You searched for subject:(Hand Hygiene)
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University of Ghana
1.
Pewu , L.
Factors Influencing Compliance with the Water Sanitation and Hygiene (WASH) Programme: Hand Hygiene Practices in Second Cycle Schools in the Ledzokuku Municipality of the Greater Accra Region of Ghana
.
Degree: 2019, University of Ghana
URL: http://ugspace.ug.edu.gh/handle/123456789/34332
► Background: Hand hygiene or hand washing is a well-known major infection control measure and has been mentioned by WHO as the most important hygiene measure…
(more)
▼ Background: Hand hygiene or hand washing is a well-known major infection control measure and has been mentioned by WHO as the most important hygiene measure in preventing the spread of infection. Schools like hospitals, have close, crowded environments that increase the risk of microbial cross- contaminations and transmissions. It has been observed that, there are high rates of infectious, gastrointestinal, neurocognitive and psychological illnesses in schools where water and sanitation facilities are inadequate in both developing and developed countries.
Objectives: This study aims to look at the relationship between institutional factors (resources available in schools) and hand hygiene practices, and also factors influencing compliance with the water sanitation and hygiene (WASH) program in second cycle institutions in the Ledzokuku Municipal Area.
Methods: This research work used a descriptive, cross-sectional research design and a quantitative methods to assess the factors influencing the WASH program and hand hygiene practices. Questionnaires and checklist were administered to these students and data was collected. The study used statistical tests such as Chi-square test and logistic regression to assess the relationship between resources available and hand washing.
Results: The research work showed that, background characteristics of the students such as sex and form/ grade and students’ knowledge were significantly associated with hand hygiene practices. Resources available for hand washing are inadequate in the schools making the practice difficult.
Conclusion: The prevalence of hand washing among second cycle schools in Ledzokuku Municipal Area was 91%. However, resources available for hand washing are inadequate making the practice of hand washing difficult in the schools.
Subjects/Keywords: Hand Hygiene;
Hand Washing;
WASH Programme
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APA (6th Edition):
Pewu , L. (2019). Factors Influencing Compliance with the Water Sanitation and Hygiene (WASH) Programme: Hand Hygiene Practices in Second Cycle Schools in the Ledzokuku Municipality of the Greater Accra Region of Ghana
. (Masters Thesis). University of Ghana. Retrieved from http://ugspace.ug.edu.gh/handle/123456789/34332
Chicago Manual of Style (16th Edition):
Pewu , L. “Factors Influencing Compliance with the Water Sanitation and Hygiene (WASH) Programme: Hand Hygiene Practices in Second Cycle Schools in the Ledzokuku Municipality of the Greater Accra Region of Ghana
.” 2019. Masters Thesis, University of Ghana. Accessed January 18, 2021.
http://ugspace.ug.edu.gh/handle/123456789/34332.
MLA Handbook (7th Edition):
Pewu , L. “Factors Influencing Compliance with the Water Sanitation and Hygiene (WASH) Programme: Hand Hygiene Practices in Second Cycle Schools in the Ledzokuku Municipality of the Greater Accra Region of Ghana
.” 2019. Web. 18 Jan 2021.
Vancouver:
Pewu L. Factors Influencing Compliance with the Water Sanitation and Hygiene (WASH) Programme: Hand Hygiene Practices in Second Cycle Schools in the Ledzokuku Municipality of the Greater Accra Region of Ghana
. [Internet] [Masters thesis]. University of Ghana; 2019. [cited 2021 Jan 18].
Available from: http://ugspace.ug.edu.gh/handle/123456789/34332.
Council of Science Editors:
Pewu L. Factors Influencing Compliance with the Water Sanitation and Hygiene (WASH) Programme: Hand Hygiene Practices in Second Cycle Schools in the Ledzokuku Municipality of the Greater Accra Region of Ghana
. [Masters Thesis]. University of Ghana; 2019. Available from: http://ugspace.ug.edu.gh/handle/123456789/34332
2.
Moran, Nancy.
Improving Frequency of Hand Hygiene Education from Providers to Patients.
Degree: MSN, 2020, University of San Francisco
URL: https://repository.usfca.edu/capstone/1124
► Hand hygiene compliance is one of the most simplest forms of preventing infection. This paper focuses on improving the frequency and standardizing hand hygiene…
(more)
▼ Hand hygiene compliance is one of the most simplest forms of preventing infection. This paper focuses on improving the frequency and standardizing
hand hygiene education to patients delivered by health care professionals from a primary care clinic. The ambulatory suburban community clinic in Oakland primarily serves the underserved population. The target population are the following providers: Physicians, Physician Assistants, Nurse Practitioners, Registered Nurse, Licensed Practical Nurse, and Medical Assistants. A survey was adapted from evidence-based studies, WHO, and CDC to collect data on current
hand hygiene education provided to patients from healthcare professionals. An additional survey was given to patients to assess baseline
hand hygiene compliance and education that was provided by their health care providers. An educational tool was created for Physicians, Physician Assistants, Nurse Practitioners, Registered Nurse, Licensed Practical Nurse, Medical Assistants and Nursing Students to have available during patient calls to promote standardized
hand hygiene education. Eighteen of 38 providers responded to surveys. Of those 18, 61.1% of health care providers stated
hand hygiene education was not at all provided to their patients. The results called for standardizing
hand hygiene education to be implemented using the educational tool four weeks to test effectiveness. Due to the competing demands of staff involvement during the COVID-19 transition, the clinical staff did not buy-in. For the implementation tool to take place, we recommended that future nursing students pilot the study by using the
hand hygiene educational tool in person to test effectiveness. After the implementation of the educational tool during patient appointments, we would like to see an 20% increase of healthcare professionals providing
hand hygiene education.
Advisors/Committee Members: Dr. Robert Patterson.
Subjects/Keywords: Hand hygiene; hand washing; patient education; Nursing
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APA (6th Edition):
Moran, N. (2020). Improving Frequency of Hand Hygiene Education from Providers to Patients. (Thesis). University of San Francisco. Retrieved from https://repository.usfca.edu/capstone/1124
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Moran, Nancy. “Improving Frequency of Hand Hygiene Education from Providers to Patients.” 2020. Thesis, University of San Francisco. Accessed January 18, 2021.
https://repository.usfca.edu/capstone/1124.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Moran, Nancy. “Improving Frequency of Hand Hygiene Education from Providers to Patients.” 2020. Web. 18 Jan 2021.
Vancouver:
Moran N. Improving Frequency of Hand Hygiene Education from Providers to Patients. [Internet] [Thesis]. University of San Francisco; 2020. [cited 2021 Jan 18].
Available from: https://repository.usfca.edu/capstone/1124.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Moran N. Improving Frequency of Hand Hygiene Education from Providers to Patients. [Thesis]. University of San Francisco; 2020. Available from: https://repository.usfca.edu/capstone/1124
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Rutgers University
3.
Jensen, Dane A., 1988-.
Addressing challenges and gaps in the hand hygiene literature using novel quantitative approaches.
Degree: PhD, Food Science, 2015, Rutgers University
URL: https://rucore.libraries.rutgers.edu/rutgers-lib/47418/
► This research was undertaken to develop a cause and effect understanding of the variables that affect hand washing, a critical facet in food safety and…
(more)
▼ This research was undertaken to develop a cause and effect understanding of the variables that affect hand washing, a critical facet in food safety and public health. Many regulations appear to have been made without sufficient scientific foundational evidence to back up justify these regulations, because of this, many basic aspects of handwashing are still being debated. The studies in this dissertation attempted to clarify several main concepts in hand washing. Specifically, which parts of a hand wash are most important, is soap necessary for a hand wash, handwash communication consistent, what characteristics of the surfactant are important for soap formulation, and what is the current state of hand sanitizer published literature. Chapter II main finding was that handwash techniques communicated by signs and posters varies greatly. Chapter III is a meta-analysis of the published hand sanitizer literature, and had several key findings. First, a significant difference between ethanol and isopropanol based hand sanitizer effectiveness for bacteria (p=<0.05), but not for viruses (p>0.05) was observed. Second, alcohol-based hand sanitizers were more effective (p<0.05) than those based on other antimicrobials for bacteria, but the same statistical difference was not observed for viruses (p>0.05). Finally, different experimental protocols return significantly different results (p<0.05), and care must be taken when comparing hand sanitizer studies. Chapters IV and V focused on handwash technique and soap use, which found that hand lathering time, soap volume, and water temperature did not significantly change the microbial reduction from the handwash (p>0.05), but that drying method, use of soap, and total wash time did (p<0.05). Lastly, Chapter VI results suggest that soap formulations, specifically the type and concentration of surfactant used, has a significant influence (p<0.05) on the effectiveness of a soap product. These results from these studies will be used in future risk modeling and soap product development to ideally promote better formulation, better hand wash compliance, and evidenced based hand hygiene regulations.
Advisors/Committee Members: Schaffner, Donald W (chair), Chikindas, Michael (internal member), ROGERS, MICHAEL (internal member), Macinga, David (outside member).
Subjects/Keywords: Hand – Care and hygiene; Hand washing
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Jensen, Dane A., 1. (2015). Addressing challenges and gaps in the hand hygiene literature using novel quantitative approaches. (Doctoral Dissertation). Rutgers University. Retrieved from https://rucore.libraries.rutgers.edu/rutgers-lib/47418/
Chicago Manual of Style (16th Edition):
Jensen, Dane A., 1988-. “Addressing challenges and gaps in the hand hygiene literature using novel quantitative approaches.” 2015. Doctoral Dissertation, Rutgers University. Accessed January 18, 2021.
https://rucore.libraries.rutgers.edu/rutgers-lib/47418/.
MLA Handbook (7th Edition):
Jensen, Dane A., 1988-. “Addressing challenges and gaps in the hand hygiene literature using novel quantitative approaches.” 2015. Web. 18 Jan 2021.
Vancouver:
Jensen, Dane A. 1. Addressing challenges and gaps in the hand hygiene literature using novel quantitative approaches. [Internet] [Doctoral dissertation]. Rutgers University; 2015. [cited 2021 Jan 18].
Available from: https://rucore.libraries.rutgers.edu/rutgers-lib/47418/.
Council of Science Editors:
Jensen, Dane A. 1. Addressing challenges and gaps in the hand hygiene literature using novel quantitative approaches. [Doctoral Dissertation]. Rutgers University; 2015. Available from: https://rucore.libraries.rutgers.edu/rutgers-lib/47418/

University of Miami
4.
Munoz-Price, Luisa S.
Infection Control Related Behaviors Among Anesthesiologists While Providing Anesthesia Care in the Operating Room.
Degree: PhD, Epidemiology (Medicine), 2014, University of Miami
URL: https://scholarlyrepository.miami.edu/oa_dissertations/1204
► During the past couple of decades, several studies have emerged on the relevance of the environment and patients body surfaces on the mechanisms of transmission…
(more)
▼ During the past couple of decades, several studies have emerged on the relevance of the environment and patients body surfaces on the mechanisms of transmission of multidrug resistant organisms. We now know that the transmission pathways from colonized to non-colonized patients involve healthcare workers hands, contaminated equipment, and shared objects. These interactions are particularly relevant in settings with high number of
hand contacts and low frequencies of
hand hygiene, such as the anesthesia area within operating rooms. Mounting data on infection control behaviors among anesthesia providers while providing anesthesia care indicate that the frequency of
hand hygiene during these encounters is low. However, we cannot determine the ideal number of
hand hygiene events without a clear understanding of the frequency and type of contacts that anesthesia providers have with their environment while providing anesthesia care in the operating room. Within this framework, the aims of this thesis are: 1). To describe the interactions of anesthesiologists with their environment and patients while providing anesthesia care, 2). Quantify and contrast these interactions during the induction and maintenance, and 3). Evaluate the impact of a
hand rub dispenser placed within the anesthesia area on
hand hygiene frequency, all while in the operating room. These aims were accomplished by: 1). Observing a convenience sample of anesthesia procedures while capturing the type of objects touched by anesthesia providers, 2). Randomly selecting operating rooms for observation during the first 120 minutes of anesthesia care, and 3). Performing a randomized crossover trial using
hand sanitizer dispensers placed on the anesthesia machines and measuring their impact on
hand hygiene frequency. Our findings suggest that objects touched most frequently by anesthesiologists included the anesthesia machines and keyboards. Additionally, the frequency of contacts during induction was higher than during maintenance (154.8 ± 7.7 vs. 60 ± 3.1 contacts per hour; p<0.0001). There was a slightly higher frequency of
hand hygiene during induction when compared to maintenance (1.8 ± 0.27 vs. 1.19 ± 0.27 events per hour; p=0.018). Finally, the
hand sanitizer dispenser on top of the anesthesia machine only increased the
hand hygiene rate from 0.5 to 0.8 events per hour (p=0.01). In summary, our findings suggest that anesthesiologists have a high frequency of contacts with their environment and patients’ body surfaces with a relatively low
hand hygiene frequency during anesthesia care in the operating room. Therefore, future research should include redefining the moments of
hand hygiene into more realistic expectations for this unique setting and determining optimal interventions to improve compliance among anesthesia providers with infection control behaviors in the operating room.
Advisors/Committee Members: Kristopher L. Arheart, David J. Birnbach, Guillermo Prado, John C. Beier.
