Do the Nurse Practice the Five Moments for Hand Hygiene? An Observational Study during Pandemic COVID-19
Keywords:Handwashing, Practice, Nurses, Inpatients, Hospitals
INTRODUCTION: Healthcare-associated infections (HAIs) are frequently found in patients worldwide each year with varying rates. In November 2021, there were 23 incidents of nosocomial infection at a General Hospital in Banda Aceh. Of these incidents, eight occurred in the surgical inpatient room. Nurses have a significant role in reducing the number of hospital infections. Nurses must utilize the knowledge and skills of nursing practice to facilitate patient recovery while minimizing infection-related complications in patients.
AIM: This clinical observation aims to identify the practice of 5 moments of hand hygiene in the surgical inpatient ward, General Hospital Banda Aceh.
METHODS: This clinical observation aims to identify the practice of 5 moments of hand hygiene in the surgical inpatient ward, General Hospital Banda Aceh. This clinical observation with a population of 26 nurses. A sample of 16 nurses was obtained through the incidental sampling method. The tool used to collect data is in the form of a hand hygiene observation sheet that was observed at five moments according to World Health Organization (WHO) standards.
RESULTS: The five-moment hand hygiene showed that the nurse hand hygiene practice was 68.7%-100%. The sequent percentage values of practicing hand hygiene are: 68.7% of nurses do not apply hand hygiene before contact with patients; 75% of nurses did not apply hand hygiene before aseptic action; 75% of nurses apply hand hygiene after contact with the patient's environment; 93.7% of nurses apply hand hygiene after contact with patients, and 100% of nurses apply hand hygiene after being exposed to the patient's body fluids. Finally, only four respondents (25%) thoroughly applied five hand hygiene moments.
CONCLUSIONS: The leadership role of the head nurse is needed to optimize the practicing of hand hygiene in the hospital inpatient room, which is shown through role models, continuous supervision, and evaluation. In addition, good infrastructure is also needed to support these activities.
Plum Analytics Artifact Widget Block
Ritonga EP. Implementation of five moments of hand hygiene in the inpatient room of Medan Private Hospital. J Ilm Keperawatan Imelda. 2017;3(2):342-7. https://doi.org/10.52943/jikeperawatan.v6i2.439 DOI: https://doi.org/10.52943/jikeperawatan.v6i2.439
Onoigboria OR, Dibia PN, Okoedion S. Improving hand hygiene compliance among health education students of ambrose Alli University, Ekpoma, Edo State, Nigeria. World J Res Rev. 2018;7(2):1-5. https://doi.org/10.9790/7388-04542227 DOI: https://doi.org/10.9790/7388-04542227
World Health Organization. WHO Guidelines on Hand Hygiene in Health Care. In: WHO Guidelines on Hand Hygiene in Health Care. Geneva: World Health Organization; 2009. p. 270.
Yousif M, Tancred T, Abuzaid M. A survey of knowledge, attitudes and practices regarding hand hygiene among doctors and nurses in Ribat university hospital. Int J Med Rev Case Rep. 2020;1:19-27. https://doi.org/10.5455/ijmrcr.hand-hygiene-doctors-nurses DOI: https://doi.org/10.5455/IJMRCR.hand-hygiene-doctors-nurses
Gaol BL, Sagita S, Koamesah S. The effect of poster media on the implementation of five-moment hand hygiene on nurses at X Hospital Kupang. Cendana Med J. 2019;7(1):1495.
Sands M, Aunger R. Determinants of hand hygiene compliance among nurses in US hospitals: A formative research study. PLoS One. 2020;15(4):e0230573. https://doi.org/10.1371/journal.pone.0230573 PMid:32255783 DOI: https://doi.org/10.1371/journal.pone.0230573
Taryana AM, Sampurna MT, Sari GM. Compliance in maintaining hand cleaning on health care workers in neonatology unit in tertiary referral hospital Indonesia: The usage of CCTV for supervision. Indian J Public Health Res Dev. 2019;10(8):1188-93. https://doi.org/10.5958/0976-5506.2019.02057.6 DOI: https://doi.org/10.5958/0976-5506.2019.02057.6
Jabarpour M, Dehghan M, Afsharipour G, Abaee EH, Shahrbabaki PM, Ahmadinejad M, et al. The Impact of COVID-19 outbreak on nosocomial infection rate: A case of Iran. Can J Infect Dis Med Microbiol. 2021;2021:6650920. https://doi.org/10.1155/2021/6650920 PMid:33680220 DOI: https://doi.org/10.1155/2021/6650920
Rhee C, Baker M, Vaidya V, Tucker R, Resnick A, Morris CA, et al. Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center. JAMA Netw Open. 2020;3(9):e2020498. https://doi.org/10.1001/jamanetworkopen.2020.20498 PMid:32902653 DOI: https://doi.org/10.1001/jamanetworkopen.2020.20498
Delinda V, Jannah N. Implementation of supervision of the head of the room on five moments for hand hygiene nurse practitioners. J Ilm Mhs Fak Keperawatan. 2018;3(4):92-101.
Tabatabaei SN, Abbasi S. Risk assessment in social security hospitals of Isfahan Province in case of disasters based on the hospital safety index. Int J Heal Syst Disaster Manag. 2016;4(3):82-7. https://doi.org/10.4103/2347-9019.191108 DOI: https://doi.org/10.4103/2347-9019.191108
Notoatmodjo S. Health Research Methodology. Jakarta: Rineka Cipta; 2018.
Suhanda S, Lismayanti L, Nurjanah N, Setiawan H, Kurniawan R. Implementation of five moments of handwashing nurses in the inpatient room of the Ciamis Regency general hospital. J Kesehat STIKes Muhammadiyah Ciamis. 2018;5(1):72-87. https://doi.org/10.52221/jurkes.v5i1.25 DOI: https://doi.org/10.52221/jurkes.v5i1.25
World Health Organization. Health Care-associated Infections Fact Sheet. Geneva: Geneva: World Health Organization; 2015.
Al Mohaithef M. Assessing hand hygiene practices among nurses in the Kingdom of Saudi Arabia. Open Public Health J. 2020;13(1):220-6. https://doi.org/10.2174/1874944502013010220 DOI: https://doi.org/10.2174/1874944502013010220
Baier C, Albrecht UV, Ebadi E, Vonberg RP, Schilke R. Knowledge about hand hygiene in the Generation Z: A questionnaire-based survey among dental students, trainee nurses and medical technical assistants in training. Am J Infect Control. 2020;48(6):708-12. https://doi.org/10.1016/j.ajic.2020.02.002 PMid:32234262 DOI: https://doi.org/10.1016/j.ajic.2020.02.002
Hammerschmidt J, Manser T. Nurses’ knowledge, behaviour and compliance concerning hand hygiene in nursing homes: A cross-sectional mixed-methods study. BMC Health Serv Res. 2019;19(1):547. https://doi.org/10.1186/s12913-019-4347-z PMid:31382968 DOI: https://doi.org/10.1186/s12913-019-4347-z
How to Cite
Copyright (c) 2022 Ardia Putra, Hajjul Kamil, Putri Mayasari, B . Fahmi Annur, Yuswardi Yuswardi (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.