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Sunday, November 1, 2009
Learning Objective 1: The learner will be able to understand compliance with hand washing and gloves usage among care setting at welfare facilities for the elderly.
Learning Objective 2: The learner will be able to think about education of hand hygiene for care staff.
Objective: This study verified the actual conditions regarding compliance with hand washing and gloves usage among the care staff in welfare facilities for the elderly in Japan .
Methods: The self-rating questionnaire was composed of 8 items regarding the practice of required means according to the CDC guideline. This questionnaire was mailed to 56 welfare facilities for the elderly in Yamaguchi Prefecture inJapan between October and November, 2007. All procedures were done according to the Helsinki Declaration.
Results: Of the total 56 facilities, 43 facilities (80.0%) returned the questionnaire and they included 1,323 care staff. The rates of compliance with hand washing and gloves usage were as follows: 1) hand washing before direct contact with residents(62.2%), 2) use of a new pair of gloves for each care episode(68.5%), 3,4) hand washing (78.9%) and changes of gloves (82.0%)when moving from a contaminated-body site to a clean-body site during resident care, 5) hand washing after direct contact with residents(90.3%), 6) hand washing after removing gloves(94.8%).
Discussion: The lowest rate of compliance was “hand washing before contact with residents”. This result showed the same tendency to the previous study’s findings1). The care staff should be understood the need for hand washing before contact with residents. We should be taken measures for improvement of compliance with hand hygiene. The present study suggested that it would be important for the staff to educate about hand washing from an aspect of standard precaution.
Reference
1)Novoa AN, Pi-Sunyer T, Sala M, Molins E, Castells X. Evaluation of hand hygiene adherence in a tertiary hospital. American Journal of Infection Control 2007; 35(10): 676-683.
Methods: The self-rating questionnaire was composed of 8 items regarding the practice of required means according to the CDC guideline. This questionnaire was mailed to 56 welfare facilities for the elderly in Yamaguchi Prefecture in
Results: Of the total 56 facilities, 43 facilities (80.0%) returned the questionnaire and they included 1,323 care staff. The rates of compliance with hand washing and gloves usage were as follows: 1) hand washing before direct contact with residents(62.2%), 2) use of a new pair of gloves for each care episode(68.5%), 3,4) hand washing (78.9%) and changes of gloves (82.0%)when moving from a contaminated-body site to a clean-body site during resident care, 5) hand washing after direct contact with residents(90.3%), 6) hand washing after removing gloves(94.8%).
Discussion: The lowest rate of compliance was “hand washing before contact with residents”. This result showed the same tendency to the previous study’s findings1). The care staff should be understood the need for hand washing before contact with residents. We should be taken measures for improvement of compliance with hand hygiene. The present study suggested that it would be important for the staff to educate about hand washing from an aspect of standard precaution.
Reference
1)Novoa AN, Pi-Sunyer T, Sala M, Molins E, Castells X. Evaluation of hand hygiene adherence in a tertiary hospital. American Journal of Infection Control 2007; 35(10): 676-683.