Subjects/Keywords: Hand hygiene; Anesthesiology; Operating Rooms
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
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APA (6th Edition):
Munoz-Price, L. S. (2014). Infection Control Related Behaviors Among Anesthesiologists While Providing Anesthesia Care in the Operating Room. (Doctoral Dissertation). University of Miami. Retrieved from https://scholarlyrepository.miami.edu/oa_dissertations/1204
Chicago Manual of Style (16th Edition):
Munoz-Price, Luisa S. “Infection Control Related Behaviors Among Anesthesiologists While Providing Anesthesia Care in the Operating Room.” 2014. Doctoral Dissertation, University of Miami. Accessed January 18, 2021.
https://scholarlyrepository.miami.edu/oa_dissertations/1204.
MLA Handbook (7th Edition):
Munoz-Price, Luisa S. “Infection Control Related Behaviors Among Anesthesiologists While Providing Anesthesia Care in the Operating Room.” 2014. Web. 18 Jan 2021.
Vancouver:
Munoz-Price LS. Infection Control Related Behaviors Among Anesthesiologists While Providing Anesthesia Care in the Operating Room. [Internet] [Doctoral dissertation]. University of Miami; 2014. [cited 2021 Jan 18].
Available from: https://scholarlyrepository.miami.edu/oa_dissertations/1204.
Council of Science Editors:
Munoz-Price LS. Infection Control Related Behaviors Among Anesthesiologists While Providing Anesthesia Care in the Operating Room. [Doctoral Dissertation]. University of Miami; 2014. Available from: https://scholarlyrepository.miami.edu/oa_dissertations/1204

University of New South Wales
5.
Azim, Syed.
Establishing the most appropriate statistical analysis for patient safety data.
Degree: Community Medicine, 2016, University of New South Wales
URL: http://handle.unsw.edu.au/1959.4/56073
;
https://unsworks.unsw.edu.au/fapi/datastream/unsworks:39949/SOURCE02?view=true
► BackgroundHealthcare associated infections (HAIs) are common adverse events that are often preventable and life threatening occurring in up to 10 out of 100 hospitalised patients…
(more)
▼ BackgroundHealthcare associated infections (HAIs) are common adverse events that are often preventable and life threatening occurring in up to 10 out of 100 hospitalised patients in Australia. Therefore,
hand hygiene (HH) in healthcare workers is aimed at reducing HAI, specifically methicillin resistant Staphylococcus aureus (MRSA) infections. Antibiotic resistance is a predictor of HAIs and improvement in
hand hygiene compliance aims to reduce HAIs. Australia lacks a robust system for testing the reliability of the validity of the level of antibiotic resistance and the reliability of
hand hygiene compliance rates. This thesis tests both and examines the
hand hygiene compliance data for reliability. Methods This research is a collection of published and submitted, but yet un-published, peer-reviewed journal articles. Collectively, the work describes whether: (1) the current sampling method, usually over 1 month, used by the Australian Group on Antimicrobial Resistance (AGAR) to establish antimicrobial resistance patterns provides reliable estimates of resistance for five commonly used antibiotics (2)
hand hygiene rates reported by
Hand Hygiene Australia (HHA) for medical and nursing staff are reliable and the association between HH rates and Staphylcoccus aureus bloodstream infection (SABSI) are valid (3) the burden of HH for nurses and medical staffs impacts on HH compliance and (4) an automated HH monitoring system is a valid measure of compliance. FindingsThe current MRSA sampling methodology underestimated antibiotic resistance in outpatients with 45% of resistance due to under sampling of highly resistant phenotypes. Nurses’ HH is performed above the national threshold regardless of hospital size and artificially inflates the average compliance of a hospital and its medical staff. HH is still not performed at a sufficiently high level to impact the rate of SABSI. The burden of HH for nurses was three times higher than medical staff and their average weekly compliance was 1.5 times higher than medical staff. The automated system that measures HH compliance is an improved alternative to human auditing which has poor reliability and validityConclusionThe minimum sampling of MRSA should continue for at least 6 months to accommodate the impact that infrequent MRSA phenotypes have on resistance patterns. The number of HH opportunities required of medical staff is not burdensome. Automated auditing provides rapid daily feedback for medical staff that may positively impact on MRSA and HH compliance.
Advisors/Committee Members: McLaws , Mary-Louise, Community Medicine, Faculty of Medicine, UNSW, Rahman, Bayzidur, Community Medicine, Faculty of Medicine, UNSW.
Subjects/Keywords: Hand Hygiene; Patient Safety
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Azim, S. (2016). Establishing the most appropriate statistical analysis for patient safety data. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/56073 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:39949/SOURCE02?view=true
Chicago Manual of Style (16th Edition):
Azim, Syed. “Establishing the most appropriate statistical analysis for patient safety data.” 2016. Doctoral Dissertation, University of New South Wales. Accessed January 18, 2021.
http://handle.unsw.edu.au/1959.4/56073 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:39949/SOURCE02?view=true.
MLA Handbook (7th Edition):
Azim, Syed. “Establishing the most appropriate statistical analysis for patient safety data.” 2016. Web. 18 Jan 2021.
Vancouver:
Azim S. Establishing the most appropriate statistical analysis for patient safety data. [Internet] [Doctoral dissertation]. University of New South Wales; 2016. [cited 2021 Jan 18].
Available from: http://handle.unsw.edu.au/1959.4/56073 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:39949/SOURCE02?view=true.
Council of Science Editors:
Azim S. Establishing the most appropriate statistical analysis for patient safety data. [Doctoral Dissertation]. University of New South Wales; 2016. Available from: http://handle.unsw.edu.au/1959.4/56073 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:39949/SOURCE02?view=true
6.
Kuruno, Noriko; Kasahara, Kei.
Hand hygiene compliance in a universal gloving setting. : ユニバーサルグラビングにおける手指衛生遵守率.
Degree: 博士(医学), 2017, Nara Medical University / 奈良県立医科大学
URL: http://hdl.handle.net/10564/3343
► Background: The use of gloves for every patient contact (universal gloving) has been suggested as an infection prevention adjunct and alternative to contact precautions. However,…
(more)
▼ Background: The use of gloves for every patient contact (universal gloving) has been suggested as an infection prevention adjunct and alternative to contact precautions. However, gloves may carry organisms unless they are changed properly. In addition, hand hygiene is required before donning and after removing gloves, and there are scarce data regarding glove changing and hand hygiene in a universal gloving setting. Methods: This non-randomized observational before-after study evaluated the effect of education and feedback regarding hand hygiene. Compliance with hand hygiene and glove use was directly observed in a universal gloving setting at a 10-bed intensive care unit in a Japanese tertiary care teaching university hospital. Results: A total of 6,050 hand hygiene opportunities were identified. Overall hand hygiene compliance steadily increased from study period 1 (16.1%) to period 5 (56.8%), although there were indication-specific differences in the baseline compliance, the degree of improvement, and the reasons for non-compliance. There were decreases in the compliance for universal gloving and the incidence of methicillin-resistant Staphylococcus aureus. Conclusion: It is difficult to properly perform glove use and hand hygiene in a universal gloving setting, given its complexity. Direct observation with specific feedback and education may be effective in improving compliance.
博士(医学)・甲第671号・平成29年6月28日
Copyright © 2017 The Association for Professionals in Infection Control and Epidemiology, Inc. All rights reserved.
Copyright © 2017 Elsevier Inc. All rights reserved.
Subjects/Keywords: hand hygiene compliance; universal gloving; direct observation
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APA (6th Edition):
Kuruno, Noriko; Kasahara, K. (2017). Hand hygiene compliance in a universal gloving setting. : ユニバーサルグラビングにおける手指衛生遵守率. (Thesis). Nara Medical University / 奈良県立医科大学. Retrieved from http://hdl.handle.net/10564/3343
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Kuruno, Noriko; Kasahara, Kei. “Hand hygiene compliance in a universal gloving setting. : ユニバーサルグラビングにおける手指衛生遵守率.” 2017. Thesis, Nara Medical University / 奈良県立医科大学. Accessed January 18, 2021.
http://hdl.handle.net/10564/3343.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Kuruno, Noriko; Kasahara, Kei. “Hand hygiene compliance in a universal gloving setting. : ユニバーサルグラビングにおける手指衛生遵守率.” 2017. Web. 18 Jan 2021.
Vancouver:
Kuruno, Noriko; Kasahara K. Hand hygiene compliance in a universal gloving setting. : ユニバーサルグラビングにおける手指衛生遵守率. [Internet] [Thesis]. Nara Medical University / 奈良県立医科大学; 2017. [cited 2021 Jan 18].
Available from: http://hdl.handle.net/10564/3343.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Kuruno, Noriko; Kasahara K. Hand hygiene compliance in a universal gloving setting. : ユニバーサルグラビングにおける手指衛生遵守率. [Thesis]. Nara Medical University / 奈良県立医科大学; 2017. Available from: http://hdl.handle.net/10564/3343
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Vanderbilt University
7.
Piras, Susan E.
The Effect of Social Influence on Nurses' Hand Hygiene Behaviors.
Degree: PhD, Nursing Science, 2016, Vanderbilt University
URL: http://hdl.handle.net/1803/14852
► The purpose of this two-phase study was to describe the effects of social influence on critical care nurses’ hand hygiene behavior. Guided by the Theory…
(more)
▼ The purpose of this two-phase study was to describe the effects of social influence on critical care nurses’
hand hygiene behavior. Guided by the Theory of Planned Behavior, the phase-one qualitative study captured a modal set of nurse salient
hand hygiene beliefs using a free response open-ended survey. Findings indicate nurse participants look to nurses as their
hand hygiene referent. Phase-two was a cross-sectional descriptive study designed to determine the contributions of nurses’
hand hygiene attitudes, subjective norms, and perceived control on observed and self-reported
hand hygiene performance using the self-administered Patient Safety Opinion Survey (informed by phase-one findings) and iScrub application (used for
hand hygiene observations). There was no statistically significant association of nurses’ attitude scores with
hand hygiene behavior (beta=-0.10 (observed), beta=0.03 (self-report), p > 0.05). Nurses’ subjective norm and perceived control scores were statistically significant contributors to their observed (Norms: beta = 0.32, p = 0.001; Control: beta = 0.20, p = 0.036) and self-reported (Norms: beta = 0.21, p = 0.028; Control: beta = 0.35, p < 0.001)
hand hygiene. These findings suggest that interventions to increase
hand hygiene subjective norm and perceived control scores may increase
hand hygiene. Consequently, future
hand hygiene work should focus on exploring social strategies with particular attention to the nurse leader because nurses identified them as the most important referent. Nurses observed
hand hygiene median was 55% with their tendency to self-report a much higher median of 90% suggesting if actual
hand hygiene performance statistics are desired, self-report is an inaccurate measure.
Advisors/Committee Members: Dr. Mary Dietrich (committee member), Dr. Tim Vogus (committee member), Dr. Jana Lauderdale (Committee Chair), Dr. Ann Minnick (Committee Chair).
Subjects/Keywords: Hand hygiene; crtical care nurse; social influence
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Piras, S. E. (2016). The Effect of Social Influence on Nurses' Hand Hygiene Behaviors. (Doctoral Dissertation). Vanderbilt University. Retrieved from http://hdl.handle.net/1803/14852
Chicago Manual of Style (16th Edition):
Piras, Susan E. “The Effect of Social Influence on Nurses' Hand Hygiene Behaviors.” 2016. Doctoral Dissertation, Vanderbilt University. Accessed January 18, 2021.
http://hdl.handle.net/1803/14852.
MLA Handbook (7th Edition):
Piras, Susan E. “The Effect of Social Influence on Nurses' Hand Hygiene Behaviors.” 2016. Web. 18 Jan 2021.
Vancouver:
Piras SE. The Effect of Social Influence on Nurses' Hand Hygiene Behaviors. [Internet] [Doctoral dissertation]. Vanderbilt University; 2016. [cited 2021 Jan 18].
Available from: http://hdl.handle.net/1803/14852.
Council of Science Editors:
Piras SE. The Effect of Social Influence on Nurses' Hand Hygiene Behaviors. [Doctoral Dissertation]. Vanderbilt University; 2016. Available from: http://hdl.handle.net/1803/14852

Addis Ababa University
8.
KASSAHUN, YIMAM.
Assessment of Hand Hygiene Practice and associated factors among undergraduate medical students in the College of Health Sciences; Addis Ababa University, Tikur Anbessa Specialized Hospital, Ethiopia
.
Degree: 2014, Addis Ababa University
URL: http://etd.aau.edu.et/dspace/handle/123456789/5440
► Abstract Back ground: Hand hygiene is an important measure to prevent and control infection particularly in developing countries, the identification of several risk factors associated…
(more)
▼ Abstract
Back ground:
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 of extreme importance.
Objective: to assess
hand hygiene practices and associated factors among undergraduate medical
students on clinical year in Addis Ababa University; Tikur Anbessa Specialized Hospital, Ethiopia.
Method: Institution based quantitative cross sectional study design was used to assess the practice and
associated factors that influence
hand hygiene practices among undergraduate clinical year medical
students. A total of 257 medical students were included and selected by simple random sampling. Data
collection was made by using self-administered structured and pre-tested questionnaire. EPI INFO
version 3.5.1 epidemiological software package was used for editing, cleaning and coding. Descriptive
statistics, logistic regression analysis were done to see association of dependent and independent
variable and confounding factors and analysis of variance (one- way ANOVA) were done to see
variation in
hand hygiene practice. Variables with 95% confidence interval and P value < 0.25 during
the bivariate analysis were included in the multivariate logistic regression analysis.
