Hand hygiene compliance among healthcare personnel in Kasemrad Rattanathibeth hospital.

Abstract

Background: The main purpose of this independent study is to identify the factors associated with hand hygiene compliance among healthcare personnel including physicians, nurses and nurse assistants during routine clinical tasks in Inpatient Department and Critical areas including Emergency room and Hemodialysis unit at Kasemrad Rattanathibeth hospital to improve the compliance with best hand hygiene practices and create the area of clean care work place. Method: We monitored the overall compliance with hand hygiene during routine patient care. Self-reported questionnaires were based on the Theoretical Domains Framework by Dyson et al., 2012 were done. Then observation and interview “real time” (immediately after observation) was done among 210 healthcare personnel from May to June, 2016. Factors were analyzed and data between professional category (doctors, nurses and nurse assistants) were compared. Result: These were “believe about capacities and optimism”, “social influences”, “behavioral regulation” and “knowledge” as the 4 behavioral domains commonly linked to hand hygiene compliance. An explanation between professional category compliance identified that nurses and nurse assistants have higher concern on “environmental context”, “belief about capacities and optimism”, “social influences” than doctor. Doctors have stronger “believe about consequences than other medical workers”. Conclusions: This study found valuable components in hand hygiene improvement strategies. Addressing only influencing factors such as believe about capacities and optimism, social influences, behavioral regulation and knowledge are not enough to change hand hygiene behavior. Addressing combinations of different influencing factors showed better results. This work is an essential step towards a new paradigm for safety culture in Kasemrad Rattanathibeth Hospital.