Student Nurses’ Hand Hygiene Beliefs and Practices

2019 
Introduction: Hand hygiene is the most cost-effective and easy implemented measure to prevent healthcare-associated infections. Determining beliefs and practices regarding hand hygiene is highly important in order to improve compliance. However, studies regarding Turkish student nurses’ beliefs and practices about hand hygiene are lacking. Thus, this study was performed to determine hand hygiene belief and practices among student nurses. Method: The sample of this descriptive study consisted of 462 student nurses from a faculty of nursing. Data were collected via a self-reported hand hygiene questionnaire which determines hand hygiene compliance, beliefs and practices. The hand hygiene beliefs, and practices of student nurses’ were determined with the hand hygiene belief scale and the hand hygiene practices inventory. Findings: Of the 462 respondents, 108 (23.4%) enrolled the second year, 142 (30.7%) enrolled the third year and 212 (45.9%) enrolled in the fourth year. The average self-reported hand hygiene compliance rate was 84.42±12.64 among student nurses. The student nurses’ average hand hygiene practice inventory and hand hygiene belief scores were 65.90±5.54 and 85.04±8.20 respectively. The student nurses reported the lowest compliance rates under the following conditions: before patient contact (4.35±0.88), before entering an isolation room (4.44±0.88) and before caring for a wound (4.55±0.74). Results: It was determined that the student nurses reported a high hand hygiene compliance rate. In addition, they showed positive beliefs towards hand hygiene and demonstrated good practices regarding hand hygiene. Giris: El hijyeni, saglikla iliskili enfeksiyonlari onlemek icin uygulanan en ucuz ve kolay yontemdir. El hijyeni ile ilgili inanc ve uygulamalarin belirlenmesi, uyumu arttirmak icin oldukca onemlidir. Ancak, Turk ogrenci hemsirelerinin el hijyeni konusundaki inanc ve uygulamalari konusunda arastirmalar oldukca sinirlidir. Bu nedenle, bu calisma ogrenci hemsirelerin el hijyeni inanc ve uygulamalarini belirlemek amaciyla yapildi. Yontem: Tanimlayici tipteki bu calismanin orneklemi bir hemsirelik fakultesinin 462 ogrencisinden olustu. Veriler, el hijyeni uyumunu, inanclarini ve uygulamalarini belirleyen soru formu ile toplandi. Ogrenci hemsirelerin el hijyen inanclari ve uygulamalari El Hijyeni Inanc Olcegi ve El Hijyeni Uygulamalari Envanteri ile belirlendi. Bulgular: Arastirmaya katilan 462 katilimcidan 108’i (% 23.4) ikinci, 142’si (% 30,7) ucuncu ve 212’si (% 45.9) dorduncu sinif ogrencisidir. Ogrenci hemsirelerin ortalama el hijyeni uyum oranlari 84.42 ± 12.64 idi. Ogrenci hemsirelerin ortalama el hijyeni uygulama envanteri ve el hijyeni inanc puanlari sirasiyla 65.90 ± 5.54 ve 85.04 ± 8.20 idi. Ogrenci hemsireler hasta temasindan once (4.35 ± 0.88), izolasyon odasina girmeden once (4.44 ± 0.88) ve yara bakimi yapmadan once (4.55 ± 0.74) en dusuk uyum oranlarini rapor etmislerdir. Sonuc: Ogrenci hemsirelerin el hijyeni uyum oraninin yuksek oldugu belirlenmistir. Ayrica, el hijyenine karsi olumlu inanclara sahip olduklari ve el hijyeni ile ilgili uygulamalarinin iyi oldugu belirlenmistir.
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