Result: A total of 257 questionnaires were completed. Only 48% indicated that alcohol based
hand rub
is effective for less than 60 seconds. Overall compliance of
hand hygiene was found to be 59% (95 %
CI (53.3, 65.0). Demographic and most environmental factors had no association with
hand hygiene
compliance among medical students only factors: knowledge (AOR [95%CI] = 2.1 [1.06, 4.14]),
sex‘female (AOR [95%CI] = 1.88 [1.05, 3.35]) and beliefs: (AOR [95%CI] = 2.71 [1.5, 4.87]) were
significantly associated with the
hand hygiene compliance.
Conclusion: 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 and there were no
variation in
hand hygiene practice and were significant difference in knowledge and belief among
groups of medical students in different educational year.
Advisors/Committee Members: ABABI ZERGAW (PhD) (advisor).
Subjects/Keywords: hand hygiene practice; beliefs, knowledge; medical student
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
KASSAHUN, Y. (2014). Assessment of Hand Hygiene Practice and associated factors among undergraduate medical students in the College of Health Sciences; Addis Ababa University, Tikur Anbessa Specialized Hospital, Ethiopia
. (Thesis). Addis Ababa University. Retrieved from http://etd.aau.edu.et/dspace/handle/123456789/5440
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
KASSAHUN, YIMAM. “Assessment of Hand Hygiene Practice and associated factors among undergraduate medical students in the College of Health Sciences; Addis Ababa University, Tikur Anbessa Specialized Hospital, Ethiopia
.” 2014. Thesis, Addis Ababa University. Accessed January 18, 2021.
http://etd.aau.edu.et/dspace/handle/123456789/5440.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
KASSAHUN, YIMAM. “Assessment of Hand Hygiene Practice and associated factors among undergraduate medical students in the College of Health Sciences; Addis Ababa University, Tikur Anbessa Specialized Hospital, Ethiopia
.” 2014. Web. 18 Jan 2021.
Vancouver:
KASSAHUN Y. Assessment of Hand Hygiene Practice and associated factors among undergraduate medical students in the College of Health Sciences; Addis Ababa University, Tikur Anbessa Specialized Hospital, Ethiopia
. [Internet] [Thesis]. Addis Ababa University; 2014. [cited 2021 Jan 18].
Available from: http://etd.aau.edu.et/dspace/handle/123456789/5440.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
KASSAHUN Y. Assessment of Hand Hygiene Practice and associated factors among undergraduate medical students in the College of Health Sciences; Addis Ababa University, Tikur Anbessa Specialized Hospital, Ethiopia
. [Thesis]. Addis Ababa University; 2014. Available from: http://etd.aau.edu.et/dspace/handle/123456789/5440
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Victoria University of Wellington
9.
Rees, Lorraine.
Exploring the Barriers and Levers to Hand Hygiene of Nursing and Medical Staff in Emergency Departments: A Mixed Methods Study.
Degree: 2016, Victoria University of Wellington
URL: http://hdl.handle.net/10063/6120
► Background: Emergency Departments (ED) frequently host patients with undiagnosed infectious conditions and patients who are vulnerable to infection. Minimising the risk of exposure to infectious…
(more)
▼ Background:
Emergency Departments (ED) frequently host patients with undiagnosed infectious conditions and patients who are vulnerable to infection. Minimising the risk of exposure to infectious diseases is a priority in healthcare and is managed using a variety of strategies.
Hand hygiene (HH) underpins these strategies, but ED have lagged behind improvement in HH compared to other units in New Zealand public hospitals. Given the consequences of healthcare associated infections (HAI), further investigation is warranted to identify barriers and levers to HH in the challenging environment of ED.
The aim of this explanatory sequential mixed methods study was to identify barriers and levers to HH practice in two ED in New Zealand.
Design:
The mixed methods study was conducted in two phases. In Phase One, a questionnaire was used to survey nurses and doctors in the two ED sites. In Phase Two, follow-on focus groups were used to explore in-depth, specific aspects of the survey results.
Methods:
In Phase One, doctors and nurses in the ED sites were surveyed to identify perceived barriers and levers of HH. A previously validated questionnaire from the United Kingdom was used. Following piloting, the questionnaire was circulated via email to all doctors and registered nurses. Results were analysed descriptively. Areas identified as strong barriers and levers to HH practice were identified, and used to inform development of a focus group interview guide.
In Phase Two, focus group participants were identified from a self-selected convenience sample of survey respondents. Focus groups were audio-recorded and data transcribed verbatim into NVivo Pro 11 before undergoing thematic analysis.
Results:
The survey was distributed to doctors (n= 81) and nurses (n= 214). The response rate was low (11% for nurses, 12% for doctors). Two focus groups (n=6 & n=2) and one face to face interview (n=1) was held with nurses participating in each session. No medical staff participated in this phase of data collection. All respondents had worked in healthcare more than three years. Healthcare workers identified that professional role was the strongest lever for HH (93.1%, n=95), closely followed by knowledge and skills (84.3%, n=86). Healthcare workers demonstrated an awareness of benefits of HH including improving patient confidence and avoidance on infection for the patient and themselves (65.9%, n= 89). 45.6% (n=62) of responses identified a lack of encouragement or role modelling in this area of practice.
The physical environment in the ED was a major barrier (53.7%, n=73) although shorter stays in ED were not perceived as a barrier to HH (73.5%, n= 25). High patient turnover and acuity were also perceived as barriers to HH. HH initiatives were perceived to have a marginal effect (55.3%, n=57). Social influences and communication were further barriers to HH, with healthcare workers identifying discomfort when challenging others about HH.
Conclusion:
Current barriers to HH including the environmental challenges, and social and cultural…
Advisors/Committee Members: Coombs, Maureen, Hales, Caroline.
Subjects/Keywords: Hand Hygiene; Emergency Departments; Patient safety
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Rees, L. (2016). Exploring the Barriers and Levers to Hand Hygiene of Nursing and Medical Staff in Emergency Departments: A Mixed Methods Study. (Masters Thesis). Victoria University of Wellington. Retrieved from http://hdl.handle.net/10063/6120
Chicago Manual of Style (16th Edition):
Rees, Lorraine. “Exploring the Barriers and Levers to Hand Hygiene of Nursing and Medical Staff in Emergency Departments: A Mixed Methods Study.” 2016. Masters Thesis, Victoria University of Wellington. Accessed January 18, 2021.
http://hdl.handle.net/10063/6120.
MLA Handbook (7th Edition):
Rees, Lorraine. “Exploring the Barriers and Levers to Hand Hygiene of Nursing and Medical Staff in Emergency Departments: A Mixed Methods Study.” 2016. Web. 18 Jan 2021.
Vancouver:
Rees L. Exploring the Barriers and Levers to Hand Hygiene of Nursing and Medical Staff in Emergency Departments: A Mixed Methods Study. [Internet] [Masters thesis]. Victoria University of Wellington; 2016. [cited 2021 Jan 18].
Available from: http://hdl.handle.net/10063/6120.
Council of Science Editors:
Rees L. Exploring the Barriers and Levers to Hand Hygiene of Nursing and Medical Staff in Emergency Departments: A Mixed Methods Study. [Masters Thesis]. Victoria University of Wellington; 2016. Available from: http://hdl.handle.net/10063/6120
10.
Kingston, Liz M.
Hand hygiene and professional practice: comparative studies exploring attitudes and practice among healthcare students and among healthcare professionals.
Degree: 2017, University of Limerick
URL: http://hdl.handle.net/10344/8209
► peer-reviewed
Hand hygiene is widely recognised as an effective measure in preventing the transmission of healthcare-associated infection (HCAI). HCAI is a public health challenge internationally…
(more)
▼ peer-reviewed
Hand hygiene is widely recognised as an effective measure in preventing the
transmission of healthcare-associated infection (HCAI). HCAI is a public health
challenge internationally and the emergence of antimicrobial resistance (AMR) and
multi-drug resistant organism-associated infections add to the complexity and
diversity of the challenge. Now, more than ever, the strategic and operational
implementation of infection prevention and control policies, including hand hygiene
improvement strategies, is a priority in managing the acute patient safety risk posed
by the transmission of pathogenic organisms.
Despite this, evidence shows that hand hygiene compliance among healthcare workers
(HCWs) internationally is low, while little is known about the hand hygiene practices
of HCWs in Ireland. Heretofore, a comprehensive independent study of hand hygiene
practice among HCWs in Ireland has not been published. This thesis presents an
independent study of hand hygiene in Ireland and includes the following
Advisors/Committee Members: Dunne, Colum P., O'Connell, Nuala H., Infection Prevention Society.
Subjects/Keywords: hand hygiene; public health; challenge; Ireland
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Kingston, L. M. (2017). Hand hygiene and professional practice: comparative studies exploring attitudes and practice among healthcare students and among healthcare professionals. (Thesis). University of Limerick. Retrieved from http://hdl.handle.net/10344/8209
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Kingston, Liz M. “Hand hygiene and professional practice: comparative studies exploring attitudes and practice among healthcare students and among healthcare professionals.” 2017. Thesis, University of Limerick. Accessed January 18, 2021.
http://hdl.handle.net/10344/8209.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Kingston, Liz M. “Hand hygiene and professional practice: comparative studies exploring attitudes and practice among healthcare students and among healthcare professionals.” 2017. Web. 18 Jan 2021.
Vancouver:
Kingston LM. Hand hygiene and professional practice: comparative studies exploring attitudes and practice among healthcare students and among healthcare professionals. [Internet] [Thesis]. University of Limerick; 2017. [cited 2021 Jan 18].
Available from: http://hdl.handle.net/10344/8209.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Kingston LM. Hand hygiene and professional practice: comparative studies exploring attitudes and practice among healthcare students and among healthcare professionals. [Thesis]. University of Limerick; 2017. Available from: http://hdl.handle.net/10344/8209
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Georgia State University
11.
Patel, Anish.
Impact of Finger Rings on the Presence of Bacteria on Healthcare Providers' Hands.
Degree: MPH, Public Health, 2018, Georgia State University
URL: https://scholarworks.gsu.edu/iph_theses/560
► Despite some evidence that suggest that finger ring use is associated with higher bacterial colonization, healthcare providers continue to wear finger rings in a…
(more)
▼ Despite some evidence that suggest that finger ring use is associated with higher bacterial colonization, healthcare providers continue to wear finger rings in a healthcare setting. The aim of this systematic review was to synthesize the evidence to date regarding whether finger ring use increases bacterial colonization of healthcare providers' hands. Articles that studied the association finger ring use with
hand hygiene and bacterial colonization were searched using PubMed, Google Scholar, and Georgia State University's online library systems. The overall results of this review suggest that finger ring use does increase the bacterial colonization on the hands of HCPs but not with significant difference when compared to no finger ring use; therefore, further research needs to be conducted to decide whether finger rings should be used in a healthcare setting or not.
Advisors/Committee Members: Dr. Lisa Casanova, Dr. Ashli Owen-Smith.
Subjects/Keywords: Healthcare providers; finger rings; hand hygiene.
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Patel, A. (2018). Impact of Finger Rings on the Presence of Bacteria on Healthcare Providers' Hands. (Thesis). Georgia State University. Retrieved from https://scholarworks.gsu.edu/iph_theses/560
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Patel, Anish. “Impact of Finger Rings on the Presence of Bacteria on Healthcare Providers' Hands.” 2018. Thesis, Georgia State University. Accessed January 18, 2021.
https://scholarworks.gsu.edu/iph_theses/560.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Patel, Anish. “Impact of Finger Rings on the Presence of Bacteria on Healthcare Providers' Hands.” 2018. Web. 18 Jan 2021.
Vancouver:
Patel A. Impact of Finger Rings on the Presence of Bacteria on Healthcare Providers' Hands. [Internet] [Thesis]. Georgia State University; 2018. [cited 2021 Jan 18].
Available from: https://scholarworks.gsu.edu/iph_theses/560.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Patel A. Impact of Finger Rings on the Presence of Bacteria on Healthcare Providers' Hands. [Thesis]. Georgia State University; 2018. Available from: https://scholarworks.gsu.edu/iph_theses/560
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Cincinnati
12.
Konicki, Tara.
The Effect of Simulation on Hand Hygiene Knowledge, Beliefs,
and Behaviors of Nursing Students.
Degree: PhD, Nursing: Nursing - Doctoral Program, 2014, University of Cincinnati
URL: http://rave.ohiolink.edu/etdc/view?acc_num=ucin1396532932
► Although hand hygiene remains an essential aspect of quality care, adherence to best patient safety practices continues to pose major challenges. Using an experimental pretest-posttest…
(more)
▼ Although
hand hygiene remains an essential aspect of
quality care, adherence to best patient safety practices continues
to pose major challenges. Using an experimental pretest-posttest
design, this study examined
hand hygiene knowledge, beliefs, and
behaviors in a convenience sample of sophomore nursing students.
The control and intervention groups received the same 45 minute
lecture pertaining to
hand hygiene and 3 data collection points
where van de Mortel’s
Hand Hygiene Questionnaire (HHQ) was
administered. In addition, the intervention group viewed a 6.5
minute video “Partnering to Heal” (U.S. Dept. of HHS) and
participated in 4 simulated situations requiring
hand hygiene,
based on World Health Organization guidelines. For all students,
the
hand hygiene technique was assessed through the use of Glo
Germ, followed by handwashing and photography under ultraviolet
light (posttest only). Image illumination was analyzed using ImageJ
(NIH). Microbiological sampling plates (pretest-posttest) were
assessed quantitatively by colony counting. Study findings did not
support differences in the intervention group for the 5
hypothesized relationships. During the study, several threats
occurred affecting the reliability of the instruments and validity
of the subsequent measurements. For instance, social desirability
responding and negative item confusion were found to occur with the
HHQ in the student population. Interestingly, there was a
significant difference in the UV
hand photographs, with students in
the afternoon having lower values than students in the morning.
