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Pubmed for Handhelds

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  • Title: Hand hygiene compliance: exploring variations in practice between hospitals.
    Author: Creedon SA.
    Journal: Nurs Times; ; 104(49):32-5. PubMed ID: 19170286.
    Abstract:
    BACKGROUND: The issue of 'centre' or 'hospital' as an independent variable has not been studied extensively in healthcare workers' hand-hygiene practices. AIM: To investigate healthcare workers' compliance with hand-hygiene guidelines in four acute-care hospitals in Ireland and to examine factors that contributed to non-compliance. METHOD: Data collectors observed healthcare workers in four hospitals. RESULTS: Data (n = 1,737 observations) was drawn from a random sample of nurses, doctors, physiotherapists and HCAs (n = 280 staff). Findings revealed that the individual hospital has a significant impact. Multivariate logistic regression analysis showed healthcare workers in centre 4 had a significantly higher likelihood of non-compliance than those in all other centres (p = 0.003), irrespective of gender, discipline or area of work. CONCLUSION: The findings make an important contribution to the study of healthcare workers' hand-hygiene behaviour and control of healthcare-associated infections. A possible explanation of the results may be related to variations in organisational support and hospital culture.
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