Involving the patient to ask about hospital hand hygiene: a National Patient Safety Agency feasibility study
Involving the patient to ask about hospital hand hygiene: a National Patient Safety Agency feasibility study
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DOI：
10.1016/j.jhin.2010.10.013
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发表时间：
2011-04-01
影响因子：
6.9
通讯作者：
Donaldson, L.
中科院分区：
文献类型：
--
作者：
Pittet, D.;Panesar, S. S.;Donaldson, L.
在英国，医疗保健相关感染(HAI)每年至少影响30万名患者，对医疗保健系统构成重大但基本上可以预防的负担。医护人员的手部卫生是主要的预防措施，但对良好做法的遵从率普遍较低。英国国家患者安全局调查了五家急症护理医院的公众、住院患者和医务工作者，特别是前线临床工作人员和感染控制护士，以确定他们是否同意更多地参与和接触患者将有助于更好地遵守手部卫生和减少HAIS。57%(302/530)的公众不太可能质疑医生的手清洁程度，因为他们认为医生已经清洗过手了。43%(90/210)的住院患者认为卫生工作者应该知道洗手并相信他们会这样做，20%(42/210)的患者不希望卫生工作者认为他们在质疑自己的专业能力，以正确地完成工作。大多数卫生工作者(178/254，71%)表示，如果患者在接触卫生工作者之前询问他们是否洗手，HAI可以或多或少地降低。患者和卫生工作者都认为，通过提供个人酒精洗手容器来邀请患者提醒卫生工作者手卫生，并积极支持‘可以问’的态度是最有用的干预措施。然而，需要进一步的工作来驳斥卫生工作者中的神话，即患者的参与破坏了医生-或卫生工作者-患者的关系。(C)2010年世界卫生组织。由爱思唯尔有限公司代表医疗感染学会出版。版权所有。
Healthcare-associated infections (HAIs) affect at least 300 000 patients annually in the UK and represent a significant, yet largely preventable, burden to healthcare systems. Hand hygiene by healthcare workers (HCWs) is the leading prevention measure, but compliance with good practice is generally low. The UK National Patient Safety Agency surveyed the public, inpatients, and HCWs, particularly frontline clinical staff and infection control nurses, in five acute care hospitals to determine whether they agreed that a greater level of involvement and engagement with patients would contribute to increased compliance with hand hygiene and reduce HAIs. Fifty-seven percent (302/530) of the public were unlikely to question doctors on the cleanliness of their hands as they assumed that they had already cleaned them. Forty-three percent (90/210) of inpatients considered that HCWs should know to clean their hands and trusted them to do so, and 20% (42/210) would not want HCWs to think that they were questioning their professional ability to do their job correctly. Most HCWs surveyed (178/254, 71%) said that HAI could be reduced to a greater or lesser degree if patients asked HCWs if they had cleaned their hands before touching them. Inviting patients to remind HCWs about hand hygiene through the provision of individual alcohol-based hand-rub containers and actively supporting an 'It's OK to ask' attitude were perceived as the most useful interventions by both patients and HCWs. However, further work is required to refute the myth among HCWs that patient involvement undermines the doctor- or HCW-patient relationship. (C) 2010 World Health Organization. Published by Elsevier Ltd on behalf of the Healthcare Infection Society. All rights reserved.