Given the study results, there were no definitive educational
recommendations to teach
hand hygiene to nursing students. Future
research should continue to further examine multi-focal modalities
to enhance adherence to
hand hygiene practices, as well as control
for extraneous mediating or moderating variables found in
educational settings. Additional research is needed to develop a
questionnaire reliable in a beginning nursing student
population.
Advisors/Committee Members: Miller, Elaine (Committee Chair).
Subjects/Keywords: Nursing; hand hygiene; nursing education; simulation
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Konicki, T. (2014). The Effect of Simulation on Hand Hygiene Knowledge, Beliefs,
and Behaviors of Nursing Students. (Doctoral Dissertation). University of Cincinnati. Retrieved from http://rave.ohiolink.edu/etdc/view?acc_num=ucin1396532932
Chicago Manual of Style (16th Edition):
Konicki, Tara. “The Effect of Simulation on Hand Hygiene Knowledge, Beliefs,
and Behaviors of Nursing Students.” 2014. Doctoral Dissertation, University of Cincinnati. Accessed January 18, 2021.
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1396532932.
MLA Handbook (7th Edition):
Konicki, Tara. “The Effect of Simulation on Hand Hygiene Knowledge, Beliefs,
and Behaviors of Nursing Students.” 2014. Web. 18 Jan 2021.
Vancouver:
Konicki T. The Effect of Simulation on Hand Hygiene Knowledge, Beliefs,
and Behaviors of Nursing Students. [Internet] [Doctoral dissertation]. University of Cincinnati; 2014. [cited 2021 Jan 18].
Available from: http://rave.ohiolink.edu/etdc/view?acc_num=ucin1396532932.
Council of Science Editors:
Konicki T. The Effect of Simulation on Hand Hygiene Knowledge, Beliefs,
and Behaviors of Nursing Students. [Doctoral Dissertation]. University of Cincinnati; 2014. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=ucin1396532932

University of South Africa
13.
Mugweni, Rabecca.
Factors associated with noncompliance to hand hygiene standards among nurses at one hospital in Windhoek, Namibia
.
Degree: 2017, University of South Africa
URL: http://hdl.handle.net/10500/23207
► The purpose of this study was to describe factors associated with noncompliance to hand hygiene standards among nurses in one public hospital in Windhoek, Namibia.…
(more)
▼ The purpose of this study was to describe factors associated with noncompliance to
hand hygiene standards among nurses in one public hospital in Windhoek, Namibia. A quantitative, descriptive, cross-sectional research design was employed using a stratified sample comprising three categories of nurses (registered, enrolled and auxiliary nurses). Data collection was done using a structured questionnaire.
Based on the results, there were more institutional than individual factors associated with noncompliance to
hand hygiene. Compliance to
hand hygiene was found to be lowest when nurses provide care for patients in non-isolation rooms, when the perceived risk of acquiring infection from patients was low and following brief encounters with patients. Dryness of the skin caused by
hand hygiene agents and lack of active participation in
hand hygiene promotion at individual level contributed to noncompliance to
hand hygiene among nurses. In addition, the results showed that, institutionally there were no rewards/encouragement for
hand hygiene, no sanctions for non-compliers and no workshops, seminars and continuing educational courses on
hand hygiene.
The study produced interesting insights into the vital role that good leadership plays in the implementation of
hand hygiene policy guidelines. The key recommendations for this study included development of good leadership, characterized by dedication for
hygiene standards to encourage staff to maintain
hygiene practice and to ensure that there are adequate resources for the implementation of
hand hygiene policy as well as rewards/incentives for compliers and sanctions for noncompliers
Advisors/Committee Members: Chauke, Motshedisi Eunice (advisor).
Subjects/Keywords: Hand hygiene practices;
Health care associated infections;
Standard precautions;
Compliance and noncompliance to hand hygiene
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Mugweni, R. (2017). Factors associated with noncompliance to hand hygiene standards among nurses at one hospital in Windhoek, Namibia
. (Masters Thesis). University of South Africa. Retrieved from http://hdl.handle.net/10500/23207
Chicago Manual of Style (16th Edition):
Mugweni, Rabecca. “Factors associated with noncompliance to hand hygiene standards among nurses at one hospital in Windhoek, Namibia
.” 2017. Masters Thesis, University of South Africa. Accessed January 18, 2021.
http://hdl.handle.net/10500/23207.
MLA Handbook (7th Edition):
Mugweni, Rabecca. “Factors associated with noncompliance to hand hygiene standards among nurses at one hospital in Windhoek, Namibia
.” 2017. Web. 18 Jan 2021.
Vancouver:
Mugweni R. Factors associated with noncompliance to hand hygiene standards among nurses at one hospital in Windhoek, Namibia
. [Internet] [Masters thesis]. University of South Africa; 2017. [cited 2021 Jan 18].
Available from: http://hdl.handle.net/10500/23207.
Council of Science Editors:
Mugweni R. Factors associated with noncompliance to hand hygiene standards among nurses at one hospital in Windhoek, Namibia
. [Masters Thesis]. University of South Africa; 2017. Available from: http://hdl.handle.net/10500/23207

Michigan State University
14.
Liggins, Jay Jordan.
A two-level approach to increase hand hygiene compliance among healthcare workers in a community hospital.
Degree: 2017, Michigan State University
URL: http://etd.lib.msu.edu/islandora/object/etd:6743
► "Hand hygiene is a vital tool in the prevention of nosocomial infections such as central line associated bloodstream infections (CLABSIs) and catheter associated urinary tract…
(more)
▼ "Hand hygiene is a vital tool in the prevention of nosocomial infections such as central line associated bloodstream infections (CLABSIs) and catheter associated urinary tract infections (CAUTIs). This study implemented a two-level intervention centered on feedback and reminders of the importance of hand hygiene. The objective of this study was to increase hand hygiene compliance of healthcare workers to 70%, and to decrease CLABSI and CAUTI rates among inpatient units within a community hospital. Baseline data was collected from June 2016 to March 2017 and consisted of 1,991 hand hygiene observations. The two-level intervention was implemented over six weeks when 3,438 hand hygiene observations were recorded. After the first five weeks of the original intervention, and additional feedback component added to the sixth week, there was a significant increase in hand hygiene compliance, from an average rate of 53% (November 2016 to March 2017) to 65% after six weeks (p-value < 0.0001). Based on the results of this study, the odds of compliance are 1.17 (95% CI: 1.10-1.25) times higher for every two weeks of additional the intervention time, controlling for healthcare worker type and for hospital unit. There were ultimately too few CLABSI and CAUTI infection cases to analyze. However, the significant increase in hand hygiene compliance in just over a month's time, concomitant with weekly feedback and daily reminders for healthcare workers who are in regular and frequent contact with patients could potentially provide infection prevention units with knowledge to help them reach their infection prevention targets." – Page ii.
Online resource;
Advisors/Committee Members: Zhang, Lixin, Todem, David, Pathak, Dorothy R..
Subjects/Keywords: Medical personnel; Hand washing; Hand – Care and hygiene; Hospitals – Employees; Epidemiology
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Liggins, J. J. (2017). A two-level approach to increase hand hygiene compliance among healthcare workers in a community hospital. (Thesis). Michigan State University. Retrieved from http://etd.lib.msu.edu/islandora/object/etd:6743
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Liggins, Jay Jordan. “A two-level approach to increase hand hygiene compliance among healthcare workers in a community hospital.” 2017. Thesis, Michigan State University. Accessed January 18, 2021.
http://etd.lib.msu.edu/islandora/object/etd:6743.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Liggins, Jay Jordan. “A two-level approach to increase hand hygiene compliance among healthcare workers in a community hospital.” 2017. Web. 18 Jan 2021.
Vancouver:
Liggins JJ. A two-level approach to increase hand hygiene compliance among healthcare workers in a community hospital. [Internet] [Thesis]. Michigan State University; 2017. [cited 2021 Jan 18].
Available from: http://etd.lib.msu.edu/islandora/object/etd:6743.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Liggins JJ. A two-level approach to increase hand hygiene compliance among healthcare workers in a community hospital. [Thesis]. Michigan State University; 2017. Available from: http://etd.lib.msu.edu/islandora/object/etd:6743
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Uppsala University
15.
Oscarsson, Rebecka.
Compliance to intraoperative basic hygiene and patient safety culture in Maputo, Mozambique. : An observational study.
Degree: Public Health and Caring Sciences, 2015, Uppsala University
URL: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-262910
► Background: Surgical site infections are commonly occuring within healthcare, especially in Africa. Good hygiene is the most effective way in which to reduce and…
(more)
▼ Background: Surgical site infections are commonly occuring within healthcare, especially in Africa. Good hygiene is the most effective way in which to reduce and prevent infection, compliance however is often low or insufficient. Aim: The Aim of the study was to observe intraoperative compliance to basic hand hygiene in the operating theatre, the secondary aim was to investigate the surgical teams views on patient safety by using a survey on patient safety culture. Method: The design is a quantitative observational study. Through participant observation information was gathered on compliance to basic intraoperative hygiene routines in operating theatres in Mozambique. Operating personnel were then asked to complete a survey on patient safety culture. Result: None of the work elements were performed in complete compliance to WHO’s guidelines at all times. The operating theatre personnel’s views on Patient Safety Culture showed the highest percentage of positive responses was the dimensions “Teamwork Within Hospital Units” and “Organisational Learning- Continous improvement”. The dimensions with the least positive response was “Nonpunitive Response To Error” and “Staffing”. When comparing compliance to basic hygiene and the results of the patient safety culture survey a medium relation was found, where the staff who gave the most positive response to the survey also complied better to the WHO’s hygiene guidelines. Conclusions: Compliance to basic hygiene during the intraoperative phase in the operating theatre in Mozambique, Maputo was often insufficient. There was a medium strong relation between the staffs views on patient safety and their compliance to basic hygiene. This implies that working with the staff’s attitudes concerning patient safety could improve hygiene compliance resulting in reduced number of surgical site infections.
Subjects/Keywords: Hygiene; hand-hygiene; compliance; operating theatre; patient safety culture
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Oscarsson, R. (2015). Compliance to intraoperative basic hygiene and patient safety culture in Maputo, Mozambique. : An observational study. (Thesis). Uppsala University. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-262910
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Oscarsson, Rebecka. “Compliance to intraoperative basic hygiene and patient safety culture in Maputo, Mozambique. : An observational study.” 2015. Thesis, Uppsala University. Accessed January 18, 2021.
http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-262910.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Oscarsson, Rebecka. “Compliance to intraoperative basic hygiene and patient safety culture in Maputo, Mozambique. : An observational study.” 2015. Web. 18 Jan 2021.
Vancouver:
Oscarsson R. Compliance to intraoperative basic hygiene and patient safety culture in Maputo, Mozambique. : An observational study. [Internet] [Thesis]. Uppsala University; 2015. [cited 2021 Jan 18].
Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-262910.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Oscarsson R. Compliance to intraoperative basic hygiene and patient safety culture in Maputo, Mozambique. : An observational study. [Thesis]. Uppsala University; 2015. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-262910
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Hong Kong
16.
Mok, Anthony.
Effectiveness of hand
hygiene programs that improve compliance rate among healthcare
workers: a systematic review.
Degree: 2012, University of Hong Kong
URL: http://hdl.handle.net/10722/179923
► Introduction: Hand hygiene, the most effective and economical way to prevent the transmission of many bacteria and viruses in healthcare settings, yet, its compliance rate…
(more)
▼ Introduction:
Hand hygiene, the most
effective and economical way to prevent the transmission of many
bacteria and viruses in healthcare settings, yet, its compliance
rate remained unacceptably poor in many countries. Compliance with
hand hygiene among healthcare workers increased substantially
during outbreak of serious acute respiratory symptoms (SARS) in
2003 but decreased to the baseline after SARS, to improve
compliance rate sustainable, many hand hygiene intervention
programs have been established since 2003. However, the
effectiveness of these programs were in big variations. The
objectives of this review were to identify the effectiveness of
these hand hygiene intervention programs.
Methods:
This review
was conducted using the search engines – PubMed. The key words
“hand hygiene”, “hand-washing”, “compliance”, “healthcare
personnel”, and “program*” were used for searching literature
published from 2003 to July 2012.. Forty-Seven articles were
initially obtained. After screening and reviewing of these
articles,9 articles met the requirements for inclusion and
exclusion criteria were included in this review. The outcome
measure was set as the differences and relative ratios in the
observed hand hygiene compliance rate before and after
intervention.
Results:
Results showed that 8 hand hygiene
programs were effective while 1 programme was ineffective in
improving hand hygiene compliance rates. Of the eight studies that
reported improvement in compliance with hand hygiene, improvement
in compliance rate after the interventions was ranged from (24% to
50%) while the relative ratio of compliance (after vs. before
intervention) was ranged from 1.78 to 4. The study that reported no
improvement in compliance with hand hygiene had a relative high
naseline hand hygiene compliance rate of 61%
Conclusion:
Hand
hygiene programs that improve compliance rate among healthcare
workers were effective overall. The effectiveness of hand hygiene
programs seemed to be positively associated with the numbers of
intervention types involved. Research on non-compliance and
intrapersonal behavior on hand hygiene was suggested for future
investigation.
