Assessment of Hand Hygiene Practice and Factor Affecting Compliance among Nurses in Black Lion Specialized Referral Hospital, Addis Ababa, Ethiopia

Tsige, Yosief (2017) Assessment of Hand Hygiene Practice and Factor Affecting Compliance among Nurses in Black Lion Specialized Referral Hospital, Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.

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Abstract

Background:Hand hygiene is an important measure to prevent and control infection particularly in developing countries, the identification of several risk factors associated with poor hand hygiene compliance is extreme importance. Alcohol based hand rube (ABHR) is simple measure to prevent the transmission of infection. This institutional based cross- sectional study focus on describing hand hygiene practice of nurses and provides base line information on the area. Objective:To assess hand hygiene practices among Nurses in Black Lion Specialized Referral Hospital, Addis Ababa Ethiopia. Methods: Institution based quantitative cross sectional study design was used to assess hand hygiene practice and factoraffecting compliance among Nurses in Black Lion Specialized Referral Hospital. A total of 288Nurses were included and selected by simple random sampling. Data collection was made by using self-administered structured questionnaire.The collected data was checked visually for its completeness and the response were coded and entered into the computer using EPI info version 3.5.1. Statistical package, and the 10% of the response was randomly selected and check for the consistency of data entry. Then data were exported to windows of Statistical Package for Social Science (SPSS) version 20 for data analysis.Descriptive statistics, bivariate logistic and multivariate logistic regression analysis was done to see association between factors and hand hygiene practice. Result: A Total of 288 study participants filled the questionnaires with a response rate of 100%. Hand hygiene compliance of nurses was found 79% having knowledge about hand hygiene compliance(AOR[95%CI]= 2.873[1.258, 6.56]),availability of soap and water(AOR[95%CI]= 0.324[0.155, 0.678]), availability of ABHR(AOR[95%CI]= 0.293[0.125, 0.686]), availability of towel/tissue paper(AOR[95%CI]= 3.314[1.587, 6.918]), were significantly associated with hand hygiene compliance.  Conclusions: Nurses good hand hygiene compliance was indicated ‘after’ caring for a patient whereas poor hand hygiene compliance was reported ‘before’ having direct contact with a patient.  Nurses hand hygiene practice was influenced by the knowledge they have for hand hygiene indications as per hand hygiene guideline.  There was no statistical significant variations on hand hygiene practice score across nurses in different wards

Item Type:	Thesis (Masters)
Uncontrolled Keywords:	hand hygiene practice; Knowledge; Nurses
Subjects:	R Medicine > RT Nursing
Divisions:	Africana
Depositing User:	Vincent Mpoza
Date Deposited:	25 Sep 2018 11:53
Last Modified:	25 Sep 2018 11:53
URI:	http://thesisbank.jhia.ac.ke/id/eprint/5728

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