. 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. Infect Control Hosp Epidemiol 2010; 31: 283–94.
  • 19. Trampuz A, Widmer AF. Hand hygiene: a frequently missed lifesaving opportunity during patient care. Mayo Clin Proc 2004;79(1):109-16.
  • 20. Paudel IS, Ghosh V, Adhikari P. Knowledge, Attitude and Practice of nursing students regarding hand hygiene in Western region of Nepal. JCMS Nepal 2016;12(4):169-73.
  • 21. Ariyarathne M, Gunasekara T, Weerasekara MM, Kottahachchi J, Kudavidanage BP, Fernando SSN. Knowledge, attitudes and practices of hand hygiene among final year medical and nursing students at the University of Sri Jayewardenepura. Sri Lankan Journal of Infectious Diseases 2013; 3(1):
  • 22. Manasa K, Chandrakumar SG, Prashantha B. Assessment of hand hygiene knowledge among medical and nursing students of Mysore medical college and research institute, Mysore. Int J Community Med Public Health 2018;5(3):1133-1137.
  • 23. Arthi E, Abarna V, Bagyalakshmi R, Anitharaj M, Vijayasree S. Assessment of knowledge, attitude and practice of hand hygiene among nursing and medical students in a tertiary care hospital in Puducherry, India. Int J Contemporary Med Res 2016;3(4):1203.
  • 24. Nair SS, Hanumantappa R, Hiremath SG, Siraj MA, Raghunath P. Knowledge, attitude, and practice of hand hygiene among medical and nursing students at a tertiary health care centre in Raichur, India. ISRN Prevent Med. 2014. 25. Aledeilah RDI, Abo el-Fetoh NM, Albaker AF, Aljabbab AA, Alkhannani AJ, Alkhannani SJ, et al. Assessment of Knowledge, Attitude and Practice of Hand Hygiene among Health Care Workers in Arar City, Saudi Arabia. The Egyptian Journal of Hospital Medicine 2018;70 (3):491-498.
  • 26. Wałaszek M, Kołpa M, Wolak Z, Rózanska A, Mach JW. Poor Hand Hygiene Procedure Compliance among Polish Medical Students and Physicians—The Result of an Ineffective Education Basis or the Impact of Organizational Culture? Int J Environ Res Public Health 2017; 14: 1026.
  • 27. Zakeri H, Ahmadi F, Rafeemanesh E, Saleh LA. The knowledge of hand hygiene among the healthcare workers of two teaching hospitals in Mashhad. Electron Physician 2017; 9(8): 5159–5165.
  • 28. Rajcevic S, Duric D, Grujičić M, Dugandzija T. Knowledge, habits and attitudes of health care workers about hand hygiene. Healthmed 6(4):1018-1023.
  • 29. World Bank Country Classifications, 2018. https://datahelpdesk.worldbank.org/ knowledgebase/articles/906519.
  • 30. Kaya Ş, Kaçmaz Z, Çetinkaya N, Kaya Ş, Temiz H, Inalcan M. Assessment of Knowledge and Behavior on Hand Hygiene in Health Care Workers. Erciyes Med J 2015; 37(1): 26-30.

Year 2022, Volume 13, Issue 1, 150 - 156, 01.01.2022
https://doi.org/10.31067/acusaglik.990306