Subjects/Keywords: Hand
washing.; Hand -
Care and hygiene.
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Chicago ·
MLA ·
Vancouver ·
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Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Mok, A. (2012). Effectiveness of hand
hygiene programs that improve compliance rate among healthcare
workers: a systematic review. (Thesis). University of Hong Kong. Retrieved from http://hdl.handle.net/10722/179923
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Mok, Anthony. “Effectiveness of hand
hygiene programs that improve compliance rate among healthcare
workers: a systematic review.” 2012. Thesis, University of Hong Kong. Accessed January 18, 2021.
http://hdl.handle.net/10722/179923.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Mok, Anthony. “Effectiveness of hand
hygiene programs that improve compliance rate among healthcare
workers: a systematic review.” 2012. Web. 18 Jan 2021.
Vancouver:
Mok A. Effectiveness of hand
hygiene programs that improve compliance rate among healthcare
workers: a systematic review. [Internet] [Thesis]. University of Hong Kong; 2012. [cited 2021 Jan 18].
Available from: http://hdl.handle.net/10722/179923.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Mok A. Effectiveness of hand
hygiene programs that improve compliance rate among healthcare
workers: a systematic review. [Thesis]. University of Hong Kong; 2012. Available from: http://hdl.handle.net/10722/179923
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Rhodes University
17.
Stack, Jessica Danielle.
The effects of glove fit on task performance and on the human operator.
Degree: MS, Faculty of Science, Human Kinetics and Ergonomics, 2010, Rhodes University
URL: http://hdl.handle.net/10962/d1005197
► The hand is one of the most complex of all of the anatomical structures in the human body. It has been found that hand injuries…
(more)
▼ The
hand is one of the most complex of all of the anatomical structures in the human body. It has been found that
hand injuries are among the most frequent injuries that occur to the body, predominantly during industrial activities. It has therefore been concluded that more research is needed into protective factors, such as glove use. The design features of a glove emphasise either protection or performance. There is often a trade-off between increased safety and performance capability when donning gloves. It has been determined that gloves which are fitted and comfortable for the worker may provide the best compromise between protective functions and decreased performance. This investigation aimed to assess the influence of glove fit on the performance attributes of industrial tasks, as well as on the responses of the human operator. Glove fit was analysed as 35 male participants donned three different glove sizes during each test, including a best-fitting glove, a glove one size smaller than best-fitting, and a glove one size larger than best-fitting. For each glove size, gloves of two differing materials were tested, namely nitrile and neoprene. A barehanded condition was also tested, totalling seven gloved/barehanded conditions for each test. The seven conditions were assessed in a laboratory setting in a battery of tests. This consisted of components of task performance, including maximum pulling and pushing force, maximum torque, precision of force, tactility, speed and accuracy and dexterity. The performance responses were recorded, as well as participants’ perceptual responses using the Rating of Perceived Exertion scale, and muscle activity. Six muscles were selected: Flexor Digitorum Superficialis, Flexor Pollicus Longus, Extensor Carpi Ulnaris, Extensor Carpi Radialis, Flexor Carpi Ulnaris and Flexor Carpi Radialis. The results revealed that glove fit does affect certain spects of performance, and influences human operator responses for selected task components. Furthermore, discrepancies were distinguished between orking barehanded and working with an optimally fitted glove. There was also a glove material effect established. Overall, it was found that muscle activity when exerting maximum force in a pushing and pulling direction was optimal with the nitrile glove material. Maximum torque performance was enhanced with the use of a best-fitting glove, as compared with an ill-fitting glove or barehanded work. Force precision was preferable when barehanded, as opposed to the tactility task which rendered optimal results with a best-fitting glove. The same was found for speed and accuracy results, as glove fit appeared to have no effect on performance, but performance was improved when participants were barehanded. Dexterity performance was the most conclusively influenced by the conditions, resulting in barehanded performance being optimal. However, should a glove be necessary for a given task, an optimally-fitted glove which is of a thinner material would be recommended. It is necessary to distinguish the…
Advisors/Committee Members: Zschernack, Swantje.
Subjects/Keywords: Hand – Anatomy; Hand – Wounds and injuries; Hand – Care and hygiene; Gloves; Safety education, Industrial; Human-machine systems; Industrial safety; Industrial accidents
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Stack, J. D. (2010). The effects of glove fit on task performance and on the human operator. (Masters Thesis). Rhodes University. Retrieved from http://hdl.handle.net/10962/d1005197
Chicago Manual of Style (16th Edition):
Stack, Jessica Danielle. “The effects of glove fit on task performance and on the human operator.” 2010. Masters Thesis, Rhodes University. Accessed January 18, 2021.
http://hdl.handle.net/10962/d1005197.
MLA Handbook (7th Edition):
Stack, Jessica Danielle. “The effects of glove fit on task performance and on the human operator.” 2010. Web. 18 Jan 2021.
Vancouver:
Stack JD. The effects of glove fit on task performance and on the human operator. [Internet] [Masters thesis]. Rhodes University; 2010. [cited 2021 Jan 18].
Available from: http://hdl.handle.net/10962/d1005197.
Council of Science Editors:
Stack JD. The effects of glove fit on task performance and on the human operator. [Masters Thesis]. Rhodes University; 2010. Available from: http://hdl.handle.net/10962/d1005197
18.
Barbosa, Luciana Rezende.
Correlação entre métodos de mensuração da adesão à higienização das mãos em unidade de terapia intensiva neonatal.
Degree: PhD, Saúde Ambiental, 2010, University of São Paulo
URL: http://www.teses.usp.br/teses/disponiveis/6/6134/tde-05102010-103307/
;
► Introdução: A utilização de métodos simples e de baixo custo para se medir a adesão à higienização das mãos em serviços de saúde torna-se cada…
(more)
▼ Introdução: A utilização de métodos simples e de baixo custo para se medir a adesão à higienização das mãos em serviços de saúde torna-se cada vez mais necessária, a fim de permitir a avaliação da qualidade da assistência prestada, dos investimentos realizados e da eficácia das intervenções objetivando o aumento da adesão à prática. Objetivo: Correlacionar o método indireto de medir a adesão à higienização das mãos com o método direto em uma unidade de terapia intensiva neonatal de um hospital público universitário em Belo Horizonte, Minas Gerais. Método: Estudo analítico de observação direta da higienização de mãos de profissionais e visitantes. Paralelamente, o número de higienizações de mãos obtido por meio de contadores eletrônicos instalados no interior dos dosadores de sabão neutro e gel alcoólico. A correlação entre os métodos foi analisada pelo diagrama de dispersão e pela regressão. Resultados: Foram observadas 7.324 oportunidades de higienização de mãos em 255 períodos de uma hora cada. Foi identificada uma correlação positiva moderada quando a variável resposta foi a porcentagem de adesão e uma correlação positiva forte quando a variável resposta foi o número de higienizações de mãos. Conclusões: A existência de uma concordância e uma correlação positiva entre os dois métodos significa a possibilidade da utilização de métodos indiretos para monitorar o aumento ou a diminuição da adesão à higienização das mãos. O monitoramento dessa importante prática de prevenção de infecções permite aos serviços de saúde aprimorar a qualidade do cuidado assistido, incentivo para a realização de melhorias, investigação de surtos e infra-estrutura física adequada
Introduction: The use of a simple and low cost method to measure hand hygiene compliance in health care services becomes more and more necessary to allow assessment of the quality of care, investments done and interventions effectiveness aiming to increase compliance. Objective: To correlate the indirect method of measuring hand hygiene compliance with the direct method in a neonate intensive care unit at a university public hospital in Belo Horizonte, Minas Gerais. Method: Analytical study of hand hygiene direct observation of health care workers and visitors. At the same time, the number of hand hygiene was obtained through the electronic counters device installed inside the alcohol and blend soap dispensers was obtained. Correlation between methods was analyzed using dispersion diagram and regression. Results: 7.324 hand hygiene opportunities were observed during 255 periods of one hour each one. Moderate positive correlation was identified when the dependent variable was percentage of compliance and a strong positive correlation when the dependent variable was the number of hand hygiene. Conclusions: The existence of the concordance and the positive correlation between the two methods means the possibility to use indirect methods to monitor hand hygiene compliance increase or decrease. The monitoring of this important practice of infection prevention allow…
Advisors/Committee Members: Colacioppo, Sergio.
Subjects/Keywords: Adesão à higienização das mãos; Hand hygiene; Hand hygiene compliance; Higienização das mãos; Methods to measure compliance; Métodos de medir adesão
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Barbosa, L. R. (2010). Correlação entre métodos de mensuração da adesão à higienização das mãos em unidade de terapia intensiva neonatal. (Doctoral Dissertation). University of São Paulo. Retrieved from http://www.teses.usp.br/teses/disponiveis/6/6134/tde-05102010-103307/ ;
Chicago Manual of Style (16th Edition):
Barbosa, Luciana Rezende. “Correlação entre métodos de mensuração da adesão à higienização das mãos em unidade de terapia intensiva neonatal.” 2010. Doctoral Dissertation, University of São Paulo. Accessed January 18, 2021.
http://www.teses.usp.br/teses/disponiveis/6/6134/tde-05102010-103307/ ;.
MLA Handbook (7th Edition):
Barbosa, Luciana Rezende. “Correlação entre métodos de mensuração da adesão à higienização das mãos em unidade de terapia intensiva neonatal.” 2010. Web. 18 Jan 2021.
Vancouver:
Barbosa LR. Correlação entre métodos de mensuração da adesão à higienização das mãos em unidade de terapia intensiva neonatal. [Internet] [Doctoral dissertation]. University of São Paulo; 2010. [cited 2021 Jan 18].
Available from: http://www.teses.usp.br/teses/disponiveis/6/6134/tde-05102010-103307/ ;.
Council of Science Editors:
Barbosa LR. Correlação entre métodos de mensuração da adesão à higienização das mãos em unidade de terapia intensiva neonatal. [Doctoral Dissertation]. University of São Paulo; 2010. Available from: http://www.teses.usp.br/teses/disponiveis/6/6134/tde-05102010-103307/ ;

University of California – Berkeley
19.
Lachance, Jennifer Alice.
Employer Preparedness for Pandemic Influenza: Shifting the Conversation from Insurance to Investment.
Degree: Public Health, 2010, University of California – Berkeley
URL: http://www.escholarship.org/uc/item/0p05b5qx
► Pandemic influenza is currently one of the most visible public health threats of concern to the general public, and private businesses are an important part…
(more)
▼ Pandemic influenza is currently one of the most visible public health threats of concern to the general public, and private businesses are an important part of pandemic preparedness. The health of communities is affected by the local economy, which is driven by the businesses in that economy. To date, public health authorities' efforts to engage businesses in pandemic influenza preparedness efforts have justified preparedness based on potential losses due to future, uncertain threats. However, this approach has not successfully engaged businesses on a broad scale. This dissertation proposes that a more effective way to engage the private sector may be to shift the conversation away from justifying preparedness only as a long-term insurance strategy and toward justifying it as an investment strategy with short-term benefits such as improved employee health during interpandemic cold and influenza seasons. The viability and acceptability of this new approach are explored here via three distinct but complementary studies using both quantitative and qualitative methods. The first study, a prospective observational cohort study, examined the individual characteristics and situations that predicted changes in hand and respiratory hygiene and social distancing behaviors among university students during an interpandemic cold and influenza season. This analysis reveals that individuals have higher adherence to behaviors in situations such as when they are ill. Additionally, some individual characteristics predict higher behavior adherence. In particular, individuals who perceive peer expectations concerning adherence to hygiene behaviors tend to have better adherence to those behaviors over the course of a cold and influenza season. The second study, a cost-effectiveness analysis of a hand and respiratory hygiene intervention among university students, assessed whether an intervention could be cost-effective in reducing influenza-like illness and associated time lost from productive activities during an interpandemic cold and influenza season. This analysis finds that hand and respiratory hygiene interventions can be cost-effective and may even become cost-saving during a severe cold and influenza season, especially using group-level interventions that may create peer expectations to influence behaviors. Finally, the third study, an exploratory analysis based on key informant interviews with private sector business continuity managers, consultants, and public sector planners, examined private sector preparedness for pandemic influenza. This analysis assessed the key components of employer pandemic influenza preparedness plans, including whether short-term benefits are a consideration in business planning. The results indicate that the most important components of private sector pandemic influenza plans before and during the 2009 H1N1 influenza pandemic included communications and employee education around hygiene behaviors. Participants further identified that implementation of these initiatives during…
Subjects/Keywords: Public health; Employer preparedness; Hand hygiene; Influenza; Pandemic; Respiratory hygiene; Social distancing
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Lachance, J. A. (2010). Employer Preparedness for Pandemic Influenza: Shifting the Conversation from Insurance to Investment. (Thesis). University of California – Berkeley. Retrieved from http://www.escholarship.org/uc/item/0p05b5qx
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Lachance, Jennifer Alice. “Employer Preparedness for Pandemic Influenza: Shifting the Conversation from Insurance to Investment.” 2010. Thesis, University of California – Berkeley. Accessed January 18, 2021.
http://www.escholarship.org/uc/item/0p05b5qx.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Lachance, Jennifer Alice. “Employer Preparedness for Pandemic Influenza: Shifting the Conversation from Insurance to Investment.” 2010. Web. 18 Jan 2021.
Vancouver:
Lachance JA. Employer Preparedness for Pandemic Influenza: Shifting the Conversation from Insurance to Investment. [Internet] [Thesis]. University of California – Berkeley; 2010. [cited 2021 Jan 18].
