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Attitudes and practices of Irish hospital-based physicians towards hand hygiene and handrubbing using alcohol-based hand rubs, a comparison between 2007 and 2015.

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dc.contributor.author Kingston, Liz M.
dc.contributor.author Slevin, Barbara L.
dc.contributor.author O'Connell, Nuala H.
dc.contributor.author Dunne, Colum P.
dc.date.accessioned 2017-10-11T15:10:36Z
dc.date.issued 2017
dc.identifier.uri http://hdl.handle.net/10344/6148
dc.description peer-reviewed en_US
dc.description.abstract Background: Hand hygiene is the cornerstone of infection prevention and control practices, and reduces healthcare-associated infections significantly. However, international evidence suggests that medical doctors demonstrate poor compliance. Aim: To explore and compare practices and attitudes towards hand hygiene, particularly hand rubbing using alcohol-based hand rub (ABHR), among hospital-based physicians in Ireland between 2007 and 2015. Methods: In 2007, a random sample of doctors in a large teaching hospital was invited to complete a postal survey using a validated questionnaire. In 2015, the study was replicated among all doctors employed in a university hospital group, including the setting of the original study, using an online survey. Data were analysed using SPSS and Survey Monkey. Findings: Predominately positive and improving attitudes and practices were found, with 86% of doctors compliant with hand hygiene before patient contact in 2015, compared with 58% in 2007. Ninety-one percent of doctors were compliant after patient contact in 2015, compared with 76% in 2007. In 2015, only 39% of respondents reported that they ‘almost always’ used ABHR for hand hygiene. However, this represents 13.5% more than in 2007. Stated barriers to use of ABHR included dermatological issues, poor acceptance, tolerance and poor availability of ABHR products. Conclusion: Greater awareness of hand hygiene guidelines and greater governance appear to have had a positive impact on practice. However, despite this, practice remains suboptimal and there is scope for substantial improvement. Continued and sustained efforts are required in order to build on progress achieved since the World Health Organization hand hygiene guidelines were published in 2009. en_US
dc.language.iso eng en_US
dc.publisher Elsevier en_US
dc.relation.ispartofseries Journal of Hospital Infection;97 (1), pp. 17-25
dc.relation.uri https://doi.org/10.1016/j.jhin.2017.05.010
dc.rights This is the author’s version of a work that was accepted for publication in Journal of Hospital Infection. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Hospital Infection,2017, 97 (1), pp. 17-25, https://doi.org/10.1016/j.jhin.2017.05.010 en_US
dc.subject hand hygiene en_US
dc.subject hand rubbing en_US
dc.subject alcohol-based hand rub en_US
dc.subject hospital-based physicians en_US
dc.subject medical doctors en_US
dc.subject attitudes en_US
dc.subject practices en_US
dc.subject patient safety en_US
dc.title Attitudes and practices of Irish hospital-based physicians towards hand hygiene and handrubbing using alcohol-based hand rubs, a comparison between 2007 and 2015. en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.date.updated 2017-10-11T15:00:38Z
dc.description.version ACCEPTED
dc.identifier.doi 10.1016/j.jhin.2017.05.010
dc.date.embargoEndDate 2018-09-30
dc.embargo.terms 2018-09-30 en_US
dc.rights.accessrights info:eu-repo/semantics/embargoedAccess en_US
dc.internal.rssid 2711955
dc.internal.copyrightchecked Yes
dc.identifier.journaltitle Journal Of Hospital Infection
dc.description.status peer-reviewed


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