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Följsamheten kring basala hygienrutiner hos sjuksköterskor och undersköterskor på en medicinsk akutvårdsavdelning: En kvantitativ empirisk långtidsuppföljning
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
2019 (Swedish)Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Tidigare forskning kring hygienrutiner har visat att följsamheten hos vårdpersonal är bristande samt att bristande följsamhet leder till ökad förekomst av vårdrelaterade infektioner (VRI). Syftet var att undersöka följsamheten kring basala hygienrutiner hos sjuksköterskor och undersköterskor samt jämföra hur följsamheten skiljer sig personalkategorierna emellan samt före och efter patientkontakt, på en medicinsk akutvårdsavdelning i södra Sverige under åren 2013–2018. Studien hade empirisk utformning. Data samlades in genom observationer och analyserades med stöd av Statistical Package for the Social Sciences (SPSS). Det som observerades var följsamhet till korrekt användning av handdesinfektion, handskar, platsförkläde/skyddsrock och rätt klädsel. Totalt gjordes 564 observationer mellan åren 2013–2018. Resultatet visar att det finns rum för förbättring i följsamhet. Överlag visar undersköterskor på en högre grad av följsamhet genom alla observerade år. Märkbar skillnad sågs mellan följsamhet till handdesinfektion före och efter patientkontakt, där följsamheten i sistnämnda var bristande. Vidare interventioner behövs för att förbättra följsamheten till basala hygienrutiner, minska risken för vårdrelaterade infektioner och höja patientsäkerheten.

Abstract [en]

Title: Compliance of nurses and assistant nurses to guidelines regarding basic hygiene routines in a medical intensive care unit: A quantitative long-term study.

Previous research has shown that compliance to hygiene routines among healthcare professionals is inadequate and that inadequate compliance is linked to increased prevalence of healthcare-associated infections (HCAI). The aim of this study was to examine the compliance of nurses and assistant nurses to guidelines regarding basic hygiene routines and to make an occupational comparison before and after patient contact, in a medical intensive care unit in southern Sweden over a period of six years. The study had an empirical approach. Data was collected through observations and was analyzed using Statistical Package for the Social Sciences (SPSS). Observed aspects included compliance to correct usage of hand rub, plastic gloves, aprons as well as proper clothing. A total of 564 observations were made during the years 2013–2018. The result shows that there is room for improvements to compliance, with assistant nurses overall showing a higher rate of compliance throughout all observed years. Noticeable differences in compliance were found between hand rub usage before and after patient contact, with a lack of compliance in the latter. Further interventions are needed in order to improve compliance rates to guidelines regarding hygiene to prevent HCAI and increase patient safety.

Place, publisher, year, edition, pages
2019. , p. 19
Keywords [en]
basic hygiene, compliance, healthcare-associated infections, observational study, safe care
Keywords [sv]
Basala hygienrutiner, följsamhet, observationsstudie, säker vård, vårdrelaterade infektioner
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-44379ISRN: U-HHJ-OMA-1-20190492OAI: oai:DiVA.org:hj-44379DiVA, id: diva2:1323199
Subject / course
HHJ, Nursing Science
Supervisors
Examiners
Available from: 2019-06-13 Created: 2019-06-11 Last updated: 2019-06-13Bibliographically approved

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Citation style
  • apa
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