Available from: http://www.escholarship.org/uc/item/0p05b5qx.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Lachance JA. Employer Preparedness for Pandemic Influenza: Shifting the Conversation from Insurance to Investment. [Thesis]. University of California – Berkeley; 2010. Available from: http://www.escholarship.org/uc/item/0p05b5qx
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Windsor
20.
Foote, Anne.
Exploring Self-Perceived Hand Hygiene Practices among
Undergraduate Nursing Students.
Degree: MS, Nursing, 2014, University of Windsor
URL: http://scholar.uwindsor.ca/etd/5037
► The consistent performance of hand hygiene by health care providers is the single most effective strategy to prevent the transmission of health care associated…
(more)
▼ The consistent performance of
hand
hygiene by health care providers is the single most effective
strategy to prevent the transmission of health care associated
infections. An anonymous questionnaire to explore self-perceived
hand hygiene compliance rates, predictors of compliance, and
barriers to compliance was completed by 306 nursing students
registered at the University of Windsor, in Ontario, Canada.
Overall, 74.8% of participants were considered to be
hand hygiene
compliant, indicating that their compliance was greater than 90%
both before and after having had direct patient contact. Logistic
regression analysis suggested that seven variables were independent
predictors of
hand hygiene compliance: participant's concerns about
receiving reprimand or discipline if
hand hygiene guidelines were
not followed; participant's motivation to protect the patient from
infection; number of clinical placements; busyness; forgetfulness;
participant's perception that alcohol
hand rub damages the skin;
and participant's belief that their clinical nursing instructor
consistently performed
hand hygiene when
necessary.
Advisors/Committee Members: El-Masri, Maher.
Subjects/Keywords: Health and environmental sciences; Education; Hand hygiene; Hygiene compliance; Handwashing; Nursing students
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Foote, A. (2014). Exploring Self-Perceived Hand Hygiene Practices among
Undergraduate Nursing Students. (Masters Thesis). University of Windsor. Retrieved from http://scholar.uwindsor.ca/etd/5037
Chicago Manual of Style (16th Edition):
Foote, Anne. “Exploring Self-Perceived Hand Hygiene Practices among
Undergraduate Nursing Students.” 2014. Masters Thesis, University of Windsor. Accessed January 18, 2021.
http://scholar.uwindsor.ca/etd/5037.
MLA Handbook (7th Edition):
Foote, Anne. “Exploring Self-Perceived Hand Hygiene Practices among
Undergraduate Nursing Students.” 2014. Web. 18 Jan 2021.
Vancouver:
Foote A. Exploring Self-Perceived Hand Hygiene Practices among
Undergraduate Nursing Students. [Internet] [Masters thesis]. University of Windsor; 2014. [cited 2021 Jan 18].
Available from: http://scholar.uwindsor.ca/etd/5037.
Council of Science Editors:
Foote A. Exploring Self-Perceived Hand Hygiene Practices among
Undergraduate Nursing Students. [Masters Thesis]. University of Windsor; 2014. Available from: http://scholar.uwindsor.ca/etd/5037

Kristianstad University
21.
Jakobsson, Sandra.
Sjuksköterskors följsamhet av basala hygienrutiner : med fokus på handhygien.
Degree: Health and Society, 2014, Kristianstad University
URL: http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-13296
► Bakgrund: Sjuksköterskors följsamhet till handhygien är en förutsättning för att förhindra smittspridning.Varje år skadas 100 000 patienter i vårdrelaterade infektioner och var tionde inneliggande…
(more)
▼ Bakgrund: Sjuksköterskors följsamhet till handhygien är en förutsättning för att förhindra smittspridning.Varje år skadas 100 000 patienter i vårdrelaterade infektioner och var tionde inneliggande patient drabbas. Vårdtiden förlängs med 4 dagar och detta kostar samhället oerhörda resurser och kostnader. Kontaktsmitta via sjukvårdspersonals händer är den vanligaste orsaken. Detta skulle kunna förhindras om sjukvårdspersonalen utför korrekt handhygien enligt de rekommenderade riktlinjerna. Syfte Syftet med studien var att belysa faktorer som påverkar hur sjuksköterskor inom den slutna vården följer riktlinjer för basala hygienrutiner gällande handhygien. Metod: Allmän litteraturstudie Resultat Följsamheten hossjuksköterskorna i studien var låg. Resultatet visade att sjuksköterskornas följsamhet till handhygienen påverkades av följande kategorier som framkom i de funna resultaten; Hudpåverkan, attityder, materialtillgång, arbetsbelastning och stress, utbildning och kunskap. Det brast framförallt i handhygienen före kontakt med patienten. Diskussion: En stark bidragande orsak till bristande handhygien var att sjuksköterskorna ville skydda sig själva och inte tänker på patienterna. Arbetsbelastning och stress var en annan bidragande faktor till den låga följsamheten. Slutsats: Det behövs fortsatt forskning och förebyggande arbete om handhygien. Detta kan förebyggas med bland annat utbildning och kunskap om handhygien. Bättre materiella resurser behövs för att kunna sköta handhygienen bättre.
Background : Nurses adherence to hand hygiene is essential to prevent the spread of infection.Each year 100 000 patients are harmed by nosocomial infections and it effects every tenth inpatient care patient. Care time is prolonged by four days, costing the society vast resources and expenses. Contact infection via hospital stuff hands is the most common cause. This could be prevented if hospital stuff practiced proper hand hygiene according to recommended giudelines. Purpose: The purpose of the study was to highlight elements that influence how inpatient care nurses follow guidelines regarding basic hand hygiene. Method: General literature study. Result: Nurses in the study had low compliance. Result showed that nurses ́compliance to hand hygiene was affected by the following categories, transpiring in founds results; effect on skin, attitude, acess to material, workload and stress, education and knowledge. Especially hand hygiene prior to patient contact was deficient. Discussion: A strong contributory cause of insuffiicient hand hygiene was nurses trying to protect themselves and not thinking of the patients. Work load and stress was another contributing cause of the law compliance. Conclusion: Further research as well as preventive efforts regarding hand hygiene is needed. This can be prevented by for example education and knowledge of hand hygiene. Enhanced material resources is needed to conduct betetr hand hygiene.
Subjects/Keywords: nurses; hand hygiene; attitude; compliance; basic hygiene routines; sjuksköterskor; handhygien; attityd; följsamhet; basala hygienrutiner
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Jakobsson, S. (2014). Sjuksköterskors följsamhet av basala hygienrutiner : med fokus på handhygien. (Thesis). Kristianstad University. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-13296
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Jakobsson, Sandra. “Sjuksköterskors följsamhet av basala hygienrutiner : med fokus på handhygien.” 2014. Thesis, Kristianstad University. Accessed January 18, 2021.
http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-13296.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Jakobsson, Sandra. “Sjuksköterskors följsamhet av basala hygienrutiner : med fokus på handhygien.” 2014. Web. 18 Jan 2021.
Vancouver:
Jakobsson S. Sjuksköterskors följsamhet av basala hygienrutiner : med fokus på handhygien. [Internet] [Thesis]. Kristianstad University; 2014. [cited 2021 Jan 18].
Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-13296.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Jakobsson S. Sjuksköterskors följsamhet av basala hygienrutiner : med fokus på handhygien. [Thesis]. Kristianstad University; 2014. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-13296
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Addis Ababa University
22.
Mesele, Damte.
ASSESSMENT OF THE KNOWLEDGE, ATTITUDE AND PRACTICE OF HEALTH CARE WORKERS ON UNIVERSAL PRECAUTION IN NORTH WOLLO ZONE, AMHARA REGION, NORTH EASTERN ETHIOPIA, 2006
.
Degree: 2008, Addis Ababa University
URL: http://etd.aau.edu.et/dspace/handle/123456789/3107
► Background Employing universal precautions means taking precautions with everybody. If precautions are taken with everyone, health care workers do not have to make assumptions about…
(more)
▼ Background Employing universal precautions means taking precautions
with everybody. If precautions are taken with everyone, health care workers do
not have to make assumptions about people's lifestyles and risk of infection.
Objectives: The main objective of the study was to assess the knowledge,
attitude and practices of health care workers on universal precautions and
factors in health institutes.
Methods: This cross sectional health institution based survey was conducted
in North Wollo Zone from January through September 2006. The study has
used quantitative and qualitative methods. Statistical significance was
determined by computing mean variations using T test and one-way ANOVA
methods.
Results: - The response rate for quantitative method was 93.4%. The mean
knowledge score of health care workers was 2.53 ± (SD 1.17) and 156 (44.4%)
of the respondents had greater or equal to the mean score. Seventy-nine
(87.8%) of the observed injection practices was found to be unsafe to the health
care workers and clients or community. The overall
hand hygiene adherence
rate was 28.34% ± (SD 27.58%). Correct
hand hygiene practice has statistically
significant association with availability of water, alcohol, and participating on
UP trainings (OR (95% CI) = 6.89(2.66, 17.87), (OR (95% CI) = 3.95(1.46,
10.68), and (OR (95% CI) = 5.84(2.32, 14.72). Also female health care workers
better adhere to
hand hygiene than male (OR (95% CI) = 0.15(0.06, 0.38).
According to the FGD’s result luck of supplies and facilities were the main
factors for unsafe practices in health institutes.
Conclusion: Considerable proportion of health care workers in North Wollo
had lacked proper knowledge, attitude and practice towards universal
precautions. Equally health care facilities in North Wollo were not adequately
prepared in supplying essential materials to safe practices. Providing training
on universal precaution to all health care staff and enhancing sustainable
supplies systems are recommended.
Key words: universal precaution, health care workers, universal precaution related practice and
hand hygiene.
Advisors/Committee Members: Mulugeta Betre (MD, MPH, Ass. Professor) (advisor).
Subjects/Keywords: universal precaution; health care workers; universal precaution relatedpractice and hand hygiene.
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to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Mesele, D. (2008). ASSESSMENT OF THE KNOWLEDGE, ATTITUDE AND PRACTICE OF HEALTH CARE WORKERS ON UNIVERSAL PRECAUTION IN NORTH WOLLO ZONE, AMHARA REGION, NORTH EASTERN ETHIOPIA, 2006
. (Thesis). Addis Ababa University. Retrieved from http://etd.aau.edu.et/dspace/handle/123456789/3107
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Mesele, Damte. “ASSESSMENT OF THE KNOWLEDGE, ATTITUDE AND PRACTICE OF HEALTH CARE WORKERS ON UNIVERSAL PRECAUTION IN NORTH WOLLO ZONE, AMHARA REGION, NORTH EASTERN ETHIOPIA, 2006
.” 2008. Thesis, Addis Ababa University. Accessed January 18, 2021.
http://etd.aau.edu.et/dspace/handle/123456789/3107.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Mesele, Damte. “ASSESSMENT OF THE KNOWLEDGE, ATTITUDE AND PRACTICE OF HEALTH CARE WORKERS ON UNIVERSAL PRECAUTION IN NORTH WOLLO ZONE, AMHARA REGION, NORTH EASTERN ETHIOPIA, 2006
.” 2008. Web. 18 Jan 2021.
Vancouver:
Mesele D. ASSESSMENT OF THE KNOWLEDGE, ATTITUDE AND PRACTICE OF HEALTH CARE WORKERS ON UNIVERSAL PRECAUTION IN NORTH WOLLO ZONE, AMHARA REGION, NORTH EASTERN ETHIOPIA, 2006
. [Internet] [Thesis]. Addis Ababa University; 2008. [cited 2021 Jan 18].
Available from: http://etd.aau.edu.et/dspace/handle/123456789/3107.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Mesele D. ASSESSMENT OF THE KNOWLEDGE, ATTITUDE AND PRACTICE OF HEALTH CARE WORKERS ON UNIVERSAL PRECAUTION IN NORTH WOLLO ZONE, AMHARA REGION, NORTH EASTERN ETHIOPIA, 2006
. [Thesis]. Addis Ababa University; 2008. Available from: http://etd.aau.edu.et/dspace/handle/123456789/3107
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
23.
Kerševičiūtė,
Jurgita.
Medicinos personalo žinių, apie rankų higienos
reikalavimų laikymąsi asmens sveikatos priežiūros įstaigoje,
vertinimas.
Degree: Master, Public Health, 2012, Lithuanian Academic Libraries Network (LABT)
URL: http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2012~D_20120619_150451-01944
;
► Darbo tikslas. Įvertinti medicinos personalo žinias apie rankų higienos reikalavimų laikymąsi asmens sveikatos priežiūros įstaigoje. Uždaviniai. Įvertinti medicinos personalo žinias apie kokybišką rankų plovimą; įvertinti…
(more)
▼ Darbo tikslas. Įvertinti medicinos personalo
žinias apie rankų higienos reikalavimų laikymąsi asmens sveikatos
priežiūros įstaigoje. Uždaviniai. Įvertinti medicinos personalo
žinias apie kokybišką rankų plovimą; įvertinti medicinos personalo
žinias apie antiseptinių priemonių rankoms dezinfekuoti naudojimą;
apžvelgti ir palyginti medicinos personalo žinias apie rankų
higienos reikalavimų laikymąsi prieš atliekant skirtingas
procedūras; nustatyti sąsajas tarp subjektyvaus rankų odos būklės
vertinimo ir antiseptinių priemonių rankoms dezinfekuoti bei
medicininių pirštinių naudojimo. Tyrimo metodika. Apklausa atlikta
Lietuvos sveikatos mokslų universiteto ligoninėje Kauno klinikose,
kurios metu apklausta 330 įstaigos darbuotojų. Apklausai buvo
naudojama anoniminė anketa. Rezultatai. Įvertinus medicinos
personalo žinias apie kokybišką rankų plovimą, nustatyta, kad per
trumpai (t.y. mažiau nei 10 sek.) rankas plauna vidutiniškai apie
12 proc. respondentų. Rankų plovimo trukmė priklausė nuo
respondentų užimamų pareigų, skyrių, kuriuose jie dirbo ir darbo
pamainos trukmės: gydytojai ir rezidentai rankas plovė reikšmingai
ilgiau, nei slaugytojai (-os) bei kitas personalas; chirurginiuose
skyriuose dirbantys respondentai ilgiau plovė rankas nei dirbantys
terapiniuose skyriuose; darbuotojai, kurių darbo pamainos trukmė
buvo ilgesnė, rankas plovė trumpiau nei respondentai, kurių
pamainos trukmė - trumpesnė. 15,7 proc. dalyvavusiųjų apklausoje
nurodė, jog prie kriauklės ne visuomet yra... [toliau žr. visą
tekstą]
The aim of study. To evaluate knowledges of
hand hygiene of healthcare workers in health care institution.
