ORIGINAL PAPER
Patient involvement in healthcare professionals’ hand hygiene compliance before and during the COVID-19 pandemic
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1
Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, Krakow, Poland
2
St. John Grande Hospital, Krakow, Poland
3
Jagiellonian University Medical College, Faculty of Medicine, Chair of Microbiology, Department of Molecular Medical Microbiology, Kraków, Poland
4
Department of Nursing, Institute of Health and Economics, State University of Applied Sciences, Krosno, Poland
5
Jagiellonian University Medical College, Faculty of Health Sciences, Department of Surgery, Krakow, Poland
Submission date: 2023-10-09
Final revision date: 2024-03-12
Acceptance date: 2024-05-14
Publication date: 2024-06-29
Corresponding author
Katarzyna Talaga-Ćwiertnia
Dr Katarzyna Talaga-Ćwiertnia
Department of Molecular Medical Microbiology
Chair of Microbiology
Jagiellonian University
Medical College
Krakow, Poland
Medical Studies 2024;40(2):113-123
KEYWORDS
TOPICS
ABSTRACT
Introduction:
The need to educate the public about proper hand hygiene (HH) practices has gained prominence in light of the global epidemiological situation, particularly the emergence of the COVID-19 pandemic.
Aim of the research:
To examine the patients’ views of Health Care Providers’ (HCPs) HH compliance before and during the COVID-19 pandemic.
Material and methods:
The study was conducted through a diagnostic survey and involved 192 participants.
Results:
According to 84.9% of respondents, HCPs’ HH is significant for patients’ health. This belief was held by most respondents both before and during the COVID-19 pandemic (p = 0.018). The greater part of respondents (74.5%) believed that the observance of HH by HCPs prevents infections among patients. However, notably, during the pandemic, there was a significant increase in the proportion of respondents who associated HCPs’ HH practices with professionalism (45.4% vs. 63.2%, p = 0.014). Nurses were more likely to perform hand hygiene than other HCPs before and during the COVID-19 pandemic (p = 0.034).
Conclusions:
During the COVID-19 pandemic, patients considered HCPs to be more professional or thought that medics were much more likely to perform HH before examining a patient or performing sterile procedures. In addition, the COVID-19 pandemic affected the perception of nurses as those HCPs who perform hand hygiene more often than others. The pandemic did not change patients’ beliefs about the possibility of influencing the hygiene behaviour of HCPs. In contrast, patients observed that hand hygiene was promoted more often during the pandemic than before the pandemic.
REFERENCES (35)
1.
Lotfinejad N, Peters A, Tartari E, Fankhauser-Rodriguez C, Pires D, Pittet D. Hand hygiene in health care: 20 years of ongoing advances and perspectives. Lancet Infect Dis. 2021 Aug; 21(8): e209-e21. .
2.
Chang NCN, Reisinger HS, Schweizer ML, Jones I, Chrischilles E, Chorazy M, Huskins C, Herwaldt L. Hand hygiene compliance at critical points of care. Clin Infect Dis. 2021 Mar; 72(5): 814-820.
3.
Ojanperä H, Kanste OI, Syrjala H. Hand-hygiene compliance by hospital staff and incidence of health-care-associated infections, Finland. Bull World Health Organ. 2020 Jul; 98(7): 475-483.
4.
Kingston L, O’Connell NH, Dunne CP. Hand hygiene-related clinical trials reported since 2010: a systematic review. J Hosp Infect. 2016 Apr; 92(4): 309-320.
5.
World Health Organization. WHO Guidelines on Hand Hygiene in Health Care. First. Global Patient Safety Challenge. Clean Care is Safer Care. WHO Press [Internet], Geneva 2009 [cited 20 Aug 23]. Available from:
http://www.who.int/gpsc/5may/t....
6.
Miętkiewicz S, Siczyńska B, Dyk D. Higiena rąk a redukcja zakażeń. Czy warto podejmować działania na rzecz poprawy higieny rąk? Probl Hig Epidemiol. 2014; 95(3): 580-585. .
7.
Moore LD, Robbins G, Quinn J, Arbogast JW. The impact of COVID-19 pandemic on hand hygiene performance in hospitals. Am J Infect Control. 2021 Jan; 49(1): 30-33.
8.
Wang Y, Yang J, Qiao F, Feng B, Hu F, Xi ZA, Wu W, Ni ZL, Liu L, Yuan Y. Compared hand hygiene compliance among healthcare providers before and after the COVID-19 pandemic: a rapid review and meta-analysis. Am J Infect Control. 2022 May; 50(5): 563-571.
10.
Environment, Climate Change and Health, Water, Sanitation, Hygiene and Health. State of the world’s hand hygiene: A global call to action to make hand hygiene a priority in policy and practice. United Nations Children’s Fund [Internet]. 2021 [cited 20 Aug 23]. Available at:
https://www.who.int/publicatio....
11.
Baretta D, Amrein MA, Bäder C, Ruschetti GG, Ruttimann C, Del Rio Carral M, Fabian C, Inauen J. Promoting hand hygiene during the COVID-19 pandemic: parallel randomized trial for the optimization of the Soapp App. JMIR mHealth and uHealth. 2023; 11: e43241.
12.
Toney-Butler TJ, Gasner A, Carver N. Hand Hygiene. In: StatPearls [Internet]. Treasure Island (FL): StatPearls. 2023. Available at:
https://pubmed.ncbi.nlm.nih.go....
13.
Vermeil T, Peters A, Kilpatrick C, Pires D, Allegranzi B, Pittet D. Hand hygiene in hospitals: anatomy of a revolution. J Hosp Infect. 2019 Apr; 101(4): 383-392.