Abstract

References

  • 1. World Health Organization. World Health Organization guidelines on hand hygiene in health care, 2009. Available at http://apps.who.int/iris/ bitstream/10665/44102/ 1/9789241597906_eng.pdf.
  • 2. WHO. Report on the burden of endemic health care-associated infection worldwide, 2011. http://whqlibdoc.who.int/publications/2011/9789241501507_eng.pdf.
  • 3. Allegranzi B, Nejad SB, Combescure C, et al. Burden of endemic health care-associated infection in developing countries: systematic review and meta-analysis. Lancet 2011; 377: 228–41.
  • 4. European Centre for Disease Prevention and Control (ECDC). https://ecdc.europa.eu/en/home.
  • 5. Centers for Disease Control and Prevention (CDC). https://www.cdc.gov/handhygiene/science/index.html
  • 6. Dumpis U, Balode A, Vīgante D, Narbute I, Valinteliene R, Pïrags V, et al. Prevalence of nosocomial infections in two Latvian hospitals. Eurosurveillance 2003, 8:73–78.
  • 7. Azzam R, Dramaix M. A one-day prevalence survey of hospital-acquired infections in Lebanon. Journal of Hospital Infection 2001;49:74–78.
  • 8. Metintas S, Akgun Y, Durmaz G, Kalyoncu C. Prevalence and characteristics of nosocomial infections in a Turkish university hospital. American Journal of Infection Control 2004; 32: 409–413.
  • 9. Hughes AJ, Ariffin N, Huat TL, Abdul Molok H, Hashim S, Sarijo J, et al. Prevalence of nosocomial infection and antibiotic use at a university medical center in Malaysia. Infection Control and Hospital Epidemiology 2005; 26:100–104.
  • 10. Gosling R1, Mbatia R, Savage A, Mulligan JA, Reyburn H. Prevalence of hospital-acquired infections in a tertiary referral hospital in northern Tanzania. Annals of Tropical Medicine and Parasitology 2003; 97:69–73.
  • 11. Kallel H, Bahoul M, Ksibi H, Dammak H, Chelly H, Hamida CB, et al. Prevalence of hospital-acquired infection in a Tunisian hospital. Journal of Hospital Infection 2005; 59:343–347.
  • 12. Jroundi I, Khoudri I, Azzouzi A, Zeggwagh AA, Benbrahim NF, Hassouni F, et al. Prevalence of hospital-acquired infection in a Moroccan university hospital. American Journal of Infection Control 2007; 35:412–416.
  • 13. Faria S, Sodano L, Gjata A, Dauri M, Sabato AF, Bilaj A, et al. The first prevalence survey of nosocomial infections in the University Hospital Centre ‘Mother Teresa’ of Tirana, Albania. Journal of Hospital Infection 2007; 65:244–250.
  • 14. T.C. Sağlık Bakanlığı. https://www.saglik.gov.tr/TR,50623/saglik-hizmeti-iliskili-enfeksiyonlarin-onlenmesi-sozlesmesi-imzalandi.html.
  • 15. Pittet D, Allegranzi B, Sax H, Dharan S, Pessoa-Silva CL, Donaldson L, et al. Evidence-based model for hand transmission during patient care and the role of improved practices. Lancet Infect Dis 2006; 6: 641–52;
  • 16. Pincock T, Bernstein P, Warthman S, Holst E. Bundling hand hygiene interventions and measurement to decrease health care-associated infections. Am J Infect Control 2012; 40 (suppl 1): S18–27;
  • 17. Allegranzi B, Pittet D. The role of hand hygiene in healthcare-associated infection prevention. J Hosp Infect 2009; 73: 305–15.
  • 18. 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. Infect Control Hosp Epidemiol 2010; 31: 283–94.
  • 19. Trampuz A, Widmer AF. Hand hygiene: a frequently missed lifesaving opportunity during patient care. Mayo Clin Proc 2004;79(1):109-16.
  • 20. Paudel IS, Ghosh V, Adhikari P. Knowledge, Attitude and Practice of nursing students regarding hand hygiene in Western region of Nepal. JCMS Nepal 2016;12(4):169-73.
  • 21. Ariyarathne M, Gunasekara T, Weerasekara MM, Kottahachchi J, Kudavidanage BP, Fernando SSN. Knowledge, attitudes and practices of hand hygiene among final year medical and nursing students at the University of Sri Jayewardenepura. Sri Lankan Journal of Infectious Diseases 2013; 3(1):
  • 22. Manasa K, Chandrakumar SG, Prashantha B. Assessment of hand hygiene knowledge among medical and nursing students of Mysore medical college and research institute, Mysore. Int J Community Med Public Health 2018;5(3):1133-1137.
  • 23. Arthi E, Abarna V, Bagyalakshmi R, Anitharaj M, Vijayasree S. Assessment of knowledge, attitude and practice of hand hygiene among nursing and medical students in a tertiary care hospital in Puducherry, India. Int J Contemporary Med Res 2016;3(4):1203.
  • 24. Nair SS, Hanumantappa R, Hiremath SG, Siraj MA, Raghunath P. Knowledge, attitude, and practice of hand hygiene among medical and nursing students at a tertiary health care centre in Raichur, India. ISRN Prevent Med. 2014. 25. Aledeilah RDI, Abo el-Fetoh NM, Albaker AF, Aljabbab AA, Alkhannani AJ, Alkhannani SJ, et al. Assessment of Knowledge, Attitude and Practice of Hand Hygiene among Health Care Workers in Arar City, Saudi Arabia. The Egyptian Journal of Hospital Medicine 2018;70 (3):491-498.
  • 26. Wałaszek M, Kołpa M, Wolak Z, Rózanska A, Mach JW. Poor Hand Hygiene Procedure Compliance among Polish Medical Students and Physicians—The Result of an Ineffective Education Basis or the Impact of Organizational Culture? Int J Environ Res Public Health 2017; 14: 1026.
  • 27. Zakeri H, Ahmadi F, Rafeemanesh E, Saleh LA. The knowledge of hand hygiene among the healthcare workers of two teaching hospitals in Mashhad. Electron Physician 2017; 9(8): 5159–5165.
  • 28. Rajcevic S, Duric D, Grujičić M, Dugandzija T. Knowledge, habits and attitudes of health care workers about hand hygiene. Healthmed 6(4):1018-1023.
  • 29. World Bank Country Classifications, 2018. https://datahelpdesk.worldbank.org/ knowledgebase/articles/906519.
  • 30. Kaya Ş, Kaçmaz Z, Çetinkaya N, Kaya Ş, Temiz H, Inalcan M. Assessment of Knowledge and Behavior on Hand Hygiene in Health Care Workers. Erciyes Med J 2015; 37(1): 26-30.

Details

Primary Language English
Subjects Health Care Sciences and Services
Journal Section Research Article
Authors

Gülay YILMAZEL>
HITIT UNIVERSITY
0000-0002-2487-5464
Türkiye


Nursel ÜSTÜNDAĞ ÖCAL> (Primary Author)
YOZGAT BOZOK ÜNİVERSİTESİ
0000-0002-4951-0613
Türkiye


Çiğdem KADER>
YOZGAT BOZOK UNIVERSITY, .
0000-0003-3325-4587
Türkiye

Supporting Institution none
Early Pub Date October 14, 2021
Publication Date January 1, 2022
Application Date September 3, 2021
Acceptance Date October 3, 2021
Published in Issue Year 2022, Volume 13, Issue 1

Cite

EndNote %0 Acıbadem Üniversitesi Sağlık Bilimleri Dergisi Knowledge, Attitudes And Behaviors About Hand Hygiene Among Students Training in Health Departments Of Two Universities %A Gülay Yılmazel , Nursel Üstündağ Öcal , Çiğdem Kader %T Knowledge, Attitudes And Behaviors About Hand Hygiene Among Students Training in Health Departments Of Two Universities %D 2022 %J Acıbadem Üniversitesi Sağlık Bilimleri Dergisi %P 1309-470X-1309-5994 %V 13 %N 1 %R doi: 10.31067/acusaglik.990306 %U 10.31067/acusaglik.990306