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A comparative study of hand hygiene, including alcohol-based hand rub use, among Irish medical and nursing students.

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dc.contributor.author Kingston, Liz M.
dc.contributor.author O'Connell, Nuala H.
dc.contributor.author Dunne, Colum P.
dc.date.accessioned 2018-03-05T11:54:50Z
dc.date.issued 2018
dc.identifier.uri http://hdl.handle.net/10344/6623
dc.description peer-reviewed en_US
dc.description.abstract Background: In Ireland, the setting for this study, the national prevalence rate of health careassociated infection (HCAI) in acute-care facilities is 5.2%. Hand hygiene and in particular hand rubbing using alcohol-based hand rub (ABHR) is highly efficacious in preventing HCAI transmission. Yet, compliance among healthcare professionals is sub-optimal. Less is known about the practices of nursing and medical students and no study comparing practices among these groups in Ireland was found. Hence, the aim of this study was to provide insight into the current hand hygiene and hand rubbing practices of nursing and medical students in Ireland and, by doing so, contribute to the broader understanding of this topic. Methods: This observational study employed a cross-sectional, self-reported design. An electronically administered questionnaire was sent to all nursing and medical students from one university. Data were analysed using appropriate software. Results: The response rate was 37% (323/872). Higher compliance with the World Health Organisation ‘my five moments for hand hygiene’ model was reported among nursing students (NS) than medical students (MS), with scope for improvement in both disciplines identified. Hand hygiene compliance was highest after body fluid exposure (99.5% NS, 91% MS) and lowest after touching a patient’s surroundings (61.5 % NS, 57.5% MS). Attitudes towards hand rubbing were largely positive in both disciplines. 16% of NS were not aware of the clinical contraindications to ABHR use, compared to 45% of MS. 9% of NS did not know when to use soap and water and when to use ABHR, compared to 36% of MS. In contrast, more medical students (46%) than nursing students (22%) were routinely using alcohol-based hand rub for decontamination of hands as recommended. Conclusions: Results suggest scope to review current hand hygiene curricula focusing on the knowledge gaps, the practice deficits and the barriers to ABHR usage identified. en_US
dc.language.iso eng en_US
dc.publisher Elsevier en_US
dc.relation.ispartofseries Nurse Education Today;63, pp. 112-118
dc.rights This is the author’s version of a work that was accepted for publication in Nurse Education Today. 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 Nurse Education Today, 2018, a63, pp. 112-118, https://doi.org/10.1016/j.nedt.2018.01.022 en_US
dc.subject nursing students en_US
dc.subject medical students en_US
dc.subject hand hygiene en_US
dc.subject hand rubbing en_US
dc.subject alcohol-based hand rub en_US
dc.subject attitudes en_US
dc.subject self-report en_US
dc.subject practice en_US
dc.subject infection prevention and control en_US
dc.subject Ireland en_US
dc.title A comparative study of hand hygiene, including alcohol-based hand rub use, among Irish medical and nursing students. 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 2018-03-05T11:45:51Z
dc.description.version ACCEPTED
dc.identifier.doi 10.1016/j.nedt.2018.01.022
dc.contributor.sponsor Infection Prevention Society Novice Investigator Grant 2015 en_US
dc.date.embargoEndDate 2019-01-31
dc.embargo.terms 2019-01-31 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 2736353
dc.internal.copyrightchecked Yes
dc.identifier.journaltitle Nurse Education Today
dc.description.status peer-reviewed


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