14.
ISAP – Internetowy system Aktów Prawnych [Internet]. Ustawa z dnia 6 listopada 2008 r. o prawach pacjenta i Rzeczniku Praw Pacjenta (Dz.U. 2009 nr 52 poz. 417). Poland: Sejm Rzeczpospolitej Polskiej; 2009 [cited 2023 Aug 20]. Available at:
https://isap.sejm.gov.pl/isap.....
15.
Landers T, Abusalem S, Coty MB, Bingham MS. Patient-centered hand hygiene. The next step in infection prevention. Am J Infect Control. 2012 May; 40(4): 11-17.
16.
McGuckin M, Storr J, Longtin Y, Allegranzi B, Pittet D. Patient empowerment and multimodal hand hygiene promotion: a win-win strategy. Am J Med Qual. 2011 Jan-Feb; 26(1): 10-17.
17.
Longtin Y, Sax H, Leape LI, Sheridan S, Donaldson L, Pittet D. Patient participation :current knowledge and applicability to patient safety. Mayo Clin Proc. 2010 Jan; 85(1): 53-62.
18.
McGuckin M, Govednik J. Patient empowerment and hand hygiene, 1997-2012. J Hosp Infect. 2013 Jul; 84(3): 91-99. .
19.
Berger Z, Flickinger TE, Pfoh E, Martinez KA, Dy SM. Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review. BMJ Qual Saf. 2014 Jul; 23(7): 548-555.
20.
Schwappach DLB. Review: engaging patients as vigilant partners in safety: a systematic review. Med Care Res Rev. 2010 Apr; 67(2): 119-148.
21.
Stewardson AJ, Sax H, Gayet-Ageron A, Touveneau S, Longtin Y, Zingg W, Pittet D. Enhanced performance feedback and patient participation to improve hand hygiene compliance of health-care workers in the setting of established multimodal promotion: a single-centre, cluster randomised controlled trial. Lancet Infect Dis. 2016 Dec; 16 (12): 1345-1355.
22.
Russotto A, Rolfini E, Paladini G, Gastaldo C, Vicentini C, Zotti CM. Hand hygiene and antimicrobial resistance in the COVID-19 era: an observational study. Antibiotics. 2023 Mar; 12(3): 583.
23.
Loveday HP, Wilson JA, Pratt RJ, Golsorkhi M, Tingle A, Bak A, Browne J, Prieto J, Wilcox M, UK Department of Health. epic3: national evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. J Hosp Infect. 2014 Jan; 86 Suppl 1: S1-S70.
24.
Picheansanthian W, Chotibang J. Glove utilization in the prevention of cross transmission: a systematic review. JBI Database System Rev Implement Rep. 2015 May; 13(4): 188-230.
25.
Kampf G, Lemmen S. Disinfection of gloved hands for multiple activities with indicated glove use on the same patient. J Hosp Infect. 2017 Sep; 97(1): 3-10.
26.
Hughes KA, Cornwall J, Theis JC Brooks HJL. Bacterial contamination of unused, disposable non-sterile gloves on a hospital orthopaedic ward. Australas Med J. 2013 Jun; 6(6): 331-338.
27.
Wałaszek M, Hand hygiene – requirements for medical professionals. Probl Pielęg. 2018; 26(2): 90-98.
28.
Wałaszek M, Kołpa M, Różańska A, Wolak Z, Bulanda M, Wójkowska-Mach J. Practice of hand hygiene and use of protective gloves: differences in the perception between patients and medical staff. Am J Infect Control. 2018 Sep; 46(9): 1074-1076.
29.
Wetzker W, Bunte-Schönberger K, Walter J, Pilarski G, Gastmeier P, Reichardt C. Compliance with hand hygiene: reference data from the national hand hygiene campaign in Germany. J Hosp Infect. 2016 Apr; 92(4): 328-331.
30.
Stevens MP, Doll M, Pryor R, Godbout E, Cooper K, Bearman G. Impact of COVID-19 on traditional healthcare-associated infection prevention efforts. Infect Control Hosp Epidemiol. 2020 Aug; 41(8): 946-947.
31.
Wong SC, AuYeung CH, Lam GK, Leung EYL, Chan VWM, Yuen KY, Cheng VCC. Is it possible to achieve 100 percent hand hygiene compliance during the coronavirus disease 2019 (COVID-19) pandemic? J Hosp Infect. 2020 Aug; 105(4): 779-781.
32.
Makhni S, Umscheid CA, Soo J, Chu V, Bartlett A, Landon E, Marrs R. Hand hygiene compliance rate during the COVID-19 pandemic. JAMA Intern Med. 2021 Jul; 181(17): 1006-1008.
33.
Vicentini C, Libero G, Bordino V, Zotti CM. Hand hygiene practices during the COVID-19 pandemic in Northern Italy: assessment of compliance rates measured by direct observation and alcohol-based handrub usage. Antibiotics (Basel). 2022 Oct; 11(11): 1510.
34.
Seale H, Travaglia J, Chughtai AA, Phillipson L, Novyt- ska Y, Kaur R. ‘I don’t want to cause any trouble’: the attitudes of hospital patients towards patient empowerment strategies to reduce healthcare-acquired infections. J Infect Prev. 2015 Jul; 16(4): 167-173.
35.
Diedrich S, Görig T, Dittmann K, Kramer A, Heidecke CD, Hübner NO. Active integration of patients into infection control, as perceived by health care professionals: results of the AHOI Pilot Study. Infect Drug Resist. 2020 Nov; 13: 4009-4019.