Objectives. To evaluate quality of knowledges about hand washing of
medical personnel; to evaluate quality of knowledges of antisepsis
use; review and compare quality of knowledges of hand hygiene
before performing different procedures; review the relationship
between subjective hand assessment of the status of skin and use of
antiseptic and medical gloves. Methods. Examination
(questionnaire); statistical analysis (SPSS, MS Excel). The
questionnaire has been filled-in by 330 health care workers in
Hospital of Lithuanian University of Health Sciences Kauno
klinikos. Results. The evaluation of the medical staff knowledge
about the quality of hand-washing, it was found that an average of
about 12 percent. respondents wash their hands less than 10
seconds. Hand washing period depended on the respondents' office or
department where they worked and length of shift work: physicians
and residents washed their hands significantly longer than the
nurses and other staff; the Surgical units employed respondents
were washing their hands longer then those who were working in
Therapeutic units; staff whose work shift duration was longer,
washed their hands less than respondents with a shift length –
shorter. 15.7 percent of the survey participants indicated that at
the sink there is not always soap, antiseptic, disposable towels or
napkins. Surgical unit residents perform hand... [to full
text]
Advisors/Committee Members: Lukšienė, Dalia (Master’s thesis supervisor), Gailienė, Greta (Master’s thesis advisor), Radišauskas, Ričardas (Master’s thesis reviewer), Šveikauskas, Vaclovas (Master’s degree committee chair), Ustinavičienė, Rūta (Master’s degree committee member), Padaiga, Žilvinas (Master’s degree committee member), Jakušovaitė, Irayda (Master’s degree committee member).
Subjects/Keywords: Rankų; Higiena; Antiseptika; Žinios; Hand; Hygiene; Antisepsis; Knowledge
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Kerševičiūtė,
Jurgita. (2012). Medicinos personalo žinių, apie rankų higienos
reikalavimų laikymąsi asmens sveikatos priežiūros įstaigoje,
vertinimas. (Masters Thesis). Lithuanian Academic Libraries Network (LABT). Retrieved from http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2012~D_20120619_150451-01944 ;
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Chicago Manual of Style (16th Edition):
Kerševičiūtė,
Jurgita. “Medicinos personalo žinių, apie rankų higienos
reikalavimų laikymąsi asmens sveikatos priežiūros įstaigoje,
vertinimas.” 2012. Masters Thesis, Lithuanian Academic Libraries Network (LABT). Accessed January 18, 2021.
http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2012~D_20120619_150451-01944 ;.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
MLA Handbook (7th Edition):
Kerševičiūtė,
Jurgita. “Medicinos personalo žinių, apie rankų higienos
reikalavimų laikymąsi asmens sveikatos priežiūros įstaigoje,
vertinimas.” 2012. Web. 18 Jan 2021.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Vancouver:
Kerševičiūtė,
Jurgita. Medicinos personalo žinių, apie rankų higienos
reikalavimų laikymąsi asmens sveikatos priežiūros įstaigoje,
vertinimas. [Internet] [Masters thesis]. Lithuanian Academic Libraries Network (LABT); 2012. [cited 2021 Jan 18].
Available from: http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2012~D_20120619_150451-01944 ;.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Council of Science Editors:
Kerševičiūtė,
Jurgita. Medicinos personalo žinių, apie rankų higienos
reikalavimų laikymąsi asmens sveikatos priežiūros įstaigoje,
vertinimas. [Masters Thesis]. Lithuanian Academic Libraries Network (LABT); 2012. Available from: http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2012~D_20120619_150451-01944 ;
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete

New Jersey Institute of Technology
24.
Ahmed, Gul.
Ergonomic evaluation of shoulder muscle activation during light weight hand tool exertion task.
Degree: MSin Occupational Safety and Health Engineering - (M.S.), Mechanical and Industrial Engineering, 2012, New Jersey Institute of Technology
URL: https://digitalcommons.njit.edu/theses/290
► A study was conducted to evaluate the effect of shoulder muscle activation during hand exertion tasks using a light weight hand tool by working…
(more)
▼ A study was conducted to evaluate the effect of shoulder muscle activation during
hand exertion tasks using a light weight
hand tool by working individuals. Electromyography (EMG) of trapezius, supraspinatus, triceps, and pectoralis major was conducted for 45°, 0° and -45° arm angles, for three different reaches i.e. normal, maximum and extreme and three different push forces low, medium and high. Ten volunteers participated in the experimental study. The effects of push force and reach distance were found to be statistically significant for all four muscles. However the effect of change of angle was not found to be statistically significant, except for triceps. The only interaction effect that was found to be significant was between force and reach for all four muscles.
Advisors/Committee Members: Arijit K. Sengupta, Athanassios K. Bladikas, George W. Olsen.
Subjects/Keywords: Shoulder muscle activation; Hand exertion tasks; Occupational Health and Industrial Hygiene
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Ahmed, G. (2012). Ergonomic evaluation of shoulder muscle activation during light weight hand tool exertion task. (Thesis). New Jersey Institute of Technology. Retrieved from https://digitalcommons.njit.edu/theses/290
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Ahmed, Gul. “Ergonomic evaluation of shoulder muscle activation during light weight hand tool exertion task.” 2012. Thesis, New Jersey Institute of Technology. Accessed January 18, 2021.
https://digitalcommons.njit.edu/theses/290.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Ahmed, Gul. “Ergonomic evaluation of shoulder muscle activation during light weight hand tool exertion task.” 2012. Web. 18 Jan 2021.
Vancouver:
Ahmed G. Ergonomic evaluation of shoulder muscle activation during light weight hand tool exertion task. [Internet] [Thesis]. New Jersey Institute of Technology; 2012. [cited 2021 Jan 18].
Available from: https://digitalcommons.njit.edu/theses/290.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Ahmed G. Ergonomic evaluation of shoulder muscle activation during light weight hand tool exertion task. [Thesis]. New Jersey Institute of Technology; 2012. Available from: https://digitalcommons.njit.edu/theses/290
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide
25.
Butenko, Samantha.
The patient experience of partnering with healthcare professionals for hand hygiene compliance: a systematic review of qualitative literature.
Degree: 2016, University of Adelaide
URL: http://hdl.handle.net/2440/119153
► Background Healthcare associated infections pose a significant risk to patients in acute healthcare settings such as hospitals. Increasingly patients are encouraged to be active participants…
(more)
▼ Background Healthcare associated infections pose a significant risk to patients in acute healthcare settings such as hospitals. Increasingly patients are encouraged to be active participants and to partner with healthcare professionals to positively influence their own safety and overall experience throughout their healthcare journey. Patient focused safety initiatives include the empowerment of patients to be active partners with healthcare professionals to influence the
hand hygiene behaviors and compliance of the healthcare professionals providing care to them. Partnering between the patient and healthcare professional within the healthcare context can be considered a general concept involving the empowerment of patients to participate in their care. Terms used to describe patient partnering within healthcare vary and include patient participation, patient centeredness, patient empowerment and patient engagement. Although patients generally appear to have positive attitudes and intentions about engaging in their safety and partnering in the healthcare setting, their intentions and actual behaviors vary considerably. Patients appear less likely to engage in behaviors that require questioning of the perceived or real authority of healthcare professionals. A patient’s intention and subsequent act of partnering with healthcare professionals for
hand hygiene compliance by the healthcare professional is influenced by complex internal, external and social factors as well as cultural, behavioral and systematic factors. Objectives To identify and synthesize the best available evidence in relation to the experiences of the patient partnering with healthcare professionals in
hand hygiene compliance. To explore the question: What is the experience of partnership between healthcare professionals (doctors and nurses) and patients in relation to
hand hygiene compliance in the acute adult hospital setting? Design A systematic review of qualitative evidence using the Joanna Briggs Institute metaaggregative approach to qualitative evidence synthesis. Inclusion criteria Participants This review considered qualitative (critical or interpretive) papers that included adult inpatients and healthcare professionals, defined as a healthcare worker being a doctor or nurse in the acute hospital care setting. Adult was defined as any person aged 18 years or older. It should be noted that consumers in this context are patients and visa versa; the term patient is therefore used throughout this report for consistency. Phenomena of interest This review considered studies that investigated the experience of partnership between patients and healthcare professionals in relation to
hand hygiene compliance. This review investigated the phenomena of partnering from the perspective of both the patient and the healthcare professional. The phenomenon of interest was the patient’s partnering experience with healthcare professionals within the adult acute healthcare setting and the influence of the associated behaviors and cultures that influence this…
Advisors/Committee Members: Lockwood, Craig (advisor), Joanna Briggs Institute (school).
Subjects/Keywords: Hand hygiene; partnering; patients; consumers; health care professionals; nurses; doctors
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Butenko, S. (2016). The patient experience of partnering with healthcare professionals for hand hygiene compliance: a systematic review of qualitative literature. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/119153
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Butenko, Samantha. “The patient experience of partnering with healthcare professionals for hand hygiene compliance: a systematic review of qualitative literature.” 2016. Thesis, University of Adelaide. Accessed January 18, 2021.
http://hdl.handle.net/2440/119153.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Butenko, Samantha. “The patient experience of partnering with healthcare professionals for hand hygiene compliance: a systematic review of qualitative literature.” 2016. Web. 18 Jan 2021.
Vancouver:
Butenko S. The patient experience of partnering with healthcare professionals for hand hygiene compliance: a systematic review of qualitative literature. [Internet] [Thesis]. University of Adelaide; 2016. [cited 2021 Jan 18].
Available from: http://hdl.handle.net/2440/119153.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Butenko S. The patient experience of partnering with healthcare professionals for hand hygiene compliance: a systematic review of qualitative literature. [Thesis]. University of Adelaide; 2016. Available from: http://hdl.handle.net/2440/119153
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Illinois – Chicago
26.
Limper, Heather M.
Assessment Of An Aggregate Electronic Monitoring System To Measure Hand Hygiene In A Hospital Setting.
Degree: 2016, University of Illinois – Chicago
URL: http://hdl.handle.net/10027/21363
► The purpose of this research was to assess the accuracy, acceptance, and impact of a Hand Hygiene Monitoring Technology (HHMT) to measure hand hygiene (HH)…
(more)
▼ The purpose of this research was to assess the accuracy, acceptance, and impact of a
Hand Hygiene Monitoring Technology (HHMT) to measure
hand hygiene (HH) in an inpatient hospital setting. First, using a rigorous validation method, a HHMT providing unit-level HH performance was seen to have an overall sensitivity of 88.7% and positive predictive value of 99.2% when tested in a purposeful, controlled environment. When tested for accuracy in detecting behaviors in a real-world inpatient hospital setting, effectiveness of the HHMT was similarly high with overall system sensitivity increasing to 92.7% while PPV was 84.4%. Reduced positive predictive value of the system in capturing room activity was associated with behaviors and workflows that resulted in frequent activity in or near room doorways.
Next, using a survey tool rooted in the Theory of Planned Behavior, this study was the first known attempt to conceptualize healthcare personnel acceptance of HHMT using established social cognition theories as the underlying framework. In general, belief in the ability of oneself to contribute to
hand hygiene performance as well as participation in collective
hand hygiene performance by reminding others to perform HH were the most highly predictive characteristics of reported system usefulness and system use. In order to improve perceived usefulness of the aggregate-level
hand hygiene monitoring technology, efforts dedicated towards creating a culture that values
hand hygiene not only at an individual level but also as a collective goal may prove beneficial.
Finally, Using
hand hygiene surveillance data captured 24 hours a day, 7 days a week, every 1% increase in HH was seen to decrease incidence of MRSA in non-colonized patients by 4.4%. Similarly, each 1% increase in HH was seen to decrease incidence of C. difficile by 1.6%. When considering a strict definition of MRSA acquisition as well as incidence of C. difficile acquisition, a 1% increase in
hand hygiene performance can save a 600-bed hospital over $126,000 annually among patients at highest risk of acquisition. These findings support continued dedication to improving
hand hygiene in the healthcare setting.
Advisors/Committee Members: Hershow, Ronald (advisor), Mehta, Supriya (committee member), Johnson, Timothy (committee member), Konda, Sreenivas (committee member), Landon, Emily (committee member).
Subjects/Keywords: Hand Hygiene; Infectious Disease Epidemiology; healthcare associated infections
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Limper, H. M. (2016). Assessment Of An Aggregate Electronic Monitoring System To Measure Hand Hygiene In A Hospital Setting. (Thesis). University of Illinois – Chicago. Retrieved from http://hdl.handle.net/10027/21363
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Limper, Heather M. “Assessment Of An Aggregate Electronic Monitoring System To Measure Hand Hygiene In A Hospital Setting.” 2016. Thesis, University of Illinois – Chicago. Accessed January 18, 2021.
http://hdl.handle.net/10027/21363.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Limper, Heather M. “Assessment Of An Aggregate Electronic Monitoring System To Measure Hand Hygiene In A Hospital Setting.” 2016. Web. 18 Jan 2021.
Vancouver:
Limper HM. Assessment Of An Aggregate Electronic Monitoring System To Measure Hand Hygiene In A Hospital Setting. [Internet] [Thesis]. University of Illinois – Chicago; 2016. [cited 2021 Jan 18].
Available from: http://hdl.handle.net/10027/21363.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Limper HM. Assessment Of An Aggregate Electronic Monitoring System To Measure Hand Hygiene In A Hospital Setting. [Thesis]. University of Illinois – Chicago; 2016. Available from: http://hdl.handle.net/10027/21363
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
27.
Öijer, Ronya.
Hälso- och sjukvårdpersonals följsamhet till hygienföreskrifter avseende handhygien och faktorer som påverkar detta : En litteraturstudie.
Degree: Caring Science/Nursing, 2012, Dalarna University
URL: http://urn.kb.se/resolve?urn=urn:nbn:se:du-11721
► Syftet med föreliggande studie var att redogöra för hälso- och sjukvårdspersonalens följsamhet till hygienföreskrifter avseende handhygien och de faktorer som påverkar detta. Metod: Artiklar…
(more)
▼ Syftet med föreliggande studie var att redogöra för hälso- och sjukvårdspersonalens följsamhet till hygienföreskrifter avseende handhygien och de faktorer som påverkar detta. Metod: Artiklar söktes via CINAHL, Pubmed och Scopus. Sökord som användes i olika kombinationer var: hand hygiene, adherence, hygiene guidelines, health care workers, compliance, hand disinfection, infection control, nursing, nurse och hand cleansing. Tretton vetenskapliga artiklar erhölls. Vidare gjordes en manuell sökning ifrån inkluderade artiklars referenslistor och genererade två artiklar som ingick i resultatet. Resultat: Resultatet visade att hälso- och sjukvårdspersonalens följsamhet till hygienföreskrifter avseende handhygien var låg. Vidare framkom av resultatet att det fanns sju kategorier av faktorer som påverkade följsamheten till hygienföreskrifterna. Dessa var: utbildning och kunskap, arbetsbelastning och tidsbrist, tillgänglighet, hudproblem och handskar. Slutsats: Följsamheten till hygienföreskrifter avseende handhygien är låg. Kontinuerlig utbildning i kombination med ökad tillgänglighet och minskad arbetsbelastning är de viktigaste förutsättningarna för att öka följsamheten till hygienföreskrifter gällande handhygien.
Subjects/Keywords: adherence; hand hygiene; health care workers; följsamhet; handhygien; hälso- och sjukvårdspersonal
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Öijer, R. (2012). Hälso- och sjukvårdpersonals följsamhet till hygienföreskrifter avseende handhygien och faktorer som påverkar detta : En litteraturstudie. (Thesis). Dalarna University. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:du-11721
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Öijer, Ronya. “Hälso- och sjukvårdpersonals följsamhet till hygienföreskrifter avseende handhygien och faktorer som påverkar detta : En litteraturstudie.” 2012. Thesis, Dalarna University. Accessed January 18, 2021.
http://urn.kb.se/resolve?urn=urn:nbn:se:du-11721.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Öijer, Ronya. “Hälso- och sjukvårdpersonals följsamhet till hygienföreskrifter avseende handhygien och faktorer som påverkar detta : En litteraturstudie.” 2012. Web. 18 Jan 2021.
Vancouver:
Öijer R. Hälso- och sjukvårdpersonals följsamhet till hygienföreskrifter avseende handhygien och faktorer som påverkar detta : En litteraturstudie. [Internet] [Thesis]. Dalarna University; 2012. [cited 2021 Jan 18].
Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:du-11721.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Öijer R. Hälso- och sjukvårdpersonals följsamhet till hygienföreskrifter avseende handhygien och faktorer som påverkar detta : En litteraturstudie. [Thesis]. Dalarna University; 2012. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:du-11721
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
28.
Ahlström, Mandy.
Hand hygiene compliance among nursing staff in a Philippine private hospital.
Degree: Sophiahemmet University, 2014, Sophiahemmet University
URL: http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1585
► Background Healthcare-associated infections constitute a threat to patient safety and an economic burden on health systems worldwide. The most effective way to prevent healthcare-associated…
(more)
▼ Background Healthcare-associated infections constitute a threat to patient safety and an economic burden on health systems worldwide. The most effective way to prevent healthcare-associated infections is through proper hand hygiene practice, but studies show that compliance is low. In 2009, the World Health Organization released hand hygiene guidelines and tools to address the issue. Aim The aim of the study was to measure the compliance to the WHO Guidelines on Hand Hygiene in Health Care among nursing staff in a private hospital in the Philippines using the evaluation framework of the World Health Organization. Method The method used to assess compliance was structured direct observations using the World Health Organization’s observation form. Data was collected in 15 days, during full shifts, and analyzed quantitatively based on overall compliance, according to indication, ward, week day/weekend and shift. Results A total of 1920 opportunities were recorded, of which 336 were hand rub performances, 168 hand wash and 1416 missed opportunities, giving an overall compliance of 26.25 percent. The ward with the highest compliance rate was the Neonatal Intensive Care Unit (45.40 percent) and the lowest was Nursing Station 1 (22.26 percent). Conclusion The overall compliance rate of 26.25 percent is lower compared to most published studies and healthcare workers were more compliant to indications that protect themselves than to indications that protect patients. The results can be useful in improving quality of care and patient safety.
Subjects/Keywords: Guideline adherence; Compliance; Hand hygiene; Nursing care; Philippines
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Ahlström, M. (2014). Hand hygiene compliance among nursing staff in a Philippine private hospital. (Thesis). Sophiahemmet University. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1585
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Ahlström, Mandy. “Hand hygiene compliance among nursing staff in a Philippine private hospital.” 2014. Thesis, Sophiahemmet University. Accessed January 18, 2021.
http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1585.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Ahlström, Mandy. “Hand hygiene compliance among nursing staff in a Philippine private hospital.” 2014. Web. 18 Jan 2021.
Vancouver:
Ahlström M. Hand hygiene compliance among nursing staff in a Philippine private hospital. [Internet] [Thesis]. Sophiahemmet University; 2014. [cited 2021 Jan 18].
Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1585.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Ahlström M. Hand hygiene compliance among nursing staff in a Philippine private hospital. [Thesis]. Sophiahemmet University; 2014. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1585
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
29.
Öhman, Louisa.
Hur sjuksköterskor kan bidra till följsamhet av basala hygienrutiner inom kommunal vård och omsorg.
Degree: Health and Caring Sciences, 2014, University of Gävle
URL: http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-17592
► Background: Basic hygiene is an important measure to prevent healthcare associated infections, save patients’ lives, and reduce economic costs for health care. Healthcare associated…
(more)
▼ Background: Basic hygiene is an important measure to prevent healthcare associated infections, save patients’ lives, and reduce economic costs for health care. Healthcare associated infections are a threat to patient safety. In community care persons who are the care takers are a risk group and nurses must make sure that basic hygiene procedures are followed. Method: Literature studies with descriptive design, article search in databases Cinahl and PubMed. The results found are based on twelve chosen articles. Aim: To describe factors related to adherence to basic hygiene and how nurses in community care can help to improve compliance with these procedures. Results: In the nursing staff and leadership in health care interest in and the understanding of basic hygiene is described as being of most importance. Lack of knowledge of the meaning of patient care cleanliness, negative attitudes and non-existing availability of necessary tools and heavy workload had a negative impact. Intensified education and making sure that equipment is available as well as the application of standardized methods, were found to be prerequisite for adherence to basic hygiene routines. Conclusion: Nurses can contribute to improved adherence to basic hygiene routines by promoting education, positive attitudes, a positive adaption of the physical environment, strategic structuring of the workload, and standardized methods, applying basic hygiene routines, being part of and promoting increased interaction in nursing care. Suggestions for future studies is to implement web-based courses, updating courses and training in basic hygiene routines in the workplace. That may increase knowledge, understanding and awareness of the application of basic hygiene routines hence leading to improved nursing care and enhancing patient safety.
Subjects/Keywords: nurse; community care; hand hygiene; cross infection; Nightingale
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Öhman, L. (2014). Hur sjuksköterskor kan bidra till följsamhet av basala hygienrutiner inom kommunal vård och omsorg. (Thesis). University of Gävle. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-17592
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Öhman, Louisa. “Hur sjuksköterskor kan bidra till följsamhet av basala hygienrutiner inom kommunal vård och omsorg.” 2014. Thesis, University of Gävle. Accessed January 18, 2021.
http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-17592.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Öhman, Louisa. “Hur sjuksköterskor kan bidra till följsamhet av basala hygienrutiner inom kommunal vård och omsorg.” 2014. Web. 18 Jan 2021.
Vancouver:
Öhman L. Hur sjuksköterskor kan bidra till följsamhet av basala hygienrutiner inom kommunal vård och omsorg. [Internet] [Thesis]. University of Gävle; 2014. [cited 2021 Jan 18].
Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-17592.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Öhman L. Hur sjuksköterskor kan bidra till följsamhet av basala hygienrutiner inom kommunal vård och omsorg. [Thesis]. University of Gävle; 2014. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-17592
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
30.
Bergman, Linda.
Vårdpersonals följsamhet till handhygienrutiner inom hälso. och sjukvården : En litteraturstudie om faktorer som främjar eller hindrar.
Degree: Nursing, 2016, Umeå University
URL: http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-117943
► Bakgrund: Utövande av handhygienrutiner är en av de viktigaste åtgärderna inom vården för att förhindra vårdrelaterade infektioner. Årligen orsakar vårdrelaterade infektioner stort lidande för…
(more)
▼ Bakgrund: Utövande av handhygienrutiner är en av de viktigaste åtgärderna inom vården för att förhindra vårdrelaterade infektioner. Årligen orsakar vårdrelaterade infektioner stort lidande för patienter och kan leda till bestående skador och döden. All personal inom hälso- och sjukvården är enligt lag ålagda att följa de regler kring basala hygienrutiner som fastställts av Socialstyrelsen. Syfte: Syftet med litteraturstudien var att belysa vad som främjar eller hindrar vårdpersonalens följsamhet till handhygienrutiner inom hälso- och sjukvården, samt äldrevården. Metod: Inklusionskriterierna för litteraturstudien var all vårdpersonal och studenter på sjukhus och äldreboenden. Nio artiklar valdes för att belysa vårdpersonalens upplevelser, perspektiv och erfarenheter. Artiklarna skulle vara skrivna på engelska och peer reviewed samt etiskt granskade. I litteraturstudien har de nio kvalitativa artiklarna kvalitetsbedömts efter SBU:s modell. Artikelsökningarna har gjorts på databaserna: Cinahl, Scopus och PubMed. Exklusionkriterierna var all personal inom tandvården. Analysmetoden innebar att texten kondenserades ned utan att innehållet förlorades. Tio underkategorier framkom i analysen som sedan delades in i två huvudkategorier. Resultat: Resultatet visar att organisatoriska och individuella faktorer har betydelse för utövandet av god handhygien. Information och utbildning höjde följsamheten tillfälligt. Att ha bra förebilder inom yrkesområdet sågs som viktigt och höjde vårdpersonalens benägenhet till att utföra hygienrutiner. Slutsats: Denna litteraturstudie visar att utförande av handhygien är beroende både av organisatoriska- och individuella faktorer. Det finns många metoder för att öka följsamheten, men författarna har inte funnit någon metod som gör att bra rutiner bibehålls. Orsaker som nämnts är bland annat tidsbrist och attityd till att utföra handhygienrutiner.
Subjects/Keywords: Compliance; hand hygiene; knowledge; attitudes; Följsamhet; handhygien; kunskap; attityder
Record Details
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Record Details
Similar Records
Cite
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Bergman, L. (2016). Vårdpersonals följsamhet till handhygienrutiner inom hälso. och sjukvården : En litteraturstudie om faktorer som främjar eller hindrar. (Thesis). Umeå University. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-117943
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Bergman, Linda. “Vårdpersonals följsamhet till handhygienrutiner inom hälso. och sjukvården : En litteraturstudie om faktorer som främjar eller hindrar.” 2016. Thesis, Umeå University. Accessed January 18, 2021.
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-117943.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Bergman, Linda. “Vårdpersonals följsamhet till handhygienrutiner inom hälso. och sjukvården : En litteraturstudie om faktorer som främjar eller hindrar.” 2016. Web. 18 Jan 2021.
Vancouver:
Bergman L. Vårdpersonals följsamhet till handhygienrutiner inom hälso. och sjukvården : En litteraturstudie om faktorer som främjar eller hindrar. [Internet] [Thesis]. Umeå University; 2016. [cited 2021 Jan 18].
Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-117943.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Bergman L. Vårdpersonals följsamhet till handhygienrutiner inom hälso. och sjukvården : En litteraturstudie om faktorer som främjar eller hindrar. [Thesis]. Umeå University; 2016. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-117943
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
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